Clinical trial • Phase III • Neurology

Levetiracetam for Intracerebral haemorrhage

Phase III trial of Levetiracetam for Intracerebral haemorrhage.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Intracerebral haemorrhage
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
02-12-2025
First CTIS Authorization Date
02-04-2026

Trial design

Randomised, placebo arms: 'lévétiracetam 125mg placebo' and 'levetiracetam 100mg/ml' (placebo matching levetiracetam). dose/schedule not specified in ctis data.-controlled Phase III trial across 15 sites in France.

Randomised
Yes
Comparator
Placebo arms: 'Lévétiracetam 125mg PLACEBO' and 'lEVETIRACETAM 100MG/ML' (placebo matching levetiracetam). Dose/schedule not specified in CTIS data.
Target Sample Size
580
Trial Duration For Participant
365

Eligibility

Recruits 580 isVulnerablePopulationSelected = true. Consent may be provided 'by the patient or his/her impartial witness' (inclusion criterion). Patients 'Being under legal protection' are excluded. Subject information and informed consent forms (L1 documents) exist for adult patient, adult close, pregnant women and 'Titulaires autorite parentale' (documents listed in CTIS)..

Pregnancy Exclusion
Pregnancy or breastfeeding
Vulnerable Population
isVulnerablePopulationSelected = true. Consent may be provided 'by the patient or his/her impartial witness' (inclusion criterion). Patients 'Being under legal protection' are excluded. Subject information and informed consent forms (L1 documents) exist for adult patient, adult close, pregnant women and 'Titulaires autorite parentale' (documents listed in CTIS).

Inclusion criteria

  • {"criterion_text":"- Age ≥ 18 years\n- Spontaneous (non-traumatic) supratentorial intracerebral haemorrhage diagnosed by brain CT or MRI\n- Onset of neurologic symptoms within 24 hours\n- NIHSS score on admission ≤ 25\n- Informed consent given by the patient or his/her impartial witness\n- Patients benefiting from a social insurance system or a similar system"}

Exclusion criteria

  • {"criterion_text":"- Intracerebral haemorrhage known or suspected by study investigator to be secondary to trauma, vascular malformation, haemorrhagic transformation of ischaemic stroke, or cerebral tumour\n- Current use of antiseizure drugs or history of epilepsy\n- Severe renal insufficiency (creatinine clearance < 30 ml/min)\n- Pregnancy or breastfeeding\n- Previous history of severe depression, or psychotic disorder or suicidal attempt\n- - Known terminal illness\n- Known allergy or hypersensitivity to Levetiracetam or other pyrrolidone derivatives, or any of the excipients.\n- Known allergy or hypersensitivity to microcrystalline cellulose or lactose\n- Being under legal protection\n- Patients with inaugural seizures at the onset of symptoms associated with intracerebral hemorrhage\n- Patients with QTc prolongation\n- Patients who have been part of a clinical study involving another investigational product in the previous 30 days or within 5 half-lives of the other investigational product prior to Screening, whichever is longer, or participant is currently receiving an investigational product\n- Patients taking probenecid, methotrexate or macrogol"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Functional status (death or dependency) at 6 months will be measured by the modified Rankin Scale (mRS), using ordinal logistic regression, adjusted for the stratification criterion. The mRS score will be measured during a face-to-face or remotely (if needed because of patients’ clinical status) with a standardised guided interview by a certified stroke neurologist or a certified clinical research associate (only remotely) at the 6 month-follow up visit, blinded to the patient study group.","definition_or_measurement_approach":"Measured by the modified Rankin Scale (mRS) at 6 months; analysis using ordinal logistic regression adjusted for the stratification criterion. mRS assessed face-to-face or remotely with a standardised guided interview by a certified stroke neurologist or a certified clinical research associate (remote assessments only), blinded to treatment allocation."}

Secondary endpoints

  • {"endpoint_text":"- number of clinical seizures within 72 h and at 1, 6 and 12 months","definition_or_measurement_approach":"Count of clinical seizures assessed at 72 hours and at 1, 6 and 12 months"}
  • {"endpoint_text":"- change in National Institute of Health Stroke Scale (NIHSS, 11 items version) score between inclusion and 72 h and 6 months.","definition_or_measurement_approach":"Change in NIHSS (11-item) from baseline to 72 hours and to 6 months"}
  • {"endpoint_text":"- cognitive impairment assessed by the Montreal Cognitive Assessment (MoCA) version 8.3 at 6 months.","definition_or_measurement_approach":"MoCA v8.3 score at 6 months"}
  • {"endpoint_text":"- Cognitive complaint assessed by the Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) version 3 at 6 months.","definition_or_measurement_approach":"FACT-Cog v3 scores (four subscales) at 6 months"}
  • {"endpoint_text":"- Quality of life assessed by the EuroQol - 5D-5L (EQ-5D-5L) at 6 and 12 months.","definition_or_measurement_approach":"EQ-5D-5L dimension scores, VAS and utility score at 6 and 12 months"}
  • {"endpoint_text":"- modified Rankin Scale (mRS) score at 12 months","definition_or_measurement_approach":"mRS assessed at 12 months"}
  • {"endpoint_text":"- Change in intracerebral haemorrhage volume (cc) and mass effect (mm) defined as midline shift on control brain imaging at 72 hours","definition_or_measurement_approach":"Change in hemorrhage volume (cc) and midline shift (mm) on control brain imaging at 72 hours"}
  • {"endpoint_text":"- Frequency of side effects related to treatment at 1 and 6 months","definition_or_measurement_approach":"Treatment-related adverse event frequency assessed at 1 and 6 months"}
  • {"endpoint_text":"- Frequency of pneumonia at 1 month","definition_or_measurement_approach":"Incidence of pneumonia at 1 month"}
  • {"endpoint_text":"- Frequency of delirium at 1 month","definition_or_measurement_approach":"Incidence of delirium at 1 month"}
  • {"endpoint_text":"- anxiety and depression evaluated with the Hospital Anxiety and Depression Scale (HADS) at one and 6 months.","definition_or_measurement_approach":"HADS scores at 1 and 6 months"}
  • {"endpoint_text":"- all-cause mortality at 1, 6 and 12 months","definition_or_measurement_approach":"All-cause mortality rates assessed at 1, 6 and 12 months"}

Recruitment

Planned Sample Size
580
Recruitment Window Months
48
Consent Approach
Informed consent is required: 'Informed consent given by the patient or his/her impartial witness' (inclusion criterion). CTIS includes Subject Information and Informed Consent Forms (L1) for adult patient, adult close, pregnant women and 'Titulaires autorite parentale'. Trial documents include French translations of the title/summary; specific languages of consent forms not fully enumerated in CTIS JSON.

Geography

Total Number Of Sites
15
Total Number Of Participants
580

France

Earliest CTIS Part Ii Submission Date
13-03-2026
Latest Decision Or Authorization Date
02-04-2026
Processing Time Days
20
Number Of Sites
15
Number Of Participants
580

Sites

Site Name
Centre Hospitalier Universitaire De Saint Etienne
Department Name
Unité Neuro Vasculaire
Contact Person Name
Pierre GARNIER
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Département de Neurologie
Contact Person Name
Caroline ARQUIZAN
Contact Person Email
c-arquizan@chu-montpellier.fr
Site Name
Centre Hospitalier Sud Francilien
Department Name
Unité Neuro Vasculaire
Contact Person Name
Frédéric PHILIPPEAU
Contact Person Email
frederic.philippeau@chsf.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Unité Neuro Vasculaire
Contact Person Name
Nicolas RAPOSO
Contact Person Email
raposo.n@chu-toulouse.fr
Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
Unité Neuro Vasculaire
Contact Person Name
Olivier DETANTE
Contact Person Email
ODetante@chu-grenoble.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Unité Neuro Vasculaire
Contact Person Name
Charlotte CORDONNIER
Site Name
Les Hopitaux Nord-Ouest
Department Name
Unité Neuro Vasculaire
Contact Person Name
Serkan CAKMAK
Contact Person Email
SCakmak@lhopitalnordouest.fr
Site Name
Pellegrin Hospital
Department Name
Unité Neuro Vasculaire
Contact Person Name
Igor SIBON
Contact Person Email
igor.sibon@chu-bordeaux.fr
Site Name
CHU Besancon
Department Name
Unité Neuro Vasculaire
Contact Person Name
Fabrice VUILLIER
Contact Person Email
fvuillier@chu-besancon.fr
Site Name
Centre Hospitalier Universitaire De Caen Normandie
Department Name
Service de Neurologie, Niveau 13
Contact Person Name
Julien COGEZ
Contact Person Email
cogez-j@chu-caen.fr
Site Name
Centre Hospitalier Regional De Marseille
Department Name
Unité Neuro Vasculaire
Contact Person Name
Laurent SUISSA
Contact Person Email
laurent.suissa@ap-hm.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Unité Neuro Vasculaire
Contact Person Name
Gaspard GERSCHENFELD
Contact Person Email
gaspard.gerschenfeld@aphp.fr
Site Name
Centre Hospitalier Valence
Department Name
Service Neurologie
Contact Person Name
Karine B BLANC LASSERRE
Contact Person Email
kblancla@ch-valence.fr
Site Name
Centre Hospitalier Universitaire De Dijon
Department Name
Unité Neuro Vasculaire
Contact Person Name
Yannick BEJOT
Contact Person Email
yannick.bejot@chu-dijon.fr
Site Name
Hospices Civils De Lyon
Department Name
Unité Neuro Vasculaire
Contact Person Name
LAURENT DEREX
Contact Person Email
laurent.derex@chu-lyon.fr

Sponsor

Primary sponsor

Full Name
Hospices Civils De Lyon
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
Keppra 250 mg film-coated tablets
Active Substance
Levetiracetam
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Marketing authorisation EU/1/00/146/001
Starting Dose
250 mg (as per product name)
Maximum Dose
36 mg
Investigational Product Name
Keppra 100 mg/ml concentrate for solution for infusion
Active Substance
Levetiracetam
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation EU/1/00/146/033
Starting Dose
100 mg/ml (as per product name)
Maximum Dose
100 mg/ml
Investigational Product Name
Lévétiracetam 125mg PLACEBO
Modality
Other
Starting Dose
125 mg (placebo, as per product name)
Investigational Product Name
lEVETIRACETAM 100MG/ML
Modality
Other
Starting Dose
100 mg/ml (placebo, as per product name)

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