BENITIONSClinical Trial Intelligence

Bridging the Childhood Epilepsy Treatment Gap in Africa

N/A Completed NCT04290975

ConditionEpilepsy
PhaseN/A
SponsorVanderbilt University Medical Center
StatusCompleted
Enrollment1,672 participants
InterventionsTask-shifting epilepsy care to epilepsy-trained community health workers (CHWs), Enhanced usual care for epilepsy (EUC)
Start dateJun 16, 2020
Completion dateMay 31, 2024
Results postedFeb 20, 2026

Summary

About half of the world's children with epilepsy do not receive treatment - known as the epilepsy treatment gap - with significantly higher rates (67%-90%) in low- and middle-income countries (LMICs). We will conduct the first cluster-randomized clinical trial (cRCT) to determine the efficacy, implementation, and cost-effectiveness of a novel intervention shifting childhood epilepsy care to epilepsy-trained community health extension workers in an effort to close the epilepsy treatment gap. This research will provide information to help extend epilepsy treatment to children in LMICs and worldwide who suffer from untreated seizures.

Percentage Seizure-free for 6 Months, or Longer, Measured at 24 Months After Enrollment

Outcome measured 18 months to 24 months after enrollment · Participants

Task-shifted Epilepsy Care Arm (TSC)371 Participants
Enhanced Usual Epilepsy Care Arm (EUC)299 Participants
p-value0.11
Odds Ratio (OR)1.37 (95% CI 0.93–2.02)

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