Progesterone vs Placebo Therapy for Women With Epilepsy

NCT ID: NCT00029536

Last Updated: 2017-06-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

294 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-10-31

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this investigation was to determine if cyclic adjunctive progesterone supplement is superior to placebo in the treatment of intractable seizures in women with and without catamenial epilepsy.

Detailed Description

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This is a 6-month study. The first 3 months will gather baseline information on seizures, antiepileptic drug levels , menstrual cycles, hormone levels, emotional function, and quality of life. The second 3 months will assess the effects of treatment on these parameters.

Conditions

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Epilepsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This was a phase III, randomized, double-blind, placebo-controlled, multicenter trial. Randomization was carried out separately for women with and without catamenial epilepsy, 2:1 to progesterone or placebo.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Catamenial Epilepsy: Progesterone Lozenges

Subjects with catamenial epilepsy received 200 mg progesterone lozenges

Group Type EXPERIMENTAL

Progesterone Lozenges

Intervention Type BIOLOGICAL

200mg Progesterone Lozenges

Catamenial Epilepsy: Placebo Lozenges

Subjects with catamenial epilepsy received matched placebo lozenges

Group Type PLACEBO_COMPARATOR

Matched Placebo Lozenges

Intervention Type OTHER

Matched Placebo Lozenges

Noncatamenial Epilespy:Progesterone Lozenges

Subjects without catamenial epilepsy received 200 mg progesterone lozenges

Group Type EXPERIMENTAL

Progesterone Lozenges

Intervention Type BIOLOGICAL

200mg Progesterone Lozenges

Noncatamenial Epilespy: Placebo Lozenges

Subjects without catamenial epilepsy received matched placebo lozenges

Group Type PLACEBO_COMPARATOR

Matched Placebo Lozenges

Intervention Type OTHER

Matched Placebo Lozenges

Interventions

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Progesterone Lozenges

200mg Progesterone Lozenges

Intervention Type BIOLOGICAL

Matched Placebo Lozenges

Matched Placebo Lozenges

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Subject must be between the ages of 13 and 45.
2. Subject must have a history of seizures (documented by EEG).
3. Subject must have had at least 2 seizures or auras per month during the past 3 months.
4. Subject must be on stable antiepileptic drug therapy for at least 2 months.
5. Subject must have cycle intervals between 21 and 35 days during 6 months prior to entry.

EXCLUSION:

1. Subject that is pregnant or lactating.
2. Subject that is on major tranquilizers, antidepressant medications, or reproductive hormones.
3. Subject that is unable to document seizures.
4. Subject that has progressive neurological or systemic disorder or \> 2-fold elevation in liver enzyme levels
Minimum Eligible Age

13 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role collaborator

Dartmouth-Hitchcock Medical Center

OTHER

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role collaborator

Montreal Neurological Institute and Hospital

OTHER

Sponsor Role collaborator

Ohio State University

OTHER

Sponsor Role collaborator

Thomas Jefferson University

OTHER

Sponsor Role collaborator

University of Maryland

OTHER

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role collaborator

University of Virginia

OTHER

Sponsor Role collaborator

Weill Medical College of Cornell University

OTHER

Sponsor Role collaborator

Minnesota Comprehensive Epilepsy Program

UNKNOWN

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Andrew Herzog

Professor of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrew G Herzog, M.D., M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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University of Southern California, Keck School of Medicine

Los Angeles, California, United States

Site Status

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

Johns Hopkins Bayview Medical Center; Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center, Harvard Neuroendocrine Unit

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

MINCEP Epilepsy Care

Minneapolis, Minnesota, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

New York Presbyterian Hospital- Weill Medical College of Cornell University, Comprehensive Epilepsy Center

New York, New York, United States

Site Status

Columbia Medical Center

New York, New York, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Thomas Jefferson University Hospital, Comprehensive Epilepsy Center

Philadelphia, Pennsylvania, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Montreal Neurological Institute

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Herzog AG. Progesterone therapy in women with complex partial and secondary generalized seizures. Neurology. 1995 Sep;45(9):1660-2. doi: 10.1212/wnl.45.9.1660.

Reference Type BACKGROUND
PMID: 7675223 (View on PubMed)

Herzog AG. Progesterone therapy in women with epilepsy: a 3-year follow-up. Neurology. 1999 Jun 10;52(9):1917-8. doi: 10.1212/wnl.52.9.1917-a. No abstract available.

Reference Type BACKGROUND
PMID: 10371551 (View on PubMed)

Herzog AG, Klein P, Ransil BJ. Three patterns of catamenial epilepsy. Epilepsia. 1997 Oct;38(10):1082-8. doi: 10.1111/j.1528-1157.1997.tb01197.x.

Reference Type BACKGROUND
PMID: 9579954 (View on PubMed)

Herzog AG, Harden CL, Liporace J, Pennell P, Schomer DL, Sperling M, Fowler K, Nikolov B, Shuman S, Newman M. Frequency of catamenial seizure exacerbation in women with localization-related epilepsy. Ann Neurol. 2004 Sep;56(3):431-4. doi: 10.1002/ana.20214.

Reference Type RESULT
PMID: 15349872 (View on PubMed)

Maguire MJ, Nevitt SJ. Treatments for seizures in catamenial (menstrual-related) epilepsy. Cochrane Database Syst Rev. 2021 Sep 16;9(9):CD013225. doi: 10.1002/14651858.CD013225.pub3.

Reference Type DERIVED
PMID: 34528245 (View on PubMed)

Other Identifiers

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NINDS NS39466

Identifier Type: -

Identifier Source: secondary_id

CRC

Identifier Type: -

Identifier Source: secondary_id

2001P001408

Identifier Type: -

Identifier Source: org_study_id

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