Clinical Study Evaluating and Comparing the Safety and the Possible Efficacy of Pentoxifylline and Celecoxib in Patients With Grand-Mal Epilepsy Treated by Phenytoin Monotherapy
Overview
- Phase
- Phase 2
- Intervention
- Phenytoin
- Conditions
- Epilepsy
- Sponsor
- Mostafa Bahaa
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- The clinical outcome will be assessed through Quality of Life questionnaire (QOLIE-31)
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Epilepsy is a chronic neurological disorder affecting millions of people all over the world. Epileptic seizures are caused by abnormal synchronized electrical neuronal discharges that could be either focal or widespread. Pathogenesis of epilepsy involves multiple processes including genetics, oxidative stress, ion channels, neuroinflammation, and cellular damage through autophagy and apoptosis.
Neuroinflammation is considered one of the most important factors contributing critically to epileptogenesis.
Investigators
Mostafa Bahaa
Teaching Assistant
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Patients aged ≥ 18 years old. Patients with grand mal epilepsy on phenytoin monotherapy. Women with a negative pregnancy test and women on effective contraception
Exclusion Criteria
- •Patients with significant liver and kidney function abnormalities. Alcohol and/or drug abusers. Patients with known allergies to the study medications Patients with known allergy to sulfonamides (cross hypersensitivity with celecoxib).
- •Pregnant women and women with a planned pregnancy. Subjects on medication are known to have possible positive effects on epilepsy. Patients who are currently using other antiepileptic drugs. Patients with CVD and a history of coronary artery bypass graft (CABG) surgery. Patients on aspirin or fluconazole therapy Patients with a recent retinal or cerebral hemorrhage
Arms & Interventions
Control Group
This group will receive 100 mg of phenytoin 3 times daily for 6 months.
Intervention: Phenytoin
Pentoxifylline group
This group will receive 100 mg of phenytoin 3 times daily plus pentoxifylline 400 mg two times daily for 6 months
Intervention: Phenytoin
Pentoxifylline group
This group will receive 100 mg of phenytoin 3 times daily plus pentoxifylline 400 mg two times daily for 6 months
Intervention: Pentoxifylline 400 MG
Celecoxib group
This group will receive 100 mg of phenytoin 3 times daily plus celecoxib 200 mg once daily for 6 months
Intervention: Phenytoin
Celecoxib group
This group will receive 100 mg of phenytoin 3 times daily plus celecoxib 200 mg once daily for 6 months
Intervention: Celecoxib 200mg
Outcomes
Primary Outcomes
The clinical outcome will be assessed through Quality of Life questionnaire (QOLIE-31)
Time Frame: 6 months
Caregivers will complete the questionnaire for assessing the quality of life in epileptic patients.
Secondary Outcomes
- The secondary outcome is the change in the serum level of the measured biological parameters(6 months)