Neonatal Seizure
Conditions
Brief summary
The pharmacogenomic profiles of drug metabolizing enzymes play an important role in pharmacokinetics (PK) of drugs. Phenobarbital (PB), worldwidely used for neonatal seizure, is a drug that requires careful dose adjustments based on therapeutic drug monitoring. It was reported that phenobarbital (PB) metabolism was affected by CYP2C9 and CYP2C19 polymorphisms in adults. This study aims to evaluate the effects of the CYP2C9 and CYP2C19 genetic polymorphisms on PB PK in infants with neonatal seizure for an optimal dosing strategy.
Interventions
phenobarbital 20mg/kg iv infusion, after 24hours of loading, 2.5mg/kg bid daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Infant treated by phenobarbital monotherapy, diagnosed neonatal seizure * Infant taken the drug concentration one more time * given the informed consent
Exclusion criteria
* progressed CNS disorder * severe systemic illness * GOT/GPT level more than 2times of normal value,more than 3times elevation of BUN/creatinine level * congenital hemolytic anemia * genetic disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pb drug concentration | 48 hours after administering phenobarbital | pb drug concentration, CYP2C9/CYP2C19 polymorphism |