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Antiepileptic drug monitoring In pregnancy

Not Applicable
Completed
Conditions
Epilepsy in pregnancy
Nervous System Diseases
Epilepsy
Registration Number
ISRCTN01253916
Lead Sponsor
Queen Mary, University of London
Brief Summary

2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29737274

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
1000
Inclusion Criteria

1. Have signed a consent form before undergoing any trial-related activities
2. Have a confirmed viable pregnancy of less than 16 weeks gestation at booking
3. Have a confirmed diagnosis of epilepsy (any syndrome: primary, localised or unclassified)
4. Currently prescribed lamotrigine monotherapy or polytherapy (with carbamazepine, phenytoin or levetiracetam), carbamazepine monotherapy, phenytoin monotherapy or levetiracetam monotherapy
5. Be capable of understanding the information provided, with use of an interpreter if required

Exclusion Criteria

1. Be beyond 16 weeks gestation at booking
2. Documented non-epileptic seizures in the last 2 years
3. Documented of status epilepticus in the last 12 months
4. A history of alcohol or substance abuse or dependence in the last 2 years
5. Sodium valproate (VPA) monotherapy or polytherapy
6. Non lamotrigine polytherapy
7. A history of poor AED adherence
8. Unable to complete a seizure diary or recall frequency of seizures accurately
9. Have a significant learning disability
10. Participation in any blinded, placebo-controlled trials of investigational medicinal products in pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time from randomisation to first seizure and time to first tonic clonic seizure throughout pregnancy up to and including six weeks post-delivery. Statistical analysis will take into account the time to each ?event? per woman over the whole period of monitoring. Participants will be asked to document the occurrence of each seizure by frequency and type in a trial specific seizure diary.
Secondary Outcome Measures
NameTimeMethod
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