Status:

COMPLETED

Childhood Absence Epilepsy Rx PK-PD-Pharmacogenetics Study

Lead Sponsor:

Children's Hospital Medical Center, Cincinnati

Collaborating Sponsors:

National Institute of Neurological Disorders and Stroke (NINDS)

Conditions:

Childhood Absence Epilepsy

Petit Mal Epilepsy

Eligibility:

All Genders

30-13 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to determine the best initial treatment for childhood absence epilepsy.

Detailed Description

Childhood absence epilepsy (CAE) is a common pediatric epilepsy syndrome that affects 10 to 15 percent of all children with epilepsy. Individuals with CAE have brief staring spell seizures that occur ...

Eligibility Criteria

Inclusion

  • Diagnosis: Clinical diagnosis of Childhood Absence Epilepsy consistent with the International League against Epilepsy Proposal for Revised Classification of Epilepsies and Epileptic Syndromes (3).
  • EEG: Interictal EEG demonstrating bilateral synchronous symmetrical approximate 3 Hz spike waves on a normal background with at least one burst lasting \>/= (greater than or equal to) 3 seconds.
  • Age \> 2.5 years and \< 13 years of age at study entry.
  • Body weight \>/= (greater than or equal to) 10 kilograms.
  • Body Mass Index: BMI for age =/\< 99th percentile (based on the CDC BMI for age growth curves for boys/girls \[http://www.cdc.gov/growthcharts\], Appendix 1).
  • Hepatic:
  • AST/ALT \< 2.5 times the upper limit of normal
  • Total bilirubin \< 1.5 times the upper limit of normal.
  • Hematologic:
  • Absolute neutrophil count \>/= (greater than or equal to) 1500/mm3.
  • Platelets \>/= (greater than or equal to) 120, 000 /mm3.
  • Female subjects must be premenarchal at the time of enrollment and must be willing to practice abstinence for the duration of the study.
  • Parent/legal guardian(s) willing to sign an IRB approved informed consent.
  • Subject assent (when appropriate and as dictated by local IRB).

Exclusion

  • Treatment for CAE with anti-seizure medications (AED) for a period of greater than 7 days prior to randomization.
  • History of a major psychiatric disease (e.g., psychosis, major depression).
  • History of autism or pervasive development disorder.
  • History of non-febrile seizures other than typical absence seizures. This includes a history of an afebrile generalized tonic clonic seizure.
  • Clinical signs and symptoms consistent with a diagnosis of juvenile absence epilepsy or juvenile myoclonic epilepsy as delineated by the International League against Epilepsy Proposal for Revised Classification of Epilepsies and Epileptic Syndromes (3).
  • History of recent or present significant or medical disease, i.e., cardiovascular, hepatic, renal, gynecologic, musculoskeletal, metabolic, or endocrine.
  • History of a severe dermatologic reaction (e.g., Stevens Johnson, toxic epidermolysis necrosis) to medication.
  • Subject or parent/legal guardian might not be reasonably expected to be compliant with or to complete the study.
  • Participation in a trial of an investigational drug or device within 30 days prior to screening.
  • Use of systemic contraceptive for any indication, including acne.

Key Trial Info

Start Date :

July 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 31 2016

Estimated Enrollment :

453 Patients enrolled

Trial Details

Trial ID

NCT00088452

Start Date

July 1 2004

End Date

August 31 2016

Last Update

October 14 2020

Active Locations (31)

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Page 1 of 8 (31 locations)

1

The Children's Hospital of Alabama

Birmingham, Alabama, United States, 35233

2

St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States, 85013

3

Arkansas Children's Hospital

Little Rock, Arkansas, United States, 72202

4

University of California at San Diego

La Jolla, California, United States, 92093