ClinicalTrials.gg
Not yet recruitingNCT07657975FLUOFOCODYSUpdated Jun 18, 2026

Fluorescence Guided Focal Cortical Dysplasia Surgery

A Phase 2 interventional study of 5-ALA (Gliolan) in Drug Resistant Epilepsy, sponsored by Hospices Civils de Lyon. Not yet recruiting at 2 sites in France. Open to participants aged 3 Years and older. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Hospices Civils de Lyon · Phase 2, Interventional, and Other

Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
3 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

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.

Planned enrollment
22nd of 24
5 · median 82
Started
2026
with 4 others
Phase 2
4 of 35
2 open now
Primary completion
2028-09
later than 12 of 16 live
Registered
34th 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 22nd largest by planned enrollment of the 24 interventional ones that give a count, is one of 5 that started in 2026, is one of 4 in phase 2, reaches primary completion later than 12 of the 16 other live ones, and was the 34th registered.

Drug Resistant Epilepsy

257 studies on the registry are indexed under Drug Resistant Epilepsy; 108 are open to participants now.

Browse Drug Resistant Epilepsy studies →

Open to participants now

16 of the 35 studies in Drug Resistant Epilepsy with a site in France are open now. Recruiting first, the newest first:

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All 16 open studies →

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

Who these studies take

Of the 66 Drug Resistant Epilepsy studies recruiting now, 26 (39%) set no upper age limit and 39 (59%) stop at 75 or younger; 25 take children under 18; 6 take healthy volunteers.

This study: 3 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Epilepsy is one of the most common neurological disorders, with one of the highest morbidity rates of all diseases. Despite the development of new anticonvulsant drugs, around a third of patients suffer from drug-resistant epilepsy (RPE). The onset of RPE can be lengthy, prolonging the period during which affected patients live with seizures that have a negative impact on their quality of life. Epilepsy surgery can be a curative treatment, and can enable anticonvulsant medication to be discontinued, optimizing quality of life and cognitive development. In addition, as it has been shown that the prolonged duration of epilepsy prior to surgery has an impact on the occurrence of postoperative seizures, early surgery is increasingly being considered. Focal cortical dysplasia (FCD) is the leading cause of focal lesional epilepsy and is generally drug-resistant. Good postoperative seizure results after surgical resection are strongly linked to complete resection of the dysplastic tissue. Consequently, accurate localization and precise delineation of FCD lesions are crucial during surgery. Currently, the extent of surgical resection is based primarily on preoperative examination, as the macroscopic appearance of dysplastic tissue does not differ from normal cortex. The various intraoperative techniques available to improve the quality of excision (neuronavigation, ultrasound, intraoperative MRI and intraoperative guidance by fluorescence microscopy) all have their limitations. In this context, new intraoperative tools are needed to help the neurosurgeon delineate lesions during surgery. Intraoperative fluorescence spectroscopy is used for surgical guidance of gliomas and other brain pathologies, and has demonstrated its ability to characterize pathological tissues. DCFs exhibit metabolic differences that can also be detected by 5-amino-levulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence intraoperatively. Indeed, in some patients who underwent surgery after a diagnosis of glioma, fluorescence was observed even though histological analysis classified the excised tissue as DCF. What's more, glioma and DCF share a common feature: the mitochondria of affected cells are deficient in complex IV. Cytochrome c oxidase (CCO) is largely involved in mitochondrial complex IV, and NAD is a central metabolite involved in redox reactions within cells. Both metabolites (CCO and NAD) can be visualized intraoperatively by optical and fluorescence spectroscopy.

FLUOFOCODYS is a prospective, non-comparative, single-center, human drug pilot clinical trial. 5 patients will be included.

Read the detailed description

Primary objective of FLUOFOCODYS study is to measure the fluorescence of biomarkers of focal epileptic lesions by intraoperative fluorescence spectroscopy.

The secondary objectives are as follows:

  1. To compare the measurement of FCD volume between multimodal high-resolution MRI (HRM) and standard MRI.
  2. To assess the concordance of FCD measurements between multimodal high-resolution MRI (HRM) and standard MRI.
  3. Evaluate the correlation between fluorescence spectroscopy and SpiderMass measurements on the collected tissue sample.
  4. Describe any adverse events that occurred after treatment up to the end of study participation.

The hypothesis of this project is that intraoperative fluorescence spectroscopy could robustly measure 5-ALA-induced protoporphyrin IX fluorescence in FCD and could ultimately aid FCD surgery. Thus, to understand intraoperative biomarker fluorescence spectroscopy in DCF, preoperative MRI and postoperative histology are crucial. This will enable MRI-informed intraoperative fluorescence spectroscopy. These comparative measurements will be completed with SpiderMass technology (metabo-lipidomic mass spectrometry). The effectiveness of intraoperative tools could therefore be assessed prior to surgery, which could have an impact on the therapeutic decision to proceed with surgery.

03

Conditions studied

  • Drug Resistant Epilepsy

Keywords

  • Epilepsy
  • Focal Cortical Dysplasia
  • Intraoperative Fluorescence Spectroscopy
04

Who can participate

Ages eligible
3 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patient with drug resistant epilepsy, related to a type II FCD visible on MRI
  • Patient with surgical indication validated by the epileptic multi-disciplinary staff meeting
  • First FCD surgery
  • Signed written before any study specific intervention
  • Patient affiliated to the national health system or benefiting from it

Exclusion criteria

Exclusion Criteria:

  • Patients weighing over 75kg
  • Patients requiring general anaesthesia for MRI at investigator discretion
  • Contra indication to MRI : obesity, claustrophobia, metallic object
  • to the active substance or to porphyrins
  • Acute or chronic porphyria
  • For woman of : Pregnancy or breastfeeding or patients who is not willing to comply with the requirements during the study period
  • Inability to follow the procedures of the study
  • Simultaneous enrolment to another study which could influence the results of the current study
  • Patient under legal protection or deprived of liberty
Terms in these criteria, in plain language(4)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (estimated)

Study arms

  • Experimental
    5-ALA (Gliolan)

    Children and adults with drug resistant epilepsy, related to a probable FCD and with surgical indication validated by the epileptic multi-disciplinary staff meeting will receive the study treatment (5-ALA) orally at a dose of 20mg/kg

    Drug: 5-ALA (Gliolan)

Interventions

  • Patients will be given 5-ALA (20 mg per kilogram body weight) before the surgery, between 2 and 4 hours before anaesthesia.

06

What researchers measure

Primary outcomes

  1. Concentration of fluorescent compound (in mol/L) during the chirurgical intervention on the extracted tissue sample of FCD

    Measure of biomarkers fluorescence of focal epileptic lesion by intraoperative fluorescence spectroscopy.

    Time frame: Day 0

Secondary outcomes

  1. FCD volume in mm3 on standard MRI

    Compare FCD volume between High Resolution-MultiModal-MRI and standard MRI.

    Time frame: 60 days before Day 0 (=surgery)

  2. FCD volume in mm3 on High Resolution MM- MRI

    Compare FCD volume between High Resolution-MultiModal-MRI and standard MRI.

    Time frame: Day 0 (=surgery)

  3. Index kappa concordance of the volume in mm3 of focal cortical dysplasia measured by standard MRI

    Evaluation of the concordance of FCD measurements between HR-MM-MRI and standard MRI

    Time frame: 60 days before day 0

  4. Index kappa concordance of the volume in mm3 of focal cortical dysplasia measured by HR MM-MRI

    Evaluation of the concordance of FCD measurements between HR-MM-MRI and standard MRI

    Time frame: Day 0

  5. Concentration measured by fluorescence spectroscopy on extracted tissue sample of FCD

    Evaluation of correlation between fluorescence spectroscopy measurements and Spidermass measurements on extracted tissue sample of FCD.

    Time frame: Day 0

  6. Relative concentration of molecular species measured by SpiderMass on extracted tissue sample of FCD

    Evaluation of correlation between fluorescence spectroscopy measurements and Spidermass measurements on extracted tissue sample of FCD.

    Time frame: Day 0

  7. Number of adverse events

    Description of any Adverse Events that have occurred after the experimental treatment until end of study participation

    Time frame: From the enrollment to day 1

07

Study locations

2 sites
  • Hôpital Neurologique Pierre Wertheimer - Groupement Hospitalier Est - Hospices Civils de Lyon
    Bron, 69500, France
  • Hôpital Femme Mère Enfant - Groupement Hospitalier Est - Hospices Civils de Lyon
    Bron, France
    • Pierre-Aurélien BEURIAT, MD · Contactpierre.aurelien@chu-lyon.fr · 4 27 85 62 20
    • Pierre-Aurélien BEURIAT, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

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

Registered
Jun 15, 2026
First posted
Jun 18, 2026
StartEst.
Sep 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2028
Last update
Jun 18, 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.
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07657975
Responsible party
Sponsor
First posted
Jun 18, 2026
Start date
Sep 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Jun 18, 2026

Study contacts

Pierre-Aurélien BEURIAT, MD
Contact
pierre-aurelien.beuriat@chu-lyon.fr
4 27 85 62 20 ext. +33
Clarisse SAUNIER
Contact
clarisse.saunier@chu-lyon.fr
4 27 85 62 64 ext. +33
Pierre-Aurélien BEURIAT
principal investigator · Hospices Civils de Lyon

Oversight

Data monitoring committee
Yes
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 Jun 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Oral Aminolevulinic Acid Hydrochloride

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