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Not yet recruitingNCT06374966Updated Apr 19, 2024

Real-world Study of Efficacy and Safety of Zonisamide in add-on Therapy for Patients With Focal Epilepsy

An observational study in Epilepsies, Partial, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Not yet recruiting at 10 sites in China. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2024-04-19.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Observational

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
400
Ages
2 Years and older
Sex
All
01

Study summary

Patients were first observed for a 4-week baseline period, which required no medication adjustments and a seizure frequency of greater than or equal to 2 times per 4-week . After the baseline observation period, if the patients met the criteria for enrolment and there were no contraindications, zonisamide was added as an additional therapeutic drug.Clinical data were collected before the initiation of treatment, at 1 month, 3 months and 6 months after taking zonisamide respectively, with regular review of blood tests and urinary ultrasound, and imaging and electrophysiological examinations according to the clinical needs of the patient's actual condition.

Read the detailed description
  1. Before starting zonisamide treatment, a 4-week baseline observation period is required, which needs to meet the following criteria: no medication adjustment and at least 2 times of seizure per 4 weeks.
  2. If patients meet the criteria for the baseline period, after the baseline observation period, they are required to complete the blood routine, urine routine, renal function, liver function, ultrasound of the urinary tract, and scale completion (including the QOLIE-31 quality of life scale, GAD-7, C-NDDI-E, Pittsburgh sleep quality, and the Epworth Sleepiness Scale (ESS)) prior to initiating treatment. If the patient still meets the inclusion criteria, zonisamide may be added to the treatment, and the patient's seizures and medications prior to zonisamide treatment will be recorded.
  3. Outpatient follow-up and scale filling were carried out in the 1st, 3rd and 6th month of zonisamide treatment, and blood tests were reviewed in the first/third (according to the clinical situation) and sixth month, and urological ultrasound was reviewed in the sixth month, and imaging and electrophysiological examinations were carried out according to the clinical need in the light of the actual situation of the patients, and the changes of seizures and side effects during the medication period were recorded in detail.
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Conditions studied

  • Epilepsies, Partial

Keywords

  • epilepsy
  • zonisamide
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In context

Epilepsy

1,805 studies on the registry are indexed under Epilepsy; 417 are open to participants now.

This study's planned enrollment of 400 is above the median of 102 across 521 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,058 studies on the registry; 511 are open to participants now.

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

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Who can participate

Ages eligible
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

As this is a real-world study,we prospectively enrolled patients with focal epilepsy who are suitable for taking zonisamide as an add-on medication

Inclusion criteria

  1. Meet the International League Against Epilepsy 2017 diagnostic criteria for epilepsy; and the patient's seizures can be clearly classified as partial seizures according to the seizure classification proposed by the International League Against Epilepsy, including simple partial seizures, complex partial seizures, and secondary generalised seizures;
  2. Be greater than or equal to 2 years of age;
  3. Have been on antiepileptic medication, and during the 4-week period of the retrospective baseline period, the patient did not medication adjustments and had at least 2 seizures greater than or equal to 2 seizures per 4-week period;
  4. The patient demonstrated good compliance and was able to complete the scale assessment and record the epilepsy diary on his/her own or with the assistance of a parent;
  5. The informed consent form was signed and dated by the patient or a parent or legal guardian.

Exclusion criteria

Exclusion Criteria:

  1. Patients who are allergic to zonisamide ;
  2. CT or MRI suggestive of progressive intracranial tumours;
  3. Severe mental retardation or severe psychiatric disorders;
  4. Patients suffering from serious underlying diseases that can affect brain function, such as heart disease, liver disease, renal disease, haematological disorders, malignant tumours, and patients who are immunocompromised;
  5. Ultrasound suggestive of renal stones 6) Pregnant or breastfeeding
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with focal epilepsy

    who using zonisamide as an add-on anti-seizure drug

    Drug: Zonisamide

Interventions

  • DrugZonisamide

    This is a real-world study,so we prospectively enrolled patients with focal epilepsy suitable for taking zonisamide as an add-on medication

06

What researchers measure

Primary outcomes

  1. Effective rate at 6 months of treatment

    Effective definition: achievement of clinical seizure freedom or \>50% reduction in seizure frequency

    Time frame: 6 months

Secondary outcomes

  1. Effective rate at 3 months of treatment

    Effective definition: achievement of clinical seizure freedom or \>50% reduction in seizure frequency

    Time frame: 3 months

  2. Total time to treatment failure

    Total time to treatment failure: number of days from initiation of zonisamide to decision to withdraw zonisamide/add new antiepileptic medication

    Time frame: 6 months

  3. Incidence of side effects

    Record the occurrence of side effects in patients and calculate the probability of each side effect occurring

    Time frame: 6 months

07

Study locations

10 sites
  • Hangzhou Children's Hospital
    Hangzhou, Zhejiang 310005, China
  • The Second Affiliated Hospital of Zhejiang University School of Medicine
    Hangzhou, Zhejiang 310009, China
  • Huzhou Third People's Hospital
    Huzhou, Zhejiang 313002, China
  • Jiaxing Second hospital
    Jiaxing, Zhejiang 314099, China
  • Jinhua Second hospital
    Jinhua, Zhejiang 321016, China
  • The Fourth Affilicated Hospital of Zhejiang University School of Medicine
    Jinhua, Zhejiang 322099, China
  • Lishui People's Hospital
    Lishui, Zhejiang 323050, China
  • Ningbo Women And Children's Hospital
    Ningbo, Zhejiang 315012, China
  • Ningbo Medical center Lihuili hospital
    Ningbo, Zhejiang 315048, China
  • Yuyao People's hospital
    Yuyao, Zhejiang 315499, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06374966
Lead sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators
Hangzhou Children's Hospital, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Jinhua Second Hospital, Ningbo Medical Center Lihuili Hospital, Ningbo Women & Children's Hospital, Yuyao People's Hospital, Huzhou Third People's Hospital, The Second Affiliated Hospital of Jiaxing University, Lishui Country People's Hospital
Responsible party
Sponsor
First posted
Apr 19, 2024
Start date
Apr 2024 (estimated)
Primary completion
Sep 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Apr 19, 2024

Study contacts

Yao Ding, doctorate
Contact
tinady2002@hotmail.com
13588015954
Shuang Wang, doctorate
principal investigator · Second Affiliated Hospital, School of Medicine, Zhejiang University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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