Clinical Trial : TROCC (Quick Oral Treatment of Cluster Epileptic Seizures)

NCT ID: NCT00376766

Last Updated: 2015-05-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2008-04-30

Brief Summary

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This is a double blind, placebo controlled, add-on clinical trial, of levetiracetam efficacy and safety, in epilepsy cluster seizure.

Efficacy is evaluated in the range of 2 to 24 hours after taking the tablet. If the patient has a seizure during this interval, he is considered as a non-respondent patient.

Detailed Description

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Seizure clustering has been defined as a series of unusual frequency of seizures with return to baseline between events. The most common definition of cluster seizure is three seizures per 24 hours.

The usual treatment of cluster seizure is benzodiazepin. This is recognized efficient therapy but has many side effects. Thus it is important to develop as an new therapeutic to improve patient care. Levetiracetam is an antiepileptic drug used in addition to other antiepileptic drugs with less side effects than benzodiazepin.

The aim of this study is to evaluate the effectiveness and safety of levetiracetam in epilepsy cluster seizure.

This is a double blind, placebo controlled, add-on clinical trial with two phases :

Phase 1 : Double blind phase during 24 hours (H0 to H24). After consent signature and randomization, the patient takes two tablets of levetiracetam or placebo. If the patient has a seizure between H3 and H24, he is considered as a non-respondent patient. If there is a risk of rapid evolution to an statue epilepticus, the investigator can break the blind and adapt the patient treatment accordingly.

Phase 2 : This is an open phase after H24. this phase consists of breaking the blind with free adaption of the therapy by the investigator, and patients follow-up during 1 month.

The randomization is stratify by center. The size of randomization blocks is random because of the systematic breaking blind after 24 hours.

Conditions

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Epilepsy Drug Resistant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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levetiracetam

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age from 18 to 65
* Drug resistant epilepsy, partial seizure
* Epilepsy diagnosed for more than 2 years
* Epilepsy treated for more than 1 year with no change of treatment in the month before the enrolment
* Onset of cluster seizure in the 24 hours before enrolment
* For women : effective contraception
* Affiliation to the French social security

Exclusion Criteria

* Inability to tolerate levetiracetam, likely poor compliance
* Patient taking antiepileptic treatment (benzodiazepine) in addition to current treatment during the last 48h00.
* Patient taking 1g/day of levetiracetam with Creatinin clearance \< 50ml/min
* Patient taking 2g/day of levetiracetam with Creatinin clearance \< 80ml/min
* Patient taking more than 2g/day of levetiracetam
* Hepatic or cardiovascular pathology
* Progressive psychiatric pathology
* Degenerative neurologic disease
* Cluster seizure due to an acute symptomatic reason
* Disorder of consciousness
* Suspicion of status epilepticus or rapid evolution to status epilepticus
* Suspicion of psychogenic nonepileptic seizure
* Pregnant woman or nursing woman
* Suicidal thoughts
* Incapacity to give consent, minor patient
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

UCB Pharma

INDUSTRY

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Louis Maillard, Dr

Role: PRINCIPAL_INVESTIGATOR

Central Hospital, Nancy, France

Serge CHASSAGNON, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Strasbourg

Cecile SABOURY, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Strasbourg

Edouard HIRSH, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Strasbourg

William SZHURAJ, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Lille

Philippe DERAMBURE, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Lille

Jerome PETIT, Dr

Role: PRINCIPAL_INVESTIGATOR

La Teppe Institution

Vincent TAREL, Dr

Role: PRINCIPAL_INVESTIGATOR

Regional Hospital of Chambery

Dominique ROSENBERG, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Helene CATENOIX, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Lyon

Philippe RYVELIN, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Lyon

Philippe CONVERS, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of St Etienne

Pierre THOMAS, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Nice

Locations

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Neurology department

Nice, Alpes de Haute provence, France

Site Status

Etablissement la Teppe

Tain-l'Hermitage, Drome, France

Site Status

Neurology department

Grenoble, Isere, France

Site Status

Neurology department

Lille, Nord, France

Site Status

Neurology department

Saint-Étienne-de-Montluc, Pays de la Loire Region, France

Site Status

Neurology department

Clermont-Ferrand, Puy de Dome, France

Site Status

Neurology department

Lyon, Rhone, France

Site Status

Neurology Department

Chambéry, Savoie, France

Site Status

Neurology department

Nancy, , France

Site Status

Neurology department

Strasbourg, , France

Site Status

Countries

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France

References

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Haut SR, Shinnar S, Moshe SL. Seizure clustering: risks and outcomes. Epilepsia. 2005 Jan;46(1):146-9. doi: 10.1111/j.0013-9580.2005.29004.x.

Reference Type BACKGROUND
PMID: 15660781 (View on PubMed)

Dreifuss FE, Rosman NP, Cloyd JC, Pellock JM, Kuzniecky RI, Lo WD, Matsuo F, Sharp GB, Conry JA, Bergen DC, Bell WE. A comparison of rectal diazepam gel and placebo for acute repetitive seizures. N Engl J Med. 1998 Jun 25;338(26):1869-75. doi: 10.1056/NEJM199806253382602.

Reference Type BACKGROUND
PMID: 9637805 (View on PubMed)

Mitchell WG, Conry JA, Crumrine PK, Kriel RL, Cereghino JJ, Groves L, Rosenfeld WE. An open-label study of repeated use of diazepam rectal gel (Diastat) for episodes of acute breakthrough seizures and clusters: safety, efficacy, and tolerance. North American Diastat Group. Epilepsia. 1999 Nov;40(11):1610-7. doi: 10.1111/j.1528-1157.1999.tb02047.x.

Reference Type BACKGROUND
PMID: 10565590 (View on PubMed)

Shorvon SD, Lowenthal A, Janz D, Bielen E, Loiseau P. Multicenter double-blind, randomized, placebo-controlled trial of levetiracetam as add-on therapy in patients with refractory partial seizures. European Levetiracetam Study Group. Epilepsia. 2000 Sep;41(9):1179-86. doi: 10.1111/j.1528-1157.2000.tb00323.x.

Reference Type BACKGROUND
PMID: 10999557 (View on PubMed)

Cereghino JJ, Biton V, Abou-Khalil B, Dreifuss F, Gauer LJ, Leppik I. Levetiracetam for partial seizures: results of a double-blind, randomized clinical trial. Neurology. 2000 Jul 25;55(2):236-42. doi: 10.1212/wnl.55.2.236.

Reference Type BACKGROUND
PMID: 10908898 (View on PubMed)

Other Identifiers

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DTCIC 05 24

Identifier Type: -

Identifier Source: org_study_id

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