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The primary aim of the study is to determine the effect of reducing the number and/or dose of anti epileptic drugs on an individual's quality of life and seizure control in people with difficult to control epilepsy and who are on polytherapy.
This is a randomised trial so children will be divided into two groups, with reduction of anti epileptic drugs in the first group (withdrawal group) and no change to their medications in the second (control group). Irrespective of the group the child is assigned to (withdrawal group or control group), we will ask parents to complete several questionnaires on 2 occasions: the first time will be immediately after the child enters the study (i.e. baseline assessment), and a second and last one will be 6 months after entering the study (i.e. follow-up assessment). These questionnaires aim to "quantify" aspects related with quality of life, AED side effects, seizure severity, and behaviour.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Reduction in anti-epileptic medications |
|
| 2 | Active Comparator | No change in medication. Unchanged treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reduction of anti-epileptic medications | Other | Reduction in anti-epileptic medications |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of reduction in anti-epileptic medications on quality of life in young people with intractable epilepsy | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Identify other determinants of quality of life in this group of subjects | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr R Scott, Phd | Contact | r.scott@ich.ucl.ac.uk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neurosciences Unit, UCL Institute of Child Health, The Wolfson Centre, | London | WC1N 1EH | United Kingdom |
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| ID | Term |
|---|---|
| D000069279 | Drug Resistant Epilepsy |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| No drug change |
| Procedure |
No change in anti-epileptic treatment |
|