Which treatment tames LGS seizures better: surgery or more meds?
NCT ID NCT05374824
First seen Aug 06, 2026 · Last updated Aug 07, 2026 · Updated 1 time
Summary
This study looks at two ways to treat Lennox-Gastaut syndrome (LGS), a severe form of childhood epilepsy: adding more anti-seizure medications or undergoing palliative surgery (like a vagus nerve stimulator or corpus callosotomy). Researchers will track thousands of children across multiple hospitals to see which approach reduces seizure-related emergency visits and hospitalizations, and whether it helps with development and daily functioning. The goal is to give families clearer guidance on choosing the best treatment for their child.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Palliative surgery (vagus nerve stimulation or corpus callosotomy) versus additional anti-seizure medications
- What this could lead to
- If this trial succeeds, it could help families and doctors choose the best treatment approach for children with Lennox-Gastaut syndrome, potentially reducing seizures and improving quality of life.
- What could go wrong
- This is an observational study, so it cannot prove cause and effect. Results may vary widely between individuals, and both treatments carry risks of side effects or complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 4,680 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
For Aim 1a, 928 patients up to age 30 years with a chart-review validated diagnosis of Lennox-Gastaut Syndrome between 1/1/2016 and 12/31/2021 will be identified from 7 principal pediatric hospitals. For Aim 1b, a subset of half of those 928 patients (N=464) will be recruited. Analyses for Aim 2 will be based on ≥4000 patients with LGS ICD-10 codes from 18 pediatric hospitals (representing 5 PCORnet CRNs).
- Ages
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Up to 26 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Patients with the diagnosis of Lennox Gastaut syndrome with medical records at the seven plus eleven pediatric centers Exclusion Criteria: Patients without Lennox Gastaut Syndrome
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ann & Robert H. Lurie Children's Hospital of Chicago
RECRUITINGChicago, Illinois, 60611, United States
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C.S. Mott Children's Hospital
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Nationwide Children's
RECRUITINGColumbus, Ohio, 43205, United States
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St. Louis Children's Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug curb seizures in children with severe epilepsy?
- Can a slow start with CBD oil tame Hard-to-Control seizures?
- Lifeline for kids with severe epilepsy: drug access extended
- Brain pacemaker shows promise for rare childhood epilepsy
- Brain implant shows promise for Hard-to-Treat seizures in rare epilepsy
- New drug shows promise for rare, severe childhood epilepsy