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CompletedNCT05374824SOM-LUpdated Nov 13, 2026

Comparative Effectiveness of Palliative Surgery Versus Additional Anti-Seizure Medications for Lennox-Gastaut Syndrome

An observational study in Lennox Gastaut Syndrome, sponsored by Ann & Robert H Lurie Children's Hospital of Chicago. Completed at 7 sites in United States. Open to participants aged Up to 26 Years. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Ann & Robert H Lurie Children's Hospital of Chicago · Observational

Updated Nov 13, 2026Now CompletedPrimary completion moved+4 moreGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
707
Ages
Up to 26 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 38 studies in Lennox Gastaut Syndrome with a site in United States — 7 open to participants now, 10 under way, 4 of them phase 3. Lennox Gastaut Syndrome · United States.

Started
2022
with 5 others
Observational
4 of 38
1 open now
Registered
30th of 38
by date
Lead sponsor
1 of 38
Ann & Robert H Lurie Children's Hospital of Chicago

Among the 38 studies in Lennox Gastaut Syndrome with a site in United States, this one is one of 6 that started in 2022, is one of 4 observational ones, and was the 30th registered.

Lennox Gastaut Syndrome

68 studies on the registry are indexed under Lennox Gastaut Syndrome; 13 are open to participants now.

Browse Lennox Gastaut Syndrome studies →

Open to participants now

7 of the 38 studies in Lennox Gastaut Syndrome with a site in United States are open now. Recruiting first, the newest first:

2 more — sign in →

All 7 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 4 Lennox Gastaut Syndrome studies recruiting now, none set no upper age limit and 4 stop at 75 or younger; 3 take children under 18; none take healthy volunteers.

This study: Up to 26 Years · all sexes · no healthy volunteers.

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02

Study summary

Lennox-Gastaut syndrome is a serious and rare form of epilepsy that begins in infancy and early childhood. Seizures and their consequences need medical attention, emergency encounters, and hospitalizations. Seizures disrupt home life for the patient and for family. Lennox-Gastaut syndrome is typically accompanied by disabilities in motor, communication, eating, and other skills needed for daily function.

Lennox-Gastaut syndrome (LGS) has no cure. Although current treatments may help reduce the number of seizures, none are expected to eliminate them entirely; these treatments are palliative. The main treatments include anti-seizure medications and some surgical approaches, including the implantation of a vagus nerve stimulator (a pacemaker-like generator implanted in the chest wall and programmed by a physician to stimulate the vagus nerve in the neck) and corpus callosotomy (cutting through the band of fibers that connect the two sides of the brain). While both types of treatment (medications and surgeries) produce some benefit by reducing how often the seizures occur, both also have some risks. All medications can, in some patients, produce moderate to severe side effects. This is true of anti-seizure medications. Most patients with LGS take several anti-seizure medications at a time. Surgeries can also have associated risks and is additionally stressful for parents and family members. Currently, there is no strong evidence to support parents and physicians in deciding which type of treatment (more medicines or surgery) will be most successful for a child with LGS, and whether one or the other approach may lessen the toll that seizures take on a child's development and ability to function.

This study has two components. It will engage a network of seven pediatric hospitals in the United States where children with Lennox-Gastaut syndrome are cared for and determine whether seizure-related emergency department visits and hospitalizations are more likely to be reduced following the use of additional medications or adding palliative surgery to existing medications. The investigators will determine whether medical versus surgical treatment is more likely to lessen some of the developmental and functional difficulties that affect patients with LGS. The study will also determine whether starting therapies at a younger versus older age makes a difference.

The second component of the study will provide a description of the use of surgical versus medical treatment approaches across 18 pediatric hospitals in the United States (seven plus 11 centers). The investigators will describe how treatments differ across hospitals and over time.

The results from this study will help parents and providers make more informed choices about treatment for children with Lennox-Gastaut syndrome and will highlight areas for improvement in providing the best possible health care for this severe, lifelong disorder.

Read the detailed description

Background and Significance: Lennox-Gastaut Syndrome (LGS) is a rare developmental-epileptic encephalopathy characterized by life-long refractory seizures which result in frequent utilization of emergency healthcare resources and also contribute to the severe developmental and functional impairment ubiquitously seen in affected patients. Current treatment pathways are the addition of anti-seizure medication treatment or palliative surgical procedures (including neurostimulation), both of which have strong evidence supporting their effectiveness in reducing seizure frequency, but without cures. No evidence exists about the comparative effectiveness of these two pathways. Until such evidence is developed, parents and physicians will continue to struggle with difficult and daunting decisions about whether to add anti-seizure medications or to pursue palliative surgery, and when to do so.

Study Aims: Determine the comparative effectiveness of adding palliative surgery versus adding an LGS-approved medication (Aim 1a) for decreasing utilization of seizure-related emergency health care and (Aim 1b) for limiting the impairment of functional abilities. (Aim 2) Describe the frequency and patterns of utilization of the two therapy pathways at 18 PCORnet sites for variation over time and across sites as well as by patient features - age, medical fragility, race, ethnicity, and insurance type. In addressing these aims, the study will assess and improve PCORnet infrastructure and will enhance methods for future studies of LGS and other rare epilepsies.

Study Description: (Aim 1a) Observational retrospective cohort study of emergency health-care utilization and (Aim 1b) cross sectional study of the impact of treatment pathways on functional outcomes. (Aim 2) Retrospective open cohort study of frequency and patterns (by race, ethnicity, insurance, age) of utilization of the two treatment pathways.

03

Conditions studied

  • Lennox Gastaut Syndrome

Keywords

  • epilepsy
  • seizure
04

Who can participate

Ages eligible
Up to 26 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

For Aim 1a, 928 patients up to age 30 years with a chart-review validated diagnosis of Lennox-Gastaut Syndrome between 1/1/2016 and 12/31/2021 will be identified from 7 principal pediatric hospitals. For Aim 1b, a subset of half of those 928 patients (N=464) will be recruited. Analyses for Aim 2 will be based on ≥4000 patients with LGS ICD-10 codes from 18 pediatric hospitals (representing 5 PCORnet CRNs).

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

Patients with the diagnosis of Lennox Gastaut syndrome with medical records at the seven plus eleven pediatric centers

Exclusion criteria

Exclusion Criteria:

Patients without Lennox Gastaut Syndrome

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
707 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Seizure-related emergency health care utilization

    Emergency health-care utilization for Aim 1a will be defined as the frequency per year of seizure-related emergency department visits and separately seizure-related inpatient admissions in the two years postintervention (surgery or medical), with adjustment for the rate during the year prior to intervention.

    Time frame: 2 years

Secondary outcomes

  1. Parent-reported Clinical Outcome Assessments

    Parent-reported qualitative input through descriptive assessment. The measures will be assessed once.

    Time frame: 2 years

07

Study locations

7 sites
08

References and documents

Publications

  • Lam S, Rosenman M, Dixon-Salazar T, Knupp KG, Thio LL, Abel TJ, Welch WP, Reed L, Randle SC, Garcia-Sosa R, Hauptman JS, Foster CC, Alpern ER, Zhang L, Villalba N, Carroll M, Patel AD. Comparative effectiveness of epilepsy surgery versus additional anti-seizure medications for Lennox-Gastaut syndrome: study protocol for a multicenter, mixed-methods study. Front Neurol. 2025 Jun 18;16:1569551. doi: 10.3389/fneur.2025.1569551. eCollection 2025. PubMed 40606139 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Apr 2022 to primary completion in Oct 2026, 54 months.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 13, 2026: primary completion Dec 2026 → Oct 2026 and completion Dec 2026 → Oct 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
May 6, 2022
First posted
May 16, 2022
StartActual
Apr 1, 2022
Primary completionActual
Oct 10, 2026was Dec 2026
CompletionActual
Oct 10, 2026was Dec 2026
Last update
Nov 13, 2026
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.
Status
Recruiting→Completed
changed Nov 13, 2026
Sites
3 sites added
Show 3 added (3 United States)
  • Children's Hospital of Colorado · Aurora, United States
  • UPMC Children's Hospital of Pittsburgh · Pittsburgh, United States
  • Seattle Children's Hospital · Seattle, United States
Nov 13, 2026
Primary completion
Dec 31, 2026→Oct 10, 2026 (actual)
Nov 13, 2026
Study completion
Dec 31, 2026→Oct 10, 2026 (actual)
Nov 13, 2026
Enrollment
4680 (estimated)→707 (actual)
Nov 13, 2026
Eligibility
Revised
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    Recruiting→Completed
    3 sites added
    Show 3 added (3 United States)
    • Children's Hospital of Colorado · Aurora, United States
    • UPMC Children's Hospital of Pittsburgh · Pittsburgh, United States
    • Seattle Children's Hospital · Seattle, United States
    Primary completion Dec 31, 2026→Oct 10, 2026 (now actual)
    Study completion Dec 31, 2026→Oct 10, 2026 (now actual)
    Enrollment 4680 (estimated)→707 (actual)
    Eligibility Revised
    + 3 other changes: verification date, contact details and references

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05374824
Collaborators
Patient-Centered Outcomes Research Institute, Nationwide Children's Hospital, University of Colorado, Denver, University of Michigan, University of Pittsburgh, Seattle Children's Hospital, St. Louis Children's Hospital, University of Cincinnati, Nemours Children's Health System, Stanford University, Monroe Carell Jr. Children's Hospital at Vanderbilt, University of North Carolina, Duke University, Indiana University, Johns Hopkins University, Nicklaus Children's Hospital f/k/a Miami Children's Hospital
Responsible party
Sandi Lam (Chief, Division of Pediatric Neurosurgery, Ann & Robert H Lurie Children's Hospital of Chicago) — Principal investigator
First posted
May 16, 2022
Start date
Apr 1, 2022
Primary completion
Oct 10, 2026
Completion
Oct 10, 2026
Last update
Nov 13, 2026

Study contacts

Sandi Lam, MD MBA
principal investigator · Ann & Robert H Lurie Children's Hospital of Chicago

Oversight

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

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This study is completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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