Fosphenytoin

Generic Name
Fosphenytoin
Brand Names
Cerebyx, Sesquient
Drug Type
Small Molecule
Chemical Formula
C16H15N2O6P
CAS Number
93390-81-9
Unique Ingredient Identifier
B4SF212641
Background

Fosphenytoin is a water-soluble phenytoin prodrug used only in hospitals for the treatment of epileptic seizures. It works by slowing down impulses in the brain that cause seizures. Its main mechanism is to block frequency-dependent, use-dependent and voltage-dependent neuronal sodium channels, and therefore limit repetitive firing of action potentials.

Indication

Fosphenytoin is indicated for the treatment of generalized tonic-clonic status epilepticus and for the prevention and treatment of seizures occurring during neurosurgery in adult patients. It can also be substituted, short-term, for oral phenytoin in patients aged two years and older when oral phenytoin administration is not possible.

Associated Conditions
Oral phenytoin treatment, Seizures, Status Epilepticus, Generalized tonic-clonic status epilepticus
Associated Therapies
-

Phenytoin as Treatment for Acute Exacerbations of Trigeminal Neuralgia - a Prospective Systematic Study of 20 Patients

Completed
Conditions
First Posted Date
2018-10-19
Last Posted Date
2022-03-24
Lead Sponsor
Danish Headache Center
Target Recruit Count
15
Registration Number
NCT03712254
Locations
🇩🇰

Danish Headache Center, Rigshospitalet - Glostrup, Glostrup, Denmark

Established Status Epilepticus Treatment Trial

First Posted Date
2013-10-10
Last Posted Date
2021-06-14
Lead Sponsor
University of Virginia
Target Recruit Count
478
Registration Number
NCT01960075
Locations
🇺🇸

Children's Medical Center UTSW, Dallas, Texas, United States

🇺🇸

Nationwide Children's Hospital, Columbus, Ohio, United States

🇺🇸

UPMC Mercy Hospital, Pittsburgh, Pennsylvania, United States

and more 62 locations

Comparison Between Lorazepam, Clonazepam and Clonazepam + Fosphenytoin for the Treatment of Out-of-hospital Generalized Status Epilepticus

First Posted Date
2013-06-05
Last Posted Date
2018-10-11
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
434
Registration Number
NCT01870024
Locations
🇫🇷

Département d'Anesthésie - Réanimation - SMUR - Hôpital Lariboisière, Paris, France

A Pilot Study of NSICU Assessment of Seizure Prophylaxis With Lacosamide

Not Applicable
Terminated
Conditions
Interventions
First Posted Date
2010-04-26
Last Posted Date
2014-04-28
Lead Sponsor
University of Alabama at Birmingham
Target Recruit Count
11
Registration Number
NCT01110187
Locations
🇺🇸

UC Health Medical Arts Building, Cincinnati, Ohio, United States

🇺🇸

UC Health University Pointe, Cincinnati, Ohio, United States

🇺🇸

University Hospital, Cincinnati, Ohio, United States

The Study of NPC-06 - Investigation of Safety, Efficacy and Pharmacokinetics of Fosphenytoin

Phase 3
Completed
Conditions
Interventions
First Posted Date
2009-05-25
Last Posted Date
2010-05-24
Lead Sponsor
Nobelpharma
Target Recruit Count
40
Registration Number
NCT00908453
Locations
🇯🇵

National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan

IV Keppra in the Emergency Department for Prevention of Early Recurrent Seizures

First Posted Date
2007-08-02
Last Posted Date
2013-12-12
Lead Sponsor
Emory University
Target Recruit Count
158
Registration Number
NCT00510783
Locations
🇺🇸

Grady Memorial Hospital, Atlanta, Georgia, United States

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