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
- Contact Person Email
- pierre.garnier@chu-st-etienne.fr
- 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
- Contact Person Email
- Charlotte.CORDONNIER@chu-lille.fr
- 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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