NCT00566046

Brief Summary

Post-traumatic seizures can appear frequently after a severe traumatic brain injury. Two types of seizures are usually identified: early seizures during the week following the trauma and late epilepsy afterward. Several antiepileptic drugs are usually used to prevent early seizures but no treatment has demonstrated any preventive effect against late epilepsy. Levetiracetam is an antiepileptic drug usually used for the treatment of epileptic patients and has pharmacologic properties that could also be interesting for the prevention of post-traumatic epilepsy.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Nov 2007

Geographic Reach
1 country

15 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2007

Completed
28 days until next milestone

First Submitted

Initial submission to the registry

November 29, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 30, 2007

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2009

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2010

Completed
Last Updated

June 21, 2012

Status Verified

June 1, 2012

Enrollment Period

2.1 years

First QC Date

November 29, 2007

Last Update Submit

June 20, 2012

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time to early epileptic seizures (<= 8 days) and late epilepsy (from day 9 to 1 year) in patients with severe traumatic brain injury

    one year

Secondary Outcomes (2)

  • Rate of early seizures and of late epilepsy; treatment effects according to the patient's severity, the TDM US Traumatic Coma Data Bank, and the number of regions traumatized; safety of Levetiracetam

    One year

  • Global prognosis (Glasgow Outcome Scale)

    3 months, 6 months and 1 year

Study Arms (2)

Levetiracetam

EXPERIMENTAL
Drug: Levetiracetam

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

1500 mg/day orally until the first episode of late epilepsy for a maximum duration of 3 months

Also known as: Keppra
Levetiracetam

1500 mg/day orally until the first episode of late epilepsy for a maximum duration of 3 months

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \>= 18 years old
  • Patient with severe brain injury defined as follow:
  • Initial Glasgow Coma score (assessed on the scene of the accident) \<= 8 related to the brain injury
  • Stage 2 to 4 on the TDM US TCDB classification
  • Initial brain CT scan performed within 48 hours after hospital admission
  • Either a male or a nonpregnant, non-lactating female who is using adequate contraceptive method (a urine laboratory pregnancy test must be negative at baseline)

You may not qualify if:

  • Isolated extradural hematoma
  • Medical decision to limit patient's care (terminal stage of a cancer, hematological malignancies, HIV, etc.)
  • Current participation in an other protocol or within one month before study entry
  • Previous treatment with Levetiracetam
  • Patient's follow-up judged to be difficult by the investigator
  • Known allergy to either Levetiracetam or products derived from pyrrolidone or one of its excipients
  • Epileptic patient treated or not (except patients treated with benzodiazepines who can be included in this protocol)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Neurologie - CHU Angers

Angers, France

Location

Neurology - CHU Bordeaux

Bordeaux, France

Location

Neurologie - CHU Caen

Caen, France

Location

Neurochirurgie-CHU Grenoble

Grenoble, France

Location

Neurology - CHU Rennes

Grenoble, France

Location

Neurophysiologie Clinique - CHU Lille

Lille, France

Location

Neurophysiologie clinique - CHU Lyon (Hôpital neurologique)

Lyon, France

Location

Beurophysiologie clinique - CHU Marseille

Marseille, France

Location

Epileptologie - CHU Montpellier

Montpellier, France

Location

Neurologie - CHU Nancy

Nancy, France

Location

Neurochirurgie-Paris Saint Anne

Paris, 75674, France

Location

Neurologie - CHU Rennes

Rennes, 35000, France

Location

Explorations Fonctionnelles Neurologiques - CHU Nantes

Rennes, France

Location

Neurologie - CHU Rouen

Rouen, France

Location

Neurologie - CHU Tours Hopital Trousseau

Tours, France

Location

MeSH Terms

Conditions

Epilepsy, Post-Traumatic

Interventions

Levetiracetam

Condition Hierarchy (Ancestors)

Brain InjuriesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesEpilepsyCraniocerebral TraumaTrauma, Nervous SystemWounds and Injuries

Intervention Hierarchy (Ancestors)

AcetamidesAmidesOrganic ChemicalsAcetatesAcids, AcyclicCarboxylic AcidsPyrrolidinonesPyrrolidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Arnaud Biraben, MD

    Rennes University Hospital

    PRINCIPAL INVESTIGATOR
  • Bruno Laviolle, MD

    Rennes University Hospital

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 29, 2007

First Posted

November 30, 2007

Study Start

November 1, 2007

Primary Completion

December 1, 2009

Study Completion

May 1, 2010

Last Updated

June 21, 2012

Record last verified: 2012-06

Locations