RecruitingPhase 4NCT03048084

Seizure Treatment in Glioma

Seizure Treatment in Glioma (STING): Comparing a Treatment Strategy with Levetiracetam Versus Treatment with Valproic Acid in Glioma Patients with a First Seizure


Sponsor

Leiden University Medical Center

Enrollment

120 participants

Start Date

Feb 1, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

Currently, treatment with a specific anti-epileptic drug mainly depends on the physicians' preference, as there are no studies supporting the use of one specific anticonvulsant in glioma patients. The overall aim of this randomized controlled trial is to directly compare the effectiveness of treatment with levetiracetam or valproic acid in glioma patients with a first seizure.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Histologically proven or suspected diffuse astrocytoma (Isocytrate Dehydrogenase-1 (IDH-1) wildtype or IDH-1 mutated), diffuse oligodendroglioma (IDH-1 mutated and 1p/19q co-deleted), anaplastic astrocytoma (IDH-1 wildtype or IDH-1 mutated), anaplastic oligodendroglioma (IDH-1 mutated and 1p/19q co-deleted), glioblastoma (IDH-1 wild-type or IDH-1 mutated), or diffuse astrocytoma not otherwise specified (NOS), anaplastic astrocytoma NOS, oligodendroglioma NOS, oligoastrocytoma NOS, anaplastic oligoastrocytoma NOS, anaplastic oligodendroglioma NOS or glioblastoma NOS.
  • Adult patients: ≥18 years of age
  • First epileptic seizure, no longer than 2 weeks ago
  • Monotherapy with antiepileptic drugs is considered most appropriate at the time of randomization
  • Willing to provide written informed consent

Exclusion Criteria4

  • Previously treated with antiepileptic drugs, except emergency treatment in the past 2 weeks
  • History of non-brain tumor related epilepsy
  • Pregnancy
  • Presence of contra-indications for use of levetiracetam or valproic acid

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Interventions

DRUGLevetiracetam

Antiepileptic drug levetiracetam

DRUGValproic Acid

Antiepileptic drug valproic acid


Locations(5)

Amsterdam UMC

Amsterdam, Netherlands

Medisch Spectrum Twente

Enschede, Netherlands

Leiden University Medical Center

Leiden, Netherlands

Erasmus Medical Center

Rotterdam, Netherlands

Haaglanden Medical Center

The Hague, Netherlands

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NCT03048084


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