The Benefits of a Care Pathway Combining Remote Monitoring and Support From a Nurse After a Change in Anti-epileptic Treatment: a Pilot Study
EPISUR
The Benefits of a New Care Pathway Combining Remote Monitoring and Support From a Nurse for Epileptic Patients After a Change in Anti-epileptic Treatment: a Pilot Study
2 other identifiers
interventional
60
1 country
1
Brief Summary
Epilepsy is a chronic condition affecting approximately 600,000 people in France. Epilepsy treatment relies on antiepileptic drugs, the effectiveness of which depends on adherence to medication schedule, with missed doses increasing the risk of seizures. As with any chronic illness, epilepsy presents a significant challenge in terms of treatment adherence. Furthermore, despite good medication adherence, 30% of patients remain drug-resistant. Therefore, the aim is to create a remote monitoring program, supported by a nurse, lasting six months after the introduction of a new antiepileptic drug, to support the patient until their next appointment with a neurologist. This system would optimize and secure the care pathway during treatment changes by improving the detection of side effects and/or a resurgence of seizures requiring medication adjustments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2026
Typical duration for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
March 27, 2026
CompletedFirst Posted
Study publicly available on registry
April 2, 2026
CompletedStudy Start
First participant enrolled
May 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2028
April 2, 2026
March 1, 2026
1.5 years
March 27, 2026
March 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Describe the evolution of therapeutic adherence
Measurement of the Mascard scale score in 2 groups of patients benefiting or not from the new care and support pathway.
6 months after the inclusion
Secondary Outcomes (5)
Evolution of Quality of Life between baseline and 6 months
6 months after the inclusion
Description of the care pathway between baseline and 6 months
6 months after the inclusion
Description of patient satisfaction with their medical care
6 months after the inclusion
Evaluation of patient acceptability of remote monitoring
6 months after the inclusion
Evaluation of satisfaction with the use of remote monitoring by the healthcare team
6 months after the inclusion
Study Arms (2)
Patients with remote monitoring
EXPERIMENTALPatients who will benefit from remote monitoring to support them in their changes to antiepileptic treatment
Patients without remote monitoring
ACTIVE COMPARATORPatients who will receive standard care without remote monitoring as part of a change in anti-epileptic treatment
Interventions
Training in the care pathway via remote monitoring software
Description of the standard care pathway with the nurse
Therapeutic support with a nurse who ensures the patient's adherence to remote monitoring at 1 month and 3 months
Quality of life questionnaires at baseline and at 6 months
Satisfaction questionnaire for the group with remote monitoring at 6 months
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of epilepsy by a neurologist
- Patient requiring the introduction of anti-epileptic medication as an add-on to their usual treatment or as a replacement for their current treatment(s)
- Access to a reliable internet connection and a compatible device for remote monitoring (smartphone, tablet, computer)
- Ability to understand and use remote communication technologies
You may not qualify if:
- Presence of concurrent neurological or psychiatric disorders affecting the ability to use remote monitoring.
- Presence of a progressive neurological disease, including degenerative CNS disease, or a progressive tumor.
- Change in treatment for pregnancy preparation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cerebral electrophysiology, epilepsy and sleep, Purpan Hospital, Place du Docteur Baylac
Toulouse, Non, 31059, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 27, 2026
First Posted
April 2, 2026
Study Start
May 1, 2026
Primary Completion (Estimated)
November 1, 2027
Study Completion (Estimated)
May 1, 2028
Last Updated
April 2, 2026
Record last verified: 2026-03