ClinicalTrials.gg
CompletedNCT03419000MIRESPILEPSYUpdated Sep 24, 2025

Circulating microRNAs as Biomarkers of RESPIratory Dysfunction in Patients With Refractory epilePSY

An interventional study of blood sample in Drug Resistant Epilepsy, sponsored by Hospices Civils de Lyon. Completed at 2 sites in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-24.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 35 studies in Drug Resistant Epilepsy with a site in France — 16 open to participants now, 17 under way, 1 of them phase 3. Drug Resistant Epilepsy · France.

Enrollment
13th of 24
75 · median 82
Started
2018
with 5 others
No phase
12 of 35
8 open now
Registered
10th of 35
by date
Lead sponsor
5 of 35
Hospices Civils de Lyon

Among the 35 studies in Drug Resistant Epilepsy with a site in France, this one is the 13th largest by enrollment of the 24 interventional ones, is one of 6 that started in 2018, is one of 12 with no phase, and was the 10th registered.

By phase

35 studies; the count open now beside each. This study's row is marked.

No phasethis study12 · 8 open
Observational11 · 6 open
Phase 24 · 2 open
Phase 2/34 · 0 open
Phase 34 · 0 open

By the year they started

First in 2005; this study’s year is marked. 6 started in 2018.

Size and results

Median enrollment 82 across the 24 interventional studies, 110 across the 11 observational. Of the 14 that completed or were terminated, 5 (36%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 35 studies in Drug Resistant Epilepsy with a site in France, or all of them as a file.
02

Study summary

Sudden and unexpected death in epilepsy (SUDEP) has become a major issue for patients with epilepsy and their physicians. SUDEP is a nontraumatic and non-drowning death in patients with epilepsy, unrelated to a documented status epilepticus, in which postmortem examination does not reveal a toxicologic or anatomic cause of death. It primarily affects young adults with drug-resistant epilepsy, with an incidence of about 0.5%/year. A recent study reported that up to 20% of patients with childhood onset drug resistant epilepsy will die of a SUDEP by the age of 45. Apart from optimizing antiepileptic drugs, no preventive treatment is available to prevent SUDEP. As underscored by the World Health Organization (WHO), there is an urgent need to develop specific therapeutic approaches to tackle this issue.

The primary objective of the proposal is to evaluate the diagnostic value of a set of circulating microRNAs pre-selected because of their implication in the regulation of molecular pathways involved in the respiratory regulation to identify patients with seizure-related respiratory dysfunction, as defined by occurrence ictal/peri-ictal pulse oxymetry \< 90%.

A total of 50 patients will be included over a period of one year. Patients undergoing long-term video-EEG/SEEG monitoring will be recruited in the epilepsy monitoring unit of the Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France.

It will be a case-control study in a cohort of patients with drug-resistant focal epilepsy undergoing long-term video-EEG monitoring, in which patients who demonstrate ictal/post-ictal hypoxemia (cases) will be compared with those without seizure-related respiratory dysfunction (controls).

03

Conditions studied

  • Drug Resistant Epilepsy

Keywords

  • GTCS
  • Epilepsies, Partial
  • Drug Resistant Epilepsy
  • Circulating MicroRNA
  • Diagnostic
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

For the patients :

  • Adult patient (≥ 18 years) suffering from drug-resistant focal epilepsy or from drug-resistant generalized epilepsy according to ILAE classification
  • Patient undergoing long-term video-EEG monitoring in Epilepsy unit of Lyon to record and characterize her/his seizure
  • Patient who gave her/his written to participate to the study
  • Patient affiliated to the French health care system

For the healthy volunteers :

  • Adult (≥ 18 years)
  • Without history of neurological disorders and/or psychiatric disorders, and/or general medical disorders
  • Subject who gave her/his written informed consent to participate to the study
  • Subject affiliated to the French health care system

Exclusion criteria

Exclusion Criteria:

For the patients :

  • Ongoing major depressive episode as defined by a score ≥ 15 at the French version of the NDDI-E scale*
  • Current panic disorder as defined by a score ≥ 7 at the French version of the GAD-7 scale*
  • Ongoing treatment with selective serotonin reuptake inhibitor
  • Patient who benefit from a protective measure

For the healthy volunteers :

  • Presence of the symptoms of anxiety and/or depression as defined by a score ≥ 11 at the French version of the Hospital Anxiety and Depression Scale (HADS)
  • Ongoing treatment with selective serotonin reuptake inhibitor
  • Subjects with these psychiatric comorbidities and/or treatment will be excluded in order to limit risk that the relation previously reported between miR-135a, miR-16, miR-1202 and depression and/or panic disorder and/or response to selective serotonin
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Patient

    Patients suffering from drug-resistant focal epilepsy or from drug-resistant generalized epilepsy according to ILAE classification and undergoing long-term video-EEG monitoring in Epilepsy unit of Lyon to record and characterize her/his seizure

    Genetic: blood sample

  • Active comparator
    healthy volunteers

    Adult (≥ 18 years) Without history of neurological disorders and/or psychiatric disorders, and/or general medical disorders

    Genetic: blood sample

Interventions

  • Geneticblood sample

    Seven blood samples (4 ml each on 5 EDTA and 2 dry tubes) will be collected in each patient/ healthy volunteers subject to determine the expression profile of miRNAs in the plasma as well as in the exosomes

06

What researchers measure

Primary outcomes

  1. Relation between the expression level of circulating microRNAs and the occurrence of SpO2 <90% during at least 5 seconds within the course of the seizure and/or within the five minutes following the end of the seizure

    The primary objective of the proposal is to evaluate the diagnostic value of a set of circulating microRNAs pre-selected because of their implication in the regulation of molecular pathways involved in the respiratory regulation to identify patients with seizure-related respiratory dysfunction, as defined by occurrence ictal/peri-ictal pulse oxymetry \< 90%

    Time frame: Day 0

Secondary outcomes

  1. Relation between the expression level of circulating microRNAs and the desaturation nadir

    Evaluating the relation between a set of circulating microRNAs and the severity of the seizure-related respiratory dysfunction, as defined by the desaturation nadir

    Time frame: Day 0

  2. Relation between the expression level of circulating microRNAs and the patient's age

    Time frame: Day 0

  3. Relation between the expression level of circulating microRNAs and the epilepsy duration

    Time frame: Day 0

  4. Relation between the expression level of circulating microRNAs and the total number of seizures (ie focal seizures and GTCS) over the past three months

    Time frame: Day 0

  5. Relation between the expression level of circulating microRNAs and the Number of GTCS over the past three months

    Time frame: Day 0

07

Study locations

2 sites
  • Hospices Civils de Lyon
    Bron, 69500, France
  • Service de Neurophysiologie Clinique Hôpital La Timone
    Marseille, 13005, France
08

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 Mar 2018 to primary completion in Mar 2022, 48 months.

Of 90 non-industry interventional studies with no phase under Drug Resistant Epilepsy, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 21. This study's 48 months is above that.

Counting every sponsor, half of 102 studies reached it within 34 months; a quarter within 21 and three quarters within 50.

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

Registered
Jan 26, 2018
First posted
Feb 1, 2018
StartActual
Mar 16, 2018
Primary completionActual
Mar 31, 2022
CompletionActual
Mar 31, 2022
Last update
Sep 24, 2025
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 Sep 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03419000
Responsible party
Sponsor
First posted
Feb 1, 2018
Start date
Mar 16, 2018
Primary completion
Mar 31, 2022
Completion
Mar 31, 2022
Last update
Sep 24, 2025

Study contacts

Sylvain RHEIMS
principal investigator · Hospices Civils de Lyon

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 Apr 2022. You cannot join it, but the record below documents what was studied.

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