TDCS for focal refractory epilepsy in mitochondrial disease (POLG)

  • Research type

    Research Study

  • Full title

    TRANscranial direct current Stimulation for FOcal Refractory epilepsy in Mitochondrial disease (TRANSFORM): delayed-start, randomised, double-blinded, placebo-controlled trial

  • IRAS ID

    281536

  • Contact name

    Robert Mc Farland

  • Contact email

    robert.mcfarland2@nhs.net

  • Sponsor organisation

    Newcastle Joint Research Office

  • ISRCTN Number

    ISRCTN18241112

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    Focal epilepsy is common in children and adults with mitochondrial disease. Seizures in these patients may not respond to multiple anti-epileptic drugs (refractory) and can lead to serious neurological consequences with poor prognosis. We have successfully used transcranial direct current (brain) stimulation (tDCS) that delivers a low current to calm these seizure activities. In this delayed-start, randomised, double-blinded, placebo-controlled trial, one group of participants will receive tDCS treatment immediately (early-start) while the other group (delayed-start) will have non-active (sham) treatment for the first two days. The treatment has a gradual effect with repeated applications. We expect the early-start group to see improvement in their seizures before the delayed-start group.
    Our goal is to assess the efficacy of tDCS as an adjunctive treatment in reducing the number of focal epileptic seizures experienced by children and adults with genetically-confirmed mitochondrial disease.

  • REC name

    Yorkshire & The Humber - Leeds West Research Ethics Committee

  • REC reference

    21/YH/0137

  • Date of REC Opinion

    16 Jul 2021

  • REC opinion

    Favourable Opinion