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Development of a Seizure Detection Algorithm Based on Heart Rate and Movement Analysis (DetecTeppe)

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ClinicalTrials.gov Identifier: NCT05637762
Recruitment Status : Not yet recruiting
First Posted : December 5, 2022
Last Update Posted : December 5, 2022
Sponsor:
Collaborator:
Institut La Teppe
Information provided by (Responsible Party):
Fondation Ophtalmologique Adolphe de Rothschild

Brief Summary:

Epilepsy is the 3rd neurological pathology after migraines and dementia syndromes with a high estimate of nearly 600,000 people affected in France. The disease is characterized by the repetition of epileptic seizures on the one hand, but also by the cognitive, behavioral, psychological and social consequences of this condition, especially when the epileptic disease is not stabilized. Epileptic patients feel a great deal of stress due to the unpredictability of the occurrence of seizures.

Seizure detection is of great interest to bioinformatics researchers and to people with epilepsy and their caregivers. Recent advances in physiological sensor technologies and artificial intelligence have opened the possibility of developing systems capable of closely monitoring the frequency of epileptic seizures with a direct impact on therapeutic adaptations. This may eventually allow for seizure prediction and/or "seizure weather" (i.e., seizure forecasting) if there is a particular chronotype of seizure occurrence for a given individual.

Currently, few devices have a sufficient level of evidence regarding their effectiveness to be recommended. Those that seem to be the most advanced are those that allow the identification of hypermotor seizures, including tonic-clonic generalized seizures and tonic-clonic secondary generalized focal seizures, mostly occurring at night. The latter represent only a small part of epileptic seizures.

The objective of the present study is to build a real life database in order to develop a seizure detection algorithm.

The recorded data will be heart rate via ECG and movement data via 9 variables measured on 3 axes x, y, z, with 3 sensors: accelerometer, gyroscope, magnetometer. These data will be collected using a connected patch available on the market (CE marking).

At the same time, the patients will benefit from a long term video-EEG examination which will be annotated by the doctors and will be used as a gold standard for the identification of seizures in order to train the algorithm.

This more complete base will be used to develop an algorithm previously developed from retrospective data.


Condition or disease Intervention/treatment
Epilepsy Other: - EEG video recording or extension of an EEG video recording planned as part of the care - Wearing a connected heart rate and motion recording patch

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Study Type : Observational
Estimated Enrollment : 10 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Development of a Seizure Detection Algorithm Based on Heart Rate and Movement Analysis
Estimated Study Start Date : January 2023
Estimated Primary Completion Date : February 2025
Estimated Study Completion Date : February 2025

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Epilepsy Seizures


Intervention Details:
  • Other: - EEG video recording or extension of an EEG video recording planned as part of the care - Wearing a connected heart rate and motion recording patch
    The study consists of creating a database to develop an algorithm using machine learning methods.


Primary Outcome Measures :
  1. To build a training database under physiological conditions allowing the development of a detection algorithm for generalized and focal epileptic seizures in adults with epilepsy. [ Time Frame: Day12 ]
    Movements will be measured with accelerometer.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

The people with epilepsy will be recruited from among the patients/residents being followed for their epilepsy at the Institut La Teppe.

Institut La Teppe is a medical and social institution that welcomes people suffering from epilepsy with cognitive deficiencies that can be severe.

Criteria

Inclusion Criteria:

  • Person over 18 years of age - With drug-resistant epilepsy as defined by the International League Against Epilepsy
  • Who has at least one recorded seizure with heart rate variation (i.e. tachycardia defined as an increase of 30 bpm or more than 50% over the interictal heart rate and/or bradycardia defined as a heart rate < 40 bpm or ictal asystole defined as an R-R interval greater than 3 seconds and usually lasting less than 60 seconds)
  • Informed about the study and signed a consent to participate in the study (and their legal representative for patients under guardianship)
  • Affiliated or beneficiary of a social insurance plan

Exclusion Criteria:

  • Pregnant or breastfeeding woman
  • Persons with psychogenic non-epileptic seizures (PNES)
  • Person with a history of severe heart disease (myocardial infarction, heart failure, rhythm disorder, severe hypertension)
  • Persons with an implantable cardiac device (pacemaker, implantable defibrillator)
  • Documented allergy to hydrogel and/or acrylate
  • Person benefiting from a legal protection measure other than guardianship or curatorship
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Responsible Party: Fondation Ophtalmologique Adolphe de Rothschild
ClinicalTrials.gov Identifier: NCT05637762    
Other Study ID Numbers: PLR_2022_11
First Posted: December 5, 2022    Key Record Dates
Last Update Posted: December 5, 2022
Last Verified: November 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Additional relevant MeSH terms:
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Seizures
Nervous System Diseases
Neurologic Manifestations