French vagus nerve stimulation (VNS) epilepsy registry

ISRCTN ISRCTN72921325
DOI https://doi.org/10.1186/ISRCTN72921325
Secondary identifying numbers E-104
Submission date
04/03/2013
Registration date
26/04/2013
Last edited
17/01/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Vagus Nerve stimulation (VNS) Therapy has been CE marked for the treatment of epilepsy since 1994. This study is designed to assess clinical course and outcomes for patients diagnosed with partial or generalized seizures that are refractory (do not respond) to antiepileptic medication treated with standard of care including adjunctive VNS Therapy for patient with epilepsy.

Who can participate?
All patients who agree to be treated by VNS Therapy should take part to the study except if the patient declines participation.

What does the study involve?
If a patient agree to take part, he/she will be followed for about 27 months (2 visits pre-implant & 4 visits post-implantation at 6, 12, 18 and 24 months). During the study, the following items will be assessed: Seizure frequency, seizure severity, quality of life, health status and safety.

What are the possible benefits and risks of participating?
Patient may benefit from more frequent visits with their treating physician. There are no additional risks for patients in this study other than the loss of confidentiality and those risks associated with receiving a VNS Therapy device.

Where is the study run from?
The study will take place in 15 preselected hospitals across France

When is the study starting and how long is it expected to run for?
January 2013 to June 2017

Who is funding the study?
LivaNova Belgium N.V.

Who is the main contact?
Mr Wim Van Grunderbeek
Clinical Department
+32 (0)2 720 95 93

Contact information

Dr Elizabeth Landre
Scientific

CH Sainte-Anne
rue Cabanis 1
Paris
75014
France

Study information

Study designPost-market long-term prospective observational multi-site study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA post-market, long-term, prospective, observational, multi-site outcome study to assess the clinical course and seizure reduction of patients treated with adjunctive vagus nerve stimulation therapy in France
Study acronymE-104
Study objectivesThis post-market observational study is designed to assess clinical course and outcome for patients diagnosed with partial or generalized seizures that are refractory to antiepileptic medications treated with standard of care including adjunctive VNS Therapy. Seizure frequency, seizure severity, quality of life, health status and safety will be evaluated. The results of this study will provide data to guide physicians and their patients in the use of the VNS Therapy for patients with epilepsy. The data being collected is not for the purposes of confirmatory assessment.

The primary objective is to evaluate the effectiveness of VNS Therapy in patients with drug resistant epilepsy treated with adjunctive VNS Therapy over a 2 year post-implant period in France.
The secondary objectives are to assess the effectiveness endpoints, safety and tolerability of VNS Therapy in patients with epilepsy treated with adjunctive VNS Therapy over a 2 year post-implant period in France.
Ethics approval(s)Ethics Board: CPP île de France 3, 05/12/2012, ref: SC2995
Health condition(s) or problem(s) studiedDrug-resistant epilepsy
InterventionData from all investigative sites will be combined in the computation of summary statistics. Data will be summarized with respect to each of the parameters that include enrollment and disposition summaries, demographics and baseline disease characteristics. VNS Therapy effectiveness measures and safety measures.

If a patient agree to take part, he/she will be followed for approximately 27 months (2 visits pre-implant & 4 visits post-implantation at 6, 12, 18 and 24 months).
Intervention typeOther
Primary outcome measureResponse rate, measured using a summary of participant seizure diary at baseline (pre-implant)), and 6, 12, 18 and 24 months post implant
Secondary outcome measuresMeasured at baseline (pre-implant)), and 6, 12, 18 and 24 months post implant:
1. Visit-wise response rate – percent (proportion) of patients who achieved a reduction of ≥ 50% in seizure frequency of all seizure types combined from baseline at each visit time-point after VNS device implant, measured by seizure frequency data in seizure diary
2. Seizure frequency of all seizures combined, measured using a seizure diary
3. Seizure severity, measured using the NHS3 scale
4. Health status, measured using EQ-5D and EQ-5D-Y
5. Quality of life, measured using Qolie-31-P and Qolie-AD-48
Overall study start date21/01/2013
Completion date30/06/2017

Eligibility

Participant type(s)Patient
Age groupAll
SexBoth
Target number of participants150 patients. The enrollment period will end when 150 implanted patients have a least one follow-up assessment post-baseline
Key inclusion criteria1. All newly patients implanted with a VNS device
2. Patients must have received the information letter and agreed that their data will be collected and transmitted to Cyberonics for analysis
Key exclusion criteriaDoes not meet inclusion criteria
The investigator should refer to the instructions for VNS Therapy use
Date of first enrolment21/01/2013
Date of final enrolment31/03/2015

Locations

Countries of recruitment

  • France

Study participating centres

Centre Hospitalier Sainte-Anne
Paris
-
France
Fondation Ophtalmologique Adolphe de Rothschild
Paris
-
France
Clinique de l'Europe
Rouen
-
France
Centre Hospitalier de Béthune
Béthune
-
France
Centre Hospitalier Régional Universitaire de Lille
Lille
-
France
Etablissement médical de la Teppe
Tain l'Hermitage
-
France
Hôpital Henri Gastaut
Marseille
-
France
Centre Hospitalier Universitaire de Dijon
Dijon
-
France
Centre Hospitalier Universitaire de Limoges
Limoges
-
France
Centre Hospitalier Universitaire de Toulouse
Toulouse
-
France
Centre Hospitalier Universitaire de Bordeaux
Bordeaux
-
France
Centre Hospitalier Universitaire de Nantes
Nantes
-
France
Centre Hospitalier Universitaire de Nîmes
Nîmes
-
France
Centre Hospitalier Universitaire d'Angers
Angers
-
France
Hôpitaux de Paris - Campus Necker
Paris
-
France

Sponsor information

LivaNova Belgium N.V.
Industry

Program Manager Neuromodulation
Ikaroslaan 83
Zaventem
1930
Belgium

ROR logo "ROR" https://ror.org/053mjnp36

Funders

Funder type

Industry

LivaNova Belgium N.V.

No information available

Results and Publications

Intention to publish date01/10/2017
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination planResults will be available as of October 2017.
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a non-publically available repository. The data will be stored on a secured server at the sponsor’s site and won’t be accessible via a weblink.

Editorial Notes

17/01/2017: The following changes were made to the trial record:
1. The overall trial end date was changed from 30/12/2016 to 30/06/2017.
2. The sponsor/funder was changed from Cyberonics Europe BVBA (Belgium)/Cyberonics Inc. (USA) to LivaNova Belgium N.V. (Cyberonics merged with Sorin and became LivaNova).