Spots Global Cancer Trial Database for Lacosamide in Preventing Seizures in Participants With Malignant Glioma

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Trial Identification

Brief Title: Lacosamide in Preventing Seizures in Participants With Malignant Glioma

Official Title: Randomized, Double-Blind, Placebo-Controlled Trial of Lacosamide for Seizure Prophylaxis in Patients With High-Grade Gliomas

Study ID: NCT01432171

Conditions

Malignant Glioma

Interventions

Lacosamide

Placebo

Study Description

Brief Summary: This trial studies how well lacosamide works in preventing seizures in participants with malignant glioma. Anti-seizure drugs, such as lacosamide, may decrease abnormal electrical activity in the brain that plays a role in developing seizures.

Detailed Description: PRIMARY OBJECTIVES: I. To determine if prophylactic administration of Lacosamide reduces the risk of seizures in patients with high-grade glioma (HGG). SECONDARY OBJECTIVES: I. To determine the one-year risk of first seizure in this patient population. II. To evaluate patient reported symptoms. EXPLORATORY OBJECTIVES: I. To investigate clinical and electroencephalographic predictors of seizures in this patient population. II. To evaluate the occurrence of symptoms and correlate to seizure activity as well as tolerance to treatment using the MD Anderson Symptom Inventory-Brain Tumor Module (MDASI-BT) self-reporting tool. OUTLINE: Participants are randomized to 1 of 2 arms. ARM I (LACOSAMIDE): Participants receive lacosamide orally (PO) twice a day (BID) for up to 1 year. Treatment continues in the absence of disease progression or unacceptable toxicity. ARM II (PLACEBO): Participants receive a placebo PO BID for up to 1 year. Treatment continues in the absence of disease progression or unacceptable toxicity. After completion of study treatment, participants are followed up every 3 months for 5 years.