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CompletedNCT00236886Updated Apr 28, 2010

Prospective Pilot Study on Metabolism and Weight Changes in Topiramate-Treated Epilepsy Patients

A Phase 3 interventional study of topiramate in Epilepsy, Epilepsies, Partial and Epilepsy, Generalized, sponsored by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.. Completed. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2010-04-28.

Sponsored by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
49
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
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Study summary

The purpose of this study is to assess a possible predictor for weight loss seen in epilepsy patients treated with topiramate.

Read the detailed description

Topiramate has been shown to be an effective anti-epileptic medication with a good safety profile. In clinical trials, some patients have experienced substantial weight loss. This prospective single center, open, pilot study will investigate whether there is any metabolic predictor for the weight loss. The patients will receive daily oral dose of topiramate in addition to anti-epileptic medications already prescribed by their physicians. A battery of metabolic tests including Body Mass Index (BMI), lean body mass, blood lipids and fasting glucose in tandem with other examinations will be taken before dispensing of topiramate, after 3 months and at the final visit. The study hypothesis is metabolic test results will provide a predictor of weight loss with topiramate. Patients will receive between 25 to 400mg daily of topiramate by mouth in addition to current anti-epileptic medications for up to 1 year. Dose will be adjusted (up to 1000 mg daily) by the investigators depending on the patients' clinical response.

02

Conditions studied

  • Epilepsy
  • Epilepsies, Partial
  • Epilepsy, Generalized
  • Seizures

Keywords

  • Epilepsy
  • Partial Epilepsy
  • Secondary Generalized Epilepsy
  • Primary Generalized Epilepsy
  • Tonic-Clonic Seizures
  • Topiramate
  • Weight Loss
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In context

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 422 are open to participants now.

This study's enrollment of 49 is close to the median of 50 across 1,239 interventional studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

Johnson & Johnson Pharmaceutical Research & Development, L.L.C. is the lead sponsor of 465 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • A diagnosis of partial onset epilepsy, with or without secondary generalization. Patients with a diagnosis of epilepsy characterized by primary generalized tonic-clonic seizures may also qualify
  • Currently taking one or more anti-epileptic medications on a stable dose for one month
  • Weight between 40 and 130 kg (88 to 286 lbs)
  • Female patients must be for at least 1 year, surgically incapable of childbearing, practicing an acceptable method of (requires negative pregnancy test).

Exclusion criteria

Exclusion Criteria:

  • Patients with rapidly progressive disorders that may impair their weight or their reliable participation in the study
  • Patients prone to severe malabsorption and/or metabolic disorders
  • Patients who have mental retardation or impairment which would confound the interpretation of this study
  • History (within the past six months) of a psychiatric or mood disorder requiring medical treatment
  • History of poor compliance with past anti-epileptic drug therapy
  • Suicide attempt in the past five years
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
49 participants (actual)

Interventions

06

What researchers measure

Primary outcomes

  1. Metabolic test battery including Body Mass Index (BMI), lean body mass, blood lipids and fasting glucose along with physical examinations (including body weights) will be recorded at the beginning of the trial, after 3 months and after one year

Secondary outcomes

  1. Safety evaluations (vital signs, physical exams, electrocardiogram, incidence and severity of adverse events) will be conducted throughout the study; Seizure frequency will be monitored throughout the study

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Ben-Menachem E, Axelsen M, Johanson EH, Stagge A, Smith U. Predictors of weight loss in adults with topiramate-treated epilepsy. Obes Res. 2003 Apr;11(4):556-62. doi: 10.1038/oby.2003.78. PubMed 12690085 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00236886
First posted
Oct 12, 2005
Start date
May 1998
Completion
Jun 2000
Last update
Apr 28, 2010

Study contacts

Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial
study director · Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2010. You cannot join it, but the record below documents what was studied.

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