Feasibility, Tolerability and Efficacy of the Ketogenic Diet in Children With Drug-resistant Epilepsy in South Vietnam
Study Details
Study Description
Brief Summary
According to the World Health Organization, more than 50 million people have epilepsy. Among them, nearly 80% of epileptic patients live in developing countries and 75% of them do not have access to treatment. The ketogenic diet (KD) has been shown as an effective alternative for patients with drug-resistant epilepsy. Although it has been studied by few studies in Asia, no such studies have been conducted in Vietnam. The purpose of this study was to verify the feasibility, tolerability, and efficacy of the KD in children with refractory epilepsies followed at a pediatric center in South Vietnam.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Children with drug-resistant epilepsy followed at Children's Hospital No.2, Viet Nam treated by KD were included in a prospective study from June 2019 to October 2021. Side-effects, retention rate, number, and duration of seizures were recorded after 1, 3, 6, 9, and 12 months of KD. Patients were considered as responders when a 50% seizure frequency was reached. Tolerance and acceptability of the KD were closely monitored.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: The feasibility of the ketogenic diet The purpose of this study was to verify the feasibility of the ketogenic diet in children with refractory epilepsies followed at a pediatric center in South Vietnam. The patient was considered feasible if he (or she) did not have the contra-indication for the ketogenic diet |
Dietary Supplement: Ketogenic diet
The ketogenic diet (KD) has been shown as an effective alternative for patients with drug-resistant epilepsy
|
| Experimental: the tolerability of the ketogenic diet The purpose of this study was to verify the tolerability of the ketogenic diet in children with refractory epilepsies followed at a pediatric center in South Vietnam. The patient was considered tolerant if he (or she) did not have any side effects caused by the ketogenic diet |
Dietary Supplement: Ketogenic diet
The ketogenic diet (KD) has been shown as an effective alternative for patients with drug-resistant epilepsy
|
| Experimental: the efficacy of the ketogenic diet The purpose of this study was to verify the efficacy of the ketogenic diet in children with refractory epilepsies followed at a pediatric center in South Vietnam. Patients were considered responders when a 50% seizure frequency was reached. |
Dietary Supplement: Ketogenic diet
The ketogenic diet (KD) has been shown as an effective alternative for patients with drug-resistant epilepsy
|
Outcome Measures
Primary Outcome Measures
- The feasibility of the ketogenic diet [12 months]
Number of drug-resistant epilepsy patients without ketogenic diet's contra-indication
- The tolerability of the ketogenic diet at 12 months [12 months]
Number of participants without ketogenic diet's side effect at 12 months
- The efficacy of the ketogenic diet at 12 months [12 months]
The number of participants had a 50% seizure decrease at 12 months
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age from 1 to 10 years at the time of enrolment,
-
drug-resistant epilepsy according to the 2010 ILAE criteria,
-
an indication for a ketogenic diet trial according to the 2018 ILAE recommendations
Exclusion Criteria:
- clinical or laboratory features suggesting an underlying disease contra-indication the use of a ketogenic diet
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | N02 Children's Hospital | Ho Chi Minh city | Ho Chi Minh | Vietnam | 848 |
Sponsors and Collaborators
- Number 2 Children's Hospital, Ho Chi Minh City
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CH2HCM