Status:

COMPLETED

Levetiracetam Treatment of Neonatal Seizures: Safety and Efficacy Phase II Study

Lead Sponsor:

University Hospital, Tours

Collaborating Sponsors:

Assistance Publique - Hôpitaux de Paris

Rennes University Hospital

Conditions:

Neonatal Seizures

Eligibility:

All Genders

36-43 years

Phase:

PHASE2

Brief Summary

LEVNEONAT is a multicentre French clinical trials with the aim to develop new treatment strategies for the treatment of neonatal seizures using Levetiracetam. The purpose of this study is to determine...

Detailed Description

Article Focus * The principal aim of LEVNEONAT-1 is to determine the levetiracetam optimal dose defined as the highest efficient dose under toxicity restrictions for treating neonatal seizures. * LEV...

Eligibility Criteria

Inclusion

  • Eligibility Criteria:
  • Male or female term baby with gestational age of 36-43 weeks and postnatal age \< or= 72 hours
  • One or more of the following :
  • APGAR score \< 5 at 5 mins
  • Umbilical cord or arterial blood sample (within one hour after birth): pH \<7.0 or base deficit \> or = 16 mmol/L or lactates \> or equal to 11 mmol/L
  • Abnormal neurological examination before 6 hours of life
  • Suspected clinical or EEG seizures
  • Inclusion criteria:
  • A seizure lasting more than 3 minutes or more than 2 seizures lasting more than 20 seconds on a 1 hour-period on standard EEG recording 4 hours before the levetiracetam loading dose
  • Availability of 8 electrode EEG recording
  • Written informed consent of both parents or the authorized guardians
  • Subscription to social security health insurance are required
  • Exclusion Criteria:
  • Suspected or confirmed brain malformation, inborn error of metabolism, genetic syndrome or major congenital malformation
  • Congenital (in utero) infection (TORCH)
  • Babies who have received phenobarbital or any other anticonvulsive medication other than a bolus of midazolam for intubation
  • Anuria/renal failure defined as serum creatinine \> 150 micromol/L
  • Seizures secondary to treatable metabolic etiology as hypoglycemia and hypocalcemia
  • Corrected QT interval (QTc) greater than 450 milliseconds on the electrocardiogram (ECG) prior to inclusion in the presence or absence of a condition that promotes QT prolongation (hypokalemia, maternal treatment during childbirth or treatment of the child with drugs known to prolong QT),
  • Participation to an interventional research study

Exclusion

    Key Trial Info

    Start Date :

    February 27 2018

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 23 2022

    Estimated Enrollment :

    18 Patients enrolled

    Trial Details

    Trial ID

    NCT02229123

    Start Date

    February 27 2018

    End Date

    February 23 2022

    Last Update

    December 30 2025

    Active Locations (8)

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    Page 1 of 2 (8 locations)

    1

    Service de réanimation néonatale

    Angers, France, 49000

    2

    Service de réanimation néonatale

    Lille, France, 59037

    3

    Service de réanimation et service néonatale

    Orléans, France, 45100

    4

    Service de réanimation néonatale et pédiatrique

    Paris, France, 75012