UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013507
Receipt number R000015781
Scientific Title Randomized, double-blind, placebo-controlled study to evaluate the efficacy of levetiracetam on overcoming neurological deterioration occurring in patients with poor-grade subarachnoid hemorrhage
Date of disclosure of the study information 2014/04/01
Last modified on 2017/03/27 10:11:51

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Basic information

Public title

Randomized, double-blind, placebo-controlled study to evaluate the efficacy of levetiracetam on overcoming neurological deterioration occurring in patients with poor-grade subarachnoid hemorrhage

Acronym

LEV-SAH

Scientific Title

Randomized, double-blind, placebo-controlled study to evaluate the efficacy of levetiracetam on overcoming neurological deterioration occurring in patients with poor-grade subarachnoid hemorrhage

Scientific Title:Acronym

LEV-SAH

Region

Japan


Condition

Condition

Poor-grade subarachnoid hemorrhage

Classification by specialty

Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of levetiracetam on overcoming neurological deterioration due to non-convulsive status epileptics or non-convulsive seizure occurring after aneurysmal subarachnoid hemorrhage

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Functional outcome using the Modified Rankin Scale dichotomized into good or poor at 6 months after the onset of subarachnoid hemorrhage

Key secondary outcomes

(1) Frequency of convulsion
(2) Frequency of abnormal findings on electroencephalograph
(3) Frequency of delayed cerebral ischemia and occurrence of performing endovascular therapy against cerebral vasospasm
(4) Rate of brain atrophy at 6 months after the onset
(5) Functional improvement using Mini-Mental State Examination (MMSE), Frontal Assessment Battery (FAB), and Barthel Index (BI) at 1 and 6 months after onset
(6) Safety


Base

Study type


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Levetiracetam group: Group B
Levetiracetam at 3000mg/day (50% E Keppra dry syrup 3g at a time, b.i.d.)

Interventions/Control_2

Placebo group: Group A
Levetiracetam at 0mg/day (lactose 3g at a time, b.i.d.)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) A patient with aneurysmal subarachnoid hemorrhage accompanied by impaired consciousness (the World Federation of Neurologic Surgeons (WFNS) grading score II - V)
2) A patient with ruptured aneurysms secured within 72 hours after the onset
3) Age 20-80 years
4) A patient being independent before the onset
5) A patient who has provided written informed consent to participate in this study

Key exclusion criteria

1) A patient who had other neurological disorders before the onset, including epilepsy, cerebral infarction, intracerebral hemorrhage, intracranial tumor, traumatic or brain injury.
2) A patient with an expected survival of less than 1 year
3) A patient with serious renal disorder (eGFR < 40)
4) A patient with serious allergy/hypersensitivity to pyrrolidones
5) A patient whom the investigator considers to be ineligible as a subject

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Teiji Tominaga

Organization

Tohoku Graduate School of Medicine

Division name

Department of Neurosurgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

TEL

022-717-7000

Email

tomi@nsg.med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kenichi Sato

Organization

Kohnan Hospital

Division name

Department of Neuroendovascular therapy

Zip code


Address

4-20-1 Nagamachi-minami, Taihaku-ku, Sendai, 982-8523, Japan

TEL

022-248-2131

Homepage URL


Email

satoken0724@yahoo.co.jp


Sponsor or person

Institute

Department of Neurosurgery, Tohoku Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

GONRYO for the promotion of Medical Science

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

一般財団法人広南会 広南病院


Other administrative information

Date of disclosure of the study information

2014 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 03 Month 24 Day

Date of IRB


Anticipated trial start date

2014 Year 04 Month 01 Day

Last follow-up date

2016 Year 09 Month 30 Day

Date of closure to data entry

2016 Year 09 Month 30 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 03 Month 25 Day

Last modified on

2017 Year 03 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015781


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name