Brain Wave-Guided nerve stimulation may tame Drug-Resistant epilepsy
NCT ID NCT04693221
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether fine-tuning a vagal nerve stimulator (VNS) using a brain wave measure called phase lag index (PLI) can better reduce seizures in people with epilepsy that doesn't respond to medication. About 140 participants who already have a VNS device will have their settings chosen either by the PLI method or randomly. The goal is to see if the PLI-guided settings lead to fewer seizures per month.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vagal nerve stimulation (VNS) device
- What this could lead to
- If successful, this could provide a more effective way to set VNS devices, helping more patients with drug-resistant epilepsy have fewer seizures.
- What could go wrong
- This is a mid-stage study with 140 participants, and the approach is still experimental. It may not work better than standard settings, and individual responses can vary.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2021
- 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.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Male or female epileptic patients over 12 years of age * Suffering from pharmaco-resistant epilepsy * With newly implanted VNS Aspire SR device * Surgery performed in the previous 6 months * Electrode impedance should be within normal range ( \< 4000 Ohms) * Auto-stim mode working properly * Mean number of seizures of at least (average 4 (mean value) / months during the baseline period) * Patient, parents or legally representatives who have given written informed consent to allow the study data collection and procedures Exclusion Criteria: * Difficulty to read or understand the French language, or inability to understand the information regarding the study * Total patient's IQ below 64 * Subject in exclusion period due to enrolment in another study * Patient with postoperative left vocal cord paralysis * Patient on VNS since more than 6 months
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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.
Contacts and locations
Locations
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Clinical neurophysiology, CHU Dijon
Dijon, France, 21079, France
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Clinical neurophysiology, CHU Lille
Lille, France, 59037, France
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Department of clinical neurophysiology, Hôpital La Timone, APHM
Marseille, France, 13885, France
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Department of functional explorations of the nervous system, CHU
Amiens, France, 80054, France
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Epilepsy neurophysiopathology department, CHU Grenoble
Grenoble, France, 38043, France
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Epileptology Department, CHU Rennes
Rennes, France, 35000, France
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HCL Lyon
Lyon, France, 69003, France
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Hôpital St Joseph St Luc
Lyon, FRA, 69007, France
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Neurology Department, CHU Bordeaux
Bordeaux, France, 33000, France
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Neurology Department, CHU Strasbourg
Strasbourg, France, 67098, France
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Neurology and clinical neurophysiology, CHU Bretonneau
Tours, France, 37044, France
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Neuropediatrics department, CHU Angers
Angers, France, 49933, France
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Neurophysiological explorations, Hôpital Pierre Paul Riquet, Purpan
Toulouse, France, 31059, France
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Neurophysiology Department
Paris, France, 75014, France
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Neurophysiology Department, CHU Rouen
Rouen, France, 76000, France
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Neurosurgery Department, APHP
Paris, France, 75013, France
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Neurosurgery Department, CHRU Nancy
Nancy, France, 54000, France
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Neurosurgery Department, CHU Nantes
Nantes, France, 44093, France
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