The study is a prospective, multi-center, open-label clinical trial. Study's purpose is to characterize the pharmacokinetics and safety of four oral anti-epileptics drugs (levetiracetam, valproic acid \[divalproex sodium ER or immediate release formulation if inadequate enrollment}, topiramate, and oxcarbazepine) in a non-randomized sample of obese children and adolescents. The study's duration will be up to eleven days (up to seven days of screening and four days of pharmacokinetic sampling). Eligible participants ages 2 to 18 years will be identified through outpatient clinic schedules and inpatient admissions at each clinic site. Participants receiving at least one of the study drugs per local standard of care will have pharmacokinetic concentrations in plasma drawn according to the specific dosing schedule for each drug. Other study measures include demographics, BMI, waist/hip ratio, medical history, concomitant medication history, documentation of study drug oral intake, adverse effects, and physical examination. The sample size will include 24 participants for each anti-epileptic drug (total 96).
Study Type
OBSERVATIONAL
Enrollment
106
The Children's Hospital Colorado
Aurora, Colorado, United States
Nemours Alfred I. DuPont Hospital for Children
Wilmington, Delaware, United States
Childrens Healthcare of Atlanta
Atlanta, Georgia, United States
Ann and Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
University of Louisville Norton Childrens Hospital
Louisville, Kentucky, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
Duke University Health System
Durham, North Carolina, United States
Coastal Children's Services
Wilmington, North Carolina, United States
Oregon Health and Science University
Portland, Oregon, United States
University of Texas Southwestern Medical Center Dallas
Dallas, Texas, United States
Steady-state pharmacokinetics area under the curve
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics maximum concentration
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics time to reach maximum concentration
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics oral apparent volume of distribution
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics half life
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics oral apparent clearance
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Steady-state pharmacokinetics absorption rate constant
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
Serious adverse events
Time frame: Up to 14 days (up to 7 days of screening and 7 days of pharmacokinetic sampling)
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