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NCT07742709Active, not recruiting

Study on the Rapid Diagnostic Value of Sudden Clap Provocation Test in Psychogenic Nonepileptic Seizures

Clinical Utility of the Abrupt Clap Provocation Test for Rapid Differentiation of Psychogenic Non-Epileptic Seizures From Epileptic Seizures

Source: ClinicalTrials.gov · Last updated 3 Aug 2026

Brief summary (registry, in English)

To explore the clinical value of the sudden clap provocation test in the differential diagnosis between epileptic seizures and psychogenic non-epileptic seizures, so as to provide a new strategy for rapid, low-cost differential diagnosis. This study is a prospective, single-center, diagnostic trial. This study is a single-center, prospective study that plans to recruit 400 patients who have "convulsive seizure" events during video electroencephalogram monitoring. A standardized sudden clap test is adopted, and one sudden clap test is performed during each clinically detected seizure episode, with the study period covering the entire VEEG monitoring process (approximately 24 hours). During the trial, the patient's basic treatment plan and VEEG monitoring process remain unchanged, and data analysis and diagnostic efficacy evaluation will be carried out after the VEEG monitoring is completed.

Status (registry)
Active, not recruiting
Study type
Observational
Enrollment
1000 (estimated)
First submitted
19 Jul 2026
Start date
1 Feb 2026
Primary completion date
Aug 2026
Lead sponsor
Xijing Hospital
Diseases
Epilepsy
NCT number
NCT07742709

What you commit to

  • Study type: Observational
  • Planned participants: 1000
  • From 1 Feb 2026 to the primary completion date, Aug 2026
  • 3 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Coexisting severe hearing impairment or documented ear disease, rendering the patient unable to effectively perceive normal auditory stimuli
  • Episodes definitively diagnosed as other non-epileptic paroxysmal disorders (such as syncope, paroxysmal kinesigenic dyskinesia, or sleep disorders)

Other

  • Episodes occurring out of the camera view, obscured, or recorded with poor video quality, preventing accurate assessment of ictal behavioral responses to the clap stimulus
  • Severe lack of clinical data, loss to follow-up, or refusal/withdrawal of informed consent

Who the study is looking for

  • Continuous video-electroencephalogram (VEEG) monitoring duration of 24 hours or longer
  • At least one recorded episode during VEEG monitoring with prominent abnormal limb movements (such as convulsive episodes)
  • Successful administration of the standardized Abrupt Clap Provocation Test (ACPT) during the clinical ictal phase
  • Episodes definitively diagnosed as epileptic seizures (ES) or confirmed as psychogenic non-epileptic seizures (PNES) at the highest certainty level (Level 4: documented/confirmed) according to the International League Against Epilepsy (ILAE) criteria
  • Complete clinical and demographic data available

Age in the registry: 18 years to 80 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (3)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The First Affiliated Hospital of Air Force Medical University (Xijing Hospital)
Coordinator of this site? Confirm its status
ShanxiChinaUnknown status
No.127 Changle West Road, Xincheng District, Xi'an, Shaanxi 710048, China
Coordinator of this site? Confirm its status
ShanxiChinaUnknown status
The First Affiliated Hospital of Air Force Medical University (Xijing Hospital)
Coordinator of this site? Confirm its status
XianChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.