Skip to main content
. 2020 Jun 24;2020(6):CD001903. doi: 10.1002/14651858.CD001903.pub5

NCT03464487.

Study name Comparison between efficacy of daily and intermittent low glycaemic index therapy diet among children with drug resistant epilepsy aged 1‐15 years: an open labeled randomized controlled parallel design non‐inferiority trial
Methods An open‐label, randomised, controlled, parallel‐group design, non‐inferiority trial.
Participants
  • Aim to enrol 110 children, aged 1 to 15 years, with drug‐resistant epilepsy who were willing to attend regular follow‐up;

  • Exclusion criteria: if there was a surgically remediable cause for their epilepsy, a proven inborn error of metabolism except in which dietary therapy for epilepsy is indicated (i.e. pyruvate carboxylase deficiency and glucose transporter type 1 (GLUT 1) deficiency), previously received KD, MAD or LGIT diet, had chronic kidney disease, chronic liver disease/gastrointestinal illness, chronic heart disease (congenital and acquired), or a chronic respiratory illness.

Interventions
  • Intervention group received daily LGIT, alongside AEDs (40 g to 60 g carbohydrate per day, carbohydrates required to have glycemic index less than 50) for 6 months;

  • Intervention group received daily LGIT for five days of each week, alongside AEDs, plus two days of liberal diet (40 g to 60 g carbohydrate per day for five days per week, carbohydrates required to have glycemic index less than 50) for 6 months.

Outcomes Primary outcome:
  • Percentage of seizure reduction from baseline at 24 weeks;


Secondary outcomes:
  • Greater than 50% seizure reduction at 6 months;

  • Improvement in social quotient at 6 months, measured by Vineland Social Maturity scale;

  • Rate of adverse effects at 3 months and 6 months;

  • Correlation between seizure frequency and change with blood haemoglobin A1c levels at 3 months and 6 months;

  • Correlation between seizure frequency and change with blood betahydroxybutyrate levels at 3 months and 6 months;

  • Rate of biochemical adverse effects at 6 months.

Starting date 15/02/2018
Contact information sheffaligulati@gmail.com
Notes Estimated study completion date was January 2019 however, at the time of publishing, the ClinicalTrials.gov entry reported that the study was still recruiting participants.