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se of the antiepileptic drug stiripentol for the treatment of severe myoclonic epilepsy in infancy (SMEI)

Not Applicable
Completed
Conditions
Dravet syndrome (severe myoclonic epilepsy in infancy: SMEI)
Registration Number
JPRN-jRCT1091220014
Lead Sponsor
Yushi InoueNational Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria

1. Clinically and electroencephalographically confirmed diagnosis of SMEI including borderline SMEI according to the classification of the International League against Epilepsy (ILAE, 1989).
2. Aged 1 year or older (at the time of consent).
3. Inpatients or outpatients
4. Male or female
5. Seizure frequency:
- the parents/guardians of the patient are able to provide an accurate count of seizures (generalized or unilateral, tonic or clonic) together with their approximate duration.
- having 4 or more times of seizures of any type described above during 4 weeks prior to stiripentol treatment.
6. Currently treated with AED(s) (up to 3 AEDs, excluding rescue drugs).
7. Are on stable AED regimens during 4 weeks prior to stiripentol treatment.
8. A written consent from the parents/guardians of the patient.
9. With or without gene mutations (including SCN1A), but prior testing is recommended.

Exclusion Criteria

1. Liver disease or GOT/GPT of more than 3 times the upper normal limits.
2. Kidney disease or a creatinine level of more than 1.5 mg/dL.
3. WBC count < 2500 or platelet count < 10.0 x 10^4 /mcL, unless considered medically acceptable.
4. History of drug hypersensitivity.
5. Use of prohibited concomitant medications.
6. Pregnant women.
7. Use of another study drug or unapproved drug.
8. For any reason is judged by the investigator to be inappropriate for study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Improvement in seizure control, including percent reduction in seizure frequency and duration, during the beginning phase of stiripentol treatment (evaluation period 1) compared with baseline.
Secondary Outcome Measures
NameTimeMethod
Efficacy: Improvement in seizure control, including percent reduction in seizure frequency and duration, during the second fixed dose treatment period (evaluation period 2) compared with baseline.<br>Safety: (i) incidence and outcomes of adverse events; (ii) laboratory data (hematology and biochemistry); and (iii) Cytochrome P450 genotyping test.
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