A Pharmacogenomic Exploration of Lacosamide Response
This is an observational study exploring the genetics of lacosamide response. The study will last 3 years and has been divided in to three stages; 1) recruitment, 2) observational phase, 3) genotyping and analysis. Patients initiating lacosamide are recruited and their baseline seizure frequency is assessed retrospectively. Patients are then monitored for 18 months with an assessment (via interview and where possible seizure diaries) of seizure frequency and other treatment related phenotypes every 3 months. The recruitment period will span months 1-12, the observational period will span months 1-30 and analysis of data will be conducted between months 30-36 (see Figure 2 below). Target sample size is 610.
Primary objective: To determine the clinical relevance of genetic variation in predicting lacosamide responsive and non-responsive patients.
Secondary objectives: To determine the clinical relevance of genetic variation in predicting:
- Optimal dose of lacosamide
- Adverse drug reactions to lacosamide
연구 개요
상태
정황
연구 유형
등록 (예상)
연락처 및 위치
연구 장소
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North Carolina
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Durham, North Carolina, 미국
- 모병
- Duke Medical Centre
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연락하다:
- Saraubh Sinha
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Brussels, 벨기에
- 모병
- Hospital Erasme
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연락하다:
- Chantal Depondt
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Dublin, 아일랜드, D4
- 모병
- Beaumont Hospital
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연락하다:
- Gianpiero Cavalleri, PhD
- 전화번호: +353 1 4022146
- 이메일: gcavalleri@rcsi.ie
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수석 연구원:
- Norman Delanty
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Dublin, 아일랜드
- 모병
- St.James Hospital
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연락하다:
- Colin Doherty
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London, 영국
- 모병
- The Institute of Neurology
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연락하다:
- Sanjay Sisodiya
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
설명
Inclusion Criteria:
- Diagnosed with partial onset seizures (simple and/or complex) with or without secondary generalization (based on 1981 ILAE seizure classification scheme)
- Over 18 and under 65 years of age at date of recruitment in to the study
- Currently undergoing pharmacological treatment for refractory partial epilepsy ('refractory' here refers to patients who continue to have seizures despite treatment (current) with two or more appropriate anti-epileptic drugs at appropriate doses)
- Deemed suitable for treatment with lacosamide (following drug guidelines)
Exclusion Criteria:
- Patients experiencing seizure type other than partial onset seizures (with/without secondary generalisation)
- Patients with a history of chronic alcohol or drug abuse within previous 3 years.
- Non refractory epilepsy patients
- Patients suffering any other clinically significant disease e.g. cancers, progressive neurological disorder, heart failure, respiratory failure etc
- Patients who are pregnant or who are intending on getting pregnant within the period of the trial.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
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Beaumont Hospital, Dublin, Ireland
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St. James' Hospital, Dublin, Ireland
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Hôpital Erasme, Brussels, Belgium
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Duke Medical Centre, North Carolina, USA
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The Institute of Neurology/University College London, UK
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Seizure frequency
기간: Recorded daily by participant. Passed on to study researchers every 3 months for an 18 month period
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We will record seizure type and frequency.
Seizure types will follow definitions as provided by the International League Against Epilepsy.
Seizure frequency will be as recorded by the participant in a seizure diary.
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Recorded daily by participant. Passed on to study researchers every 3 months for an 18 month period
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Maintenance dose
기간: Recorded every three months for an 18 month period
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Maintenance dose will be defined as the tolerated daily dose required by the patient for seizure control.
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Recorded every three months for an 18 month period
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Adverse drug reactions
기간: Recorded as reaction arise during the 18 month study period
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We will record any adverse reactions recorded by the study participant, including for example (but not limited to): dizziness, ataxia, vomiting, diplopia, nausea, vertigo, and vision blurred.
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Recorded as reaction arise during the 18 month study period
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공동 작업자 및 조사자
협력자
수사관
- 수석 연구원: Norman Delanty, MB FRCPI, Beaumont Hospital and Royal College of Surgeons in Ireland
- 수석 연구원: Gianpiero L Cavalleri, PhD, Royal College of Surgeons in Ireland
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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