Status:

UNKNOWN

Clinical Evaluation of Interstitial Laser Thermal Therapy Under Continuous MRI Monitoring as a Minimally Invasive Treatment of Patients With Medically Unbalanced Partial Epilepsy

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Collaborating Sponsors:

Medtronic

Conditions:

Drug-resistant Focal Epilepsy

Epilepsy

Eligibility:

All Genders

18-80 years

Phase:

PHASE1

Brief Summary

Laser Induced Interstitial Thermal Therapy (LITT) is a "minimally invasive" procedure that uses the heat generated by a laser light (65°) to destroy brain lesions by coagulation leading to lesion necr...

Eligibility Criteria

Inclusion

  • Age ≥18 years and \< 80 years
  • Patient with a medically unbalanced partial epilepsy
  • Patient with a lesional image(s) in morphological MRI responsible for epilepsy based on clinical and electrophysiological assessment, +/- PET +/- SPECT +/- MEG +/- sEEG
  • Patients for whom scheduled neurosurgical treatment with craniotomy appears difficult: Deep lesions, eloquent region lesions, patient reluctance to perform surgery.
  • Endorsement of the Multidisciplinary Meeting of Neuro-epileptology
  • Patient affiliated with a social security scheme
  • Patient who has signed prior, free and informed consent

Exclusion

  • Pharmacosensitive epilepsy
  • Patient with poor adherence to medication, or with psychological disorders
  • Patients under legal protection
  • Patient with a contraindication to MRI (metal shards, known allergy to gadolinium, etc.)
  • Anticoagulant and antiplatelet therapy underway, cannot be stopped.
  • Severe and unbalanced psychiatric disorders
  • Pregnant women. Women of childbearing age should use oral contraception throughout the study.
  • Allergy to local anaesthetics / general anaesthesia

Key Trial Info

Start Date :

July 4 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 15 2024

Estimated Enrollment :

13 Patients enrolled

Trial Details

Trial ID

NCT05198882

Start Date

July 4 2022

End Date

August 15 2024

Last Update

October 4 2022

Active Locations (1)

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1

Hôpital Pitié Salpêtrière

Paris, France, 75013