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临床试验/NCT01796574
NCT01796574已完成不适用

Feasibility and Tolerability of the Ketogenic Diet in the Treatment of Refractory Status Epilepticus in a Neurointensive Care Unit.

Johns Hopkins University16 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2012年11月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
15
试验地点
16
主要终点
Feasibility

研究概览

简要总结

This research is being done to observe the safety, tolerability, side effects, and effectiveness of the ketogenic diet in people with continuous seizures (status epilepticus) being treated in a neurointensive care unit.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients 18 years and older in refractory status epilepticus (continuous or recurrent seizures without return to baseline mental status between seizures, lasting > 30 minutes) placed on anesthetics/sedating agents (barbiturates or benzodiazepines) after at least one first- and second-line agent failed to control seizures, and with clinical and/or electrographic seizures following attempt to wean anesthetic/sedating agents after 24 hours.

排除标准

  • Unstable metabolic condition
  • Hemodynamic or cardiorespiratory instability
  • Coagulopathy
  • Liver failure
  • Total cholesterol > 300 mg/dL
  • Inability to tolerate enteral feeds, including ileus
  • Family refusal/no consent
  • Received any propofol infusions within 24 hours
  • Known fatty acid oxidation disorder or pyruvate carboxylase deficiency

结局指标

主要结局

Feasibility

时间窗: 2 weeks

Whether or not the diet protocol was followed

次要结局

  • Time to achieving serum and/or urinary ketosis(Until serum or urinary ketosis is achieved, an expected average of 2 weeks)
  • Time to seizure reduction(Participants will be followed for the duration of the hospital stay, an expected average of 6 weeks)
  • Ranking of tolerability measures on a 10 point scale(6 months)
  • Number of participants with adverse events and description of events(6 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mackenzie Cervenka

Assistant Professor of Neurology

Johns Hopkins University

研究点 (16)

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Ketogenic Diet for Refractory Status Epilepticus | 临床试验