External Trigeminal Nerve Stimulation for Epilepsy

Olive View-UCLA Education & Research Institute

Status and phase

Completed

Phase 2

Conditions

Epilepsy

Seizure Disorders

Treatments

Device: Trigeminal Nerve Stimulation

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT01159431

TNS-TDP-01

Details and patient eligibility

About

This study investigates a new therapy for epilepsy called Trigeminal Nerve Stimulation (TNS). TNS involves external electrical stimulation of sensory nerve located above the eyes and over the forehead. The purpose of this study is to determine if TNS is safe and effective using a rigorous randomized active-control clinical trial design in 50 people with epilepsy.

Full description

Poorly controlled epilepsy is a disabling condition, affecting over one million Americans. Neurostimulation is a promising alternative for patients who have failed medical therapy, and who are not resective surgical candidates.

Trigeminal Nerve Stimulation (TNS) is a novel form of neurostimulation, and has a strong antiepileptic effect in an animal model of seizures. Preliminary data in humans indicates TNS is well tolerated and may be effective in people with intractable epilepsy.

TNS is an alternative mode of neurostimulation, because the Trigeminal Nerve can be stimulated in minimally-invasive fashion.

This is a randomized double blind study of Trigeminal Nerve Stimulation, which compares high stimulation to an active control. Subjects with poorly controlled partial onset seizures who meet all inclusion and exclusion criteria, enter a 6-week baseline period, and then are randomized in double-blind fashion to high or low intensity stimulation for 18 weeks. 50 subjects are to be enrolled at two sites.

Study outcomes are the following:

Percent change in seizure frequency during the treatment period compared with the baseline (pre-treatment) period.
Time to the 4th seizure

The primary comparisons will be between and within groups.

Enrollment

50 patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Ages 18 - 70;
No serious or progressive medical illness;
A history of intractable partial seizures;
At least two complex partial or tonic clonic generalized seizures per month in the last two consecutive months;
MRI or EEG consistent with localization-related or partial epilepsy;
Exposure to at least two antiepileptic drugs at adequate doses;
Concurrent use of at least one antiepileptic drug at adequate doses;
No change in antiepileptic dose for at least 30 days before study enrollment

Exclusion criteria

History of non-epileptic seizures;
Inability to maintain accurate seizure calendars (self or caregiver);
Frequent use of benzodiazepines for clusters defined as greater than four times a month;
History of facial pain or trigeminal neuralgia;
Concurrent vagus nerve stimulation;
Pregnancy