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Cognitive Effects of Treatment of Interictal Discharges

Cognitive Effects of Treatment of Interictal Discharges

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00916149
Enrollment
31
Registered
2009-06-09
Start date
2007-01-31
Completion date
2012-10-31
Last updated
2018-10-03

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

Conditions

Epilepsy

Keywords

Epilepsy, Cognition, Lamictal, Lamotrigine, Keppra, Levetiracetam

Brief summary

The purpose of this study is to determine if levetiracetam (for patients with focal seizures) or lamotrigine (for patients with generalized seizures) reduces the occurrence of interictal discharges. The study investigates the possible correlation between reduction of interictal discharges and improved cognitive performance.

Detailed description

Subjects with seizures will be studied with electroencephalography (EEG) and offered medication for prevention of recurrent seizures. Those with focal seizures will be treated with levetiracetam, and those with generalized seizures will be treated with lamotrigine. Subjects will undergo repeated EEG with concurrent cognitive testing before and after initiation of treatment. The proposed study tests 3 hypotheses: 1. that treatment with levetiracetam will reduce focal interictal epileptiform activity, 2. that treatment with lamotrigine will reduce generalized interictal epileptiform activity, and 3. that the extent of interictal epileptiform activity is inversely associated with performance on neuropsychological batteries and computerized cognitive testing. Repeated cognitive/neuropsychological testing obtained at steady state of the study drug and again after approximately 2 months on the final dosage will serve to evaluate the timecourse of potential cognitive benefits.

Interventions

DRUGlevetiracetam

The dosage of levetiracetam will begin at 500mg twice per day (bid) for the first 4 days, and increase by 500mg every 5 days thereafter until a goal of 1500mg bid is reached. The subject will then remain on levetiracetam at 1500mg bid for 8 weeks, until the conclusion of the study. Medication will be supplied in 500mg tablets, to be taken orally.

DRUGLamotrigine

The drug will be supplied in 25, 100 and 150mg tablets, to be taken orally per the titration schedule below: The regimen will begin at 25mg once per day for the first two weeks, and increase to 50mg once per day during weeks 3 and 4. In week 5, the subject will take 50mg twice per day (bid). The dosage will increase to 50mg in the morning and 100mg at night during week 6. During week 7 the subject will take 100mg bid. During week 8, the subject will take 100mg in the morning and 150mg at night. At week 9, the subject will reach the target dose of 150mg bid. The subject will then remain on lamotrigine at 150mg bid for 7 weeks, until the conclusion of the study.

Sponsors

UCB Young Investigator Research Program
CollaboratorUNKNOWN
National EpiFellows Foundation
CollaboratorUNKNOWN
UCB Pharma
CollaboratorINDUSTRY
GlaxoSmithKline
CollaboratorINDUSTRY
Massachusetts General Hospital
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* 18-55 years of age * Normal Intelligence Quotient (IQ ≥ 80) as estimated by the Wechsler Test of Adult Reading (WTAR) * Able to give consent * The subject's treating physician is planning to prescribe levetiracetam for focal or lamotrigine for generalized seizure prevention * Either symptomatic or idiopathic seizures.

Exclusion criteria

* Non-native English speaking and/or multilingual * Frequent seizures, since seizures themselves impair cognitive function and present a confounding variable. Subjects may have no more than one seizure or one cluster of seizures per month, with a cluster of seizures including more than one seizure, but between which the patient returns to baseline. The cluster may occur over no more than two consecutive days in one month. * Seizure(s) must not have occurred within 3 days of enrollment and testing. * Those with focal seizures who have evidence of renal disease (creatinine clearance less than 80) will be excluded from participation, as levetiracetam is cleared by the kidney. * Those with focal seizures who have neutrophil counts \<1000/microliter will be excluded from participation, as levetiracetam may lower white blood cell counts. * Those with focal seizures and irritability or mood swings will not be eligible for participation, as levetiracetam may exacerbate these symptoms. This will be determined by self-report, information obtained from the referring physician and medical record. * Those with generalized seizures who have moderate to severe liver dysfunction (Child-Pugh Grades B and C) will be excluded from participation, as lamotrigine is cleared by the liver and the proposed dosing may not be tolerable in this population. This will be determined by self-report, information obtained from the referring physician, a comprehensive metabolic panel (routinely obtained in new-onset seizures) and the medical record. * Subjects who are pregnant will not be eligible to take part in the study, as levetiracetam and lamotrigine are classified as Pregnancy Category C drugs and may pose risk to the fetus. Women of childbearing potential will have a urine pregnancy test prior to participation in the study. The urine pregnancy test will be repeated at the final study visit. Subjects with epilepsy who are of childbearing potential must use acceptable methods of birth control during the study, to be continued until one month after discontinuation of the study drug. If a subject does become pregnant during this time period, she must notify the investigators. * Women who are breastfeeding may not participate in this study. Levetiracetam and lamotrigine may pass into the breastmilk of nursing mothers, posing a risk to the baby. * Hypersensitivity to lamotrigine, levetiracetam or any components of these products

Design outcomes

Primary

MeasureTime frameDescription
Mean Change in Focal Interictal Discharges (IEDs) Per Hour, Pre to Post Treatment1 and 11 weeksThis descriptive analysis examined the change in interictal discharge rates pre to post-treatment with levetiracetam in subjects with epilepsy and with no treatment in healthy controls.

Secondary

MeasureTime frameDescription
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Trial 1 Learning Score1 and 11 weeksChange in California Verbal Learning Test (CVLT) Trial 1 learning score (range 0-16; higher score indicates better memory)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Total Learning1 and 11 weeksChange in California Verbal Learning Test (CVLT) Total Learning Score (the total learning score is summed across 5 learning trials, range 0-80). Higher scores indicate better memory. Scores on the CVLT reflect the number of words recalled.
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Short Delay1 and 11 weeksChange in California Verbal Learning Test (CVLT) Short Delay Recall Score (the score ranges from 0-16, reflecting the number of words recalled)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Long Delay1 and 11 weeksChange in California Verbal Learning Test (CVLT) Long Delay Recall score (the score ranges from 0-16, reflecting the number of words recalled)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Learning1 and 11 weeksChange in Brief Visuospatial Memory Test-Revised (BVMT-R) Learning score (the score ranges from 0-6, reflecting the number of shapes recalled on the initial learning trial)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Total Learning1 and 11 weeksChange in Brief Visuospatial Memory Test-Revised (BVMT-R) Total Learning score (the score is summed across 3 learning trials, score range 0-18, reflecting the total number of shapes recalled)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Delayed Recall1 and 11 weeksChange in Brief Visuospatial Memory Test-Revised (BVMT-R) Delayed Recall score (the score ranges from 0-6, reflecting the number of shapes recalled after a 25 minute delay)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: QOLIE1 and 11 weeksChange in Quality of Life Inventory in Epilepsy-89 score (QOLIE; score ranges from 0-100; higher scores reflect better quality of life)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: LNS1 and 11 weeksChange in Letter-Number Sequencing score (LNS; score ranges from 0-21; higher scores indicate better performance). The score reflects the number of items that the subject can correctly recall and place in proper alphabetical and numerical sequence.
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Spatial Span1 and 11 WeeksChange in Spatial Span score (score ranges from 0-32; higher scores indicate better performance). Scores indicate the number of spatial sequences correctly recalled, forwards and backwards.
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Span1 and 11 weeksChange in Digit Span score (score ranges from 0-30; higher scores indicate better performance). Scores indicate the number of digit sequences correctly recalled, forwards and backwards.
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Fluency1 and 11 weeksChange in Verbal Fluency score (Score range: lowest score = 0, with no upper limit, reflecting total number of words generated. Higher scores indicate better performance.)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Stroop1 and 11 weeksChange in Stroop score (The score is the time for completion in seconds; less time reflects better performance.)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Design Fluency1 and 11 weeksChange in Design Fluency score (Score range: lowest score = 0; there is no upper limit. A higher score reflects more designs generated, hence better performance.)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Trails Test1 and 11 weeksChange in Trails Test score (The score is the time for completion in seconds. A lower score reflects better performance.)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Reaction Time (CPT RT)1 and 11 weeksChange in Continuous Performance Test Score - Reaction Time, measured in seconds (CPT RT; less time reflects better performance)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Symbol1 and 11 weeksChange in Digit Symbol Score (The score is the number of items completed. A higher score reflects better performance.)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Accuracy1 and 11 weeksChange in Continuous Performance Test Score - Accuracy (CPT; score ranges from 0-100% correct)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Accuracy1 and 11 weeksChange in Choice Accuracy Score (indicate if red or blue stimulus; accuracy 0-100%)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Reaction Time1 and 11 weeksChange in Choice Reaction Time Score, with reaction time measured in seconds (indicate if red or blue stimulus; lower reaction time suggests better performance)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Accuracy1 and 11 weeksChange in Verbal Working Memory Accuracy Score (range 0-100%)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Reaction Time1 and 11 weeksChange in Verbal Working Memory Reaction Time Score, with reaction time measured in seconds (indicates processing speed)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Accuracy1 and 11 weeksChange in Non-verbal Working Memory Accuracy Score (accuracy ranges from 0-100%)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Reaction Time1 and 11 weeksChange in Non-verbal Working Memory Reaction Time Score (indicates processing speed, with reaction time measured in seconds)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Accuracy1 and 11 weeksChange in Verbal Recognition Accuracy Score (accuracy ranges from 0-100%)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Reaction Time1 and 11 weeksChange in Verbal Recognition Reaction Time Score (indicates processing speed, with reaction time measured in seconds)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Accuracy1 and 11 weeksChange in Facial Recognition Accuracy Score (accuracy ranges from 0-100%)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Reaction Time1 and 11 weeksChange in Facial Recognition Reaction Time Score (indicates processing speed, with reaction time measured in seconds)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: NDDIE1 and 11 weeksChange in Neurological Disorders Depression Inventory for Epilepsy (NDDIE) score (scores range from 0-24; higher scores indicate greater depressive symptoms)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Adverse Events Profile (AEP)1 and 11 weeksChange in Adverse Events Profile score (scores range from 19-76; higher scores indicate greater side effects)
Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Grooved Pegboard1 and 11 weeksChange in Grooved Pegboard Score (The score is the time for completion. A lower score reflects better performance.)

Countries

United States

Participant flow

Recruitment details

5 subjects enrolled in the Lamotrigine arm. They underwent study procedures, including EEG. The study aim was to compare subjects with and without frequent discharges on EEG. None of these subjects had frequent discharges, and no additional subjects could be recruited. Hence, planned comparisons could not be made and the data were not analyzed.

Participants by arm

ArmCount
No Treatment
Healthy subjects, not receiving anticonvulsant medication, will undergo repeated EEG/cognitive testing as a control.
15
Levetiracetam
Individuals with epilepsy who will be treated with levetiracetam (LEV). They will complete repeated EEG/cognitive testing pre- and post-treatment to assess the effects of LEV on discharge frequency, discharge duration, and cognitive task performance.
10
Lamotrigine
Individuals with primary generalized epilepsy, who will be treated with lamotrigine (LMT). They will complete repeated EEG/cognitive testing pre- and post-treatment to assess the effects of LMT on discharge frequency, discharge duration, and cognitive task performance.
5
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up320
Overall StudyUnable to place scalp EEG leads100

Baseline characteristics

CharacteristicNo TreatmentLevetiracetamLamotrigineTotal
Age, Continuous31.4 years35.8 years31.4 years35.3 years
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
3 Participants1 Participants0 Participants4 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
11 Participants9 Participants5 Participants25 Participants
Sex: Female, Male
Female
9 Participants5 Participants4 Participants18 Participants
Sex: Female, Male
Male
6 Participants5 Participants1 Participants12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 50 / 12
other
Total, other adverse events
0 / 81 / 51 / 12
serious
Total, serious adverse events
0 / 80 / 50 / 12

Outcome results

Primary

Mean Change in Focal Interictal Discharges (IEDs) Per Hour, Pre to Post Treatment

This descriptive analysis examined the change in interictal discharge rates pre to post-treatment with levetiracetam in subjects with epilepsy and with no treatment in healthy controls.

Time frame: 1 and 11 weeks

Population: In a preliminary analysis, data from 11 healthy controls and 6 subjects with partial-onset epilepsy were evaluated.

ArmMeasureValue (MEAN)Dispersion
No TreatmentMean Change in Focal Interictal Discharges (IEDs) Per Hour, Pre to Post Treatment-28.8 IEDs/hourStandard Deviation 71.8
LevetiracetamMean Change in Focal Interictal Discharges (IEDs) Per Hour, Pre to Post Treatment.54 IEDs/hourStandard Deviation 1.44
Comparison: Change in frequency of IEDs/per hour was assessed for each group (levetiracetam and no treatment)p-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Adverse Events Profile (AEP)

Change in Adverse Events Profile score (scores range from 19-76; higher scores indicate greater side effects)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Adverse Events Profile (AEP)-1.27 scores on a scaleStandard Deviation 6.75
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Adverse Events Profile (AEP)1 scores on a scaleStandard Deviation 9.01
Comparison: This analysis assessed the change in the AEP score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the AEP score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Delayed Recall

Change in Brief Visuospatial Memory Test-Revised (BVMT-R) Delayed Recall score (the score ranges from 0-6, reflecting the number of shapes recalled after a 25 minute delay)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Delayed Recall.36 number recalledStandard Deviation 0.81
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Delayed Recall.33 number recalledStandard Deviation 0.52
Comparison: This analysis assessed the change in the BVMT-R Delayed Recall score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the BVMT-R Delayed Recall score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Learning

Change in Brief Visuospatial Memory Test-Revised (BVMT-R) Learning score (the score ranges from 0-6, reflecting the number of shapes recalled on the initial learning trial)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Learning.45 number recalledStandard Deviation 1.92
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Learning.33 number recalledStandard Deviation 1.63
Comparison: This analysis assessed the change in the BVMT-R Learning score from pre to post time points in the no treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the BVMT-R Learning score from pre to post time points in the levetiracetam treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Total Learning

Change in Brief Visuospatial Memory Test-Revised (BVMT-R) Total Learning score (the score is summed across 3 learning trials, score range 0-18, reflecting the total number of shapes recalled)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Total Learning1.09 number recalledStandard Deviation 3.05
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: BVMT-R Total Learning.17 number recalledStandard Deviation 2.93
Comparison: This analysis assessed the change in the BVMT-R Total Learning score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the BVMT-R Total Learning score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Accuracy

Change in Choice Accuracy Score (indicate if red or blue stimulus; accuracy 0-100%)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Accuracy.02 percentage of correct responsesStandard Deviation 0.01
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Accuracy.1 percentage of correct responses
Comparison: This analysis assessed the change in the Choice Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Reaction Time

Change in Choice Reaction Time Score, with reaction time measured in seconds (indicate if red or blue stimulus; lower reaction time suggests better performance)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Reaction Time34.96 secondsStandard Deviation 51.16
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Choice Reaction Time.45 secondsStandard Deviation 95.62
Comparison: This analysis assessed the change in the Choice Reaction Time score from pre to post time points in the no treatment groupp-value: 0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Accuracy

Change in Continuous Performance Test Score - Accuracy (CPT; score ranges from 0-100% correct)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Accuracy-0.01 percentage of correct responsesStandard Deviation 0.03
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Accuracy.01 percentage of correct responsesStandard Deviation 0.03
Comparison: This analysis assessed the change in the CPT Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CPT Accuracy score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Reaction Time (CPT RT)

Change in Continuous Performance Test Score - Reaction Time, measured in seconds (CPT RT; less time reflects better performance)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Reaction Time (CPT RT)1.04 secondsStandard Deviation 110.54
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CPT Reaction Time (CPT RT)-11.33 secondsStandard Deviation 52.77
Comparison: This analysis assessed the change in the CPT reaction time from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CPT reaction time from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Long Delay

Change in California Verbal Learning Test (CVLT) Long Delay Recall score (the score ranges from 0-16, reflecting the number of words recalled)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Long Delay1.55 number recalledStandard Deviation 3.21
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Long Delay2.67 number recalledStandard Deviation 2.16
Comparison: This analysis assessed the change in the CVLT Long Delay score from pre to post time points in the no treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CVLT Long Delay score from pre to post time points in the levetiracetam treatment group.p-value: 0.045Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Short Delay

Change in California Verbal Learning Test (CVLT) Short Delay Recall Score (the score ranges from 0-16, reflecting the number of words recalled)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Short Delay1.27 number recalledStandard Deviation 2.65
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Short Delay-0.4 number recalledStandard Deviation 2.07
Comparison: This analysis assessed the change in the CVLT Short Delay score from pre to post time points in the no treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CVLT Short Delay score from pre to post time points in the levetiracetam treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Total Learning

Change in California Verbal Learning Test (CVLT) Total Learning Score (the total learning score is summed across 5 learning trials, range 0-80). Higher scores indicate better memory. Scores on the CVLT reflect the number of words recalled.

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Total Learning8.09 number recalledStandard Deviation 8.79
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Total Learning5.5 number recalledStandard Deviation 6.78
Comparison: This analysis assessed the change in the CVLT Total Learning Score from pre to post time points in the no treatment group.p-value: 0.016Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CVLT Total Learning Score from pre to post time points in the levetiracetam treatment group.p-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Trial 1 Learning Score

Change in California Verbal Learning Test (CVLT) Trial 1 learning score (range 0-16; higher score indicates better memory)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Trial 1 Learning Score2.45 scores on a scaleStandard Deviation 1.29
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: CVLT Trial 1 Learning Score2.5 scores on a scaleStandard Deviation 2.88
Comparison: This analysis assessed the change in the CVLT Trial 1 Learning Score from pre to post time points in the no treatment group.p-value: 0.005Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the CVLT Trial 1 Learning Score from pre to post time points in the levetiracetam group.p-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Design Fluency

Change in Design Fluency score (Score range: lowest score = 0; there is no upper limit. A higher score reflects more designs generated, hence better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Design Fluency2.8 scores on a scaleStandard Deviation 4.52
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Design Fluency.83 scores on a scaleStandard Deviation 3.97
Comparison: This analysis assessed the change in the Design Fluency score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Design Fluency score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Span

Change in Digit Span score (score ranges from 0-30; higher scores indicate better performance). Scores indicate the number of digit sequences correctly recalled, forwards and backwards.

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Span.73 number recalledStandard Deviation 4
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Span-.33 number recalledStandard Deviation 2.81
Comparison: This analysis assessed the change in the Digit Span score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Digit Span score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Symbol

Change in Digit Symbol Score (The score is the number of items completed. A higher score reflects better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Symbol3.2 scores on a scaleStandard Deviation 2.78
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Digit Symbol1.5 scores on a scaleStandard Deviation 3.02
Comparison: This analysis assessed the change in the Digit Symbol score from pre to post time points in the no treatment groupp-value: 0.014Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Digit Symbol score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Accuracy

Change in Facial Recognition Accuracy Score (accuracy ranges from 0-100%)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Accuracy.01 percentage of correct responsesStandard Deviation 0.17
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Accuracy.03 percentage of correct responsesStandard Deviation 0.06
Comparison: This analysis assessed the change in the Facial Recognition Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Facial Recognition Accuracy score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Reaction Time

Change in Facial Recognition Reaction Time Score (indicates processing speed, with reaction time measured in seconds)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Reaction Time-66.76 secondsStandard Deviation 168.66
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Facial Recognition Reaction Time.61 secondsStandard Deviation 50.91
Comparison: This analysis assessed the change in the Facial Recognition Reaction Time from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Facial Recognition Reaction Time from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Grooved Pegboard

Change in Grooved Pegboard Score (The score is the time for completion. A lower score reflects better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Grooved Pegboard-4.73 secondsStandard Deviation 18.9
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Grooved Pegboard-4.36 secondsStandard Deviation 23.94
Comparison: This analysis assessed the change in performance on the Grooved Pegboard task from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in performance on the Grooved Pegboard task from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: LNS

Change in Letter-Number Sequencing score (LNS; score ranges from 0-21; higher scores indicate better performance). The score reflects the number of items that the subject can correctly recall and place in proper alphabetical and numerical sequence.

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: LNS.18 scores on a scaleStandard Deviation 1.66
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: LNS-0.5 scores on a scaleStandard Deviation 1.98
Comparison: This analysis assessed the change in the Letter Number Sequencing score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Letter Number Sequencing score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: NDDIE

Change in Neurological Disorders Depression Inventory for Epilepsy (NDDIE) score (scores range from 0-24; higher scores indicate greater depressive symptoms)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: NDDIE0.18 scores on a scaleStandard Deviation 2.52
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: NDDIE1.5 scores on a scaleStandard Deviation 4.28
Comparison: This analysis assessed the change in the NDDIE score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the NDDIE score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Accuracy

Change in Non-verbal Working Memory Accuracy Score (accuracy ranges from 0-100%)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Accuracy-.01 percentage of correct responsesStandard Deviation 0.03
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Accuracy0 percentage of correct responsesStandard Deviation 0.02
Comparison: This analysis assessed the change in the Non-verbal Working Memory Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Non-verbal Working Memory Accuracy score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Reaction Time

Change in Non-verbal Working Memory Reaction Time Score (indicates processing speed, with reaction time measured in seconds)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Reaction Time-31.99 secondsStandard Deviation 85.18
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Non-verbal Working Memory Reaction Time-25.54 secondsStandard Deviation 131.96
Comparison: This analysis assessed the change in the Non-verbal Working Memory Reaction Time from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Non-verbal Working Memory Reaction Time from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: QOLIE

Change in Quality of Life Inventory in Epilepsy-89 score (QOLIE; score ranges from 0-100; higher scores reflect better quality of life)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures. The QOLIE is specific to epilepsy and was only administered in that subject group.

ArmMeasureValue (MEAN)Dispersion
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: QOLIE19.6 scores on a scaleStandard Deviation 27.8
Comparison: This analysis assessed the change in the QOLIE score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Spatial Span

Change in Spatial Span score (score ranges from 0-32; higher scores indicate better performance). Scores indicate the number of spatial sequences correctly recalled, forwards and backwards.

Time frame: 1 and 11 Weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Spatial Span.36 number recalledStandard Deviation 3.08
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Spatial Span-1.67 number recalledStandard Deviation 1.51
Comparison: This analysis assessed the change in the Spatial Span score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Spatial Span score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Stroop

Change in Stroop score (The score is the time for completion in seconds; less time reflects better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Stroop.98 secondsStandard Deviation 12.15
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Stroop-7.3 secondsStandard Deviation 14.19
Comparison: This analysis assessed the change in Stroop performance from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in Stroop performance from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Trails Test

Change in Trails Test score (The score is the time for completion in seconds. A lower score reflects better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Trails Test-9.51 secondsStandard Deviation 18.73
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Trails Test11.29 secondsStandard Deviation 16.4
Comparison: This analysis assessed the change in performance on the Trails Test from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in performance on the Trails Test from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Fluency

Change in Verbal Fluency score (Score range: lowest score = 0, with no upper limit, reflecting total number of words generated. Higher scores indicate better performance.)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Fluency-1.55 scores on a scaleStandard Deviation 11.26
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Fluency-.83 scores on a scaleStandard Deviation 12.95
Comparison: This analysis assessed the change in the Verbal Fluency score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Verbal Fluency score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Accuracy

Change in Verbal Recognition Accuracy Score (accuracy ranges from 0-100%)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Accuracy.02 percentage of correct responsesStandard Deviation 0.11
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Accuracy.14 percentage of correct responsesStandard Deviation 0.27
Comparison: This analysis assessed the change in the Verbal Recognition Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Verbal Recognition Accuracy score from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Reaction Time

Change in Verbal Recognition Reaction Time Score (indicates processing speed, with reaction time measured in seconds)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Reaction Time2.98 secondsStandard Deviation 93.5
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Recognition Reaction Time-6.1 secondsStandard Deviation 98.44
Comparison: This analysis assessed the change in the Verbal Recognition Reaction Time from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Verbal Recognition Reaction Time from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Accuracy

Change in Verbal Working Memory Accuracy Score (range 0-100%)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Accuracy0 percentage of correct responsesStandard Deviation 0.02
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Accuracy-.02 percentage of correct responsesStandard Deviation 0.02
Comparison: This analysis assessed the change in the Verbal Working Memory Accuracy score from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Verbal Working Memory Accuracy score from pre to post time points in the levetiracetam treatment groupp-value: 0.039Wilcoxon Signed Ranks Test
Secondary

Performance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Reaction Time

Change in Verbal Working Memory Reaction Time Score, with reaction time measured in seconds (indicates processing speed)

Time frame: 1 and 11 weeks

Population: Not all subjects completed each neuropsychological test (e.g., lack of time, fatigue, computer issues); hence, the number analyzed may differ across outcome measures.

ArmMeasureValue (MEAN)Dispersion
No TreatmentPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Reaction Time-54.76 secondsStandard Deviation 112.04
LevetiracetamPerformance on Neuropsychological Batteries and Computerized Cognitive Testing: Verbal Working Memory Reaction Time-9.36 secondsStandard Deviation 155.16
Comparison: This analysis assessed the change in the Verbal Working Memory Reaction Time from pre to post time points in the no treatment groupp-value: >0.05Wilcoxon Signed Ranks Test
Comparison: This analysis assessed the change in the Verbal Working Memory Reaction Time from pre to post time points in the levetiracetam treatment groupp-value: >0.05Wilcoxon Signed Ranks Test

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026