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valproic acid and Brain Damage, Chronic

valproic acid has been researched along with Brain Damage, Chronic in 10 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Brain Damage, Chronic: A condition characterized by long-standing brain dysfunction or damage, usually of three months duration or longer. Potential etiologies include BRAIN INFARCTION; certain NEURODEGENERATIVE DISORDERS; CRANIOCEREBRAL TRAUMA; ANOXIA, BRAIN; ENCEPHALITIS; certain NEUROTOXICITY SYNDROMES; metabolic disorders (see BRAIN DISEASES, METABOLIC); and other conditions.

Research Excerpts

ExcerptRelevanceReference
" A minimum of one steady state trough blood sample and one dosage interval urine were collected during days 3-6 and during days 7-14 post-injury."2.69Increases in metabolism of valproate and excretion of 6beta-hydroxycortisol in patients with traumatic brain injury. ( Adams, CA; Anderson, GD; Awan, AB; Temkin, NR; Winn, HR, 1998)
" Here we determined whether chronic administration of common AEDs during early life alters cell proliferation and neurogenesis in the hippocampus."1.35Long-term antiepileptic drug administration during early life inhibits hippocampal neurogenesis in the developing brain. ( Cai, F; Cao, J; Chen, J; Li, S; Zhang, X, 2009)
"Treatment with haloperidol in all patients and with dipropylacetic acid in three patients did not appear to modify the CSF, HVA, and 5HIAA concentrations, the plasma DBH activity, or the DA uptake."1.26Biochemical aspects of Huntington's chorea. ( Algeri, S; Branciforti, A; Calderini, G; Caraceni, T; Consolazione, A; Dall'olio, A; Girotti, F; Morselli, PL; Riva, E; Spreafico, R, 1977)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19902 (20.00)18.7374
1990's5 (50.00)18.2507
2000's3 (30.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Chen, J1
Cai, F1
Cao, J1
Zhang, X1
Li, S1
Rousseau, MC1
Montana, M1
Villano, P1
Catala, A1
Blaya, J1
Valkov, M1
Allouard, Y1
Bugni, E1
Williams, JA1
Barreiro, CJ1
Nwakanma, LU1
Lange, MS1
Kratz, LE1
Blue, ME1
Berrong, J1
Patel, ND1
Gott, VL1
Troncoso, JC1
Johnston, MV1
Baumgartner, WA1
Chayasirisobhon, S1
Russell, M1
Stoll, AL1
Banov, M1
Kolbrener, M1
Mayer, PV1
Tohen, M1
Strakowski, SM1
Castillo, J1
Suppes, T1
Cohen, BM1
Helmstaedter, C1
Wagner, G1
Elger, CE1
Wroblewski, BA1
Joseph, AB1
Kupfer, J1
Kalliel, K1
Anderson, GD1
Awan, AB1
Adams, CA1
Temkin, NR1
Winn, HR1
Caraceni, T1
Calderini, G1
Consolazione, A1
Riva, E1
Algeri, S1
Girotti, F1
Spreafico, R1
Branciforti, A1
Dall'olio, A1
Morselli, PL1
Wiedemann, G1
Haupt, M1
Rommel, A1
Rommel, KF1
Biesenbach, R1
Schmidt, W1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Carbamazepine for the Treatment of Chronic Post-Traumatic Brain Injury Irritability and Aggression: A 42-Day, Single-Site, Forced-Titration, Parallel Group, Randomized, Double-Blind, Placebo Controlled Trial[NCT00621751]70 participants (Actual)Interventional2008-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinicians Global Impression of Change

Study physician's impression of change since study onset. Clinicians Global Impressions of Change (CGI) is a sensitive, standardized tool to assess psychopharmacologic treatment response completed by the study physician. The Global Improvement (GI) CGI subscale documented the clinician's impression of change. The GI uses a 7-point scale to assess beneficial and negative effects. Low GI values (1 -3) indicate improvement; higher values (4-7) represent worsening. (NCT00621751)
Timeframe: 42 days

Interventionunits on a scale (Mean)
Carbamazepine3.1
Placebo2.9

Global Impression of Change -- Observer

Global Impression of Change (GIC) is a 5-item Likert Scale rated participants and observer impression of change in the person with TBI. Responses range 1 = much improved to 5 = much worse. (NCT00621751)
Timeframe: 42 days

Interventionunits on a scale (Mean)
Carbamazepine3.3
Placebo3.1

Global Impression of Change -- Participant

Global Impression of Change (GIC) is a 5-item Likert Scale rated participants and observer impression of change in the person with TBI. Responses range 1 = much improved to 5 = much worse. (NCT00621751)
Timeframe: Day-42

Interventionscore on a scale (Mean)
Carbamazepine3.1
Placebo3.1

Neuropsychiatric Inventory Irritability-Aggression Domains Composite Measure -- Observer

Neuropsychiatry Inventory-Irritability (NPI-I) & Aggression domains (NPI-A): NPI is a 40-item assessment of 12 behavioral domains (NPI-I & NPI-A domains used in this study). The most problematic aspect of each domain is graded for severity (1=mild, to 3=severe) and frequency (1-4 with 4 representing highest frequency); the domain scores (0-12) are the product of severity and frequency. To best reflect treatment target intent and meet parametric statistical method criteria, the primary outcome was a composite measure of observer-rated NPI-I & -A domains transformed to a Rasch logit scale running from 0 (best) to 100 (worse) units (i.e., observer-rated NPI-I/A Rasch construct scores). Mean day-42 observer-rated NPI-I/A Rasch construct scores were compared between placebo vs. carbamazepine using ANCOVA with baseline score as covariate. (NCT00621751)
Timeframe: 42 days

Interventionscore on a scale (Least Squares Mean)
Carbamazepine37.7
Placebo36.7

Neuropsychiatric Inventory Irritability-Aggression Domains Composite Measure Completed by Participant [Time Frame: 42 Days]

Neuropsychiatry Inventory-Irritability (NPI-I) & Aggression domains (NPI-A): NPI is a 40-item assessment of 12 behavioral domains (NPI-I & NPI-A domains used in this study). The most problematic aspect of each domain is graded for severity (1=mild, to 3=severe) and frequency (1-4 with 4 representing highest frequency); the domain scores (0-12) are the product of severity and frequency. To best reflect treatment target intent and meet parametric statistical method criteria, a composite measure of participant-rated NPI-I & -A domains transformed to a Rasch logit scale running from 0 (best) to 100 (worse) units (i.e., participant-rated NPI-I/A Rasch construct scores). Mean day-42 participant-rated NPI-I/A Rasch construct scores were compared between placebo vs. CBZ using ANCOVA with baseline score as covariate. (NCT00621751)
Timeframe: Day 42

Interventionscore on a scale (Least Squares Mean)
Carbamazepine37.5
Placebo36.4

Proportion of Participants With Minimal Clinically Important Difference -- Observer Rating

Proportion of participants with Minimal Clinically Important Difference (MCID) on Neuropsychiatric Inventory Irritability-Aggression Composite Measure completed by Observer. Specifically, the proportion of participants that experienced a decrease of > 1 (MCID) in the NPI-I/A Rasch construct score (i.e., participants that are considered to have meaningful reduction in irritability/aggression) from baseline to day-42 between the groups using a chi-square test. MCID was defined as 0.5 times the standard deviation of baseline scores. (NCT00621751)
Timeframe: 42-day

InterventionParticipants (Count of Participants)
Carbamazepine20
Placebo26

Proportion of Participants With Minimal Clinically Important Difference (MCID) -- Participant

Proportion of participants with Minimal Clinically Important Difference (MCID) on Neuropsychiatric Inventory Irritability-Aggression Composite Measure completed by Participant. Specifically, the proportion of participants that experienced a decrease of > 1 (MCID) in the NPI-I/A Rasch construct score (i.e., participants that are considered to have meaningful reduction in irritability/aggression) from baseline to day-42 between the groups using a chi-square test. MCID was defined as 0.5 times the standard deviation of baseline scores. (NCT00621751)
Timeframe: Day-42

InterventionParticipants (Count of Participants)
Carbamazepine21
Placebo16

Trials

1 trial available for valproic acid and Brain Damage, Chronic

ArticleYear
Increases in metabolism of valproate and excretion of 6beta-hydroxycortisol in patients with traumatic brain injury.
    British journal of clinical pharmacology, 1998, Volume: 45, Issue:2

    Topics: Adult; Aged; Anticonvulsants; Brain Damage, Chronic; Brain Injuries; Female; Humans; Hydrocortisone;

1998

Other Studies

9 other studies available for valproic acid and Brain Damage, Chronic

ArticleYear
Long-term antiepileptic drug administration during early life inhibits hippocampal neurogenesis in the developing brain.
    Journal of neuroscience research, 2009, Volume: 87, Issue:13

    Topics: Age Factors; Animals; Animals, Suckling; Anticonvulsants; Apoptosis; Brain Damage, Chronic; Carbamaz

2009
Valproic acid-induced encephalopathy in very long course treated patients.
    Brain injury, 2009, Volume: 23, Issue:12

    Topics: Adolescent; Adult; Anticonvulsants; Brain Damage, Chronic; Dose-Response Relationship, Drug; Female;

2009
Valproic acid prevents brain injury in a canine model of hypothermic circulatory arrest: a promising new approach to neuroprotection during cardiac surgery.
    The Annals of thoracic surgery, 2006, Volume: 81, Issue:6

    Topics: Animals; Apoptosis; Aspartic Acid; Behavior, Animal; Biomarkers; Brain; Brain Chemistry; Brain Damag

2006
Valproic acid and intractable seizures in severely brain-damaged patients.
    Neurology, 1983, Volume: 33, Issue:1

    Topics: Adolescent; Adult; Brain Damage, Chronic; Child; Epilepsy; Female; Humans; Male; Middle Aged; Valpro

1983
Neurologic factors predict a favorable valproate response in bipolar and schizoaffective disorders.
    Journal of clinical psychopharmacology, 1994, Volume: 14, Issue:5

    Topics: Bipolar Disorder; Brain Damage, Chronic; Cohort Studies; Double-Blind Method; Electroencephalography

1994
Differential effects of first antiepileptic drug application on cognition in lesional and non-lesional patients with epilepsy.
    Seizure, 1993, Volume: 2, Issue:2

    Topics: Attention; Brain Damage, Chronic; Carbamazepine; Cognition Disorders; Electroencephalography; Epilep

1993
Effectiveness of valproic acid on destructive and aggressive behaviours in patients with acquired brain injury.
    Brain injury, 1997, Volume: 11, Issue:1

    Topics: Activities of Daily Living; Adult; Aggression; Anticonvulsants; Brain Concussion; Brain Damage, Chro

1997
Biochemical aspects of Huntington's chorea.
    Journal of neurology, neurosurgery, and psychiatry, 1977, Volume: 40, Issue:6

    Topics: Adult; Age Factors; Blood Platelets; Brain Damage, Chronic; Dopamine; Dopamine beta-Hydroxylase; Fem

1977
[Incidence of pathologic ammonia concentrations in the plasma in children with seizure disorders treated with Convulsofin/Convulex and other anticonvulsants in comparison with children with brain damage and healthy children].
    Kinderarztliche Praxis, 1990, Volume: 58, Issue:1

    Topics: Adolescent; Ammonia; Anticonvulsants; Brain Damage, Chronic; Chemical and Drug Induced Liver Injury;

1990