Epilepsy
Conditions
Keywords
Epilepsy, lamotrigine, cognitive function
Brief summary
The purpose of this study is to compare the effect of anti-epileptic drugs' (AEDs) long-term treatment on cognitive function. This study is an open-label, randomized, multicenter comparative trial of lamotrigine versus carbamazepine. The planned enrollment is 100 patients.
Interventions
lamotrigine: titration for 8 weeks (25 mg\ 200 mg per 2 weeks) and maintenance for 40 weeks (200 mg)
Carbamazepine: titration for 8 weeks (100 mg\ 600 mg) and maintenance for 40 weeks (600 mg)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age : 16\ 60 * Seizure type was defined by MRI etc. * Had more than 2 unprovoked seizures or 1 seizure with clear evidence for epilepsy (ex. positive in EEG or brain imaging) * Need AED therapy and no AED medication for previous 1 year (exclude emergency medication for less than 2 weeks, baseline 4 weeks before) * Is not pregnant by pregnancy test and is using contraceptive method * Can report seizure diary by him/herself or his/her sick nurse * Agreed to trial by written consent
Exclusion criteria
* Follow-up loss * Canceled agreement * Added other medication due to aggravated disease in 24 weeks * Diagnosed as IGE * Has progressive CNS disease by MRI or EEG * Has serious systemic or psychological disease * Under IQ 70 * Baseline lad data abnormality: Creatinine 2.0mg/dl or GOT/GPT 2 times higher than normal * Abuse experience on alcohol or drugs * Has experience on serious adverse event of any drug * Previous experience on lamotrigine or carbamazepine * Not suitable patients by investigator (uncooperative) * Other reason which may interrupt the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To define the superiority of Lamictal in cognitive function comparing to carbamazepine in newly diagnosed adult partial epilepsy patients | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Seizure outcome and tolerability | 48 weeks |
Countries
South Korea