Epilepsy, Rolandic Clinical Trial
Official title:
A Randomized, Open Label, Comparative, Multi-center Clinical Trial to Determine the Efficacy and Safety of Topiramate Comparing With Carbamazepine in Benign Rolandic Epilepsy.
The purpose of this study is to determine the efficacy and safety of Topiramate in comparison to Carbamazepine in Benign rolandic epilepsy.
Benign rolandic epilepsy (BRE) is a common seizure disorder confined solely to children. The
disorder is marked clinically by nocturnal generalized tonic-clonic seizures and diurnal
seizures consisting of simple partial seizures consisting of brief unilateral facial clonic
activity, dysphasia, and drooling. The EEG abnormalities are unique, consisting of generally
high amplitude, centrotemporal spikes that are activated by sleep. The seizures typically
begin in the first decade and almost always stop by age 16 years. The seizures are usually
infrequent although clusters of seizures do occur. When the physician elects to treat, the
seizures are usually easily controlled. This is a randomized, open label, active controlled,
multi-center based clinical trial to determine the efficacy and safety of Topiramate
comparing with Carbamazepine in Benign rolandic epilepsy. The study hypothesis is that
topiramate will be more effective in treatment of Benign rolandic epilepsy than
Carbamazepine, as evaluated by seizure-free rate at 24 weeks and Intellectual Functioning :
KEDI-WISC (Korean Educational Development Institute Wechsler Intelligence Scale for
Children-Revised) and is generally well-tolerated.
Topiramate (target dose) 4mg/kg/day, B.I.D, oral, for 24 weeks, carbamazepine(target dose)
30mg/kg/day, B.I.D, oral, for 24 weeks.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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