- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01982812
A Safety and Feasibility Study of Enteral LVT vs. Standard of Care for Seizure Control in Pediatric CM (LVT2)
A Safety and Feasibility Study of Enteral Levetiracetam vs. Phenobarbital for Seizure Control in Pediatric Cerebral Malaria
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Blantyre, Malawi, 3
- Queen Elizabeth Central Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Comatose with Blantyre Comas Score ≤ 2
- P. falciparum parasitemia via thick blood film or rapid diagnostic test
- Active seizure in past 24 hours
Exclusion Criteria:
- Serum creatinine > 2mg/dL
- Pre-admission/concomitant treatment with antiretroviral medications for HIV (ARVs), antituberculous treatments(ATTs), or chronic use of any other enzyme-inducing medications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Oral Levetiracetam
Oral Levetiracetam administered by NG tube.
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liquid, 40 mg/kg loading dose and 30mg/kg every 12 hours via nasogastric tube for 3 days
Other Names:
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Active Comparator: Standard AED
Standard AED regimen
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Active comparitor, Standard AED
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Minutes With Seizure on EEG
Time Frame: 72 hours
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Comparing LVT to standard AED the number of minutes spent in seizure per cEEG in the 72 hours after treatment allocation.
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72 hours
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Required Additional AED
Time Frame: 7 days
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Additional AEDs required (including for breakthrough seizures in LVT group) during admission for seizure control (yes/no)
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7 days
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Mean Time From Admission to BCS >/= 4
Time Frame: 7 days
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The mean time in hours from admission until the subject reaches Blantyre Coma Scale of greater than or equal to 4. Participants who died are excluded from this analysis. The Blantyre Coma Score has ranges from 0-5 based upon the a sum of the following 3 domains- Eye movement 1 - Watches or follows 0 - Fails to watch or follow Best motor response 2 - Localizes painful stimulus 1 - Withdraws limb from painful stimulus 0 - No response or inappropriate response Best verbal response 2 - Cries appropriately with pain, or, if verbal, speaks 1 - Moan or abnormal cry with pain 0 - No vocal response to pain |
7 days
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Sequelae
Time Frame: 7 days
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Neurologic outcome in 3 categories--
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7 days
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gretchen L Birbeck, M.D., University of Rochester
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Central Nervous System Diseases
- Nervous System Diseases
- Infections
- Neurologic Manifestations
- Central Nervous System Infections
- Vector Borne Diseases
- Parasitic Diseases
- Protozoan Infections
- Central Nervous System Parasitic Infections
- Central Nervous System Protozoal Infections
- Seizures
- Malaria
- Malaria, Cerebral
- Anticonvulsants
- Nootropic Agents
- Levetiracetam
Other Study ID Numbers
- 7R01NS074409-02 (U.S. NIH Grant/Contract)
- R01NS074409 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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