About this trial
The aim of this study is to evaluate the clinical efficacy of everolimus as an adjunctive therapy for refractory epilepsy. The significance lies in addressing whether the mTOR inhibitor sirolimus has antiepileptic adjunctive effects for a broader range of patients with refractory epilepsy, with the hope of providing a new mTOR-targeted antiepileptic adjunctive medication regimen that is administered only during epileptic events and can be widely used for various types of refractory epilepsy.
Eligibility criteria
Qualifiers
Age between 18 and 60 years (inclusive), regardless of sex.
Diagnosis of epilepsy, meeting the criteria for focal seizures or focal to bilateral tonic-clonic seizures as defined by the 2017 International League Against Epilepsy (ILAE) classification.
History of epileptic seizures lasting ≥30 seconds, accompanied by impaired awareness.
At least 16 focal seizures during the 8-week baseline period prior to enrollment, with no seizure-free interval of 21 consecutive days.
Disqualifiers
Diagnosis of primary generalized epilepsy.
History of non-epileptic events (e.g., psychogenic non-epileptic seizures).
Patients with only non-motor focal seizures according to the 2017 ILAE classification.
Epilepsy with identifiable and treatable causes (e.g., metabolic disorders, intoxication, infection, space-occupying lesions, or confirmed genetic abnormalities).
Trial design
Treatments tested in this trial
- Everolimus