Serum Profile of Inflammatory Factors, Immune and Angiogenic in Temporal Lobe Epilepsy

NCT ID: NCT01563627

Last Updated: 2016-06-01

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

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2013-09-30

Brief Summary

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Epilepsy affects 0.7% of the general population and 15-20% of patients develop drug resistance. The temporal lobe epilepsy (TLE) is the most common symptomatic focal epilepsies with a particularly high rate of drug (about 20 to 30%). In this type of epilepsy, where feasible, surgical removal of the home is the best therapeutic outcome.

Mechanisms of epileptogenesis and drug resistance are still mysterious. Of recent clinical and experimental studies have shown that dysfunction of the blood-brain barrier (BBB) contributes to epileptogenesis and drug resistance. It is now recognized that cytokines exacerbate the excitability and permeability of the BBB, which was recently confirmed by studies showing that treatment of inflammation reduces epileptogenesis. Moreover, we have described an association between pathological angiogenesis and BBB permeability in the tissue of patients with excision of drug-resistant TLE. With experimental models, it was revealed an activation of the VEGF-VEGFR2 by seizures leading to rapid degradation of the BBB.

The investigators hypothesis is that the identification of factors involved in BBB permeability may designate potential targets for drug-resistant partial epilepsy.

Detailed Description

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Conditions

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Epilepsy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Antiepileptic Drug resistant

Adult patients suffering from epilepsy drug-resistant and potentially surgical candidates

Group Type EXPERIMENTAL

blood sampling for drug resistance biomarkers

Intervention Type OTHER

comparison of Inflammatory Factors, Immune and Angiogenic in Temporal Lobe Epilepsy

Magnetic Resonance Imaging

Intervention Type DEVICE

Antiepileptic drug Controlled group

epilepsy well controlled by antiepileptic drugs

Group Type EXPERIMENTAL

blood sampling for drug resistance biomarkers

Intervention Type OTHER

comparison of Inflammatory Factors, Immune and Angiogenic in Temporal Lobe Epilepsy

Magnetic Resonance Imaging

Intervention Type DEVICE

Interventions

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blood sampling for drug resistance biomarkers

comparison of Inflammatory Factors, Immune and Angiogenic in Temporal Lobe Epilepsy

Intervention Type OTHER

Magnetic Resonance Imaging

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient with temporal lobe epilepsy (TLE)
* Patient with epilepsy for at least two years. Arm 1: Patient with drug-resistant TLE proved potentially a candidate for surgery.

Arm 2: Patient with TLE seizure-free for 12 months or more

Exclusion Criteria

* Patient with a scalable general pathology may lead to increased inflammatory markers: neoplasia, chronic inflammatory diseases etc. ...
* Patient with neurological history other than epilepsy with evolutionary potential or likely to interfere with the inflammatory markers
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UH Montpellier

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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8668

Identifier Type: -

Identifier Source: org_study_id

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