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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: Netherlands Trial Register
Last refreshed on: 28 April 2013
Main ID:  NTR930
Date of registration: 12/03/2007
Primary sponsor: Erasmus Medical Center, Sophia Children's Hospital, Department of Neonatology Intensive Care
Public title: Levetiracetam (Keppra®) in neonates
Scientific title: Safety of intravenous levetiracetam for in neonates with seizures - -
Date of first enrolment: 1/4/2007
Target sample size: 10
Recruitment status: pending
URL:  http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=930
Study type:  intervention
Study design:  Randomised: No; Masking: None; Control: Not applicable; Group: Parallel; Type: -  
Countries of recruitment
The Netherlands
Contacts
Name: L.S.   Smit
Address:  Erasmus Medical Center, Sophia Children's Hospital, Department of Neonatology Intensive Care Rotterdam The Netherlands
Telephone: +31 10 4636077
Email: l.s.smit@erasmusmc.nl
Affiliation: 
Name: L.S.   Smit
Address:  Erasmus Medical Center, Sophia Children's Hospital, Department of Neonatology Intensive Care Rotterdam The Netherlands
Telephone: +31 10 4636077
Email: l.s.smit@erasmusmc.nl
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. All neonates with electrographical epileptic seizures, diagnosed by EEG,
a. with or without clinical signs;
b. multiple (>1 in 30?), defined as the evolution of sudden, repetitive evolving stereotyped forms with a definite beginning, middle and end, lasting at least 8 seconds;
c. or status epilepticus, defined as continuous seizure activity for at least 30 minutes or recurrent seizure activity for >50% of the entire recording duration.
2. Newborn gestational age > 37 weeks, birth weight > 1500 grams;
3. Refractory to phenobarbitone up to 40 mg/kg or refractory to phenobarbitone up to 40 mg/kg and midazolam up to 0.5 mg/kg (raised from 0.1 mg/kg every 10-15 minutes when effect fails) (depending on moment of referral with history of medication);
4. After correction or treatment of metabolic causes of the as inborn errors, hypoglycaemia or hypocalcaemia or CNS infections;
5. Arterial catheter


Exclusion criteria: 1. Newborn gestational age < 37 weeks;
2. Birth weight < 1500 grams


Age minimum:
Age maximum:
Gender:
Health Condition(s) or Problem(s) studied
Neonatal seizures, Antiepileptics, Levetiracetam, Safety

Intervention(s)
Keppra iv 20 mg/kg, when no respons another 20 mg/kg;
15 times withdrawal from blood from arterial catheter
Primary Outcome(s)
1. Safety profile of LEV in neonates;
2. Safety outcome parameters as liver, kidney and metabolic function, electrolytes, hemodynamic effects (heart rate/arrhythmia, arterial blood pressure/hypotension).
3. Investigation of pharmacokinetic and ?dynamic properties of LEV in neonates.
Secondary Outcome(s)
Increase of epileptic activity and drug interaction will be determined or registered
Secondary ID(s)
ISRCTN53371491
Source(s) of Monetary Support
Erasmus Medical Center, Sophia Children's Hospital
Secondary Sponsor(s)
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