UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057909
Receipt number R000066194
Scientific Title A Multicenter Retrospective Study of Treatment Outcomes and Prognostic Factors for Stereotactic Radiofrequency Thermal Coagulation (RFTC) for Drug-Resistant Focal Epilepsy
Date of disclosure of the study information 2025/05/20
Last modified on 2025/05/19 16:53:53

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Basic information

Public title

A Multicenter Retrospective Study of Treatment Outcomes and Prognostic Factors for Stereotactic Radiofrequency Thermal Coagulation (RFTC) for Drug-Resistant Focal Epilepsy

Acronym

A Multicenter Retrospective Study of Stereotactic Radiofrequency Thermal Coagulation (RFTC) for Drug-Resistant Epilepsy

Scientific Title

A Multicenter Retrospective Study of Treatment Outcomes and Prognostic Factors for Stereotactic Radiofrequency Thermal Coagulation (RFTC) for Drug-Resistant Focal Epilepsy

Scientific Title:Acronym

A Multicenter Retrospective Study of Stereotactic Radiofrequency Thermal Coagulation (RFTC) for Drug-Resistant Epilepsy

Region

Japan


Condition

Condition

Drug-resistant epilepsy

Classification by specialty

Neurology Pediatrics Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study will elucidate treatment outcomes of stereotactic radiofrequency thermal coagulation (RFTC) for drug-resistant focal epilepsy and the preoperative factors associated with these outcomes. As a preliminary step to validate the efficacy of RFTC compared to standard therapy, the goal is to define an appropriate patient population and build a foundation for more successful future clinical trials.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Seizure outcomes at one year after surgery

Key secondary outcomes

Seizure outcome at last follow-up, Surgery-related complications, Acute and chronic postoperative complications, Planned treatment area, Target volume, Resulting volume, Coagulation ratio, Number of ablations, Number of brain punctures, Etiology of epilepsy, Treatment sites


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

2 years-old <=

Age-upper limit

70 years-old >

Gender

Male and Female

Key inclusion criteria

1. Diagnosis of drug-resistant focal epilepsy
2. Patients how underwent stereotactic radiofrequency thermocoagulation for the treatment of drug-resistant focal epilepsy and had at least one-year postoperative follow-up
3. Aged 2 years or older, and younger than 70 years

Key exclusion criteria

none

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Iwasaki

Organization

National Center Hospital, National Center of Neurology and Psychiatry

Division name

Neurosurgery

Zip code

187-8551

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

TEL

+81-42-341-2711

Email

iwa@ncnp.go.jp


Public contact

Name of contact person

1st name Masaki
Middle name
Last name Iwasaki

Organization

National Center Hospital, National Center of Neurology and Psychiatry

Division name

Neurosurgery

Zip code

187-8551

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

TEL

+81-42-341-2711

Homepage URL


Email

iwa@ncnp.go.jp


Sponsor or person

Institute

National Cener of Neurology and Psychiatry

Institute

Department

Personal name



Funding Source

Organization

National Center of Neurology and Psychiatry

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center of Neurology and Psychiatry

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

Tel

+81-42-341-2711

Email

rinrijimu@ncnp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 03 Month 10 Day

Date of IRB

2025 Year 03 Month 10 Day

Anticipated trial start date

2025 Year 03 Month 10 Day

Last follow-up date

2029 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Information will be collected on the following items for the tests and evaluations performed.
Preoperative examination:
(1) Basic patient demographics, Epilepsy type, Seizure type, Etiology of epilepsy, Seizure frequency, Medical history
(2) Neuropsychological tests: intellectual, memory, developmental index
(3) Brain MRI, anonymized imaging data
(4) FDG-PET, anonymized image data
(5) Functional MRI diagnosis
(6) Long-term video-EEG monitoring: seizure symptoms, interictal epileptiform discharges, and ictal epileptiform discharges
(7) Magnetoencephalography findings
(8) Intracranial EEG: technique (subdural electrodes, SEEG), seizure onset zone, distribution of interictal epileptiform discharges, findings of functional mapping

Treatment (RFTC) information:
(1) Planned treatment area (epileptogenic area), volume of planned treatment area
(2) Software used for treatment planning
(3) Equipment used for treatment
(4) Number of punctures planned, number of coagulations, total volume of coagulations
(5) Number of punctures performed, number of coagulations, extent of treatment, surgical technique (skin incision, craniotomy)
(6) Surgical complications

Outcome information:
(1) Seizures and complications during the acute postoperative period (1 week)
(2) Seizure outcome (ILAE classification), complications, brain MRI, anonymized imaging data after 1, 3, 6 months of treatment
(3) Seizure outcome, complications, date of seizure recurrence, antiepileptic drugs, and neuropsychological examination after 1 year of treatment
(4) Treatment extent and volume on MRI after 1 year of treatment, anonymized imaging data
(5) Seizure outcome and complications after 2 years of treatment
(6) Seizure outcome, complications, antiepileptic drugs, and follow-up period at the last follow-up

To identify postoperative seizure outcome and complications. To examine the relationship between etiology, treatment volume, treatment rate of lesions, treatment site and seizure outcome.


Management information

Registered date

2025 Year 05 Month 19 Day

Last modified on

2025 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066194