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NCT07110337NARecruiting

Diagnosing Epilepsy To EffeCT Change

Epiminder America, Inc.

Start Date

12/23/2025

Completion Date

6/1/2027

Summary

The purpose of this research is to address the challenges of diagnosing and long-term management of epilepsy in participants whose seizures are not well captured by standard electroencephalography (EEG) tests and who cannot use or are not able to use more standard monitoring techniques. This research will compare the Minder System to standard of care in providing reliable seizure data. The Minder System was granted De Novo classification by the U.S. Food and Drug Administration (FDA) and is not investigational. Participants will consent to join the study and be implanted with the Minder device; or consent to join the study and continue with their Standard of Care (SOC) as a control group. Participants chose to be implanted with the Minder device will have the device implanted under their scalp. After implantation, participants will be randomly assigned to a group where their treating physician will have access to the EEG data collected by the Minder System or a group where their treating physician does not have access to the EEG data collected by the Minder System. Participants receiving the Minder System will not know which group they are in (blinded) until the study ends. All participants will continue to be followed by their treating physician and undergo assessments and visits until enough information is available to determine a treatment plan or the 6-month follow-up visit.

Eligibility Criteria

Age Range: 18 years to 75 years

Inclusion Criteria: * Diagnosis of focal and/or generalized epilepsy. * Drug-resistant * At least an average of 1 seizure within the past 3 months * Participant completed a multi-day EEG assessment that was inconclusive, and is unchanged since the last EEG monitoring. Exclusion Criteria: * Epilepsy surgery within the past 6 months * Active Deep Brain Stimulation (DBS) or Responsive Neurostimulator System (RNS) * Participant needs treatments or assessments that are not indicated with the Minder System like Magnetic Resonance Imaging (MRI), Electro-Convulsive Therapy (ECT), lithrotripsy, and diathermy * Participant cannot have surgery to have the device implanted

Interventions

DEVICE

Receipt of the Minder System (implantable sub-scalp continuous electroencephalographic (EEG) monitoring (iCEM) system)

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Conditions

EpilepsyEpilepsy (Treatment Refractory)

Locations

Mayo Clinic - Arizona

Phoenix, Arizona 85054

United States

University of California, Irvine Medical Center

Irvine, California 92612

United States

Stanford

Palo Alto, California 94304

United States

Yale School of Medicine

New Haven, Connecticut 06510

United States

Mayo Clinic - Florida

Jacksonville, Florida 32224

United States

Nicklaus Children's Hospital

Miami, Florida 33155

United States

USF Health

Tampa, Florida 33606

United States

IU Health Neuroscience Center

Indianapolis, Indiana 46202

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts 02215

United States

Michigan Medicine

Ann Arbor, Michigan 48109

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

Mayo Clinic - Rochester

Rochester, Minnesota 55905

United States

Washington University

St Louis, Missouri 63130

United States

Atrium Health Neurosciences Institute - Charlotte

Charlotte, North Carolina 28204

United States

Duke University

Durham, North Carolina 27710

United States

University Hospitals Cleveland Medical Center

Clevland, Ohio 44106

United States

University of Pennsylvania

Philadelphia, Pennsylvania 19104

United States

University of Texas Health Science Center at Houston

Houston, Texas 77030

United States