Pilot Study of Levetiracetam in Patients With Seizures Due to Brain Metastases
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outcomes Outline Trial Contact Information Registry Information
Alternate Title
Levetiracetam in Treating Patients With Seizures Caused by Brain Metastases
Basic Trial Information
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Protocol IDs
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No phase specified
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Supportive care
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Closed
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Over 18
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NCI, Pharmaceutical / Industry
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NU-05CC11 NU-1398-032, UCB-NU-05CC11, NCT00415376
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Objectives - Determine the optimal dose of levetiracetam required to control seizures from brain metastases in patients with solid tumors.
- Determine the frequency of side effects and tolerability of this drug when used to control seizures in these patients.
- Determine any improvement in antiepileptic drug-associated symptoms in these patients.
Entry Criteria Disease Characteristics:
- Histologically confirmed solid tumor
- Pathological confirmation of brain metastasis is not required provided the clinical and neuroradiographic picture is typical
- Has had at least one prior seizure due to brain metastasis
Prior/Concurrent Therapy:
- Prior levetiracetam allowed provided it was initiated within the past 14 days
- Other concurrent anticonvulsant monotherapy allowed provided therapy was initiated within the past 30 days
Patient Characteristics:
- Life expectancy ≥ 12 weeks
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Absolute neutrophil count ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 10 g/dL
- BUN < 5 times upper limit of normal (ULN)
- Creatinine < 5 times ULN
- Bilirubin < 1.5 times ULN
- AST and ALT ≤ 3 times ULN
- Alkaline phosphatase ≤ 2 times ULN
- No allergy to levetiracetam
Expected Enrollment 30A total of 30 patients will be accrued for this study. Outcomes Primary Outcome(s)Seizure control (lack of seizure activity)
Outline This is a pilot study. Patients are stratified according to baseline seizures (yes vs no) and/or baseline antiepileptic drugs (AEDs) (yes vs no). Patients are assigned to 1 of 3 treatment groups. - Group I (patients with no active baseline seizures): Patients receive oral levetiracetam twice daily beginning on day 1.
- Group II (patients requiring IV AEDs for baseline seizure control): Patients receive oral levetiracetam (instead of their current anticonvulsant therapy) twice daily beginning on day 1, after their presenting condition has stabilized.
- Group III (patients with active seizures controlled by other concurrent anticonvulsant monotherapy): Patients receive oral levetiracetam (instead of their current anticonvulsant therapy) twice daily beginning on day 1. Treatment with the other anticonvulsant drug is tapered beginning on day 3 as directed by the treating physician.
In all groups, treatment continues for up to 6 months in the absence of uncontrolled seizures or unacceptable toxicities. During study therapy, patients maintain a seizure log that tracks frequency and type of seizures. Any patient who experiences a breakthrough seizure or multiple auras receives increasing doses of oral levetiracetam until the maximum dose is reached. Patients who continue to have seizures at the maximum dose level receive a second antiseizure medication at the discretion of the treating physician. Quality of life is assessed by the Fundamental Assessment of Cancer Treatment-Brain questionnaire at baseline and at 2 months.
Trial Contact Information
Trial Lead Organizations Robert H. Lurie Comprehensive Cancer Center at Northwestern University | | | Jeffrey Raizer, MD, Principal investigator | | | |
Registry Information | | Official Title | | A Pilot Study of the Efficacy of Levetiracetam in Patients with Seizures from Brain Metastases | | Trial Start Date | | 2007-02-12 | | Trial Completion Date | | 2007-10-31 | | Registered in ClinicalTrials.gov | | NCT00415376 | | Date Submitted to PDQ | | 2006-11-03 | | Information Last Verified | | 2007-02-12 | | NCI Grant/Contract Number | | CA60553 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |