Seizure Prophylaxis in Aneurysm Repair

NCT ID: NCT01801072

Last Updated: 2024-11-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2023-10-06

Brief Summary

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After a thorough review of the existing literature as well as a review of our own practice, the investigators have concluded that the decision to treat patients undergoing aneurysm repair with levetiracetam has reached true clinical equipoise. In other words, the investigators cannot favor a decision to either administer or not administer this drug in these patients based on the existing information. The utility of anti-epileptic prophlaxis in the perioperative period for patients undergoing intracranial aneurysm repair remains a common practice that is not supported by the current literature that includes retrospective analyses as well as prospective trials for similar but not identical types of patients. The investigators propose to settle this dilemma by performing a prospective randomized trial in patients undergoing aneurysm repair in order to definitively determine if the common practice of perioperative antiepileptic drug administration has any utility. The study will be extended to June 2024 to allow for a 5 year follow up of the last enrolled patient in June, 2019.

Detailed Description

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Conditions

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Intracranial Aneurysms Seizure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Levetiracetam

500 mg intravenous dose during the operative case then 500 mg orally twice a day for a total of seven days.

Group Type ACTIVE_COMPARATOR

Levetiracetam

Intervention Type DRUG

Details covered in Arm Descriptions.

No levetiracetam

No levetiracetam during the operative phase.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Levetiracetam

Details covered in Arm Descriptions.

Intervention Type DRUG

Other Intervention Names

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Keppra

Eligibility Criteria

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Inclusion Criteria

* Adult (≥18 years)
* Presence of intracranial aneurysm (with or without rupture)
* Treating surgeon has recommended surgical repair of the aneurysm

Exclusion Criteria

* History of seizures within last 10 years
* History of epilepsy
* History of prior stroke
* Currently prescribed medication with anti-epileptic activity (keppra, dilantin, tegretol, lamictal, topamax, etc.)
* Brain tumor
* Pregnant or nursing woman
* Known levetiracetam allergy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Aditya S. Pandey, MD

Professor of Neurosurgery, Chair, Department of Neurosurgery, Professor of Radiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aditya S Pandey, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HUM00064523

Identifier Type: -

Identifier Source: org_study_id