Prophylactic Levetiracetam for Brain Metastases in the Motor Cortex

This study is for adults with brain metastases (cancer that has spread to the brain) in the primary motor cortex, an area of the brain that controls movement. These patients are at high risk for seizures. The study is testing whether taking the anti-seizure medication Levetiracetam (also known as Keppra) can prevent seizures in patients who haven't had them yet. You would be randomly assigned to either receive Levetiracetam or not receive it, which is the current standard of care. The main goal is to see if Levetiracetam reduces the number of seizures over about one year. To join, you must be at least 18 years old, have a solid tumor that has spread to the brain's motor cortex, and have a good performance status (Karnofsky performance status of at least 60). The current status of this study is unclear.

Study design
This is an interventional, randomized study with a planned enrollment of 150 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Seizure rate will be measured for an estimated 1 year duration on study.

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NCT07130786

Prophylactic Anti-Seizure Medication vs No Anti-Seizure Medication for Patients With Primary Motor Cortex Brain Metastases

Recruiting
PHASE2Ages 18+InterventionalSupportive care
Ayal A. Aizer, MD
~150 participants
Updated 2026-03-19 on ClinicalTrials.gov
What's tested:Levetiracetam (Keppra)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Seizure Rate
Measured over Duration of time on study (estimated 1 year)
Seizures
Primary Motor Cortex
Brain Metastases From Non-small Cell Lung Cancer (NSCLC)
Brain Metastases, Adult
Brain Metastases From Extra-cranial Solid Tumors
1 sites across 1 states
Massachusetts1
  • Ayal A Aizer, MD, MHS · PRINCIPAL_INVESTIGATOR · Dana-Farber/Brigham and Women's Cancer Center

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  • Seizure RateDuration of time on study (estimated 1 year)

    To determine whether seizure rate is lower in seizure-naïve patients with brain metastases in primary motor cortex with levetiracetam prophylaxis versus usual care of no ASM therapy.