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RecruitingNCT07158229SAPIENCE 3Updated Feb 17, 2026

Long-term Impact of NMDAR Encephalitis, Level 3

An observational study in NMDAR Autoimmune Encephalitis, sponsored by Hospices Civils de Lyon. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-17.

Sponsored by Hospices Civils de Lyon · Observational

From the registry’s dates

  • Started Nov 2025; still recruiting 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

NMDA receptor antibody encephalitis is a rare autoimmune neurological disease of the central nervous system with an estimated incidence of 1.5 people per million per year. Patients with anti-NMDAR encephalitis experience an acute phase of the disease characterized by psychosis, memory loss, seizures, autonomic nervous system instability, or coma. Since the discovery of this disease 14 years ago by Prof. Dalmau, the clinical presentation of the acute phase has been well characterized, while the psychosocial impact of the disease remains largely unexplored.

Currently, there are few cohort studies of patients that have identified persistent cognitive impairment as a factor impacting remission after the acute phase. Given the scarcity of information concerning the post-acute phase, it is therefore essential to determine the long-term social and psychological outcomes and their daily effects on the social and functional life of this severe disease. This is especially important as the patients are young, with a median age of 21 years, and may face lasting limitations potentially detrimental to their success in professional, educational, or social environments.

02

Conditions studied

  • NMDAR Autoimmune Encephalitis

Keywords

  • NMDAR encephalitis
  • psychosocial impact
03

In context

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

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

04

Who can participate

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

Study population

Patients with anti-NMDA encephalitis aged over 18 years old and followed throughout France.

Inclusion criteria

  • Patients with NMDAR encephalitis
  • Age ≥ 18 years old
  • Patient affiliated to a social security system
  • No opposition from the patient
  • Access to an internet connection and a computer

Exclusion criteria

Exclusion Criteria:

  • Patients whithout NMDAR encephalitis
  • Patient under guardianship or curatorship
  • Patient with neurological disorders pre-existing encephalitis
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No

Groups and cohorts

  • Anti-NMDAR encephalitis patients

    Patients over 18 years old with NMDAR encephalitis.

    Other: Questionnaires

Interventions

  • OtherQuestionnaires

    Complete quality of life questionnaires focusing on fatigue, anxiety, depression, and sleep.

06

What researchers measure

Primary outcomes

  1. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PREMS questionnaires - AEPREM questionnaire

    AEPREM questionnaire (stands for "evaluation of experience in healthcare facilities and medical teams" in french)

    Time frame: At inclusion

  2. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PREMS questionnaire - AESOC

    AESOC questionnaire ( stands for "questionnaire on clinical symptoms and perception of the disease" in french)

    Time frame: At inclusion

  3. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PROMS questionnaires - FSS questionnaire

    FSS questionnaire (stands for "fatigue severity scale") assesses fatigue in patients. Questionnaire is composed of 9 items graded on a scale from 1 to 7. Score varies from 9 to 63. The higher the score, the strongest the fatigue.

    Time frame: At inclusion

  4. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PROMS questionnaire - GAD7

    GAD7 questionnaire (stands for "Generalized Anxiety Disorder 7") assesses anxiety in patients. Items are rated on a scale of 0 to 3. Score varies from 0 to 21. The recommended threshold for estimating generalised anxiety is 10. Thresholds: No anxiety: 0-4 points; Mild anxiety: 5-9 points; Moderate anxiety: 10-14 points; Severe anxiety: 15-21 points.

    Time frame: At inclusion

  5. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PROMS questionnaire - PHQ9 questionnaire

    PHQ9 questionnaire (stands for "Patient Health Questionnaire-9") assesses depression in patients. Questionnaire is composed of 9 items each graded from 0 to 3. Score varies from 0 to 27. The higher the score, the more depressed is the patient.

    Time frame: At inclusion

  6. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PROMS questionnaire - PSQI questionnaire

    PSQI questionnaire (stands for "Pittsburgh Sleep Quality Index") assesses sleep in patients. Each component score of the PSQI ranges from 0 to 3, with 3 indicating the greatest dysfunction or disturbance. The seven component scores are then summed to obtain a global PSQI score, which ranges from 0 to 21. Higher scores indicate poorer sleep quality, with a score greater than 5 suggesting significant sleep difficulties

    Time frame: At inclusion

  7. Analysis of cognitive assessments and psychosocial questionnaires of patients with anti-NMDAR encephalitis after the acute phase of the disease - PROMS questionnaire - EQ-5D-5L questionnaire

    EQ-5D-5L questionnaire (stands for "EuroQol-5-Dimension") assesses quality of life in patients.

    Time frame: At inclusion

07

Study locations

1 of 1 sites recruiting
  • Centre de référence des syndromes neurologies paranéoplasiques et encéphalites auto-immunes - Hôpital neurologiques Pierre WERTHEIMER - Groupement hospitalier Est - Hospices civiles de Lyon
    Bron, 69500, France
    Recruiting
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 Feb 17, 2026, 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
NCT07158229
Lead sponsor
Hospices Civils de Lyon
Collaborators
Charite University, Berlin, Germany
Responsible party
Sponsor
First posted
Sep 5, 2025
Start date
Nov 21, 2025
Primary completion
Nov 21, 2026 (estimated)
Completion
Nov 21, 2026 (estimated)
Last update
Feb 17, 2026

Study contacts

Jérôme HONNORAT, Pr
Contact
jerome.honnorat@chu-lyon.fr
0472357806 ext. +33
Chloé BUTTARD
Contact
ext-chloe.buttard@chu-lyon.fr
0426739377 ext. +33

Oversight

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

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