A Prospective Study to Evaluate the Use of the Minder Device to Aid in Developing a Treatment Plan After Inconclusive Prolonged EEG in Patients With Epilepsy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 210
- 试验地点
- 21
- 主要终点
- Compare the proportion of participants receiving the Minder System with those receiving Standard of Care (SOC) as a means of obtaining an actionable event based on clinical data (i.e. Minder EEG data, non-Minder EEG data, SOC assessments, etc.).
研究概览
简要总结
The purpose of this research is to address the challenges of diagnosing and long-term management of epilepsy in participants whose seizures are not well captured by standard electroencephalography (EEG) tests and who cannot use or are not able to use more standard monitoring techniques. This research will compare the Minder System to standard of care in providing reliable seizure data. The Minder System was granted De Novo classification by the U.S. Food and Drug Administration (FDA) and is not investigational.
Participants will consent to join the study and be implanted with the Minder device; or consent to join the study and continue with their Standard of Care (SOC) as a control group. Participants chose to be implanted with the Minder device will have the device implanted under their scalp. After implantation, participants will be randomly assigned to a group where their treating physician will have access to the EEG data collected by the Minder System or a group where their treating physician does not have access to the EEG data collected by the Minder System. Participants receiving the Minder System will not know which group they are in (blinded) until the study ends.
All participants will continue to be followed by their treating physician and undergo assessments and visits until enough information is available to determine a treatment plan or the 6-month follow-up visit.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Diagnostic
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of focal and/or generalized epilepsy.
- •Drug-resistant
- •At least an average of 1 seizure within the past 3 months
- •Participant completed a multi-day EEG assessment that was inconclusive, and is unchanged since the last EEG monitoring.
排除标准
- •Epilepsy surgery within the past 6 months
- •Active Deep Brain Stimulation (DBS) or Responsive Neurostimulator System (RNS)
- •Participant needs treatments or assessments that are not indicated with the Minder System like Magnetic Resonance Imaging (MRI), Electro-Convulsive Therapy (ECT), lithrotripsy, and diathermy
- •Participant cannot have surgery to have the device implanted
研究组 & 干预措施
Standard of Care Arm
Minder System Control Arm
干预措施: Receipt of the Minder System (implantable sub-scalp continuous electroencephalographic (EEG) monitoring (iCEM) system) (Device)
Minder System Treatment Arm
干预措施: Receipt of the Minder System (implantable sub-scalp continuous electroencephalographic (EEG) monitoring (iCEM) system) (Device)
结局指标
主要结局
Compare the proportion of participants receiving the Minder System with those receiving Standard of Care (SOC) as a means of obtaining an actionable event based on clinical data (i.e. Minder EEG data, non-Minder EEG data, SOC assessments, etc.).
时间窗: 6 months
次要结局
- Compare the time to the first actionable event.(6 months)
- Compare participant wellbeing between groups with the Beck Depression Inventory (BDI) for symptoms associated with depression.(6 months)
- Compare healthcare utilization between groups by the number of hospital visits.(6 months)
- Compare healthcare utilization between groups by the number of surgeries or procedures.(6 months)
- Compare participant wellbeing between groups with the Beck Anxiety Inventory (BAI) for symptoms associated with anxiety.(6 months)
- Compare healthcare utilization between groups by medication usage.(6 months)
