Glioma patients with a first epileptic seizure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Histologically proven or suspected diffuse astrocytoma (Isocytrate Dehydrogenase-1 (IDH-1) wildtype or IDH-1 mutated), diffuse oligodendroglioma (IDH-1 mutated and 1p/19q co-deleted), anaplastic astrocytoma (IDH-1 wildtype or IDH-1 mutated), anaplastic oligodendroglioma (IDH-1 mutated and 1p/19q co-deleted), glioblastoma (IDH-1 wild-type or IDH-1 mutated), or diffuse astrocytoma not otherwise specified (NOS), anaplastic astrocytoma NOS, oligodendroglioma NOS, oligoastrocytoma NOS, anaplastic oligoastrocytoma NOS, anaplastic oligodendroglioma NOS or glioblastoma NOS. - Adult patients: ¡Ý18 years of age - First epileptic seizure, no longer than 2 weeks ago - Monotherapy with antiepileptic drugs is considered most appropriate at the time of randomization - Willing to provide written informed consent
Exclusion criteria
Exclusion criteria: - Previously treated with antiepileptic drugs, except emergency treatment in the past 2 weeks - History of non-brain tumor related epilepsy - Pregnancy - History of a status epilepticus - Presence of contra-indications for use of levetiracetam or valproic acid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the percentage of patients with ongoing seizure freedom at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| - time to 6 month seizure freedom - seizure outcome at 12 months - level of toxicity and hospitalization rate due to treatment failure - impact of seizures on HRQoL, cognitive complaints, anxiety/depression and performance status - burden of epilepsy - treatment response (e.g., maximum dosage of AED, use of add-on AED). - progression-free and overall survival - burden of epilepsy - treatment response (e.g., maximum dosage of anti-epileptic drug, use of add-on anti-epileptic drug). - progression-free and overall survival | — |
Contacts
Department of Neurology, Leiden University Medical Center