Overnight TI in TLE

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorDuke University

About this trial

The goal of this clinical trial is to gauge whether overnight, non-invasive temporal interference (TI) stimulation aimed at the hippocampus can reduce abnormal brain activity linked to seizures and improve sleep in adults with drug-resistant temporal lobe epilepsy. The main questions are:

Does overnight TI stimulation lower seizure-related EEG activity during sleep?

Does overnight TI stimulation improve sleep quality and sleep patterns measured overnight in the lab?

Researchers will compare each participant's nights without stimulation to nights with active stimulation, and will also look at a night after stimulation ends to see whether any changes last.

Participants will:

Stay in-lab for six days for overnight sleep and EEG monitoring

Have one night of monitoring without stimulation

Receive TI stimulation during sleep for several nights

Have another night of monitoring without stimulation after the stimulation nights

Complete brief questionnaires and thinking/memory tasks before and after the stimulation nights

Be checked for side effects and comfort during the study and at follow-up

Eligibility criteria

Qualifiers

Age 18 - 70 years

Diagnosis of focal drug-resistant temporal lobe epilepsy

Candidate for in-laboratory overnight monitoring with PSG and scalp EEG, with ability to comply with study procedures

Stable antiseizure medication regimen for at least 1 week prior to admission

Disqualifiers

Generalized epilepsy syndromes or primary generalized seizures

Recent status epilepticus, seizure clusters requiring emergency intervention, or other features indicating unacceptable risk for monitored participation

Uncontrolled psychiatric illness (e.g., acute psychosis, severe untreated depression with high suicide risk)

Implanted electronic or metallic devices incompatible with TI (e.g., certain pacemakers, cochlear implants) as per device manual

Trial design

Treatments tested in this trial

  • Non-invasive Temporal Interference (TI) Stimulation Targeting Bilateral Hippocampi

Treatment groups

20 Participants
are divided into 1 treatment group

Sponsors and collaborators

Duke University

Lead sponsor

St. Anne's University Hospital Brno, Czech Republic

Collaborator