Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 and up

Mapping Epileptic Networks with MRI and iEEG

Official title: Optimized Intracranial EEG Targeting in Focal Epilepsy Based Upon Neuroimaging Connectomics

Run by University of Pennsylvania · NCT04649008 · Data updated 2026-11-12

This study is testing a new way to use MRI and brain wave recordings to help people with hard-to-treat epilepsy understand their seizures better and improve their chances of successful surgery.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment290 (estimated)
SponsorUniversity of Pennsylvania
Academic / other
Locations1 site (Philadelphia, Pennsylvania)
StatusRecruiting
StartedMarch 1, 2021
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedFebruary 13, 2026
Trial IDNCT04649008 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients with medication-refractory epilepsy who are planned for intracranial EEG placement and are hypothesized to have temporal lobe epilepsy.

Probably not a fit

Patients with contraindications to MRI, prior intracranial surgery, or non-diagnostic iEEG findings 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 develop noninvasive imaging biomarkers that can predict the functional dynamics of intracranial EEG (iEEG) and surgical outcomes for patients with intractable epilepsy. By integrating MRI and iEEG data, the researchers seek to create tools that can accurately map epileptic networks, potentially reducing the need for invasive diagnostic procedures. The study focuses on patients with temporal lobe epilepsy who are scheduled for iEEG placement, and it will explore the relationship between structural and functional brain measures and seizure dynamics. The ultimate goal is to enhance patient-specific interventions and improve surgical outcomes.

Why it matters

Potential benefit: If successful, this study could lead to less invasive and more effective treatments for patients with drug-resistant epilepsy.

How similar studies have gone: Other studies have shown promise in using noninvasive imaging techniques to improve epilepsy treatment, but this specific approach is innovative and aims to validate new biomarkers.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with medication-refractory epilepsy
* Planned intracranial EEG (IEEG) placement
* Hypothesized to have temporal lobe epilepsy

Exclusion Criteria:

* Contraindication to 3T MRI (e.g. metal implants or claustrophobia), clinical features that typically preclude the use of IEEG (e.g. pregnancy), prior intracranial surgery or device, and IEEG findings that are non-diagnostic (e.g. seizure onset zone(s) not identified)

Where it's running

  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.