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Sponsors and Collaborators: |
UMC Utrecht GlaxoSmithKline |
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Information provided by: | UMC Utrecht |
ClinicalTrials.gov Identifier: | NCT00133081 |
The purpose of this study is to assess whether changing antiepileptic medication can reduce side effects and improve the quality of life in patients with epileptic seizures that are well controlled with antiepileptic drugs.
Condition | Intervention | Phase |
---|---|---|
Epilepsy |
Drug: All registered antiepileptic drugs |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Study to Improve the Treatment of Epilepsy (SITE). A Randomized Study Comparing Adjustment of Treatment to Reduce Side Effects of Antiepileptic Drugs With Continuing Treatment Unchanged |
Estimated Enrollment: | 255 |
Study Start Date: | October 2002 |
Estimated Study Completion Date: | August 2006 |
Background. The aim of the treatment with antiepileptic drugs (AEDs) is to achieve seizure freedom without causing side effects. Assessment of side effects is difficult. They may start insidiously, the patient may not associate certain complaints with the use of AEDs, or the treating physician does not take enough time to discuss this topic during the limited time of a visit in the outpatient department. We know from clinical trials that side effects occur in a substantial group of patients. We do not know whether we deal with this possible complication in an adequate way in clinical practice.
Study objective. To study whether adjustment of medication will reduce the occurrence of side effects and improve quality of life.
Study design. A randomised clinical trial comparing adjustment of treatment in case of relevant side effects to continuing treatment unchanged. Relevant side effects are defined as at least one moderate or serious problem scored on a questionnaire to assess complaints in people with epilepsy.
Patients who do not report relevant side effects will be followed for 13 months (arm A) in which two visits are scheduled, after 7 and 13 months respectively.
The patients who do report relevant side effects will be randomised to either discussion of the questionnaire results and adjustment of treatment if appropriate (arm B) or to ignore the results of the questionnaire and continue treatment unchanged (arm C). Investigations will be repeated in both groups after 7 and 13 months after the initial visit.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Netherlands, Limburg | |
AZM | |
Maastricht, Limburg, Netherlands, 6202 AZ | |
Netherlands, Noord Brabant | |
Catharina Hospital | |
Eindhoven, Noord Brabant, Netherlands, 5623 EJ | |
Netherlands, Noord Holland | |
Hospital Gooi-Noord | |
Blaricum, Noord Holland, Netherlands, 1250 CA | |
Netherlands, Zeeland | |
Oosterschelde Hospital | |
Goes, Zeeland, Netherlands, 4460 BB | |
Netherlands, Zuid Holland | |
MCRZ | |
Rotterdam, Zuid Holland, Netherlands, 3007 AC | |
MC Haaglanden | |
The Hague, Zuid Holland, Netherlands, 2512 VA |
Study Director: | Cees A van Donselaar, MD PhD | UMC Utrecht |
Principal Investigator: | Sabine G Uijl, MSc | UMC Utrecht |
Principal Investigator: | Albert P Aldenkamp, PhD | AZM Maastricht |
Principal Investigator: | Cuno SP Uiterwaal, PhD | UMC Utrecht |
Study ID Numbers: | SITE |
Study First Received: | August 17, 2005 |
Last Updated: | October 20, 2005 |
ClinicalTrials.gov Identifier: | NCT00133081 |
Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
epilepsy antiepileptic drugs side effects quality of life |
Epilepsy Quality of Life Central Nervous System Diseases Brain Diseases |
Nervous System Diseases |