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A Study to Determine the Safety and Tolerability of a Medication for the Treatment of Seizures Division: Pediatric Neurology Principal Investigator: Robert Gel, M.D. What is the purpose of the study?
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Participants will receive either one of two doses of the medication; (a) if more than one dose is necessary to control seizures for the duration of the study, participants will receive both doses; (b) if one dose of the medication is sufficient for the duration of the study, participants will receive the medication at one of two scheduled times during the study (restudy to 4 weeks in duration and post-study to 8 weeks in duration). Who may participate? Any child or adult who has one of the following seizures: (a) focal generalized tonic-clonic seizures with onset > 2 minutes; (b) tonic-clonic seizures only; or (c) seizure disorder with epilepsy (including pediatric or adolescent cases). How will the study be conducted? The study will be part of routine patient care. Each subject will be observed in the hospital setting. A neurologist will be seen at least once a month to determine the presence and duration of seizures during and between visits. How will the research be done: The research will be part of routine patient care and will take approximately 2 hours a week. What are the study's possible risks and benefits? The study has a number of potential risks and benefits. In this study, the use of the drug and other potential treatments for the condition of epilepsy that have been used in adults or children are currently under investigation or being evaluated for safety. The study has the potential to increase the duration and severity of seizures, which may also have a number of possible benefits. How will the drug be prescribed: Patients who want to start the study may make their own decisions about starting treatment with the agent. After patients are scheduled to start the study for any reason, they may or may not continue the study. Patients will be informed in advance of the starting schedule and can then either continue the study indefinitely, or stop it. How will the research team administer the study drug? Study medications are taken orally each morning. All medication will be given on a continuous schedule. The study agent will be administered once at 8:00 AM, and the study will run through 8:30 PM the next morning. How often patients take the study medication will depend on their seizure severity, but will be between the days at 8:00 AM and 8:30 PM. In addition, the frequency will change as the study progresses with a daily titration of the medication.

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