Correlation of Serum Level of Perampanel (PER) Level to Cerebrospinal Fluid (CSF) Levels of PER

NCT ID: NCT04118829

Last Updated: 2021-09-16

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-01

Study Completion Date

2023-03-31

Brief Summary

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Perampanel is a drug used to treat patients with epilepsy/seizures. This study is designed to determine how much perampanel actually crosses the blood brain barrier into the cerebral spinal fluid when the drug is taken.

Detailed Description

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Perampanel is a drug used to treat patients with epilepsy/seizures. This study is designed to determine how much perampanel actually crosses the blood brain barrier into the cerebral spinal fluid when the drug is taken.

During a routinely scheduled neurosurgical procedure, one to two mL of cerebral spinal fluid will be obtained from the subarachnoid space of the brain. Five mL of arterial blood will also be drawn from the patients arterial line during their procedure. The blood samples and cerebral spinal fluid samples will be compared to see how much perampanel is in the blood versus the cerebrospinal fluid.

Conditions

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Epilepsy Seizures

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group one

The Group 1 patients will be taking PER up to 14 days following surgical intervention as per discretion of the treating neurosurgeon.

Group Type EXPERIMENTAL

Perampanel

Intervention Type DRUG

For group 1 the PER dose will be administered 2-14 hours prior to sample collection. They will be administered a single dose of PER (8 mg, 12 mg or 16 mg) followed by 4 mg/day for 14 days starting on postoperative day 1 (if continued prophylaxis with PER is needed).

It is anticipated that patients in group 2 will have the daily dose of PER in these individuals will range from 4 - 12 mg/day.

Group Two

The Group 2 patients will be taking PER as part of their maintenance AED regimen and will continue on the same maintenance dosage postoperatively.

Group Type EXPERIMENTAL

Perampanel

Intervention Type DRUG

For group 1 the PER dose will be administered 2-14 hours prior to sample collection. They will be administered a single dose of PER (8 mg, 12 mg or 16 mg) followed by 4 mg/day for 14 days starting on postoperative day 1 (if continued prophylaxis with PER is needed).

It is anticipated that patients in group 2 will have the daily dose of PER in these individuals will range from 4 - 12 mg/day.

Interventions

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Perampanel

For group 1 the PER dose will be administered 2-14 hours prior to sample collection. They will be administered a single dose of PER (8 mg, 12 mg or 16 mg) followed by 4 mg/day for 14 days starting on postoperative day 1 (if continued prophylaxis with PER is needed).

It is anticipated that patients in group 2 will have the daily dose of PER in these individuals will range from 4 - 12 mg/day.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults (\>18 years-old) who are scheduled to undergo brain surgery and need antiepileptic medication for prophylaxis or treatment of seizures
* Able to provide informed consent

Exclusion Criteria

* Patient unable to provide informed consent
* Allergy to PER or its component
* Patient with significant renal (creatinine clearance 35 ml/min) or hepatic impairment
* Pregnant or lactating females will be excluded from the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Carilion Clinic

OTHER

Sponsor Role lead

Responsible Party

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Aashit Shah

Chief of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aashit Shah, MD

Role: PRINCIPAL_INVESTIGATOR

Physician

Locations

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Carilion Clinic

Roanoke, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jordan Darden, PhD

Role: CONTACT

540-981-7942

Facility Contacts

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Jordan Darden, PhD

Role: primary

540-981-7942

Ruth Ndolo, RN

Role: backup

540-519-3428

Other Identifiers

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IRB-19-347

Identifier Type: -

Identifier Source: org_study_id

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