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CompletedNCT03376087Epi-Loop-RecUpdated Dec 7, 2020

Cardiac Rhythm Disturbances in Hard-to-treat Epilepsy Patients Using Loop ECG Recorders

An observational study in Epilepsy, sponsored by National Research Center for Preventive Medicine. Completed. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2020-12-07.

Sponsored by National Research Center for Preventive Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
193
Ages
18 Years to 60 Years
Sex
All
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Study summary

Seizure-related cardiac arrhythmias are one of the possible causes of sudden unexpected death in epilepsy (SUDEP). Identification of these patients is challenging because cardiac rhythm disturbances could emerge only during seizures. Furthermore, patients could have transitioned sinus or AV node blocks which could cause syncopes with brady-related seizures which could be treated as epilepsy-related seizures. Implantable loop recorders have an ability to recording single-channel ECG for up to 36 months which give an ability to detect these heart disturbances.

The purpose of this study is to look the incidence and types of arrhythmias which occur in 150 patients with hard-to-treat partial seizures and secondarily generalized seizures

02

Conditions studied

  • Epilepsy

Keywords

  • Epilepsy
  • heart block
  • sudden cardiac death
  • loop recorder
03

In context

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 422 are open to participants now.

This study's enrollment of 193 is above the median of 112 across 540 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

National Research Center for Preventive Medicine is the lead sponsor of 18 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with hard-to-treat epilepsy without known cardiac disease and beta-blockers therapy

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Hard-to-treat focal epilepsy
  2. Aged 18 to 60 years
  3. If female not pregnant

Exclusion criteria

Exclusion Criteria:

  1. Known clinical relevant structural cardiac disease
  2. Implanted pacemaker, including cardiac resynchronisation device, or defibrillator
  3. Use of beta blockers or other antiarrhythmic medication
  4. Diagnosis of psychogenic non-epileptic seizures
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
193 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Identification of a dysrhythmia

    A dysrhythmia will be defined as either * asystole of ≥6 s * sinus bradycardia of ≤40 bpm during physical activity * 2nd or 3rd-degree AV-block * sinus tachycardia of ≥120 bpm * nonsustained and sustained monomorphic VT of ≥170 bpm * polymorphic VT * atrial fibrillation/flutter

    Time frame: 3 years or until the end-of-battery life of Reveal XT, whichever came first

Secondary outcomes

  1. The number of patients who will have receive the permanent pacemaker at the end of the study.

    Time frame: 3 years or until the end-of-battery life of Reveal XT, whichever came first

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Serdyuk S, Davtyan K, Burd S, Teryan R, Kharlap M, Drapkina O. A case of sudden unexpected death of a patient with epilepsy: Continuous electrocardiographic monitoring and autopsy results. HeartRhythm Case Rep. 2018 Nov 30;5(3):138-142. doi: 10.1016/j.hrcr.2018.11.014. eCollection 2019 Mar. No abstract available. PubMed 30891410 ↗
  • Serdyuk S, Davtyan K, Burd S, Drapkina O, Boytsov S, Gusev E, Topchyan A. Cardiac arrhythmias and sudden unexpected death in epilepsy: Results of long-term monitoring. Heart Rhythm. 2021 Feb;18(2):221-228. doi: 10.1016/j.hrthm.2020.09.002. Epub 2020 Sep 8. PubMed 32911052 ↗

Individual participant data

Plan to share: Undecided

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2015 to primary completion in Dec 2019, 48 months.

Of 193 non-industry observational studies under Epilepsy, half reached primary completion within 62 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 179. This study's 48 months is below that.

Counting every sponsor, half of 230 studies reached it within 59 months; a quarter within 24 and three quarters within 119.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 28, 2017
First posted
Dec 18, 2017
StartActual
Nov 16, 2015
Primary completionActual
Dec 15, 2019
CompletionActual
Dec 15, 2019
Last update
Dec 7, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 7, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03376087
Lead sponsor
National Research Center for Preventive Medicine
Collaborators
Pirogov Russian National Research Medical University
Responsible party
Sponsor
First posted
Dec 18, 2017
Start date
Nov 16, 2015
Primary completion
Dec 15, 2019
Completion
Dec 15, 2019
Last update
Dec 7, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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