Stress-related brain signals that may raise SUDEP risk

CRH Dysregulation of Brainstem Autonomic Circuits Increases SUDEP Risk

['FUNDING_R01'] · TUFTS UNIVERSITY BOSTON · NIH-11238939

This project looks at whether overactive stress neurons in the brain cause dangerous breathing and heart problems in people with epilepsy.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorTUFTS UNIVERSITY BOSTON (nih funded)
Locations1 site (BOSTON, UNITED STATES)
Trial IDNIH-11238939 on ClinicalTrials.gov

What this research studies

If you have epilepsy, this work looks at whether overactive stress circuits in the brain make breathing or heart control fail after seizures. The team will use genetically modified mice and modern tools to turn specific CRH stress neurons on or off while measuring breathing, heart rhythms, and brain activity, and will compare those findings with hormone and tissue data from people who died of SUDEP. They focus on a pathway from the hypothalamus to brainstem autonomic centers that controls cardiorespiratory responses to stress. Results could point to ways to identify people at higher risk or to targets for treatments that protect breathing and heart function.

Who could benefit from this research

Good fit: Ideal candidates would be people with epilepsy—especially those with frequent or generalized seizures, strong stress responses, or signs of autonomic dysfunction—who can share clinical data or samples.

Not a fit: People without epilepsy or whose seizures are clearly unrelated to autonomic or stress-circuit dysfunction are unlikely to benefit directly.

Why it matters

Potential benefit: May identify a stress-related brain pathway that could be targeted to lower SUDEP risk in people with epilepsy.

How similar studies have performed: Preliminary mouse experiments and human postmortem hormone findings support the idea, but applying these circuit-level findings to prevent SUDEP in people is still a new approach.

Where this research is happening

BOSTON, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.