Prevention of Photoparoxysmal Abnormalities by Mozart K448

NCT ID: NCT01363154

Last Updated: 2013-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2013-02-28

Brief Summary

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The purpose of this clinical trial is to examine the effect of non-invasive cortical activation by specific patterned auditory stimulation (Mozart K448- Piano Sonata for Two Hands in D Major), in altering or eliminating photoparoxysmal abnormalities. Recent work has indicated that such evoked activity (i.e. by specific music) can result in significant reductions, or even complete termination of epileptiform activity and/or seizures across a broad range of individuals with epilepsy. A hypothesis is generated that specific music activation would beneficially effect photoparoxysmal based epileptiform abnormalities.

Detailed Description

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Non-pharmacologic, non-surgical treatments for seizures and epilepsy are of increasing importance, given the potential side effects as well as lack of complete seizure control with such treatments. Based on previous studies demonstrating an anti-convulsant and anti-epileptiform effect achieved in subjects by music exposure, it is proposed that specific musical stimuli may causally result in widely distributed cortical activation in such a fashion as to effectively prevent or terminate epileptiform abnormalities in subjects with photosensitive epilepsy. We will investigate the effect of specific musical stimulation (Mozart K448) to reduce or prevent photoparoxysmal abnormalities in subjects.

Primary outcome will be evaluated in 3 groups, assessing alteration/cessation of photic-induced abnormalities during:

1. Treatment: music exposure to Mozart K448, vs.
2. Placebo: music exposure to Beethoven's Für Elise for piano, vs.
3. Control: no music exposure.

Conditions

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Photoparoxysmal Abnormalities Epilepsy Seizures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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Mozart K448

Treatment: music exposure to Mozart K448

Group Type ACTIVE_COMPARATOR

Mozart K448

Intervention Type OTHER

Subjects will receive auditory stimulation by exposure to Mozart's Sonata for Two Pianos in D Major, K448.

Beethoven's Für Elise

Placebo: music exposure to Beethoven's Für Elise for piano

Group Type PLACEBO_COMPARATOR

Beethoven's Für Elise

Intervention Type OTHER

Subjects will receive auditory stimulation by exposure to Beethoven's Für Elise.

No music exposure

Intervention Type OTHER

Subject's will not receive an intervention and will therefore, not receive auditory stimulation and/or exposure to music.

No music exposure

Control: no music exposure

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mozart K448

Subjects will receive auditory stimulation by exposure to Mozart's Sonata for Two Pianos in D Major, K448.

Intervention Type OTHER

Beethoven's Für Elise

Subjects will receive auditory stimulation by exposure to Beethoven's Für Elise.

Intervention Type OTHER

No music exposure

Subject's will not receive an intervention and will therefore, not receive auditory stimulation and/or exposure to music.

Intervention Type OTHER

Other Intervention Names

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Mozart's Sonata for Two Pianos in D Major, K448 Control: No music exposure.

Eligibility Criteria

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Inclusion Criteria

* Age 5-17 years, inclusive
* Female or male with photoparoxysmal epilepsy clinical history, and at least one seizure, as defined by the International League Against Epilepsy (International Classification of Epilepsies and Epileptic Syndromes; Commission on Classification and Terminology of the International League Against Epilepsy 1989)
* Abnormal EEG consistent with features of photoparoxysmal epilepsy: occipital based epileptiform abnormalities with otherwise normal background interictal EEG;
* On \< or equal to 2 anti-seizure medications \[range 0-2 AEDs\]

Exclusion Criteria

* History of a generalized convulsion provoked by photic stimulation;
* Inability to complete and/or comply with study protocol
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of South Carolina

OTHER

Sponsor Role lead

Responsible Party

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Robert P. Turner

Assoc Prof Neurosciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert P Turner, MD, MSCR

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Mark Bodner, MD

Role: PRINCIPAL_INVESTIGATOR

MIND Institute

Lee Anne Tetrick, BS

Role: STUDY_DIRECTOR

Medical University of South Carolina

Locations

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Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Turner RP. The acute effect of music on interictal epileptiform discharges. Epilepsy Behav. 2004 Oct;5(5):662-8. doi: 10.1016/j.yebeh.2004.07.003.

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Bodner M, Turner RP, Bowers C, Norment C (2009) Patterned auditory stimulus reduces seizure frequency in neurologically-impaired individuals. (submitted May 2010 to Epilepsia for publication)

Reference Type BACKGROUND

CURE: Citizens United for Research in Epilepsy. Web. 04 Oct. 2010. <http://www.cureepilepsy.org/home.asp>.

Reference Type BACKGROUND

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Franaszczuk PJ, Kudela P, Bergey GK. External excitatory stimuli can terminate bursting in neural network models. Epilepsy Res. 2003 Feb;53(1-2):65-80. doi: 10.1016/s0920-1211(02)00248-6.

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Temkin O. The falling sickness: A history of epilepsy from the Greeks to the beginnings of modern neurology. Baltimore: Johns Hopkins University Press, 1971.

Reference Type BACKGROUND

Turner RP, Bodner M, Wang L, Norment C, Bowers C, Zhou Y. The anti-epileptiform effect of acute auditory stimulation on Rolandic spikes: EEG spectral analysis and coherence in patients with Rolandic epilepsy. (2010 in preparation)

Reference Type BACKGROUND

ILAE: International League Against Epilepsy. Web. 02 Oct. 2010. <http://www.ilae-epilepsy.org/>.

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Other Identifiers

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7683

Identifier Type: -

Identifier Source: org_study_id

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