Epileptic patients with focal cortical dysplasia type 2 Epilepsy, FCD type 2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.After completion of clinical trial (FCDS-01 or FCDS-03 or Hokudai FCDS or sirolimus Shizuoka 2019-1), age >= 2 years old 2.Improvement of epileptic seizures by FCDS-01 or FCDS-03 or Hokudai FCDS or sirolimus Shizuoka 2019-1 3.Patients whose serious adverse events causally related to sirolimus and concomitant antiepileptic drugs have not been reported in the FCDS-01, FCDS-03, Hokudai FCDS or sirolimus Shizuoka 2019-1, or whose such adverse events have resolved or become mild and sirolimus administration has been resumed or continued. 4.Informed consent by written agreement after precise explanation
Exclusion criteria
Exclusion criteria: 1.Patients without accurate data of compliance, adverse event, seizure frequency, duration of seizure 2.Possible attendance another clinical trial 3.Prescription of PB or VGB 4.Possible ketogenic diet therapy 5.Pregnant patient or no agreement for contraception 6.Basic disease inflammation, degenerative diseases 7.Risk of suicide 8.History of alcoholic abuse 9.Among preceding clinical trial (FCDS-01 or FCDS-03 or Hokudai FCDS or sirolimus Shizuoka 2019-1), the following laboratory data were observed 9-1 AST or ALT >= 2.5 folds of standard value in our hospital 9-2 WBC < 3000 /mm3, Ht < 30%, Platelet < 80000/mm3, neutrophils < 1000/mm3 9-3 C cr < 50ml/min, eGFR < 30mL/min/1.73m2 9-4 HBsAg (+), HBs Ab(+) after HBV infection, HBc Ab (+) 9-5 Uncontrolled hyperlipidemia 10.Association of arrythmia or cardiac failure requiring treatment. 11.Association of immunodeficiency 12.Irregular visit to hospital 13.Decision of inappropriate patient for this study by responsible doctor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| adverse event | — |
Secondary
| Measure | Time frame |
|---|---|
| Dose & level of sirolimus around adverse event, continuation of sirolimus, seizure frequency | — |
Contacts
SHOWA Medical University School of Medicine