Prospective Open-Label, Single-Arm, Multicenter, Safety, Tolerability, and Pharmacokinetic Studies of Intravenous Levetiracetam in Children With Epilepsy

被引:21
作者
Weinstock, Arie [1 ]
Ruiz, Matilde [2 ]
Gerard, Danielle [3 ]
Toublanc, Nathalie [4 ]
Stockis, Armel [4 ]
Farooq, Osman [1 ]
Dilley, Deanne [5 ]
Karmon, Yuval [1 ]
Elgie, Mary Jo [1 ]
Schiemann-Delgado, Jimmy [5 ]
机构
[1] SUNY Buffalo, Buffalo, NY 14260 USA
[2] Inst Nacl Pediat, Coyoacan, Mexico
[3] UCB Pharma, Brussels, Belgium
[4] UCB Pharma, Braine Lalleud, Belgium
[5] UCB Pharma, Raleigh, NC USA
关键词
intravenous; levetiracetam; pharmacokinetics; epilepsy; PARTIAL-ONSET SEIZURES; ADJUNCTIVE LEVETIRACETAM; STATUS EPILEPTICUS; INFUSION; THERAPY; VALPROATE; EFFICACY; PLACEBO; TABLETS;
D O I
10.1177/0883073813480241
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Levetiracetam given via intravenous administration has been shown to be an effective alternative in adults with epilepsy when oral administration is not feasible. This study was a prospective single-arm, multicenter study to assess tolerability, safety, and pharmacokinetics of intravenous levetiracetam in children with epilepsy. Children with epilepsy ages 1month to 16 years requiring intravenous levetiracetam were enrolled. Assessments included vital signs, electrocardiogram, hematology, chemistry, plasma concentrations of antiepileptic medications, weight, physical/neurological examinations, and pharmacokinetics. A total of 52 patients were enrolled. Mild to moderate treatment-emergent adverse events occurred in 63%, the most frequent being pyrexia and dry mouth. Most other treatment-emergent adverse events were considered unrelated to intravenous levetiracetam administration. Therefore, intravenous levetiracetam in the acute setting was overall well tolerated in children 1month to 16 years.
引用
收藏
页码:1423 / 1429
页数:7
相关论文
共 17 条
[1]
Intravenous levetiracetam in critically ill children with status epilepticus or acute repetitive seizures [J].
Abend, Nicholas S. ;
Monk, Heather M. ;
Licht, Daniel J. ;
Dlugos, Dennis J. .
PEDIATRIC CRITICAL CARE MEDICINE, 2009, 10 (04) :505-510
[2]
Levetiracetam intravenous infusion as an alternative to oral dosing in patients with partial-onset seizures [J].
Baulac, Michel ;
Brodie, Martin J. ;
Elger, Christian E. ;
Krakow, Karsten ;
Stockis, Armel ;
Meyvisch, Paul ;
Falter, Ursula .
EPILEPSIA, 2007, 48 (03) :589-592
[3]
Prospective assessment of levetiracetam pharmacokinetics during dose escalation in 4-to 12-year-old children with partial-onset seizures on concomitant carbamazepine or valproate [J].
Fountain, Nathan B. ;
Conry, Joan A. ;
Rodriguez-Leyva, Ildefonso ;
Gutierrez-Moctemma, Juvenal ;
Salas, Edubijes ;
Coupez, Rene ;
Stockis, Armel ;
Lu, Zhihong .
EPILEPSY RESEARCH, 2007, 74 (01) :60-69
[4]
Intravenous levetiracetam in children with epilepsy [J].
Goraya, Jatinder S. ;
Khurana, Divya S. ;
Valencia, Ignacio ;
Melvin, Joseph J. ;
Cruz, Marcos ;
Legido, Agustin ;
Kothare, Sanjeev V. .
PEDIATRIC NEUROLOGY, 2008, 38 (03) :177-180
[5]
Efficacy and Safety of Adjunctive Levetiracetam Therapy in Pediatric Intractable Epilepsy [J].
Lee, Yun Jin ;
Kang, Hoon-Chul ;
Kim, Heung Dong ;
Lee, Joon Soo .
PEDIATRIC NEUROLOGY, 2010, 42 (02) :86-92
[6]
Efficacy and Safety of Levetiracetam as an Add-On Therapy in Children Aged Less Than 4 Years With Refractory Epilepsy [J].
Li, Sixiu ;
Cao, Jie ;
Xiao, Nong ;
Cai, Fangcheng .
JOURNAL OF CHILD NEUROLOGY, 2010, 25 (05) :609-613
[7]
Meta-Analysis of Randomized Trials on First Line and Adjunctive Levetiracetam [J].
Lo, Benjamin W. Y. ;
Kyu, Hmwe H. ;
Jichici, Draga ;
Upton, Adrian M. ;
Akl, Elie A. ;
Meade, Maureen O. .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2011, 38 (03) :475-486
[8]
Intravenous Levetiracetam In Children With Seizures: A Prospective Safety Study [J].
Ng, Yu-tze ;
Hastriter, Eric V. ;
Cardenas, Javier F. ;
Khoury, Emily M. ;
Chapman, Kevin E. .
JOURNAL OF CHILD NEUROLOGY, 2010, 25 (05) :551-555
[9]
Efficacy and tolerability of high oral doses of Levetiracetam in children with epilepsy [J].
Obeid, Makram ;
Pong, Amanda W. .
EPILEPSY RESEARCH, 2010, 91 (01) :101-105
[10]
Intravenous valproate as an innovative therapy in seizure emergency situations including status epilepticus - experience in 102 adult patients [J].
Peters, CNA ;
Pohlmann-Eden, B .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2005, 14 (03) :164-169