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An observational cohort study on the efficacy and safety of zonisamide as a first add-on treatment in focal epilepsy or focal to bilateral tonic clonic seizures

An observational cohort study on the efficacy and safety of zonisamide as a first add-on treatment in focal epilepsy or focal to bilateral tonic clonic seizures

Status
Recruiting
Phases
Phase 4
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2100047311
Enrollment
Unknown
Registered
2021-06-12
Start date
2021-06-01
Completion date
Unknown
Last updated
2022-02-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Epilepsy

Interventions

single arm:zonisamide Oral administration, once or twice daily. Titration period: the initial dose was 100 mg/maintenance dose was 200-400 mg/day, increased by 100 mg/day every 2 weeks, 8 to achieve t

Sponsors

QiLu Hospital of Shandong University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Patients who agreed to participate in the clinical trial, and the subject and/or legal guardian has signed protocol informed consent; 2. Male and female patients aged 18-75 years; 3. Focal epilepsy or focal to bilateral tonic clonic seizures diagnosed?by?criteria in seizures classification developed by the International League Against Epilepsy (ILAE) in 2017; 4. Patients who had taken one antiepileptic drug in the past four weeks and the researcher agreed?that they were suitable with zonisamide add-on treatment; 5. During the 8-week retrospective baseline period, patients must have had at least 2 focal to bilateral tonic clonic seizures per 28 days on average.

Exclusion criteria

Exclusion criteria: 1. Patients had received previous Zonisamide treatment; 2. Female patients are pregnant, breast-feeding, and will not use contraception during the trial; 3. Patients had known allergies to sulfonamides or any ingredients in Zonisamide; 4. history of drug/alcohol abuse; 5. Current use of Antidepressants, anxiolytics or antipsychotics; 6. History of suicide attempt or suicidal ideation in the past 6 months; 7. Patients suffer from progressive diseases that affect the patient's brain and its function; 8. Sychogenic nonepileptic seizures; 9. Patients suffer from serious lung and blood system diseases, malignant tumor, lower immune function and psychosis; 10. Patients Had epilepsy brain surgery, or will undergo epilepsy surgery in the next four months. 11. Investigators considered Patients as unsuitable for this trial.

Design outcomes

Primary

MeasureTime frame
In patients with focal epilepsy with or without secondary bilateral tonic clonic seizures, The change in seizure frequency per 4 week from retrospective baseline to the maintenance period;In patients with focal epilepsy with or without secondary bilateral tonic clonic seizures,The percentage of subjects with a 50 % or greater reduction in seizure frequency per 4 weeks from retrospective baseline to maintenance;

Secondary

MeasureTime frame
In patients with focal epilepsy with or without secondary bilateral tonic clonic seizures, percentage of subjects who achieved seizure-free during maintenance period;Evaluation for depression status;Evaluation for anxiety status;Evaluation for Cognitive function;Retention rate;

Countries

China

Contacts

Public ContactLiu Xuewu

Qilu Hospital of Shandong University

snlxw1966@163.com+86 18560085520

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026