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Clinical Trials/NCT05637086
NCT05637086
Recruiting
Phase 2

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

Mostafa Bahaa1 site in 1 country90 target enrollmentDecember 20, 2022

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.

Registry
clinicaltrials.gov
Start Date
December 20, 2022
End Date
November 20, 2027
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Mostafa Bahaa
Responsible Party
Sponsor Investigator
Principal Investigator

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)

Study Sites (1)

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