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CTRI Number  CTRI/2025/11/097310 [Registered on: 13/11/2025] Trial Registered Prospectively
Last Modified On: 12/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two drugs for epilepsy in children in a clinical trial 
Scientific Title of Study   Comparison of Efficacy of Levetiracetam and Brivaracetam in Children with Epilepsy with Myoclonic-Atonic Seizures: a randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prateek Kumar Panda 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  6th Floor, Department of Pediatrics

Dehradun
UTTARANCHAL
249203
India 
Phone  9650149735  
Fax    
Email  drprateekpanda@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prateek Kumar Panda 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  6th Floor, Department of Pediatrics


UTTARANCHAL
249203
India 
Phone  9650149735  
Fax    
Email  drprateekpanda@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prateek Kumar Panda 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  6th Floor, Department of Pediatrics


UTTARANCHAL
249203
India 
Phone  9650149735  
Fax    
Email  drprateekpanda@gmail.com  
 
Source of Monetary or Material Support  
MSN Laboratories Pvt Ltd, House No-2-91/10/MSN,Whitefields, Kondapur, Hyderabad, Telangana, India, Pin-500084 
 
Primary Sponsor  
Name  MSN Laboratories Pvt Ltd 
Address  House No-2-91/10/MSN, Whitefields, Kondapur,Hyderabad, Telangana, India, Pin-500084 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prateek Kumar Panda  All India Institute of Medical Sciences, Rishikesh  6th Floor, A Block, Department of Pediatrics
Dehradun
UTTARANCHAL 
9650149735

drprateekpanda@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
All India Institute of Medical Sciences, Rishikesh Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G409||Epilepsy, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Brivaracetam  2 mg/kg/day daily in two divided doses for 8 weeks 
Intervention  Levetiracetam  20 mg/kg/day daily in two divided doses for 8 weeks 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1.Clinical diagnosis of Epilepsy with Myoclonic Atonic Seizures, characterized by myoclonic-atonic seizures with supportive EEG features.
2.Failure to respond adequately to at least one first-line anti-seizure medication (sodium valproate)
3.Minimum baseline seizure frequency of at least 1 myoclonic-atonic seizure per day over the previous 4 weeks. 
 
ExclusionCriteria 
Details  1. Prior exposure to either levetiracetam or brivaracetam.
2. Significant hepatic or renal impairment. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Proportion of participants with at least 50% reduction in average weekly seizure frequency  At 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Number of clinical seizure-free days  At 8 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   10/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This will be an open-label randomized controlled trial, which will compare the efficacy of two anti-seizure medications (brivaracetam and levetiracetam) in children with epilepsy with myoclonic atonic seizures aged 2-8 years. Both medications will be administered daily for 8 weeks. We will compare the proportion of participants with at least a 50% reduction in average weekly seizure frequency in both groups. 
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