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Genetic study of brain mutations in children with hard-to-treat focal epilepsy

Looks for brain gene changes using blood, brain tissue and fluid samples in children.

Plain-language title generated from the registry record
Registry title: Genetic and Electrophysiologic Study in Focal Drug-resistant Epilepsies

Key facts

Where
Paris, FranceSee the site

Where in France

  • Fondation Ophtalmologique Adolphe de RothschldParis, FranceTaking people

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Trial details

Who runs it
Fondation Ophtalmologique Adolphe de Rothschild
Trial code
NCT02890641
Record updated
17 April 2026
Original description
Brain somatic mutations are increasingly recognized as a major cause of focal epilepsies. These include mTOR pathway mutations underlying cortical malformations such as focal cortical dysplasia and hemimegalencephaly, and SLC35A2 mutations in MOGHE, and activating variants in the SHH pathway in hypothalamic hamartomas.Read full original descriptionShow less

Brain somatic mutations are increasingly recognized as a major cause of focal epilepsies. These include mTOR pathway mutations underlying cortical malformations such as focal cortical dysplasia and hemimegalencephaly, and SLC35A2 mutations in MOGHE, and activating variants in the SHH pathway in hypothalamic hamartomas.

This study aims to identify brain somatic mutations using paired blood-brain samples and trace DNA from stereo-EEG electrodes, and to perform functional validation of candidate variants in children with drug-resistant focal epilepsy.

Inclusion: Children with focal drug-resistant epilepsy including Focal Cortical Dysplasia, Hemimegalencephaly, Tuberous Sclerosis, Mild malformation of cortical development with oligodendroglial hyperplasia in epilepsy (MOGHE), Hypothalamic Hamartomas, Sturge-Weber syndrome, Rasmussen encephalitis, gliomas; Their parents who have signed informed consent 1) for their child's participation (for parents) and 2) for themselves; Social security coverage or foreign regime recognized in France.

Exclusion: contraindication to anaesthesia, to MRI or to surgery; refusal to participate in the study; no medical insurance coverage.

ClinicalTrials.gov NCT02890641