Evaluating fast-ripples in managing drug-refractory epilepsy
Official title: Contribution of Fast-ripples to the Improvement of the Neurosurgical Management of Drug-refractory Epilepsy
Run by University Hospital, Toulouse · NCT06105645 · Data updated 2026-11-12
This study is testing whether using special electrodes to track fast-ripples in the brain can help doctors make better surgery decisions for people with epilepsy that doesn't respond to medication.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 440 (estimated) |
| Sponsor | University Hospital, Toulouse Academic / other |
| Locations | 12 sites (Amiens and 11 other locations) |
| Status | Recruiting |
| Started | January 19, 2024 |
| Main results expected | April 2030 |
| Study ends | April 2030 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT06105645 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients suffering from drug-resistant focal epilepsy who are undergoing SEEG and have consented to participate.
✕Probably not a fit
Patients with conditions such as cardiac defibrillators or those under judicial protection may 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 aims to assess how fast-ripple information can enhance the neurosurgical management of patients with drug-refractory epilepsy using Stereo-ElectroEncephaloGraphy (SEEG). It involves two groups of patients: one receiving hybrid micro-macro electrodes that allow for fast-ripple assessment, and a control group receiving standard electrodes without this capability. The study will analyze the impact of fast-ripples on surgical decisions and patient outcomes, specifically focusing on seizure freedom one year post-surgery. A total of 440 patients will be involved across multiple centers, with data collected and analyzed by a team of experts.
Why it matters
Potential benefit: If successful, this approach could lead to improved surgical outcomes and better seizure control for patients with drug-refractory epilepsy.
How similar studies have gone: While the use of fast-ripples in epilepsy management is a novel approach, similar studies have shown promising results in enhancing surgical decision-making.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient suffering from drug-resistant focal epilepsy (DRFE), as defined by the International League Against Epilepsy, undergoing SEEG, the indication of which was selected during a multidisciplinary epilepsy meeting * Patient who has given written informed consent to allow the study data collection procedures * Patient covered by the French healthcare system. Exclusion Criteria: * Patients under juridical protection (authorship, curators or safeguarding of justice). * Patient deprived of liberty by a judicial or administrative decision * Patient with a cardiac defibrillator * Patient in exclusion period of another study. * No other non-inclusion criteria since the study will only be proposed to patients who already meet the criteria for a SEEG
Where it's running
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CHU Amiens Picardie
Amiens, France Recruiting -
University hospital of Bordeaux
Bordeaux, France Recruiting -
University hospital of Grenoble Alpes
La Tronche, France Recruiting -
APHP Hôpital Bicêtre
Le Kremlin-Bicêtre, France Recruiting -
CHU de Lille
Lille, France Recruiting -
Hospices Civils de Lyon
Lyon, France Recruiting
Show 6 more locations
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CHRU de Nancy
Nancy, France Recruiting -
Hôpital Pitié Salpêtrière
Paris, France Recruiting -
Fondation Adolphe de Rothschild
Paris, France Recruiting -
CHU de Rennes
Rennes, France Recruiting -
Hôpitaux universitaires de Strasbourg
Strasbourg, France Recruiting -
University Hospital of Toulouse
Toulouse, France Recruiting
Study contacts
- Principal investigator: Luc VALTON, MD — University Hospital, Toulouse
- Study coordinator: Luc VALTON, MD
- Email: valton.l@chu-toulouse.fr
- Phone: 0561775608
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Hypothalamus structure and heart autonomic changes in drug-resistant epilepsy
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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.