Actively Recruiting
Pharmacogenetics-Based Study on Individualized Use of Sodium Valproate
Led by The First Affiliated Hospital of University of South China · Updated on 2025-07-10
312
Participants Needed
1
Research Sites
182 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Sodium valproate (VPA) is a first-line prescription drug widely used in the treatment of epilepsy. However, in clinical applications, it has been found that there is a large individual variation in the blood concentration of VPA. In particular, excessively high blood drug concentrations can lead to various side effects, especially hepatotoxicity. Blood drug concentration monitoring can reduce the toxic and side effects of VPA to a certain extent and improve its effectiveness, but it is too cumbersome. A large number of studies have shown that the efficacy and toxic side effects of VPA are closely related to its in vivo metabolism process. The in vivo metabolism of VPA is affected by many factors, and the genetic polymorphism of drug-metabolizing enzymes is an important factor leading to differences in blood drug concentrations and affecting the dosage of VPA. The three products generated by the biotransformation of VPA by CYP450 enzymes are all related to hepatotoxicity. The formation of 4-ene-VPA is largely catalyzed by CYP2C9 and CYP2A6. Mutations in the CYP2A6 gene may be related to VPA hepatotoxicity, but there is a lack of further direct evidence. 50% of VPA in the body is acidified and metabolized into inactive products by uridine diphosphate glucuronosyltransferase (UGT) through phase II conjugation reactions. However, there is evidence that the genetic polymorphism of UGT can significantly affect the blood drug concentration of metformin. Based on the above research, we selected CYP2A6, UGT1A6, etc. as candidate genes, and studied the impact of genetic polymorphisms on the individual differences of sodium valproate through association analysis, with the hope of establishing a genetic model for optimal dosage and providing new strategies for the individualized use of VPA.
CONDITIONS
Official Title
Pharmacogenetics-Based Study on Individualized Use of Sodium Valproate
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients diagnosed with epilepsy (primary epilepsy, secondary epilepsy) and with complete clinical data
- Regular use of valproic acid sodium for at least 5 days with blood drug concentration reaching a steady state and strong medication compliance
- Patients using combined anti-epileptic drugs or using valproic acid sodium alone
- Patients without significant liver or kidney dysfunction and not in the pregnancy period
You will not qualify if you...
- Patients with incomplete data, poor compliance, or whose blood drug concentration was not measured at the correct concentration
- Patients with major respiratory, gastrointestinal, liver, kidney, or other serious diseases
- Patients using valproic acid solely for epilepsy prevention
- Patients who have used valproic acid for more than 5 days but frequently changed the dosage form during the process
- Patients over 65 years old and patients in the 1CU
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
The First Affiliated Hospital of University of South China
Hengyang, Hunan, China, 421001
Actively Recruiting
Research Team
J
Jiecan Zhou, Prof.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here