Biology of Juvenile Myoclonic Epilepsy

Last updated: May 24, 2023
Sponsor: King's College London
Overall Status: Active - Recruiting

Phase

N/A

Condition

Epilepsy

Seizure Disorders (Pediatric)

Unverricht-lundborg Syndrome

Treatment

Existing samples

Blood draw

Clinical Study ID

NCT03400371
199351
CIHR ID: MOP-142405
  • Ages 10-40
  • All Genders

Study Summary

The investigators are collecting genetic information through blood samples as well as clinical and EEG data from over 1000 people with Juvenile Myoclonic Epilepsy (JME) across the UK, Europe and North America. This study will draw on both existing and new samples from JME patients. These will be compared to anonymised data from samples for 2000 controls. The goal of this study is to find the genetic cause of JME. Finding the cause will help create better treatments for JME, as well as improve patient outcomes by allowing us to detect it earlier.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosis of Juvenile Myoclonic Epilepsy in accordance with Consensus criteria
  • Age of myoclonus onset 10-25 years
  • Seizures comprising predominant or exclusive early morning myoclonus of upperextremities
  • EEG interictal generalized spikes and/or polyspike and waves with normalbackground
  • Current age 10-40 years

Exclusion

Exclusion Criteria:

  • Myoclonus only associated with carbamazepine or lamotrigine therapy
  • EEG showing predominant focal interictal epileptiform discharges or abnormalbackground
  • Any evidence of progressive or symptomatic myoclonus epilepsy or focal seizures
  • Global learning disability
  • Dysmorphic syndrome
  • Unable to provide informed consent Regrettably, we are currently unable to accept self-referrals to the BIOJUME study.

Study Design

Total Participants: 1000
Treatment Group(s): 2
Primary Treatment: Existing samples
Phase:
Study Start date:
July 13, 2017
Estimated Completion Date:
June 30, 2026

Study Description

Epilepsy is a common neurological disorder affecting 1% of the population. There are over 30 types of epilepsy, some common, some rare. Most epilepsies arise in childhood and have a genetic cause. Approximately 40% of patients have the common forms of Genetic Generalised Epilepsy (GGE), and the commonest GGE is "Juvenile Myoclonic Epilepsy" or JME.

The goal of this study is to find the genetic cause for JME. The investigators will do this by comparing the genetic code in JME patients with that in people who do not have epilepsy. This study will use clues from their electroencephalograph or brainwave test that is used to help diagnose epilepsy. Participants will provide a single blood sample, along with permission to collect clinical data about their diagnosis and a copy of their clinical EEG. There is no direct benefit or risk to the research participants but the results from this study may help other people with epilepsy or brain impairments in the future.

There is overwhelming evidence that JME is caused by changes in genetic code. These changes are likely to be found in more than just one gene and there may be more than one type of change. In order to find these changes, this study will look at a large number of people with JME and compare their genetic code with people who do not have epilepsy. Finding the causes of JME will lead to better understanding of its cause, new treatments, and tailoring of treatments according to a person's genetic make-up.

Connect with a study center

  • Hospital for Sick Kids

    Toronto, Ontario M5G 0A4
    Canada

    Active - Recruiting

  • Charles University

    Praha, 116 36
    Czechia

    Active - Recruiting

  • Danish National Epilepsy Centre

    Dianalund, 4293
    Denmark

    Active - Recruiting

  • Tallinn Children's Hospital

    Tallin, 13419
    Estonia

    Active - Recruiting

  • University Robert Debré

    Paris, 75019
    France

    Active - Recruiting

  • Commissione Genetica Lega Italiana contro l'Epilepssia

    Roma, 00198
    Italy

    Active - Recruiting

  • Vestre Viken Health Trust, Oslo

    Drammen, 3004
    Norway

    Active - Recruiting

  • Walton Centre for Neurology and Neurosurgery

    Liverpool, L9 7LJ
    United Kingdom

    Active - Recruiting

  • King's College Hospital NHS Trust

    London, SE5 9RS
    United Kingdom

    Active - Recruiting

  • Royal London Hospital

    London, E1 1BZ
    United Kingdom

    Active - Recruiting

  • St Thomas' Hospital

    London, SE1 9HT
    United Kingdom

    Active - Recruiting

  • Swansea University

    Swansea, SA2 8PP
    United Kingdom

    Active - Recruiting

  • Mount Sinai-Beth Israel Medical Center

    New York, New York 10003
    United States

    Completed

  • St Luke's Roosevelt Hospital

    New York, New York 10025
    United States

    Completed

  • Nationwide Children's Hospital

    Columbus, Ohio 43125
    United States

    Completed

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