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SANTE - Stimulation of the Anterior Nucleus of the Thalamus for Epilepsy
This study is ongoing, but not recruiting participants.

First Received on January 18, 2005.   Last Updated on February 17, 2012   History of Changes
Sponsor: MedtronicNeuro
Information provided by (Responsible Party): MedtronicNeuro
ClinicalTrials.gov Identifier: NCT00101933
  Purpose

The purpose of this research is to study the safety and effectiveness of bilateral stimulation of the anterior nucleus of the thalamus as adjunctive therapy for reducing the frequency of seizures in adults diagnosed with epilepsy characterized by partial-onset seizures, with or without secondary generalization, that are refractory to antiepileptic medications.


Condition Intervention Phase
Epilepsy
Device: Medtronic DBS Therapy for epilepsy
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: SANTE - Stimulation of the Anterior Nucleus of the Thalamus for Epilepsy

Resource links provided by NLM:


Further study details as provided by MedtronicNeuro:

Primary Outcome Measures:
  • Primary Analysis: Change in Seizure Rate [ Time Frame: Through the end of the three-month blinded phase ] [ Designated as safety issue: No ]
  • Alternative Primary Analysis: Change in Seizure Rate [ Time Frame: Through the end of the three-month Blinded Phase ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Adverse Events Experienced With the Medtronic DBS system [ Time Frame: Through Year 2 of the long-term follow-up phase ] [ Designated as safety issue: Yes ]
  • Incidence of Sudden Unexplained Death in Epilepsy (SUDEP) [ Time Frame: Inclusive of all study follow-up after device implantation (mean follow-up 3.7 years) ] [ Designated as safety issue: Yes ]
  • Seizure Responder Rate [ Time Frame: Through the end of the three-month blinded phase ] [ Designated as safety issue: No ]
  • Change in Percentage of Days Seizure-free [ Time Frame: Through the end of the three-month blinded phase ] [ Designated as safety issue: No ]
  • Percent Change in the Maximum Length of Seizure-free Intervals [ Time Frame: Through the end of the three-month Blinded Phase ] [ Designated as safety issue: No ]
  • Proportion of Treatment Failures [ Time Frame: Through the end of the three-month Blinded Phase ] [ Designated as safety issue: No ]

Enrollment: 157
Study Start Date: December 2003
Estimated Study Completion Date: May 2012
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Active Stimulation
Device: Medtronic DBS Therapy for epilepsy
Stimulation On
Sham Comparator: 2
No Stimulation
Device: Medtronic DBS Therapy for epilepsy
Stimulation Off

Detailed Description:

Medtronic, Inc. is sponsoring an investigational study of the Medtronic DBS Therapy for epilepsy, the company's deep brain stimulation (DBS) therapy for patients with refractory epilepsy. Epilepsy is a condition that affects 2.3 million Americans, and about one-third of these patients are refractory, or continue to experience seizures despite a wide range of treatment options.

The prospective, randomized, double-blind trial uses existing technology to test whether bilateral stimulation of the anterior nucleus of the thalamus can safely and effectively reduce seizure frequency in patients with epilepsy. It includes enrollment of 157 patients at 17 sites in the U.S. 110 patients were implanted and monitored for 13 months following implant, with long-term follow-up until the device is approved or the study is stopped.

Patients in the active group, who received neurostimulation, were monitored for a reduction in seizure rates compared to the control group, who did not receive neurostimulation during the three-month double-blind phase. After the double-blind phase, all patients received neurostimulation.

Candidates for the trial were adults with partial-onset epilepsy for whom at least three antiepileptic drugs have proven ineffective. They were to have had an average of six or more seizures per month. Candidates continued to receive their epilepsy medications while participating in the trial.

Deep brain stimulation therapy has already received approval in the United States, Europe, Canada, and Australia for the treatment of Essential Tremor and Parkinson's disease. Deep brain stimulation is not approved for the treatment of epilepsy.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

The study is no longer recruiting.

  Contacts and Locations
No Contacts or Locations Provided
  More Information

Publications:
Responsible Party: MedtronicNeuro
ClinicalTrials.gov Identifier: NCT00101933     History of Changes
Other Study ID Numbers: 1604
Study First Received: January 18, 2005
Last Updated: February 17, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by MedtronicNeuro:
Deep brain stimulation, SANTE

Additional relevant MeSH terms:
Epilepsy
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases

ClinicalTrials.gov processed this record on May 24, 2012