Commentary|Podcasts|October 30, 2026

Episode 178: Evolving Approaches to Epilepsy Clinical Trial Design

Mind Moments®, a podcast from NeurologyLive®, brings you an exclusive interview with M. Scott Perry, MD. [LISTEN TIME: 15 minutes]

Episode 178 of the NeurologyLive® Mind Moments® podcast is now live! Scroll down to listen or click here to subscribe on your favorite streaming service.

The Mind Moments podcast features exclusive interviews with leaders in the field discussing the latest research and disease management strategies across the breadth of neurology, including epilepsy, multiple sclerosis, Parkinson disease, dementia, sleep disorders, and more.

In episode 178, “Evolving Approaches to Epilepsy Clinical Trial Design,” M. Scott Perry, MD, head of neurosciences at Cook Children's Medical Center, joins the podcast to discuss how epilepsy trial design is evolving, including basket trials that group related conditions, approaches to reduce placebo exposure, and greater inclusion of children under the age of 2 years. He also highlighted a growing focus on outcomes beyond seizure frequency, such as cognition, development, and behavior, particularly in developmental epileptic encephalopathies.

During the conversation, Perry also described electroencephalography (EEG) measures as an emerging exploratory biomarker and sees potential for genetic, serum, and imaging markers to help identify patients most likely to benefit from treatment. Looking ahead, Perry noted that he envisions more targeted trials that may be smaller and shorter, with less reliance on placebo as researchers better understand disease biology and natural history.

The stories featured in this week’s Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here:

Click here to view more of our latest FDA news coverage.

EPISODE BREAKDOWN

  • 1:10 - Evolution of epilepsy trial design
  • 3:44 - Outcomes beyond seizure frequency
  • 5:38 - Biomarkers in current trials
  • 6:17 - Neurology News Minute
  • 8:48 - Biomarkers and epilepsy heterogeneity
  • 10:35 - Genetic screening in epilepsy trials
  • 12:38 - Vision for future clinical trials

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