Status:

RECRUITING

Cognitive Impairment in Drug-resistant and Drug-responsive Focal Cryptogenic Epilepsy

Lead Sponsor:

IRCCS San Raffaele

Conditions:

Epilepsy

Focal Epilepsy

Eligibility:

All Genders

18-60 years

Brief Summary

This is a national monocentric (San Raffaele Hospital - OSR, Via Olgettina, 60, 20132 Milan, Italy) observational low-risk-intervention study, prospective and multiparametric (clinical, EEG, neuropsyc...

Detailed Description

At the study entry (T0) DSE, DRE, and NDE will undergo cognitive evaluations (investigating the main cognitive domains), neurological examinations, and 32channel EEG. DRE and NDE patients will undergo...

Eligibility Criteria

Inclusion

  • Inclusion criteria for all study subjects:
  • monolingual native Italian speakers;
  • age between 18-60 years;
  • normal or corrected-to-normal visual acuity;
  • oral and written informed consent to study participation.
  • if assuming psychotropic drugs (i.e., benzodiazepines, antipsychotics, antidepressants), they should be at stable dosage for more than 4 weeks.
  • Inclusion criteria for DRE patients:
  • diagnosis of focal cryptogenic epilepsy;
  • previous failure of at least 2 anti-seizure medication (ASM at adequate dose;
  • at least 3 seizures in the last 2 months; • available brain MRI (\<5 years).
  • Inclusion criteria for DSE patients:
  • diagnosis of focal cryptogenic epilepsy;
  • seizure control obtained after not more than 2 ASM;
  • seizure freedom for at least 6 months;
  • available brain MRI (\<5 years).
  • Inclusion criteria for NDE patients:
  • new diagnosis of focal cryptogenic epilepsy (\<3 months)
  • not more than 1 ASM tested
  • available brain MRI (\<3 months)

Exclusion

  • Age\> 60 years;
  • Documented developmental delay;
  • Evidence of focal abnormalities at neuroimaging (except of hippocampal sclerosis);
  • Neurological degenerative conditions;
  • history of other systemic (including systemic neoplasms in the last 3 years and abnormal hepatorenal functions), neurologic, psychiatric diseases, head injury, cardiovascular events, and cerebrovascular alterations;
  • alcohol and/or psychotropic drugs abuse

Key Trial Info

Start Date :

June 20 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

March 1 2027

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT06210022

Start Date

June 20 2024

End Date

March 1 2027

Last Update

June 24 2024

Active Locations (1)

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IRCCS San Raffaele

Milan, Italy, 20132

Cognitive Impairment in Drug-resistant and Drug-responsive Focal Cryptogenic Epilepsy | DecenTrialz