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A trial to prevent epilepsy in people having surgery for a meningioma brain tumour

Surgeons Trial Of Prophylaxis for Epilepsy in seizure naïve patients with Meningioma: a randomised controlled trial (STOP’EM)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14381346
Enrollment
1004
Registered
2023-06-22
Start date
2024-07-01
Completion date
Unknown
Last updated
2025-09-15

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

Conditions

Intracranial meningioma and epilepsy Nervous System Diseases

Interventions

Levetiracetam 250mg (IMP) or Placebo – Participant will take IMP/placebo twice a day (2 x 250mg capsules, morning and evening) for 14 days in total. Treatment will begin 24 hours prior to surgery (par

Sponsors

University of Liverpool
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Newly-diagnosed meningioma on MRI 2. Seizure-naïve at presentation 3. Surgical resection of meningioma planned 4. Age =16 years 5. Written and informed consent

Exclusion criteria

Exclusion criteria: 1. Posterior fossa meningioma 2. Previous history of epilepsy 3. Previous history of provoked seizures 4. Previous cranial neurosurgery for any cause 5. Renal failure (Chronic Kidney Disease [CKD] 4-5) 6. Use of anti-epileptic drug for another indication (e.g. trigeminal neuralgia) within 7 days preceding randomisation 7. Known hypersensitivity to levetiracetam, other pyrrolidone derivatives or any of the excipients 8. Actively breastfeeding 9. Weigh below 50kg (if aged 16 or 17 years)

Design outcomes

Primary

MeasureTime frame
Time to at least one seizure at 12 months post-surgery measured using patient records

Secondary

MeasureTime frame
Measured using patient records unless noted otherwise: 1. Time to first seizure 2. Time to first convulsive seizure 3. Time to first unprovoked seizure (seizure from day 8 onwards) 4. Driving under licence at 6 and 12 months 5. EQ-5D-5L at pre-surgery, 4-6 weeks post-surgery, 12 weeks post-surgery, 52 weeks post-surgery 6. Serious adverse reactions. Active monitoring of SARs will be from the period of randomisation until completion of IMP course, plus 1 week 7. Landriel Ibañez classification 30 days post-surgery

Countries

England, United Kingdom

Contacts

Public ContactPriya Francis
stopem@liverpool.ac.uk+44 151 7951732

Outcome results

None listed

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