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Phase 3 N=399 Randomized Quadruple-blind Treatment

Double-blind, Randomized Study Evaluating the Efficacy and Safety of Brivaracetam in Adults With Partial Onset Seizures

Epilepsy

Enrolled (actual)
399
Serious AEs
3.5%
Results posted
Apr 2016
Primary outcome: Primary: Partial Onset Seizure (Type I) Frequency Per Week Over the 12-week Treatment Period — 1.75; 1.34; 1.49; 1.26 Seizure Frequency per Week — p==0.261

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo (Other); Brivaracetam (Drug)
Age
Pediatric, Adult, Older Adult · 16+ yrs
Sex
All
Sponsor
UCB Pharma SA
Primary completion
Feb 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Partial Onset Seizure (Type I) Frequency Per Week Over the 12-week Treatment Period
1.75; 1.34; 1.49; 1.26 =0.261
SECONDARY
Responder Rate for Partial Onset Seizures (Type I) Frequency Per Week Over the 12-week Treatment Period
80.0; 72.7; 72.7; 64.0; 20.0; 27.3
SECONDARY
All Seizure Frequency (Type I+II+III) Per Week Over the 12-week Treatment Period
1.75; 1.34; 1.49; 1.26
SECONDARY
Percent Change From Baseline to the 12-week Treatment Period in Partial Onset Seizure (Type I) Frequency Per Week
-17.03; -30.03; -26.83; -32.45
SECONDARY
Categorized Percentage Change From Baseline in Seizure Frequency for Partial Onset Seizure (Type I) Over the 12-week Treatment Period
19.0; 10.1; 15.2; 10.0; 41.0; 35.4
SECONDARY
Seizure Freedom Rate (All Seizure Types) Over the 12-week Treatment Period
0; 2.0; 0; 4.0; 0; 0
SECONDARY
Time to First Type I Seizure During the 12-week Treatment Period
4; 6; 6; 4
SECONDARY
Time to Fifth Type I Seizure During the 12-week Treatment Period
19; 25; 24; 24
SECONDARY
Time to Tenth Type I Seizure During the 12-week Treatment Period
39; 49; 40; 46
SECONDARY
Reduction of Type IC/Type I Seizure Frequency Ratio From Baseline to the 12- Week Treatment Period.
45.9; 47.2; 62.5; 41.0
SECONDARY
Change From Baseline to the 12-week Treatment Period in Total Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
2.29; 4.50; 3.09; 1.78
SECONDARY
Change From Baseline to the 12-week Treatment Period in Seizure Worry Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
8.25; 6.23; 5.34; 8.04
SECONDARY
Change From Baseline to the 12-week Treatment Period in Daily Activities/Social Functioning Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
-2.09; 3.35; 3.09; 3.50
SECONDARY
Change From Baseline to the 12-week Treatment Period in Hospital Anxiety Score
-1.54; -0.59; -0.41; 0.08
SECONDARY
Change From Baseline to the 12-week Treatment Period in Hospital Depression Score
-0.65; -0.10; 0.26; -0.24
SECONDARY
Patient's Global Evaluation Scale (P-GES) Evaluated at Last Visit or Early Discontinuation Visit
4.93; 5.17; 5.04; 5.47
SECONDARY
Investigator's Global Evaluation Scale (I-GES) Evaluated at Last Visit or Early Discontinuation Visit
4.78; 4.99; 4.99; 5.34
SECONDARY
Change From Baseline to the 12-week Treatment Period in Energy/Fatigue Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
3.49; 3.53; 1.95; 1.99
SECONDARY
Change From Baseline to the 12-week Treatment Period in Emotional Well-Being Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
3.80; 3.75; 3.13; -2.45
SECONDARY
Change From Baseline to the 12-week Treatment Period in Cognitive Functioning Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
1.80; 5.36; 1.02; 0.69
SECONDARY
Change From Baseline to the 12-week Treatment Period in Medication Effects Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
0.92; 3.64; -0.85; 3.00
SECONDARY
Change From Baseline to the 12-week Treatment Period in Overall Quality of Life Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
5.11; 4.52; 4.55; 2.24
SECONDARY
Change From Baseline to the 12-week Treatment Period in Health Status of Life Patient Weighted Quality of Life in Epilepsy Inventory-Form 31 (QOLIE-31-P) Score
6.6; 6.9; 9.7; 4.9

Summary

This study will evaluate the efficacy and safety of Brivaracetam to support the submission file in the indication of adjunctive treatment in adolescents and adults with partial onset seizures.

Eligibility Criteria

Inclusion Criteria

  • Subjects were from 16 to 70 years, both inclusive. Subjects under 18 years of age were only included where legally permitted and ethically accepted
  • Subjects with well-characterized focal epilepsy or epileptic syndrome according to the International League Against Epilepsy (ILAE) classification
  • Subjects had a history of partial onset seizures (POS) whether or not secondarily generalized (Type I seizures according to the ILAE classification)
  • Subjects had at least 2 POS whether or not secondarily generalized per month during the 3 months preceding Visit 1
  • Subjects had at least 8 POS whether or not secondarily generalized during the 8-Week Baseline Period
  • Subjects were uncontrolled while treated by 1 to 2 permitted concomitant antiepileptic drugs (AEDs). Vagal nerve stimulation was allowed and was not counted as a concomitant AED

Exclusion Criteria

  • History or presence of seizures occurring only in clusters (too frequently or indistinctly separated to be reliably counted) before Visit 3
  • History or presence of status epilepticus during the year preceding Visit 1 or during Baseline
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00490035). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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