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No longer recruiting (closed or complete)Last updated: 23 September 2025

PEGASUS-1: This phase II trial is evaluating an anti-epileptic drug as a way of controlling seizures in patients being treated for grade II-III gliomasPerampanel for the control of glioma associated seizures - efficacy and safety: a pilot phase II randomised controlled trial

Trial purpose

Medical clipboardSide effect and wellbeing

Tumor type

Brain and Spinal Cancers Brain and Spinal

Age

People18 - 65

Trial acronym

PEGASUS-1

Clinical summary

Summary

This is a randomised clinical trial, in which patients, will be post-operatively randomised to receive either perampanel or levetiracetam for 52 weeks.

Conditions

This trial is treating people with grade II-III gliomas

Eligibility

Inclusion

Pre-operative phase (ie inclusion for 7T MRI)
1. 18 – 80 years
2. Radiological diagnosis of a supratentorial WHO grade II-III glioma
3. Planned surgical resection or biopsy of lesion
4. 3T MRI performed as clinical standard of care
5. Able to give informed consent
6. Experienced a pre-operative seizure attributed to glioma

Post-operative phase (ie inclusion for treatment intervention)
1. 18-80 years
2. Diagnosis of WHO grade II-III glioma
3. Less than 3 weeks from date of glioma resection or biopsy
4. Experienced a pre-operative seizure attributed to glioma

Exclusion

1. Previous non-tumour related neurosurgical procedures (excluding biopsy of glioma)
2. Pre-operative chemotherapy or radiotherapy
3. Receiving >1000mg daily of levetiracetam or multiple concurrent anti-epileptic drugs at time of randomization
4. Contraindication to 7T MRI
5. Significant risk factors for non-tumour associated epilepsy
- Previously diagnosed epilepsy (excluding benign childhood epilepsies)
- Additional epileptogenic intra-cranial pathology (including intra-cranial complications from glioma resection)
6. History of major psychiatric morbidity (such as psychiatric illness requiring hospitalisation or history of psychosis, major depression or suicidality) within the last 2 years
7. Pregnant or breast-feeding
8. Excessive alcohol or recreational drug use

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

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Trial Identifiers

Information on this page is partially produced from ANZCTR *. View further details about this trial on the registry via the links below:

Trial sponsor

Royal Melbourne Hospital

Scientific Title

Perampanel for the control of glioma associated seizures - efficacy and safety: a pilot phase II randomised controlled trial

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