Study of Phenobarbital Inhibition of Catamenial Epilepsy
The purpose of this study is to test the effectiveness of low-dose Phenobarbital on the treatment of catamenial epilepsy.
We propose that since the catamenial seizures are associated with the reduction in levels of GABA-enhancing allopregnanolone, short-term replacement with the GABAR-enhancing agent Phenobarbital will reduce the incidence of catamenial seizures.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ohio
-
Toledo, Ohio, United States, 43606
- University of Toledo, Health Science Campus
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult female patients seeking medical attention for seizures
- Regular menstrual cycles
- At least 2 seizures per month
- Must be on at least one form of birth control other than abstinence
- Must be on a stable anticonvulsant regimen of at least one and not exceeding three anticonvulsants, and not be using any perimenstrual seizure medications of hormone preparations
- If taking benzodiazepines for therapeutic purposes, must be on a stable regular dose
- Must be willing to take at least 400mcg of folic acid a day while in the study
- Must be able to detect, count or record seizures
Exclusion Criteria:
- Can not be pregnant or trying to become pregnant
- Can not have used hormonal birth control methods for at least 3 months prior to enrollment
- Can not have an allergy to Phenobarbital
- Can not have a history of non-epileptic seizures
- Can not have a know liver dysfunction or history of chronic hepatitis
- Can not have a history of neurological disorder or history of status epilepticus in the preceding year
- Can not ahve a physical or psychiatric condition which in the PIs opinion could compromise her ability to participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: 1
Phenobarbital - dose based by weight range
|
Phenobarbital will be given based on weight range
|
|
PLACEBO_COMPARATOR: 2
Placebo group
|
Placebo group
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Patient Health Questionnaire (PHQ-9)
Time Frame: Screening, 3 month and final visit
|
Screening, 3 month and final visit
|
|
Depression Epworth Sleepiness Scale (ESS)
Time Frame: Screening, 3 month and final visit
|
Screening, 3 month and final visit
|
|
Quality of Life in Epilepsy (QOLIE-10)
Time Frame: Screening, 3 month and Final Visit
|
Screening, 3 month and Final Visit
|
|
Addenbrooke's Cognitive Examination (ACE)
Time Frame: Screening, 3 month and Final Visit
|
Screening, 3 month and Final Visit
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Determine tolerance of medication using the depression, cognitive and sleepiness screening tools listed above
Time Frame: Screening, 3 months, final visit
|
Screening, 3 months, final visit
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Lazar J Greenfield, Jr, MD, PhD, University of Toledo Health Science Campus
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Epilepsy
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Excitatory Amino Acid Antagonists
- Excitatory Amino Acid Agents
- Hypnotics and Sedatives
- GABA Modulators
- GABA Agents
- Anticonvulsants
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP3A Inducers
- Cytochrome P-450 CYP2B6 Inducers
- Phenobarbital
Other Study ID Numbers
Other Study ID Numbers
- xUTHSC-07
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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