UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028397
Receipt number R000032513
Scientific Title Pharmacokinetics and effectiveness of intravenous Levetiracetam administration for patients with status epilepticus
Date of disclosure of the study information 2017/07/27
Last modified on 2021/08/01 12:23:28

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Basic information

Public title

Pharmacokinetics and effectiveness of intravenous Levetiracetam administration for patients with status epilepticus

Acronym

Pharmacokinetics of Levetiracetam

Scientific Title

Pharmacokinetics and effectiveness of intravenous Levetiracetam administration for patients with status epilepticus

Scientific Title:Acronym

Pharmacokinetics of Levetiracetam

Region

Japan


Condition

Condition

Status epilepticus

Classification by specialty

Neurology Neurosurgery Emergency medicine
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the pharmacokinetics and safety of Levetiracetam (2500mg) by intravenous administration for patients with convulsive status epileptics

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Maximum blood concentration just after the initial Levetiracetam administration and the minimum blood level at 12 and 48 hours later

Key secondary outcomes

Seizure suppression during Levetiracetam administration.
Electroencephalogram within 24 hours after initial Levetiracetam administration, Biochemistry.
Vital signs.
Side effects.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who was eligible to another anticonvulsant drug even after benzodiazepine administration

Key exclusion criteria

Patients with contraindication to Levetiracetam administration.
Patients with decreased renal function(under CCr:30ml/min).
Patients who required haemodialysis or renal replacement therapy.
Patients who had taken levetiracetam tablets previously on administration.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kaneko
Middle name
Last name Junya

Organization

Nippon Medical School Tama Nagayama Hospital

Division name

Emergency and critical care center

Zip code

206-8512

Address

1-7-1 Nagayama, Tama-shi,Tokyo-to,Japan

TEL

042-371-2111

Email

kanekojunya0125@yahoo.co.jp


Public contact

Name of contact person

1st name Kaneko
Middle name
Last name Junya

Organization

Nippon Medical School Tama Nagayama Hospital

Division name

Emergency and critical care center

Zip code

206-8512

Address

1-7-1 Nagayama, Tama-shi,Tokyo-to,Japan

TEL

042-371-2111

Homepage URL

https://www.nms.ac.jp/tama-h/section/er.html

Email

kanekojunya0125@yahoo.co.jp


Sponsor or person

Institute

Nippon Medical School Tama Nagayama Hospital

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nippon Medical School Tama Nagayama Hospital

Address

1-7-1 Nagayama, Tama-shi,Tokyo-to,Japan

Tel

042-371-2111

Email

k-harada@nms.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日本医科大学多摩永山病院


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 27 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/33984709/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33984709/

Number of participants that the trial has enrolled

20

Results

Median blood LEV (2500 mg) concentration at 15 min after administration was 81.6 microgramg/mL. The median trough concentration after 12, 48, and 96 h was 28.8, 10.5, and 9.1 microgram/mL, respectively. Moreover, 95% of patients had trough concentration above the lower limit of the therapeutic blood concentration (over 12 microgram/mL) after 12 h.

Results date posted

2021 Year 08 Month 01 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The inclusion criteria were patients diagnosed with SE and aged 20 years or older. The exclusion criteria were patients receiving LEV daily and those with a low renal function (creatinine clearance < 30 mL/min),which might affect blood LEV concentration.

Participant flow

In this observational clinical study, 20 patients who visited the Department of Emergency and Critical Care Medicine, Nippon Medical School, Tama-Nagayama Hospital, a tertiary care emergency medical and trauma center in the western part of Tokyo, Japan, were enrolled from July 2017 to July 2019.

Adverse events

No abnormal findings were noted in blood tests and vital sign examination, although the AST/ALT levels increased in 10% of the patients.

Outcome measures

The primary outcomes were blood LEV concentration and the proportion of patients with trough LEV concentration within the therapeutic range 15 min after administration (peak value) and 12, 48, and 96h after the first administration (trough value). The secondary outcomes were the discontinuation of apparent convulsive seizure evaluated at 15 min and 12, 48, and 96 h; epileptic wave on electroencephalogram(EEG) within 24 h; tracheal intubation proportion; adverse events related to blood parameters (blood cell count, creatinine level, and transaminase level) defined according to the Common Terminology Criteria for Adverse Events version 5.0 [7]; and abnormal vital signs (hypotension, bradycardia, tachycardia, hypoxia, or tracheal stenosis) after bolus LEV administration.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 07 Month 01 Day

Date of IRB

2017 Year 07 Month 01 Day

Anticipated trial start date

2017 Year 07 Month 15 Day

Last follow-up date

2019 Year 07 Month 31 Day

Date of closure to data entry

2019 Year 07 Month 31 Day

Date trial data considered complete

2019 Year 07 Month 31 Day

Date analysis concluded

2019 Year 07 Month 31 Day


Other

Other related information

None


Management information

Registered date

2017 Year 07 Month 27 Day

Last modified on

2021 Year 08 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032513


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name