Study of Phenobarbital Inhibition of Catamenial Epilepsy
Study Details
Study Description
Brief Summary
The purpose of this study is to test the effectiveness of low-dose Phenobarbital on the treatment of catamenial epilepsy.
We propose that since the catamenial seizures are associated with the reduction in levels of GABA-enhancing allopregnanolone, short-term replacement with the GABAR-enhancing agent Phenobarbital will reduce the incidence of catamenial seizures.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 1 Phenobarbital - dose based by weight range |
Drug: Phenobarbital
Phenobarbital will be given based on weight range
|
Placebo Comparator: 2 Placebo group |
Other: Placebo
Placebo group
|
Outcome Measures
Primary Outcome Measures
- Patient Health Questionnaire (PHQ-9) [Screening, 3 month and final visit]
- Depression Epworth Sleepiness Scale (ESS) [Screening, 3 month and final visit]
- Quality of Life in Epilepsy (QOLIE-10) [Screening, 3 month and Final Visit]
- Addenbrooke's Cognitive Examination (ACE) [Screening, 3 month and Final Visit]
Secondary Outcome Measures
- Determine tolerance of medication using the depression, cognitive and sleepiness screening tools listed above [Screening, 3 months, final visit]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult female patients seeking medical attention for seizures
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Regular menstrual cycles
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At least 2 seizures per month
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Must be on at least one form of birth control other than abstinence
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Must be on a stable anticonvulsant regimen of at least one and not exceeding three anticonvulsants, and not be using any perimenstrual seizure medications of hormone preparations
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If taking benzodiazepines for therapeutic purposes, must be on a stable regular dose
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Must be willing to take at least 400mcg of folic acid a day while in the study
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Must be able to detect, count or record seizures
Exclusion Criteria:
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Can not be pregnant or trying to become pregnant
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Can not have used hormonal birth control methods for at least 3 months prior to enrollment
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Can not have an allergy to Phenobarbital
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Can not have a history of non-epileptic seizures
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Can not have a know liver dysfunction or history of chronic hepatitis
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Can not have a history of neurological disorder or history of status epilepticus in the preceding year
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Can not ahve a physical or psychiatric condition which in the PIs opinion could compromise her ability to participate
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Toledo, Health Science Campus | Toledo | Ohio | United States | 43606 |
Sponsors and Collaborators
- University of Toledo Health Science Campus
Investigators
- Principal Investigator: Lazar J Greenfield, Jr, MD, PhD, University of Toledo Health Science Campus
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- xUTHSC-07