MedPath

Phenytoin

Generic Name
Phenytoin
Brand Names
Dilantin, Phenytek
Drug Type
Small Molecule
Chemical Formula
C15H12N2O2
CAS Number
57-41-0
Unique Ingredient Identifier
6158TKW0C5
Background

Phenytoin is classified as a hydantoin derivative and despite its narrow therapeutic index, it is one of the most commonly used anticonvulsants. Since it's introduction about 80 years ago, phenytoin has not only been established as an effective anti-epileptic, but has also been investigated for several other indications such as bipolar disorder, retina protection, and wound healing.

Clinicians are advised to initiate therapeutic drug monitoring in patients who require phenytoin since even small deviations from the recommended therapeutic range can lead to suboptimal treatment, or adverse effects. Both parenteral and oral formulations of phenytoin are available on the market.

Indication

Phenytoin is indicated to treat grand mal seizures, complex partial seizures, and to prevent and treat seizures during or following neurosurgery. Injectable phenytoin and Fosphenytoin, which is the phosphate ester prodrug formulation of phenytoin, are indicated to treat tonic-clonic status epilepticus, and for the prevention and treatment of seizures occurring during neurosurgery.

Associated Conditions
Complex Partial Seizure Disorder, Generalized Tonic-Clonic Seizures, Grand Mal Status Epilepticus, Jacksonian epilepsy, Partial-Onset Seizures, Petit Mal Epilepsy, Seizure Disorder, Post Traumatic, Seizures, Status; Epilepticus, Tonic-clonic, Temporal Lobe Epilepsy (TLE), Convulsive disorders

Bioequivalence Study Of PHENYTOIN Suspension Made By Pfizer, Versus EPAMIN® Made By McNeil LA LLC In Healthy Volunteers Under Fasting Conditions

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Epamin
First Posted Date
2010-05-13
Last Posted Date
2021-01-27
Lead Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Target Recruit Count
34
Registration Number
NCT01122953
Locations
🇲🇽

Pfizer Investigational Site, Mexico, Distrito Federal, Mexico

Double Cord Blood Transplant for Patients With Malignant and Non-malignant Disorders

Phase 1
Terminated
Conditions
Neuroblastoma
Immunodeficiencies
Anemia
Leukemia
Lymphoma
Interventions
First Posted Date
2008-12-04
Last Posted Date
2019-03-27
Lead Sponsor
Columbia University
Target Recruit Count
1
Registration Number
NCT00801931
Locations
🇺🇸

Columbia Presbyterian Medical Center, New York, New York, United States

Antiepileptic Drugs and Vascular Risk Markers

Not Applicable
Terminated
Conditions
Subarachnoid Hemorrhage
Interventions
First Posted Date
2008-10-17
Last Posted Date
2017-12-18
Lead Sponsor
Thomas Jefferson University
Target Recruit Count
52
Registration Number
NCT00774306

Steady-State Study of Extended Phenytoin Sodium Capsules 100 mg and Dilantin® Kapseals® 100 mg

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Extended Phenytoin Sodium Capsules 100 mg
First Posted Date
2008-04-01
Last Posted Date
2024-04-24
Lead Sponsor
Mylan Pharmaceuticals Inc
Target Recruit Count
72
Registration Number
NCT00647621
Locations
🇺🇸

PRACS Institute, Ltd., Fargo, North Dakota, United States

AED/Statin Interaction Study

Phase 1
Completed
Conditions
Epilepsy
Interventions
First Posted Date
2008-03-03
Last Posted Date
2017-08-04
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
119
Registration Number
NCT00627575
Locations
🇺🇸

GSK Investigational Site, Buffalo, New York, United States

Assess Safety and Efficacy of Levetiracetam(LEV;Keppra)for Seizure Prevention

Phase 4
Completed
Conditions
Traumatic Brain Injury
Subarachnoid Hemorrhage
Interventions
First Posted Date
2008-02-20
Last Posted Date
2014-04-07
Lead Sponsor
University of Cincinnati
Target Recruit Count
52
Registration Number
NCT00618436
Locations
🇺🇸

University of Cincinnati Hospital, Cincinnati, Ohio, United States

Evaluating the Transporter Protein Inhibitor Probenecid In Patients With Epilepsy

Phase 4
Terminated
Conditions
Epilepsy
Interventions
First Posted Date
2008-02-08
Last Posted Date
2013-05-14
Lead Sponsor
Jim McAuley
Target Recruit Count
8
Registration Number
NCT00610532
Locations
🇺🇸

The Ohio State University, Columbus, Ohio, United States

Preventing Epilepsy After Traumatic Brain Injury With Topiramate

Early Phase 1
Terminated
Conditions
Epilepsy
Traumatic Brain Injury
Interventions
First Posted Date
2008-01-23
Last Posted Date
2017-06-27
Lead Sponsor
University of Pennsylvania
Target Recruit Count
6
Registration Number
NCT00598923

Phenytoin as a Neuroprotective Agent Against Corticosteroid-induced Functional Imaging Changes

Phase 3
Completed
Conditions
Healthy
Interventions
First Posted Date
2008-01-11
Last Posted Date
2015-08-19
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
17
Registration Number
NCT00591006
Locations
🇺🇸

UT Southwestern Medical Center of Dallas/Parkland Memorial Hospital, Dallas, Texas, United States

Phenytoin and Driving Safety: A Randomized, Controlled Cross-Over Study

Phase 4
Completed
Conditions
Cognitive Measures
Driving Simulator Performance
Interventions
Drug: Placebo oral capsule
First Posted Date
2007-12-28
Last Posted Date
2021-07-01
Lead Sponsor
University of Iowa
Target Recruit Count
20
Registration Number
NCT00581893
Locations
🇺🇸

University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States

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