NCT03632915

Brief Summary

The purpose of the study is to measure levels of any of the following AEDs (levetiracetam, phenobarbital, phenytoin, ketamine, valproic acid, lacosamide) in blood and effluent on critically ill patients receiving CRRT in order to characterize drug pharmacokinetics and optimize dosing strategies in patients on CRRT.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Nov 2017

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 20, 2017

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

July 25, 2018

Completed
22 days until next milestone

First Posted

Study publicly available on registry

August 16, 2018

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2019

Completed
Last Updated

October 5, 2021

Status Verified

September 1, 2021

Enrollment Period

2.1 years

First QC Date

July 25, 2018

Last Update Submit

September 27, 2021

Conditions

Keywords

AntiepilepticsContinuous Renal Replacement Therapy

Outcome Measures

Primary Outcomes (3)

  • Influence of renal replacement therapy on drug exposure (AUC of plasma concentration levels)

    Simultaneous samples will be taken from pre-filter, post-filter, and effluent sampling ports before dose administration, after the completion of the infusion or 1 hours post oral dose, and 6 additional time points post-infusion or post oral administration.

    Single Dosing Interval - 12 hours

  • Influence of renal replacement therapy on drug clearance

    Simultaneous samples will be taken from pre-filter, post-filter, and effluent sampling ports before dose administration, after the completion of the infusion or 1 hours post oral dose, and 6 additional time points post-infusion or post oral administration.

    Single Dosing Interval - 12 hours

  • Determination of drug specific sieving coefficient (SC)

    SC is a measure of a filter efficiency in clearing drugs and solute. SC will be calculated using pre-filter and effluent concentrations

    Single Dosing Interval - 12 hours

Study Arms (1)

No study intervention

No study intervention

Drug: LevetiracetamDrug: LacosamideDrug: PhenytoinDrug: PhenobarbitalDrug: KetamineDrug: Valproic Acid

Interventions

Standard of care

No study intervention

Standard of care

No study intervention

Standard of care

No study intervention

Standard of care

No study intervention

Standard of care

No study intervention

Standard of care

No study intervention

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All patients undergoing CRRT who are also being treated with an antiepileptic drug

You may qualify if:

  • Expected to be on CRRT and receive any of the following for more than 24 hrs
  • Expected to survive for more than 24 hrs
  • Achievement of steady state drug concentrations prior to study enrollment

You may not qualify if:

  • Pregnancy
  • Age \< 18
  • Prisoner

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

Location

MeSH Terms

Conditions

Acute Kidney InjuryRenal Insufficiency

Interventions

LevetiracetamLacosamidePhenytoinPhenobarbitalKetamineValproic Acid

Condition Hierarchy (Ancestors)

Kidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

AcetamidesAmidesOrganic ChemicalsAcetatesAcids, AcyclicCarboxylic AcidsPyrrolidinonesPyrrolidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHydantoinsImidazolidinesImidazolesAzolesBarbituratesPyrimidinonesPyrimidinesCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsPentanoic AcidsValeratesFatty Acids, VolatileFatty AcidsLipids

Study Officials

  • Neeraj Badjatia, MD

    University of Maryland, College Park

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Neurology

Study Record Dates

First Submitted

July 25, 2018

First Posted

August 16, 2018

Study Start

November 20, 2017

Primary Completion

December 31, 2019

Study Completion

December 31, 2019

Last Updated

October 5, 2021

Record last verified: 2021-09

Data Sharing

IPD Sharing
Will not share

Locations