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CompletedNCT04511676Updated Aug 13, 2020

The Study of Pharmacokinetics of Levetiracetam in Patients Undergoing Intermittent Hemodialysis

An observational study in Seizures, sponsored by Phramongkutklao College of Medicine and Hospital. Completed at 1 site in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-08-13.

Sponsored by Phramongkutklao College of Medicine and Hospital · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
12
Ages
18 Years and older
Sex
All
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Study summary

Levetiracetam (LEV) is one of second-generation antiepileptic drugs that has been used to treat partial and generalized epilepsy. LEV is eliminated from the systemic circulation by renal excretion. Therefore, patients with renal impairment may experience a reduced drug excretion and increased adverse drug reactions. Moreover, patients with end-stage renal disease who need dialysis may experience low serum LEV concentration because of drug loss via dialysis. LEV loss via dialysis can cause low serum level of LEV that insufficient for seizure control. The present study was aimed to evaluate pharmacokinetics of LEV in patients undergoing 4 hour-intermittent hemodialysis (IHD). The results of the study may benefit to determine the appropriate LEV initial dose and supplemental dose for patients undergoing IHD.

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Conditions studied

  • Seizures

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Keywords

  • Levetiracetam
  • Pharmacokinetics
  • Hemodialysis
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In context

Seizures

881 studies on the registry are indexed under Seizures; 143 are open to participants now.

This study's enrollment of 12 is below the median of 150 across 235 observational studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

Phramongkutklao College of Medicine and Hospital is the lead sponsor of 36 studies on the registry; 7 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who were admitted to Phramongkutklao Hospital as inpatients.

Inclusion criteria

  1. Patients who were at least 18 years old.
  2. Patients who were diagnosed with seizure.
  3. Patients who were undergoing intermittent hemodialysis and were treated with intravenous Levetiracetam not less than 2 days

Exclusion criteria

Exclusion Criteria:

  1. Patients who were pregnant or lactating
  2. Patients who were treated with intravenous Levetiracetam more than once a day
  3. Patients who were undergoing sustained low efficiency dialysis (SLED)
  4. Patients who have intermittent dialysis duration less than 3 hours
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
12 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: Immediately before an initiation of an intermittent hemodialysis session

  2. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: 1 hour after an initiation of an intermittent hemodialysis session

  3. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: 2 hour after an initiation of an intermittent hemodialysis session

  4. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: 3 hour after an initiation of an intermittent hemodialysis session

  5. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: 4 hour after an initiation of an intermittent hemodialysis session

  6. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: Before an administration of Levetiracetam post-hemodialysis supplemental dose

  7. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on dialysis day

    Time frame: 1 hour after finishing an administration of Levetiracetam post-hemodialysis supplemental dose

Secondary outcomes

  1. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on non-dialysis day.

    Time frame: Immediately before Levetiracetam administration

  2. Plasma concentration of Levetiracetam

    Measured Levetiracetam plasma concentration (mcg/mL) of the subjects on non-dialysis day.

    Time frame: 1 hour after finishing Levetiracetam administration

  3. Number of participants with adverse drug reactions from Levetiracetam

    Observed signs and symptoms of Levetiracetam adverse drug reactions after participants were administered with Levetiracetam.

    Time frame: From the first day that participants were included to the study and treated with Levetiracetam until the date of the last point of serum Levetiracetam sampling, assessed up to 3 days

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Study locations

1 site
  • Pharmongkutklao Hospital
    Ratchathewi, Bangkok 10400, Thailand
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References and documents

Publications

  • Patsalos PN. Pharmacokinetic profile of levetiracetam: toward ideal characteristics. Pharmacol Ther. 2000 Feb;85(2):77-85. doi: 10.1016/s0163-7258(99)00052-2. PubMed 10722121 ↗
  • Patsalos PN. Clinical pharmacokinetics of levetiracetam. Clin Pharmacokinet. 2004;43(11):707-24. doi: 10.2165/00003088-200443110-00002. PubMed 15301575 ↗
  • Smetana KS, Cook AM, Bastin ML, Oyler DR. Antiepileptic dosing for critically ill adult patients receiving renal replacement therapy. J Crit Care. 2016 Dec;36:116-124. doi: 10.1016/j.jcrc.2016.06.023. Epub 2016 Jul 5. PubMed 27546759 ↗
  • Engelbrecht L, Grobler CJ, Rheeders M. A simple and cost-effective HPLC-UV method for the detection of levetiracetam in plasma/serum of patients with epilepsy. Biomed Chromatogr. 2017 Oct;31(10). doi: 10.1002/bmc.3969. Epub 2017 Apr 20. PubMed 28294369 ↗
  • Jarvie D, Mahmoud SH. Therapeutic Drug Monitoring of Levetiracetam in Select Populations. J Pharm Pharm Sci. 2018;21(1s):149s-176s. doi: 10.18433/jpps30081. PubMed 30096051 ↗
  • Yamamoto J, Toublanc N, Kumagai Y, Stockis A. Levetiracetam pharmacokinetics in Japanese subjects with renal impairment. Clin Drug Investig. 2014 Nov;34(11):819-28. doi: 10.1007/s40261-014-0237-7. PubMed 25312351 ↗
  • Shiue HJ, Taylor M, Sands KA. Comparison of Levetiracetam Dosing Regimens in End-Stage Renal Disease Patients Undergoing Intermittent Hemodialysis. Ann Pharmacother. 2017 Oct;51(10):862-865. doi: 10.1177/1060028017713294. Epub 2017 Jun 5. PubMed 28582998 ↗
  • Wieruszewski PM, Kashani KB, Rabinstein AA, Frazee E. Levetiracetam Pharmacokinetics in a Critically Ill Anephric Patient on Intermittent Hemodialysis. Neurocrit Care. 2018 Apr;28(2):243-246. doi: 10.1007/s12028-017-0441-4. PubMed 28828726 ↗
  • Company-Albir MJ, Ruiz-Ramos J, Solana Altabella A, Marques-Minana MR, Vicent C, Poveda JL. Haemodialysis significantly reduces serum levetiracetam levels inducing epileptic seizures: Case report. J Clin Pharm Ther. 2017 Dec;42(6):774-775. doi: 10.1111/jcpt.12568. Epub 2017 May 28. PubMed 28555936 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04511676
Lead sponsor
Phramongkutklao College of Medicine and Hospital
Collaborators
Silpakorn University
Responsible party
Sponsor
First posted
Aug 13, 2020
Start date
Nov 1, 2018
Primary completion
Oct 10, 2019
Completion
Oct 10, 2019
Last update
Aug 13, 2020

Study contacts

Pasiri Sithinamsuwan, MD
study chair · Pharmongkutklao Hospital and College of Medicine
Daraporn Rungprai, BCP
study director · Faculty of Pharmacy, Silpakorn University
Juthathip Suphanklang, BCP
study director · Faculty of Pharmacy, Silpakorn University
Wongsakorn Promken, B Pharm
principal investigator · The College of Pharmacotherapy of Thailand

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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