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Idiopathic Generalized EpilepsyHEP3NCT05374928

Human Epilepsy Project 3

An observational study of Idiopathic Generalized Epilepsy, run by NYU Langone Health at 18 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

By carrying a careful, large-scale and ambitious prospective study of a cohort of participants with generalized epilepsy, the study team hopes to clarify the likelihood of response and remission in this type of epilepsy, and try to explore the underlying biological drivers of treatment response, including novel realms… Read more about this study

Who is it for?
Ages 13 years and older
Conditions the study is for
Idiopathic Generalized Epilepsy
How many people
316 participants
Where
18 sitesin 2 countries
Study dates
9 Mar 2020to 1 Jun 2026
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 13 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients with newly diagnosed IGE, as well as a cohort of subjects with established IGE.

Who may be able to join

  • Age ≥13 years at time of enrollment
  • Age ≥8 years at time of seizure onset
  • Clinical seizure(s) and history consistent with IGE. The only permitted seizure types are absence, myoclonus or generalized tonic-clonic convulsions
  • Occurrence of at least 1 seizure of any type in the 6 months prior to treatment
  • Patients must have one of the following:
  • GTCSs alone accompanied by generalized spike-wave consistent with IGE per adjudication review
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  • GTCSs with a history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • GTCSs associated with a history of absence and/or myoclonus, not accompanied by generalized spike-wave consistent with IGE per adjudication review
  • A clear history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • Availability of a complete medication history since initiation of treatment, including doses and date of initiation
  • No competing cause of epilepsy (e.g. traumatic brain injury)
  • AED treatment (for seizures) instituted not more than 12 months before enrollment
  • Age ≥13 years at time of enrollment
  • Age ≥8 years at time of seizure onset
  • Clinical seizure(s) and history consistent with IGE. The only permitted seizure types are absence, myoclonus or generalized tonic-clonic convulsions
  • Patients must have had one of the following:
  • GTCSs alone accompanied by generalized spike-wave consistent with IGE per adjudication review
  • GTCSs with a history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • GTCSs associated with a history of absence and/or myoclonus, not accompanied by generalized spike-wave consistent with IGE per adjudication review
  • A clear history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • Availability of a complete medication history since initiation of treatment, including doses and date of initiation
  • No competing cause of epilepsy (e.g. traumatic brain injury)
  • Two years of well-controlled seizures.
  • No convulsive seizures in the last two years
  • Myoclonic or absence seizures must be rare (<2 per year) and non-disabling
  • Ongoing therapy with > 1 antiseizure medication
  • Age ≥13 years at time of enrollment
  • Age ≥8 years at time of seizure onset
  • Clinical seizure(s) and history consistent with IGE. The only permitted seizure types are absence, myoclonus or generalized tonic-clonic convulsions
  • Occurrence of at least 1 seizure of any type in the 6 months prior to treatment onset
  • Patients must have had one of the following:
  • GTCSs alone accompanied by generalized spike-wave consistent with IGE per adjudication review
  • GTCSs with a history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • GTCSs associated with a history of absence and/or myoclonus, not accompanied by generalized spike-wave consistent with IGE per adjudication review
  • A clear history of absence and/or myoclonus, accompanied by generalized spike-wave consistent with IGE per adjudication review
  • Availability of a complete medication history since initiation of treatment. This should include doses and date of initiation if possible, but minimum information would include name of drug, approximate duration of administration and reason for discontinuation, if applicable.
  • No competing cause of epilepsy (e.g. traumatic brain injury)
  • Treatment resistant IGE
  • Initiation of treatment at least 2 years prior to enrollment
  • Treatment resistance, as defined by failure of adequate trials of two tolerated and appropriately chosen and used AED schedules (whether as monotherapies or in combination to achieve seizure freedom). ASMs taken at enrollment would count towards this minimum.
  • Either or both of the following two:
  • One GTCC per year over the last 2 years. ii. Any type of seizure at least every 3 months which can consist of either: disabling myoclonus or absence (in the opinion of the subject and investigator) or GTCC d. Such seizures were not primarily due to significant illness (e.g, URI is not significant unless temperature >101oF (38.3oC), nonadherence to antiseizure medications or >2 alcoholic beverages within 48 hrs of seizure e. Ongoing therapy with > 1 antiseizure medication

Who cannot join

  • Focal epilepsy
  • Generalized/focal epilepsy mixed syndromes
  • Progressive neurological disorder (brain tumor, Alzheimer's disease, progressive myoclonic epilepsy, etc.)
  • Epileptic or developmental encephalopathy
  • Major medical co-morbidities (e.g. renal failure requiring dialysis, metastatic cancer, HIV, or significant liver or renal disease)
  • Autism Spectrum Disorder
Show all 32Show fewer
  • History of chronic drug or alcohol abuse (misuse or excessive use that interferes with activities of daily living) within the last 2 years
  • Seizures only during pregnancy
  • History of previous or current significant psychiatric disorder that would interfere with study requirements
  • Cohort 2: Longstanding Treatment Responsive
  • Focal epilepsy
  • Paroxysmal nonepileptic seizures
  • Generalized/focal epilepsy mixed syndromes
  • Progressive neurological disorder (brain tumor, Alzheimer's disease, progressive myoclonic epilepsy, etc.)
  • Epileptic or developmental encephalopathy
  • Major medical co-morbidities (e.g. renal failure requiring dialysis, metastatic cancer, HIV, or significant liver or renal disease)
  • Autism Spectrum Disorder
  • History of chronic drug or alcohol abuse (misuse or excessive use that interferes with activities of daily living) within the last 2 years
  • Seizures only during pregnancy
  • History of previous or current significant psychiatric disorder that would interfere with study requirements
  • Cohort 3: Longstanding IGE, Treatment Resistant
  • Focal epilepsy
  • Paroxysmal nonepileptic seizures
  • Generalized/focal epilepsy mixed syndromes
  • Progressive neurological disorder (brain tumor, Alzheimer's disease, progressive myoclonic epilepsy, etc.)
  • Epileptic or developmental encephalopathy
  • Major medical co-morbidities (e.g. renal failure requiring dialysis, metastatic cancer, HIV, or significant liver or renal disease)
  • Autism Spectrum Disorder
  • History of chronic drug or alcohol abuse (misuse or excessive use that interferes with activities of daily living) within the last 2 years
  • Seizures only during pregnancy
  • History of previous or current significant psychiatric disorder that would interfere with study requirements
  • History of/suspicion of provoked seizures accounting for 25% or more of seizures over the prior 2 years (eg alcohol, non-adherence, significant sleep deprivation).

Trial locations and contacts

18 sites in 2 countries.

18 sites in 2 countries

United States17 sites
  • The Johns Hopkins Hospital

    Baltimore, Maryland, 21287

  • Mid-Atlantic Epilepsy Sleep Center

    Bethesda, Maryland, 20817

  • St. Barnabas Medical Center

    Livingston, New Jersey, 07039

  • University of Miami

    Miami, Florida, 33146

  • Yale University

    New Haven, Connecticut, 06520

  • NYU Langone Health - Comprehensive Epilepsy Center (CEC)

    New York, New York, 10016

  • Mount Sinai Hospital

    New York, New York, 10029

  • Northwell Health

    New York, New York, 10065

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Maine Medical Center

    Portland, Maine, 04102

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Minnesota Epilepsy Group

    Saint Paul, Minnesota, 55113

  • University of Utah Hospital

    Salt Lake City, Utah, 84132

  • University of Texas Health Science Center

    San Antonio, Texas, 77030

  • University of California San Francisco (UCSF)

    San Francisco, California, 94143

  • Washington University

    St Louis, Missouri, 63130

  • Georgetown University

    Washington D.C., District of Columbia, 20057

Other trials in United States

Australia1 site
  • Monash University

    Melbourne, Clayton VIC, 3800

Other trials in Australia

About this study

Official title: Human Epilepsy Project 3: Newly Diagnosed Idiopathic Generalized Epilepsy

By carrying a careful, large-scale and ambitious prospective study of a cohort of participants with generalized epilepsy, the study team hopes to clarify the likelihood of response and remission in this type of epilepsy, and try to explore the underlying biological drivers of treatment response, including novel realms of exploration such as impact of the microbiome, and genetics. The identification of biomarkers that predict the likelihood of disease response would allow epilepsy patients to make more informed decisions about the factors affecting their quality of life, including plans for driving, relationships, pregnancy, schooling, work, and play. In addition to its impact on clinical care, the data and specimens collected in HEP3, including sequential electrophysiology, biochemical profiles and neuroimaging and banked DNA for future genomics studies, have the potential to provide new insights into the biological basis of IGE, thereby advancing the discovery of effective treatments and cures. By enrolling both newly diagnosed subjects (prognosis unknown) as well as subjects with established IGE who are already determined to be treatment resistant or treatment responsive, the study team can immediately test potential biomarkers in a confirmation cohort, which will accelerate identification of predictive biomarkers.

Medical subject headings
Epilepsy, Idiopathic Generalized

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05374928
Study groupRoleWhat they receive
Cohort 1: Newly Diagnosed Idiopathic Generalized Epilepsy (IGE)Cohort 1 will have IGE that was diagnosed within the prior year. We will follow these participants for a minimum of two years.
Cohort 2: Longstanding Treatment ResponsiveCohort 2 will consist of subjects with established IGE who have been responsive to treatment.
Cohort 3: Longstanding IGE, Treatment ResistantCohort 3 will consist of patients with established treatment-resistant IGE.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Individual Seizures

    Self-reported via the Seer Seizure Diary App (https://app.seermedical.com)

    Measured: Baseline

  2. Number of Cluster Seizures

    Self-reported via the Seer Seizure Diary App (https://app.seermedical.com)

    Measured: Baseline

  3. Number of episodes of non-adherence

    Self-reported via the Seer Seizure Diary App (https://app.seermedical.com)

    Measured: Baseline

  4. Average daily steps

    Participants will be provided a Fitbit Inspire HR watch and will be trained to open an account on fitbit.com and synchronize their Fitbit watch data into their Fitbit cloud account. Daily steps is synchronized and collected for this study.

    Measured: Baseline

  5. Average distance walked

    Participants will be provided a Fitbit Inspire HR watch and will be trained to open an account on fitbit.com and synchronize their Fitbit watch data into their Fitbit cloud account. Daily steps is synchronized and collected for this study.

    Measured: Baseline

  6. Average heart rate

    Participants will be provided a Fitbit Inspire HR watch and will be trained to open an account on fitbit.com and synchronize their Fitbit watch data into their Fitbit cloud account. Daily steps is synchronized and collected for this study.

    Measured: Baseline

  7. Average daily sleep duration

    Participants will be provided a Fitbit Inspire HR watch and will be trained to open an account on fitbit.com and synchronize their Fitbit watch data into their Fitbit cloud account. Daily steps is synchronized and collected for this study. Using the Embleema Patient Web App, participants will be able to consult their activity and sleep data in interactive graphs.

    Measured: Baseline

  8. Average daily wake duration

    Participants will be provided a Fitbit Inspire HR watch and will be trained to open an account on fitbit.com and synchronize their Fitbit watch data into their Fitbit cloud account. Daily steps is synchronized and collected for this study. Using the Embleema Patient Web App, participants will be able to consult their activity and sleep data in interactive graphs.

    Measured: Baseline

  9. Change in Quality of Life in Epilepsy Inventory-10 (QOLIE-10) Score

    QOLIE-10 assesses the patient's quality of life. There are 11 total items. The total score range is 10-51; with higher scores indicating greater impairment. The total score is the sum of scores for all questions divided by the number of items answered. Thus, if a patient skipped an item, it is not reflected in the total score.

    Measured: Baseline, Month 12

  10. Change in Quality of Life in Epilepsy Inventory-10 (QOLIE-10) Score

    QOLIE-10 assesses the patient's quality of life. There are 11 total items. The total score range is 10-51; with higher scores indicating greater impairment. The total score is the sum of scores for all questions divided by the number of items answered. Thus, if a patient skipped an item, it is not reflected in the total score.

    Measured: Baseline, Month 24

  11. Change in Quality of Life in Epilepsy Inventory-10 (QOLIE-10) Score

    QOLIE-10 assesses the patient's quality of life. There are 11 total items. The total score range is 10-51; with higher scores indicating greater impairment. The total score is the sum of scores for all questions divided by the number of items answered. Thus, if a patient skipped an item, it is not reflected in the total score.

    Measured: Month 12, Month 24

  12. Change in General Anxiety Disorder-7 Screener (GAD-7) Score

    This will only be reported for adults. GAD-7 consists of 7 problems. Participants report how often they have been bothered by the 7 problems over the last 2 weeks on a Likert Scale from 0 (not at all) to 3 (nearly every day). The total score range is 0-21; the higher the score, the more severe the anxiety. 0-4=minimal anxiety, 5-9=mild, 10-14=moderate, 15-21=severe anxiety.

    Measured: Baseline, Month 12

  13. Change in General Anxiety Disorder-7 Screener (GAD-7) Score

    This will only be reported for adults. GAD-7 consists of 7 problems. Participants report how often they have been bothered by the 7 problems over the last 2 weeks on a Likert Scale from 0 (not at all) to 3 (nearly every day). The total score range is 0-21; the higher the score, the more severe the anxiety. 0-4=minimal anxiety, 5-9=mild, 10-14=moderate, 15-21=severe anxiety.

    Measured: Baseline, Month 24

  14. Change in General Anxiety Disorder-7 Screener (GAD-7) Score

    This will only be reported for adults. GAD-7 consists of 7 problems. Participants report how often they have been bothered by the 7 problems over the last 2 weeks on a Likert Scale from 0 (not at all) to 3 (nearly every day). The total score range is 0-21; the higher the score, the more severe the anxiety. 0-4=minimal anxiety, 5-9=mild, 10-14=moderate, 15-21=severe anxiety.

    Measured: Month 12, Month 24

  15. Columbia Suicide Severity Rating Scale (C-SSRS) Score

    C-SSRS systematically tracks suicidal ideation and behavior. The total score range is 0 (no ideation is present) - 5 (active suicidal ideation with specific plan and intent). The higher the score, the greater one's suicidal ideation. Any score greater than 0 is important and may indicate the need for mental health intervention

    Measured: Baseline

  16. Columbia Suicide Severity Rating Scale (C-SSRS) Score

    C-SSRS systematically tracks suicidal ideation and behavior. The total score range is 0 (no ideation is present) - 5 (active suicidal ideation with specific plan and intent). The higher the score, the greater one's suicidal ideation. Any score greater than 0 is important and may indicate the need for mental health intervention

    Measured: Month 12

  17. Columbia Suicide Severity Rating Scale (C-SSRS) Score

    C-SSRS systematically tracks suicidal ideation and behavior. The total score range is 0 (no ideation is present) - 5 (active suicidal ideation with specific plan and intent). The higher the score, the greater one's suicidal ideation. Any score greater than 0 is important and may indicate the need for mental health intervention

    Measured: Month 24

  18. Cogstate Neuropsychological Assessment Score

    The Cogstate is a battery of online computerized tests that assesses functions such as attention, memory, and processing speed. Scores are normalized to the range of 0-100th percentile based on speed of test completion and task accuracy. A higher percentile score indicates higher levels of cognitive functioning within the tested domain as compared to controls.

    Measured: Baseline

  19. Cogstate Neuropsychological Assessment Score

    The Cogstate is a battery of online computerized tests that assesses functions such as attention, memory, and processing speed. Scores are normalized to the range of 0-100th percentile based on speed of test completion and task accuracy. A higher percentile score indicates higher levels of cognitive functioning within the tested domain as compared to controls.

    Measured: Month 12

  20. Cogstate Neuropsychological Assessment Score

    The Cogstate is a battery of online computerized tests that assesses functions such as attention, memory, and processing speed. Scores are normalized to the range of 0-100th percentile based on speed of test completion and task accuracy. A higher percentile score indicates higher levels of cognitive functioning within the tested domain as compared to controls.

    Measured: Month 24

  21. Wide Range Achievement Test (WRAT-4) Score

    WRAT4 is an academic skills assessment which measures reading skills, math skills, spelling, and comprehension. Only the Word Reading portion of the assessment will be administered. The total raw score range is from 0-70, with a normalized score range of 55-145. The higher the score, the more advanced the participant's reading comprehension skills for their age range.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2022
  2. Study start9 Mar 2020
  3. Primary completion31 Dec 2025
  4. Study completion1 Jun 2026

Resources

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
316 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05374928
Sponsor's protocol ID
19-01030
Acronym
HEP3
Status last verified
Jun 2026
First submitted
11 May 2022
Last updated
22 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices) will be shared upon reasonable request.

Questions about this trial

What is this clinical trial studying?

An observational study of Idiopathic Generalized Epilepsy, run by NYU Langone Health at 18 sites in 2 countries.

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 42 inclusion and 32 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: finished, as of the sponsor's last update on 22 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, Australia. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of Individual Seizures (time frame: Baseline). The study lists 21 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 22 Jun 2026.

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