Title

Progesterone vs Placebo Therapy for Women With Epilepsy
Phase 3 Study of Progesterone vs Placebo Therapy
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    progesterone ...
  • Study Participants

    294
The purpose of this investigation was to determine if cyclic adjunctive progesterone supplement is superior to placebo in the treatment of intractable seizures in women with and without catamenial epilepsy.
This is a 6-month study. The first 3 months will gather baseline information on seizures, antiepileptic drug levels , menstrual cycles, hormone levels, emotional function, and quality of life. The second 3 months will assess the effects of treatment on these parameters.
Study Started
Oct 31
2000
Primary Completion
Jun 30
2010
Study Completion
Jun 30
2010
Results Posted
Jun 05
2017
Last Update
Jun 05
2017

Biological Progesterone Lozenges

200mg Progesterone Lozenges

Other Matched Placebo Lozenges

Matched Placebo Lozenges

Catamenial Epilepsy: Progesterone Lozenges Experimental

Subjects with catamenial epilepsy received 200 mg progesterone lozenges

Catamenial Epilepsy: Placebo Lozenges Placebo Comparator

Subjects with catamenial epilepsy received matched placebo lozenges

Noncatamenial Epilespy:Progesterone Lozenges Experimental

Subjects without catamenial epilepsy received 200 mg progesterone lozenges

Noncatamenial Epilespy: Placebo Lozenges Placebo Comparator

Subjects without catamenial epilepsy received matched placebo lozenges

Criteria

INCLUSION:

Subject must be between the ages of 13 and 45.
Subject must have a history of seizures (documented by EEG).
Subject must have had at least 2 seizures or auras per month during the past 3 months.
Subject must be on stable antiepileptic drug therapy for at least 2 months.
Subject must have cycle intervals between 21 and 35 days during 6 months prior to entry.

EXCLUSION:

Subject that is pregnant or lactating.
Subject that is on major tranquilizers, antidepressant medications, or reproductive hormones.
Subject that is unable to document seizures.
Subject that has progressive neurological or systemic disorder or > 2-fold elevation in liver enzyme levels

Summary

Catamenial Epilepsy: Progesterone Lozenges

Catamenial Epilepsy: Placebo Lozenges

Noncatamenial Epilespy:Progesterone Lozenges

Noncatamenial Epilespy: Placebo Lozenges

All Events

Event Type Organ System Event Term Catamenial Epilepsy: Progesterone Lozenges Catamenial Epilepsy: Placebo Lozenges Noncatamenial Epilespy:Progesterone Lozenges Noncatamenial Epilespy: Placebo Lozenges

Percent of Women Who Show a Greater Than 50% Decline in Average Daily Seizure Frequency

Percent of women who show a greater than 50% decline in average daily seizure frequency

Catamenial Epilepsy: Progesterone Lozenges

22.8
percentage of participants

Catamenial Epilepsy: Placebo Lozenges

20.0
percentage of participants

Noncatamenial Epilespy:Progesterone Lozenges

20.2
percentage of participants

Noncatamenial Epilespy: Placebo Lozenges

19.2
percentage of participants

Percent of Women Who Show a >50% Decline in Average Daily Seizure Frequency for the Most Severe Seizure Type.

Percent of women who show a >50% decline in average daily seizure frequency for the most severe seizure type.

Catamenial Epilepsy: Progesterone Lozenges

30.4
percentage of participants

Catamenial Epilepsy: Placebo Lozenges

24.4
percentage of participants

Noncatamenial Epilespy:Progesterone Lozenges

22.2
percentage of participants

Noncatamenial Epilespy: Placebo Lozenges

28.8
percentage of participants

Percentage of Women Who Show a Greater Than 50% Decline in Average Daily Seizure Frequency for Secondary Generalized, Complex Partial and Simple Partial Seizures Considered Separately

Percentage of women who show a greater than 50% decline in average daily seizure frequency for secondary generalized, complex partial and simple partial seizures considered separately

Catamenial Epilepsy: Progesterone Lozenges

CPS

23.68
percentage of participants

SGMS

39.39
percentage of participants

SPS

41.12
percentage of participants

Catamenial Epilepsy: Placebo Lozenges

CPS

18.6
percentage of participants

SGMS

29.41
percentage of participants

SPS

41.21
percentage of participants

Noncatamenial Epilespy:Progesterone Lozenges

CPS

21.21
percentage of participants

SGMS

21.21
percentage of participants

SPS

42.22
percentage of participants

Noncatamenial Epilespy: Placebo Lozenges

CPS

13.73
percentage of participants

SGMS

20.83
percentage of participants

SPS

31.82
percentage of participants

Changes in Serum Progesterone Levels in Subjects at Baseline and After Treatment.

Changes in serum progesterone levels in subjects at baseline and after treatment with progesterone or placebo.

Catamenial Epilepsy: Progesterone Lozenges

Baseline

9.8
ng/ml (Median)
Inter-Quartile Range: 5.8 to 12.0

Treatment

44.4
ng/ml (Median)
Inter-Quartile Range: 28.9 to 87.9

Catamenial Epilepsy: Placebo Lozenges

Baseline

9.1
ng/ml (Median)
Inter-Quartile Range: 5.9 to 12.9

Treatment

9.2
ng/ml (Median)
Inter-Quartile Range: 5.1 to 13.7

Noncatamenial Epilespy:Progesterone Lozenges

Baseline

10.8
ng/ml (Median)
Inter-Quartile Range: 7.3 to 13.1

Treatment

49.6
ng/ml (Median)
Inter-Quartile Range: 27.0 to 88.25

Noncatamenial Epilespy: Placebo Lozenges

Baseline

9.1
ng/ml (Median)
Inter-Quartile Range: 6.5 to 12.4

Treatment

12.0
ng/ml (Median)
Inter-Quartile Range: 7.5 to 14.0

Change in Serum Levels of Antiepileptic Drugs on Progesterone and Placebo for Subjects With Catamenial and Non-catamenial Epilepsy.

Progesterone Lozenges

Carbamazepine

8.9
mcg/mL (Mean)
Standard Deviation: 2.5

Lamotrigine

11.1
mcg/mL (Mean)
Standard Deviation: 8.2

Levitracetam

23.2
mcg/mL (Mean)
Standard Deviation: 17.1

Phenytoin

19.7
mcg/mL (Mean)
Standard Deviation: 6.5

Topirimate

10.9
mcg/mL (Mean)
Standard Deviation: 6.9

Placebo Lozenges

Carbamazepine

9.6
mcg/mL (Mean)
Standard Deviation: 1.8

Lamotrigine

8.4
mcg/mL (Mean)
Standard Deviation: 4.8

Levitracetam

22.6
mcg/mL (Mean)
Standard Deviation: 12.5

Phenytoin

17.9
mcg/mL (Mean)
Standard Deviation: 3.9

Topirimate

9.3
mcg/mL (Mean)
Standard Deviation: 4.6

Total

294
Participants

Age, Continuous

31.71
years (Mean)
Standard Deviation: 8.30

Sex: Female, Male

Overall Study

Catamenial Epilepsy: Progesterone Lozenges

Catamenial Epilepsy: Placebo Lozenges

Noncatamenial Epilespy:Progesterone Lozenges

Noncatamenial Epilespy: Placebo Lozenges