A Randomized, Multi-center, Double-blind, Parallel, Crossover Study of a Non-invasive Neurostimulation to the Vagus Nerve With the gammaCore Device for the Reduction in Frequency of Seizures Associated With Epilepsy.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Seizure
- Sponsor
- ElectroCore INC
- Enrollment
- 13
- Locations
- 2
- Primary Endpoint
- Frequency of Seizures
- Status
- Terminated
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to see the effects of non-invasive vagal nerve stimulation for the reduction in frequency of seizure associated with epilepsy in subjects 18 or older.
Detailed Description
The purpose of the study is to determine the effects of non-invasive vagus nerve stimulation for the reduction in frequency of seizure associated with epilepsy in subjects 18 or older. Subjects will record 4 weeks of baseline seizure activity before being randomized for a period of 8 weeks to receive and active treatment to an active-sham treatment. All subjects will then receive another 8 weeks of active treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The patient is diagnosed with epilepsy with; primary generalized tonic-clonic or partial complex or simple complex or focal onset seizures, with or without secondary generalization.
- •The patient's present antiepileptic drug (AED) therapy is ineffective or intolerable
- •The patient is receiving a stable dose of up to 2 oral AED medication(s) and is not expected to have any change in his/her baseline AED treatment during the treatment period.
- •The patient is having more than 2 recordable seizures a month.
Exclusion Criteria
- •The patient has had status epilepticus within the last six months.
- •The patient has had epilepsy surgery or a VNS implant.
- •The patient has had a history or presence of seizures occurring only in clusters (too frequently or indistinctly separated to be reliably counted).
- •The patient has had 4 weeks continuous seizure freedom last 2 months.
- •The patient has psychogenic non-epileptic seizures (PNES) seizures.
- •The patient has a concomitant progressive CNS disease including progressive myoclonus epilepsy.
- •The patient has a significant history of cardiac, renal, neurologic (other than epilepsy), psychiatric, oncologic, endocrinologic, metabolic, or hepatic disease, which would adversely affect their participation in this study.
- •The patient has had an episode of status epilepticus within 4 weeks of Screening.
- •Has a lesion (including lymphadenopathy), dysaesthesia, previous surgery or abnormal anatomy at the GammaCore treatment site.
- •Has known or suspected severe atherosclerotic cardiovascular disease, severe carotid artery disease (e.g. bruits or history of TIA or CVA), congestive heart failure (CHF), known severe coronary artery disease or recent myocardial infarction.
Outcomes
Primary Outcomes
Frequency of Seizures
Time Frame: 16 weeks
The seizure frequency was collected in the subject diary throughout Intervention 1/Phase 2 (8 weeks) and Intervention 2/Phase 3 (8 weeks).
Secondary Outcomes
- Duration of Seizure(16 weeks)
- Severity of Seizure(16 weeks)
- Type of Adverse Events(16 weeks)
- Number of Seizure Free Days(16 weeks)
- Quality of Life in Epilepsy(16 weeks)