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CompletedNCT03529045CORE-VNSUpdated Nov 22, 2024

Registry of Subjects With Drug Resistant Epilepsy and Treated With the VNS Therapy System.

An observational study in Epilepsy, Seizures and Drug Resistant Epilepsy, sponsored by LivaNova. Completed at 62 sites in 16 countries. Per ClinicalTrials.gov, last updated 2024-11-22.

Sponsored by LivaNova · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
827
Sex
All
01

Study summary

Multicenter global post-market registry of subjects diagnosed with drug resistant epilepsy and treated with the VNS Therapy System.

Read the detailed description

The purpose of this registry is to evaluate clinical outcome and safety data in subjects with drug resistant epilepsy treated with the VNS Therapy System. The study will collect outcomes for subjects treated with VNS Therapy in a real-world setting.

02

Conditions studied

  • Epilepsy
  • Seizures
  • Drug Resistant Epilepsy

Keywords

  • VNS
  • VNS Therapy
  • Vagus Nerve Stimulation
03

In context

Epilepsy

1,842 studies on the registry are indexed under Epilepsy; 423 are open to participants now.

This study's enrollment of 827 is above the median of 101 across 536 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

LivaNova is the lead sponsor of 40 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects diagnosed with drug resistant epilepsy and treated with the VNS Therapy System. Eligible subjects include those receiving VNS Therapy for the first time, as well as those that are being re-implanted with VNS

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

  • Clinical diagnosis of drug resistant epilepsy treated with VNS Therapy. Eligible subjects include those not previously treated with VNS Therapy as well as subjects receiving replacement generators.
  • Able and willing to comply with the frequency of study visits.
  • Subject, or legal guardian, understands study procedures and voluntarily signs an informed consent in accordance with institutional policies. In the event that the subject is under the age of 18, the subject may also be required (per EC/IRB) to sign an assent affirming their agreement to participate.

Exclusion criteria

Exclusion Criteria:

  • There are no exclusion criteria in this study. Investigators should refer to the local instructions for use for VNS Therapy.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
827 participants (actual)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • VNS Therapy

    Any approved VNS Therapy System (according to local regulations) may be used in this registry.

    Device: Vagus Nerve Stimulation (VNS) Therapy

Interventions

  • DeviceVagus Nerve Stimulation (VNS) Therapy

    The VNS Therapy System is a commercially available device that will be used by licensed medical practitioners trained in the use of VNS Therapy, per the practitioners' medical judgement.

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What researchers measure

Primary outcomes

  1. Seizure Frequency

    The average seizure frequency per month over the last 3 months (by type) will be collected

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  2. Maximum Seizure Free Period

    The maximum seizure free period over the last 3 months will be collected

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  3. Seizure Severity

    Seizure severity is a categorical outcome and will be rated by the subject using the following categories: Very mild, Mild, Moderate, Severe, Very Severe

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  4. Post-ictal Severity

    Seizure severity is a categorical outcome and will be rated by the subject using the following categories: Very mild, Mild, Moderate, Severe, Very Severe

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  5. Change in Quality of Life

    Quality of life is a categorical outcome and will be rated by the subject using the following categories: Very good: could hardly be better, Pretty good, Good and bad parts about equal, Pretty bad, Very bad: could hardly be worse

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  6. Quality of Sleep

    Quality of sleep will be reported using the Pittsburgh Sleep Quality Index for subjects 18 years and older and using the Children's Sleep Habit Questionnaire for subjects 2-17 years old; quality of sleep will not be assessed in children under 2 years old

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  7. Anti-epileptic Drug Use

    The name and dose of anti-epileptic drugs used will be collected on a case report form

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  8. Rescue Drug Use

    The number of times a rescue drug was used will be collected

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  9. Seizure Related Emergency Department Visits

    The number of times a patient had a seizure related emergency department (ED) visit will be collected

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

  10. Seizure Related Hospitalizations

    The number of times a patient had a seizure related inpatient hospitalization and the length of each stay will be collected

    Time frame: Baseline, 3, 6, 12, 24, and 36 months after implant; long term follow-up data through 60 months may be collected, if applicable

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Study locations

62 sites
  • St. Mary's Hospital
    Grand Junction, Colorado 81501, United States
  • Georgetown University Medical Center
    Washington D.C., District of Columbia 20007, United States
  • Research Institute of Orlando
    Orlando, Florida 32806, United States
  • Pediatric Epilepsy & Neurology Specialists
    Tampa, Florida 33609, United States
  • Hawaii Pacific Neuroscience
    Honolulu, Hawaii 96817, United States
  • Via Christi Health
    Wichita, Kansas 67214, United States
  • Tulane University
    New Orleans, Louisiana 70112, United States
  • Dent Neurosciences Research Center
    Amherst, New York 14226, United States
  • State University of New York
    Syracuse, New York 13210, United States
  • Duke University Hospital
    Durham, North Carolina 27710, United States
  • Wake Forest University
    Winston-Salem, North Carolina 27157, United States
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Allegheny Neurology Associates
    Pittsburgh, Pennsylvania 15212, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
  • Le Bonheur Children's Hospital
    Memphis, Tennessee 38103, United States
  • Child Neurology Consultants of Austin
    Austin, Texas 78731, United States
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
  • Valley Health System
    Winchester, Virginia 22601, United States
  • Ascension Columbia St. Mary's Hospital
    Milwaukee, Wisconsin 53211, United States
  • Queensland Children's hospital
    Brisbane, Queensland 4101, Australia
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • The Royal Melbourne Hospital
    Melbourne, Victoria 3050, Australia
  • Royal Children's hospital
    Melbourne, Victoria, Australia
  • Perth Children's Hospital
    Perth, Western Australia W1 6909, Australia
  • Kepler Universitätsklinikum
    Linz, 4020, Austria
  • UCL Saint-Luc
    Brussels, Belgium
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
  • Fundação Felice Rosso, Hospital Felício Rocho
    Belo Horizonte, Brazil
  • Instituto Estadual do Cérebro Paulo Niemeyer
    Rio de Janeiro, Brazil
  • London Health Sciences Centre Research Inc.
    London, Ontario N6A 5A5, Canada
  • London Health Sciences Centre Research Inc. (London Victoria)
    London, Ontario N6C 2R5, Canada
  • Centre Hospitalier de l'Université de Montréal
    Montreal, Quebec H2X 0C1, Canada
  • Montreal Neurological Institute and Hospital
    Montreal, Quebec H3A 2B4, Canada
  • The Research Institute of the McGill University Health Centre
    Montreal, Quebec H3H 2R9, Canada
  • Sanbo Brain Hospital Capital Medical University
    Beijing, China
  • Xuanwu Hospital Capital Medical University
    Beijing, China
  • Guangzhou Women and Children's Medical Center
    Guangzhou, China
  • P.D. Hinduja National Hospital
    Mumbai, Maharashra 400016, India
  • Deenanath Mangeshkar Hospital and Research Centre
    Pune, Maharashtra 411004, India
  • St.-John Medical College and Hospital
    Bangalore, India
  • Schneider Children's Medical Center of Israel
    Petah Tikva, 4920235, Israel
  • Sheba Medical Center
    Ramat Gan, Israel
  • Sourasky Medical Center
    Tel Aviv, Israel
  • Ospedale Bellaria
    Bologna, 40139, Italy
  • Bambino Gesu Pediatric Hospital
    Rome, Italy
  • National Center Hospital of Neurology and Psychiatry
    Kodaira, Japan
  • National Hospital Organization Nagasaki Medical Center
    Nagasaki, Japan
  • The University of Tokyo Hospital
    Tokyo, Japan
  • Kempenhaeghe
    Heeze, Netherlands
  • Sophia Kinderziekenhuis
    Rotterdam, 3015 GD, Netherlands
  • Stichting Epilepsie Instellingen Nederland (SEIN)
    Zwolle, Netherlands
  • University Clinical Center
    Katowice, 40-752, Poland
  • Children's Memorial Health Institute
    Warsaw, 04-730, Poland
  • Centro Hospitalar de São João
    Porto, Portugal
  • King Faisal Specialist Hospital & Research Center
    Jeddah, Saudi Arabia
  • King Faisal Specialist Hospital & Research Center
    Riyadh, Saudi Arabia
  • Southmead Hospital
    Bristol, BS10 5NB, United Kingdom
  • King's College Hospital
    London, United Kingdom
  • Royal Victoria Infirmary Hospital
    Newcastle upon Tyne, United Kingdom
  • Norfolk and Norwich Hospitals NHS Foundation Trust
    Norwich, United Kingdom
  • John Radcliffe Hospital
    Oxford, United Kingdom
  • Royal Hallamshire Hospital
    Sheffield, United Kingdom
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References and documents

Publications

  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. PubMed 2748771 ↗
  • Ekinci O, Isik U, Gunes S, Ekinci N. Understanding sleep problems in children with epilepsy: Associations with quality of life, Attention-Deficit Hyperactivity Disorder and maternal emotional symptoms. Seizure. 2016 Aug;40:108-13. doi: 10.1016/j.seizure.2016.06.011. Epub 2016 Jun 27. PubMed 27394056 ↗
  • Goodlin-Jones BL, Sitnick SL, Tang K, Liu J, Anders TF. The Children's Sleep Habits Questionnaire in toddlers and preschool children. J Dev Behav Pediatr. 2008 Apr;29(2):82-88. doi: 10.1097/dbp.0b013e318163c39a. PubMed 18478627 ↗
  • Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med. 2000 Feb 3;342(5):314-9. doi: 10.1056/NEJM200002033420503. PubMed 10660394 ↗
  • Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Allen Hauser W, Mathern G, Moshe SL, Perucca E, Wiebe S, French J. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia. 2010 Jun;51(6):1069-77. doi: 10.1111/j.1528-1167.2009.02397.x. Epub 2009 Nov 3. PubMed 19889013 ↗
  • Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000 Dec 15;23(8):1043-51. PubMed 11145319 ↗
  • von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007 Oct 20;370(9596):1453-7. doi: 10.1016/S0140-6736(07)61602-X. PubMed 18064739 ↗
  • Sen A, Verner R, Valeriano JP, Lee R, Zafar M, Thomas R, Kotulska K, Jespers E, Dibue M, Kwan P; CORE-VNS Registry Group. Vagus nerve stimulation therapy in people with drug-resistant epilepsy (CORE-VNS): rationale and design of a real-world post-market comprehensive outcomes registry. BMJ Neurol Open. 2021 Dec 23;3(2):e000218. doi: 10.1136/bmjno-2021-000218. eCollection 2021. PubMed 35018342 ↗
  • Kwan P, Boffini M, Fahoum F, El Tahry R, O'Brien TJ, Keough K, Boggs J, Goldberg-Stern H, Beraldi F, Giannicola G, Lee YC, Sen A; CORE-VNS Registry Group. Baseline characteristics and predictors for early implantation of vagus nerve stimulation therapy in people with drug-resistant epilepsy: Observations from an international prospective outcomes registry (CORE-VNS). Epilepsia Open. 2024 Oct;9(5):1837-1846. doi: 10.1002/epi4.13015. Epub 2024 Aug 24. PubMed 39180426 ↗

Individual participant data

Plan to share: No

09

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 Feb 2018 to primary completion in Sep 2024, 79 months.

Of 38 industry-sponsored observational studies under Epilepsy, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 59. This study's 79 months is above that.

Counting every sponsor, half of 228 studies reached it within 59 months; a quarter within 29 and three quarters within 119.

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

Registered
Feb 22, 2018
First posted
May 18, 2018
StartActual
Feb 5, 2018
Primary completionActual
Sep 11, 2024
CompletionActual
Sep 11, 2024
Last update
Nov 22, 2024
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 Nov 22, 2024, 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
NCT03529045
Lead sponsor
LivaNova
Responsible party
Sponsor
First posted
May 18, 2018
Start date
Feb 5, 2018
Primary completion
Sep 11, 2024
Completion
Sep 11, 2024
Last update
Nov 22, 2024

Study contacts

Jeffrey Way
study director · LivaNova, Inc.

Oversight

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

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This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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