Diagnosis and treatment of drug-resistant focal epilepsies
Official title: Multimodal Study for the Diagnosis and Treatment of Drug-resistant Focal Epilepsies
Run by Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta · NCT06794606 · Data updated 2026-11-12
This study is testing if surgery to remove the area of the brain causing seizures can help people with drug-resistant focal epilepsy feel better and have fewer seizures.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 337 (estimated) |
| Sponsor | Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta Academic / other |
| Locations | 1 site (Milan) |
| Status | Recruiting |
| Started | June 23, 2021 |
| Main results expected | March 2041 |
| Study ends | March 2041 |
| Registry record updated | April 1, 2026 |
| Trial ID | NCT06794606 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adult patients with a long history of drug-resistant focal seizures, either with identifiable epileptogenic lesions or cryptogenic cases.
✕Probably not a fit
Patients with uncertain epilepsy diagnoses or those with cognitive or psychiatric disorders that hinder their ability to participate will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study focuses on patients with drug-resistant focal epilepsy, a condition where seizures are not adequately controlled by medication. It aims to evaluate the effectiveness of surgical interventions, specifically the ablation of the epileptogenic zone, in improving patient outcomes. The study will involve careful selection of candidates based on their medical history and neuroimaging results. By analyzing the results of surgical treatment, the study seeks to provide insights into the potential for achieving seizure freedom in these patients.
Why it matters
Potential benefit: If successful, this study could significantly improve the quality of life for patients suffering from drug-resistant focal epilepsy by offering a potential cure through surgical intervention.
How similar studies have gone: Previous studies have shown that surgical interventions can lead to significant improvements in seizure control for patients with drug-resistant epilepsy, indicating a promising approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients with focal epilepsy, long history of drug-resistant seizures, on mono- or polypharmacy antiepileptic therapy affected by known epileptogenic lesion or without lesions evident on neuroimaging investigations (cryptogenic). - - - Patients with recent onset of focal seizures, in mono- or polypharmacy, with controlled or rare seizures, or still in the absence of antiepileptic therapy affected by neoplastic lesion. Exclusion Criteria: * Patients in whom the diagnosis of epilepsy is doubtful. Patients with cognitive or psychiatric disorders that prevent participation in an interview, proper understanding of informed consent, or completion of questionnaires.
Where it's running
-
Foundation IRCCS Carlo Besta Neurological Institute
Milan, Italy Recruiting
Study contacts
- Study coordinator: Marco De Curtis, M.D.
- Email: marco.decurtis@istituto-besta.it
- Phone: 02.2394.2242
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.