Seizure Prophylaxis in Aneurysm Repair (SPAR)

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2015 by University of Michigan
Information provided by (Responsible Party):
Aditya S. Pandey, MD, University of Michigan Identifier:
First received: February 26, 2013
Last updated: October 14, 2015
Last verified: October 2015
After a thorough review of the existing literature as well as a review of our own practice, the investigators have concluded that the decision to treat patients undergoing aneurysm repair with levetiracetam has reached true clinical equipoise. In other words, the investigators cannot favor a decision to either administer or not administer this drug in these patients based on the existing information. The utility of anti-epileptic prophlaxis in the perioperative period for patients undergoing intracranial aneurysm repair remains a common practice that is not supported by the current literature that includes retrospective analyses as well as prospective trials for similar but not identical types of patients. The investigators propose to settle this dilemma by performing a prospective randomized trial in patients undergoing aneurysm repair in order to definitively determine if the common practice of perioperative antiepileptic drug administration has any utility.

Condition Intervention Phase
Intracranial Aneurysms
Drug: Levetiracetam
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Seizure Prophylaxis in Aneurysm Repair

Resource links provided by NLM:

Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • Incidence of seizure [ Time Frame: 1 year from procedure ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 400
Study Start Date: February 2013
Estimated Study Completion Date: February 2018
Estimated Primary Completion Date: February 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Levetiracetam
500 mg intravenous dose during the operative case then 500 mg orally twice a day for a total of seven days.
Drug: Levetiracetam
Details covered in Arm Descriptions.
Other Name: Keppra
No Intervention: No levetiracetam
No levetiracetam


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adult (≥18 years)
  • Presence of intracranial aneurysm (with or without rupture)
  • Treating surgeon has recommended surgical repair of the aneurysm

Exclusion Criteria:

  • History of seizures within last 10 years
  • History of epilepsy
  • History of prior stroke
  • Currently prescribed medication with anti-epileptic activity (keppra, dilantin, tegretol, lamictal, topamax, etc.)
  • Brain tumor
  • Pregnant or nursing woman
  • Known levetiracetam allergy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01801072

Contact: Aditya Pandey, MD 734-615-4486
Contact: Ron Ball 734-647-5436

United States, Michigan
University of Michigan Health System Recruiting
Ann Arbor, Michigan, United States, 48109
Principal Investigator: Aditya Pandey, MD         
Sub-Investigator: Wajd Al-Holou, MD         
Sub-Investigator: Cormac Maher, MD         
Sub-Investigator: Christopher Roark, MD         
Sub-Investigator: William Stetler Jr, MD         
Sub-Investigator: Jennifer Strahle, MD         
Sub-Investigator: Byron Thompson, MD         
Sub-Investigator: TJ Wilson, MD         
Sponsors and Collaborators
University of Michigan
Principal Investigator: Aditya S Pandey, MD University of Michigan
  More Information

No publications provided

Responsible Party: Aditya S. Pandey, MD, Assistant Professor of Neurosurgery and Assistant Professor of Radiology, Medical School, University of Michigan Identifier: NCT01801072     History of Changes
Other Study ID Numbers: HUM00064523
Study First Received: February 26, 2013
Last Updated: October 14, 2015
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Intracranial Aneurysm
Brain Diseases
Cardiovascular Diseases
Central Nervous System Diseases
Cerebrovascular Disorders
Intracranial Arterial Diseases
Nervous System Diseases
Neurologic Manifestations
Signs and Symptoms
Vascular Diseases
Central Nervous System Agents
Nootropic Agents
Pharmacologic Actions
Therapeutic Uses processed this record on November 27, 2015