Levetiracetam to Prevent Post-Traumatic Epilepsy
| Status: | Completed |
|---|---|
| Conditions: | Neurology, Epilepsy |
| Therapuetic Areas: | Neurology, Other |
| Healthy: | No |
| Age Range: | 6 - Any |
| Updated: | 4/21/2016 |
| Start Date: | April 2005 |
| End Date: | February 2010 |
Pilot: Levetiracetam to Prevent Post-Traumatic Epilepsy
Head injury is the cause of approximately 5% of all epilepsy in the US. Past attempts at
preventing epilepsy by treatment with older antiepileptic drugs have been unsuccessful.
Levetiracetam is a novel AED with potent antiepileptogenic properties in animal models of
epilepsy. It has a favorable side effect and pharmacokinetic profile. It is therefore a
strong candidate for a clinical trial of epilepsy prevention following traumatic brain
injury (TBI). However, there has been no experience in administering levetiracetam rapidly
to individuals with acute TBI. The investigators propose to initiate the evaluation of
levetiracetam in prevention of post-traumatic epilepsy by determining the safety,
tolerability, pharmacokinetics and feasibility of acute and chronic administration of
levetiracetam to individuals with head injury with a high risk for developing post-traumatic
epilepsy. Further, the investigators will follow subjects for 2 years after injury in order
to obtain pilot data about effect of levetiracetam on PTE. This pilot study is the first
step in evaluation of levetiracetam in prevention of post-traumatic epilepsy.
preventing epilepsy by treatment with older antiepileptic drugs have been unsuccessful.
Levetiracetam is a novel AED with potent antiepileptogenic properties in animal models of
epilepsy. It has a favorable side effect and pharmacokinetic profile. It is therefore a
strong candidate for a clinical trial of epilepsy prevention following traumatic brain
injury (TBI). However, there has been no experience in administering levetiracetam rapidly
to individuals with acute TBI. The investigators propose to initiate the evaluation of
levetiracetam in prevention of post-traumatic epilepsy by determining the safety,
tolerability, pharmacokinetics and feasibility of acute and chronic administration of
levetiracetam to individuals with head injury with a high risk for developing post-traumatic
epilepsy. Further, the investigators will follow subjects for 2 years after injury in order
to obtain pilot data about effect of levetiracetam on PTE. This pilot study is the first
step in evaluation of levetiracetam in prevention of post-traumatic epilepsy.
Inclusion Criteria:
- Acute head injury associated with one of the following:
Intracranial hemorrhage, including epidural, subdural and intracerebral hemorrhage or with
cerebral contusion(s) of any size; Penetrating (foreign body) head injury; Skull fracture
and dural tear; Seizure within 8 hours of head injury
- Onset of head injury within 8-hours of proposed treatment initiation.
- Glasgow Coma Scale 6-15.
Exclusion Criteria:
- Clinical contraindications:
- Previous epilepsy or status epilepticus.
- Any systemic illness or unstable medical condition that might pose additional
risk, including: renal insufficiency, other unstable metabolic or endocrine
disturbances, and active systemic cancer.
- Psychosis within six months of enrollment as determined by history of
hospitalization for psychosis or medications for psychosis.
- Moderate to severe mental retardation (IQ< 55 or>2 school grade levels below the
expected for age [expected age = grade level +5]).
- Clinical/Laboratory Indicators:
- Serum creatinine > 1.5 on the day of treatment initiation for adults.
- Serum creatinine ≥1.5 for subjects ≥17 years old, ≥1.0 for subjects 13-17 years
old and ≥0.7 for subjects 6-12 years old.
- Pregnancy
- Use of any CNS-active investigational drugs within 3 months of enrollment.
- Use of Antiepileptic Drugs (AEDs) within two months of enrollment, for any
indication.
- Allergy/sensitivity to study drugs or their formulations:
- Active drug or alcohol dependence that, in the opinion of the site investigator,
would interfere with adherence to study requirements:
- Inability or unwillingness of subject or legal guardian/representative to give
written informed consent.
We found this trial at
2
sites
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111 Michigan Ave NW
Washington, District of Columbia
Washington, District of Columbia
(202) 476-5000
Childrens National Medical Center As the nation’s children’s hospital, the mission of Children’s National Medical...
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