EpilepsySeizS100BNCT02424123
Is Protein S100B a Predictor of First-to-chronic Seizure Conversion in Adults?
An observational study of Epilepsy and Seizures, Epileptic, run by Centre Hospitalier Universitaire de Nīmes at 2 sites in France.
Trial summary
Seizures represent an important clinical problem, accounting for at least 40% of adult onset epilepsy. Predicting seizure recurrence in subjects experiencing a first seizure is difficult due to the lack of prognostic biomarkers. Read more about this study
- Who is it for?
- Ages 18 to 59 years
- Conditions the study is for
- Epilepsy, Seizures, Epileptic
- How many people
- 37 participants
- Where
- 2 sitesFrance
- Study dates
- 11 Oct 2016to 30 Jul 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 59 years
- All sexes
- No healthy volunteers
- Adult
Study population: The study population is composed of patients between 18 and 60 years of age, of both sexes, recruited during consultations for a first epileptic seizure at the emergency department of Nîmes and Marseille Hospitals (CHRU).
Who may be able to join
- The patient has been correctly informed.
- The patient must have given his informed and signed consent.
- The patient must be insured or beneficiary of a health insurance plan.
- The patient is at least (≥) 18 years old and less than (<) 60 years old.
- The patient has experienced a first generalized, epileptic seizure (patients with partial onset and secondary generalization can also be included).
- The seizure has occurred less than 24 hours ago.
Who cannot join
- The patient is participating in another study that may interfere with the results or conclusions of this study.
- Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study.
- The patient is in an exclusion period determined by a previous study.
- The patient is under judicial protection.
- The patient refuses to sign the consent.
- It is impossible to correctly inform the patient.
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- The patient is pregnant or breast-feeding (MRI contraindicated).
- Patient has a previous abnormal brain imaging (MRI).
- Patient has abnormal biological tests for toxicology (alcohol, cocaine and cannabis tests), blood ionogram (hyponatremia <130mM), liver enzymes (>5N), inflammatory syndrome (elevated C-reactive protein).
Trial locations and contacts
2 sites in 1 country.
France2 sites
APHM - Hôpital Nord
Marseille, 13915
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029
About this study
Official title: Is Protein S100B a Predictor of First-to-chronic Seizure Conversion in Adults? A Prognostic Cohort Study
Seizures represent an important clinical problem, accounting for at least 40% of adult onset epilepsy. Predicting seizure recurrence in subjects experiencing a first seizure is difficult due to the lack of prognostic biomarkers. Recent evidence has indicated that blood-brain barrier (BBB) dysfunction constitutes an etiological factor to seizures. In particular, it has been shown that modification of BBB permeability is associated with seizure activity. In addition, it was demonstrated that BBB permeability can be assessed by measuring serum level of the protein S100B. Based on these data and considerations the investigators will test whether the extent of BBB damage at time of first seizure is predictive for seizure recurrence.
The main objective of this study is to evaluate the association between the absolute (ng/ml) serum S100B levels (measured at time of the first seizure) and the experience, or not, of seizure recurrence within one year of follow-up.
Read the detailed description
The secondary objectives of this study are to investigate the:
- Prognostic capacity of serum S100B levels to predict seizure recurrence. B) Association between the variation (%) of serum S100B levels between first seizure episode and scheduled follow-up (D14-D28) and seizure recurrence.
- Correlation of S100B with IL-1b, IL-6, NSE serum levels at the same time points.
- Association of serology data with: a) EEG profile (normal/abnormal); b) recurrence of seizures (Y/N).
- Comparison of S100B serum levels in lesional vs non-lesional patients. F) Establishment of a bio-bank (serum and cells).
- Conditions
- Epilepsy, Seizures, Epileptic
- Medical subject headings
- Epilepsy, Seizures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| The study population | The study population is composed of patients between 18 and 60 years of age, of both sexes, recruited during consultations for a first epileptic seizure at the emergency department of Nîmes and Marseille Hospitals (CHRU). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Serum S100B level
ng/ml
Measured: Day 0 (T0+6 hours)
Serum S100B level
ng/ml
Measured: Day 0 (T0+12 hours)
Seizure recurrence within 1 year
yes/no
Measured: 12 months
Secondary outcomes (15)
Serum S100B level
ng/ml
Measured: Between days 14 and 28
Serum S100B level
ng/ml
Measured: 6 months
Serum S100B level
ng/ml
Measured: 12 months
Serum S100B level
ng/ml
Measured: at time of 2nd seizure (expected max of 12 months)
Serum IL-1b level
pg/mL
Measured: Day 0 (T0+6 hours)
Serum IL-1b level
pg/mL
Measured: Day 0 (T0+12 hours)
Serum IL-1b level
pg/mL
Measured: Between days 14 and 28
Serum IL-6 level
pg/mL
Measured: Day 0 (T0+6 hours)
Serum IL-6 level
pg/mL
Measured: Day 0 (T0+12 hours)
Serum IL-6 level
pg/mL
Measured: Between days 14 and 28
Serum NSE level
µg/dL
Measured: Day 0 (T0+6 hours)
Serum NSE level
µg/dL
Measured: Day 0 (T0+12 hours)
Serum NSE level
µg/dL
Measured: Between days 14 and 28
Electro encephalogram profile
Measured: Day 0
Electro encephalogram profile
Measured: Between days 14 and 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Apr 2015 (estimated)
- Study start11 Oct 2016
- Primary completion30 Jul 2020
- Study completion30 Jul 2020
Why it stopped: recruitment shortage
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EpilepsyStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nicola Marchi, MD, Study director, Institut de Génomique Fonctionnelle, CNRS, Montpellier
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02424123
- Sponsor's protocol ID
- LOCAL/2014/ET-02
- Other IDs
- 2015-A00157-42
- Acronym
- SeizS100B
- Status last verified
- Feb 2026
- First submitted
- 20 Apr 2015
- Last updated
- 18 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Is Protein S100B a Predictor of First-to-chronic Seizure Conversion in Adults? A Prognostic Cohort Study
- ClinicalTrials.gov ID
- NCT02424123
- Acronym / sponsor ID
- SeizS100B / LOCAL/2014/ET-02
- Conditions
- Epilepsy, Seizures, Epileptic
- Study type
- Observational
- Recruitment status
- TerminatedReason stopped: recruitment shortage
- Enrolment
- 37 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- 11 Oct 2016 (actual)
- Primary completion
- 30 Jul 2020 (actual)
- Study completion
- 30 Jul 2020 (actual)
- First posted
- 22 Apr 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Seizures represent an important clinical problem, accounting for at least 40% of adult onset epilepsy. Predicting seizure recurrence in subjects experiencing a first seizure is difficult due to the lack of prognostic biomarkers. Recent evidence has indicated that blood-brain barrier (BBB) dysfunction constitutes an etiological factor to seizures. In particular, it has been shown that modification of BBB permeability is associated with seizure activity. In addition, it was demonstrated that BBB permeability can be assessed by measuring serum level of the protein S100B. Based on these data and considerations the investigators will test whether the extent of BBB damage at time of first seizure is predictive for seizure recurrence.
The main objective of this study is to evaluate the association between the absolute (ng/ml) serum S100B levels (measured at time of the first seizure) and the experience, or not, of seizure recurrence within one year of follow-up.
Detailed description
The secondary objectives of this study are to investigate the:
- Prognostic capacity of serum S100B levels to predict seizure recurrence. B) Association between the variation (%) of serum S100B levels between first seizure episode and scheduled follow-up (D14-D28) and seizure recurrence.
- Correlation of S100B with IL-1b, IL-6, NSE serum levels at the same time points.
- Association of serology data with: a) EEG profile (normal/abnormal); b) recurrence of seizures (Y/N).
- Comparison of S100B serum levels in lesional vs non-lesional patients. F) Establishment of a bio-bank (serum and cells).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| The study population | – | –The study population is composed of patients between 18 and 60 years of age, of both sexes, recruited during consultations for a first epileptic seizure at the emergency department of Nîmes and Marseille Hospitals (CHRU). |
Who may qualify
- Ages
- 18 to 59 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- The study population is composed of patients between 18 and 60 years of age, of both sexes, recruited during consultations for a first epileptic seizure at the emergency department of Nîmes and Marseille Hospitals (CHRU).
Key inclusion criteria (6 listed)
- The patient has been correctly informed.
- The patient must have given his informed and signed consent.
- The patient must be insured or beneficiary of a health insurance plan.
- The patient is at least (≥) 18 years old and less than (<) 60 years old.
- The patient has experienced a first generalized, epileptic seizure (patients with partial onset and secondary generalization can also be included).
Key exclusion criteria (9 listed)
- The patient is participating in another study that may interfere with the results or conclusions of this study.
- Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study.
- The patient is in an exclusion period determined by a previous study.
- The patient is under judicial protection.
- The patient refuses to sign the consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Serum S100B level
Time frame: Day 0 (T0+6 hours)
ng/ml
Serum S100B level
Time frame: Day 0 (T0+12 hours)
ng/ml
Seizure recurrence within 1 year
Time frame: 12 months
yes/no
15 secondary outcomes
Serum S100B level
Time frame: Between days 14 and 28
Serum S100B level
Time frame: 6 months
Serum S100B level
Time frame: 12 months
Serum S100B level
Time frame: at time of 2nd seizure (expected max of 12 months)
Serum IL-1b level
Time frame: Day 0 (T0+6 hours)
Serum IL-1b level
Time frame: Day 0 (T0+12 hours)
Serum IL-1b level
Time frame: Between days 14 and 28
Serum IL-6 level
Time frame: Day 0 (T0+6 hours)
Serum IL-6 level
Time frame: Day 0 (T0+12 hours)
Serum IL-6 level
Time frame: Between days 14 and 28
Serum NSE level
Time frame: Day 0 (T0+6 hours)
Serum NSE level
Time frame: Day 0 (T0+12 hours)
Serum NSE level
Time frame: Between days 14 and 28
Electro encephalogram profile
Time frame: Day 0
Electro encephalogram profile
Time frame: Between days 14 and 28
Results and safety
The study was stopped early (reason given: recruitment shortage). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Feb 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nicola Marchi, MD study director
Institut de Génomique Fonctionnelle, CNRS, Montpellier
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Epilepsy and Seizures, Epileptic, run by Centre Hospitalier Universitaire de Nīmes at 2 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 18 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: recruitment shortage). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Serum S100B level (time frame: Day 0 (T0+6 hours)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2026.