NCT05393518

Brief Summary

Anxiety disorders have the highest prevalence among mental disorders and cause considerable individual and financial costs. Current treatments do not relieve mental suffering of many patients. Understanding neurobiological mechanisms involved in pathological anxiety is a major scientific challenge.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
6mo left

Started Oct 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress89%
Oct 2022Oct 2026

First Submitted

Initial submission to the registry

March 29, 2022

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 26, 2022

Completed
5 months until next milestone

Study Start

First participant enrolled

October 11, 2022

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 11, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 11, 2026

Last Updated

July 25, 2025

Status Verified

July 1, 2025

Enrollment Period

4 years

First QC Date

March 29, 2022

Last Update Submit

July 22, 2025

Conditions

Keywords

Focal epilepsyGeneralized Anxiety DisorderIntracranial recordingsStereoenectroencephalographyCoherenceNetworks

Outcome Measures

Primary Outcomes (1)

  • Change in neuronal coherence in the frontolimbic network

    Change in neuronal coherence in the frontolimbic network between the basal condition and the expression of acute anxiety induced induced by exposure to an anxiety-inducing scenario between patients suffering from GAD and controls. Local brain activities tend to organize in oscillatory patterns. In order to determine if neurnal activities in frontal and limbic areas at similar oscillatory frequencies synchronize as a substrate or marker for anxiety, we will perform a coherence analysis. The coherence study estimates the consistency of the relative amplitude and phase of two signals in a given frequency spectrum, and will take its values in the interval \[0.1\]. The variation of coherence value will be compared between relevant epochs (anxiety-induced scenario and baseline) and between patients suffering from GAD and controls.

    Inclusion (Day 1)

Secondary Outcomes (13)

  • Generalized Anxiety Disorders (GAD) severity score at The Penn State Worry Questionnaire (PSWQ)

    Inclusion (Day 1)

  • SEEG power spectrum changes

    Inclusion (Day 1)

  • Wechsler adult intelligent scale Score (WAIS-R full scale IQ)

    Inclusion (Day 1)

  • Auditory and visual memory index (MEM IV)

    Inclusion (Day 1)

  • Quality of life scale applied to epilepsy (QOLI-E 31)

    Inclusion (Day 1)

  • +8 more secondary outcomes

Study Arms (2)

Drug resistant epilepsy with GAD

EXPERIMENTAL

Patients suffering from drug-resistant epilepsy and generalized anxiety disorders (GAD),explored by intracranial EEG (seteroelectroencephalography - SEEG) in Hospital

Behavioral: Anxiety-induced taskBehavioral: Neuropsychiatric assessment

Drug resistant epilepsy without GAD

ACTIVE COMPARATOR

Patients suffering from drug-resistant epilepsy without generalized anxiety disorders (GAD),explored by intracranial EEG (seteroelectroencephalography - SEEG) in Hospital

Behavioral: Anxiety-induced taskBehavioral: Neuropsychiatric assessment

Interventions

Subjects will be asked to describe their most anxious thoughts and write each of them in a detailed scenario. The scenarios will be based on the answers to the Worry and Anxiety Questionnaire, in order to validate the procedure by a standardized examination. During the task, the scenarios will be successively presented to the subjects, on a digital computer medium in written and oral format. Subjects will be asked to actively focus on these negative thoughts with maximum concern, without seeking to control their emotions.

Drug resistant epilepsy with GADDrug resistant epilepsy without GAD

Screening for depression and anxiety

Drug resistant epilepsy with GADDrug resistant epilepsy without GAD

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Man or woman
  • Aged 18 to 65;
  • With drug-resistant epilepsy
  • Benefiting from a phase II pre-surgical assessment with intracerebral electrophysiological exploration by stereo-EEG
  • Meeting the DSM-5 diagnostic criteria for generalized anxiety disorder ("pathological" population) or not meeting the DSM-5 diagnostic criteria for generalized anxiety disorder ("control" population)
  • WAIS IV full scale IQ \> 75 or IAG \> 81
  • Affiliate or beneficiary of a social security scheme
  • Giving free, informed consent in writing and signed by the participant and the investigator

You may not qualify if:

  • Being unable to give personal consent
  • Be subject to a measure of legal protection (curatorship, guardianship) or placed under judicial protection;
  • Suffer from a chronic delusional disorder (eg: schizophrenia);
  • Have a moderate or high risk of suicide assessed using the corresponding section of the structured psychiatric interview called "Mini International Neuropsychiatric Interview" (M.I.N.I. 7.0) or a score \> 2 on item 10 of the MADRS, assessing suicidal risk;
  • Being pregnant or breastfeeding
  • Have severe and / or decompensated somatic illness other than drug-resistant epilepsy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHU de Bordeaux

Bordeaux, 33076, France

RECRUITING

MeSH Terms

Conditions

Anxiety DisordersGeneralized Anxiety DisorderDrug Resistant EpilepsyEpilepsies, Partial

Condition Hierarchy (Ancestors)

Mental DisordersEpilepsyBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Jérôme Aupy, Dr

    University Hospital, Bordeaux

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 29, 2022

First Posted

May 26, 2022

Study Start

October 11, 2022

Primary Completion (Estimated)

October 11, 2026

Study Completion (Estimated)

October 11, 2026

Last Updated

July 25, 2025

Record last verified: 2025-07

Locations