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Ciprofloxacin in Drug-resistant Epilepsy (CIDRE)

Primary Purpose

Epilepsy Intractable

Status
Completed
Phase
Not Applicable
Locations
Iran, Islamic Republic of
Study Type
Interventional
Intervention
Ciprofloxacin Oral Product
Sponsored by
Mazandaran University of Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy Intractable

Eligibility Criteria

16 Years - 50 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Drug-resistant epilepsy with frequency of at least 2 seizure/Week
  • Acceptance of patients or his/her guardian (Signing informed consent)

Exclusion Criteria:

  • Hypersensitivity to ciprofloxacin or other fluoroquinolones
  • History of tendon, renal, hepatic or cerebrovascular disease, organ transplantation or myasthenia gravis
  • Usage of medications with interaction to ciprofloxacin
  • No reliable contraception
  • Pregnancy or breastfeeding
  • Being under treatment with corticosteroid
  • Usage of antibiotics in recent 2 months or need to use it during the study
  • Patients who are candidate for epilepsy surgery or other nonmedical treatments
  • Change in anti-seizure medications (ASMs) during recent month
  • Patients who will need changes in ASMs dose during study

Sites / Locations

  • Bu Ali Sina hospital

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Ciprofloxacin

Arm Description

Outcomes

Primary Outcome Measures

Changes in seizure frequency registered in questionnaire
Comparison of seizure frequency in 4th week with the frequency at the start of the study.
Changes in quantity of microbial DNA extracted from stool samples by AccuPrep Stool DNA extraction Kit
Comparison of quantity of extracted microbial DNA in stool sample taken at day5-7 with the sample taken at the start of the study
Changes in microbial burden of stool samples using Absolute real time polymerase chain reaction (PCR)
Comparison of microbial burden of stool samples taken at day5-7 with the sample taken at the start of the study

Secondary Outcome Measures

Changes in seizure frequency registered in questionnaire
Comparison of seizure frequency in 12th week with the frequency at the start of the study

Full Information

First Posted
February 16, 2021
Last Updated
June 4, 2021
Sponsor
Mazandaran University of Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT04763070
Brief Title
Ciprofloxacin in Drug-resistant Epilepsy
Acronym
CIDRE
Official Title
Effect of Ciprofloxacin on Seizure Frequency in Patients With Drug-resistant Epilepsy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
October 1, 2020 (Actual)
Primary Completion Date
April 1, 2021 (Actual)
Study Completion Date
June 1, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mazandaran University of Medical Sciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study aims to investigate the effect of a short-term prescription of ciprofloxacin on intestinal microbial pattern and seizure frequency of patients with drug-resistant epilepsy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy Intractable

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ciprofloxacin
Arm Type
Other
Intervention Type
Drug
Intervention Name(s)
Ciprofloxacin Oral Product
Intervention Description
The first stool sample will be taken before treatment and the second one will be taken in day 5 to 7 after treatment initiation. Treatment includes ciprofloxacin tablet 500mg twice a day for 5 days.
Primary Outcome Measure Information:
Title
Changes in seizure frequency registered in questionnaire
Description
Comparison of seizure frequency in 4th week with the frequency at the start of the study.
Time Frame
4 weeks
Title
Changes in quantity of microbial DNA extracted from stool samples by AccuPrep Stool DNA extraction Kit
Description
Comparison of quantity of extracted microbial DNA in stool sample taken at day5-7 with the sample taken at the start of the study
Time Frame
7 days
Title
Changes in microbial burden of stool samples using Absolute real time polymerase chain reaction (PCR)
Description
Comparison of microbial burden of stool samples taken at day5-7 with the sample taken at the start of the study
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Changes in seizure frequency registered in questionnaire
Description
Comparison of seizure frequency in 12th week with the frequency at the start of the study
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Drug-resistant epilepsy with frequency of at least 2 seizure/Week Acceptance of patients or his/her guardian (Signing informed consent) Exclusion Criteria: Hypersensitivity to ciprofloxacin or other fluoroquinolones History of tendon, renal, hepatic or cerebrovascular disease, organ transplantation or myasthenia gravis Usage of medications with interaction to ciprofloxacin No reliable contraception Pregnancy or breastfeeding Being under treatment with corticosteroid Usage of antibiotics in recent 2 months or need to use it during the study Patients who are candidate for epilepsy surgery or other nonmedical treatments Change in anti-seizure medications (ASMs) during recent month Patients who will need changes in ASMs dose during study
Facility Information:
Facility Name
Bu Ali Sina hospital
City
Sari
State/Province
Mazandaran
ZIP/Postal Code
4815838477
Country
Iran, Islamic Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Ciprofloxacin in Drug-resistant Epilepsy

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