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Phase 3 N=172 Randomized Quadruple-blind Treatment

Safety & Efficacy of Eslicarbazepine Monotherapy in Sub.w/Partial Epilepsy Not Well Controlled by Current Antiepileptic

Epilepsy

Enrolled (actual)
172
Serious AEs
5.2%
Results posted
Dec 2015
Primary outcome: Primary: Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method — 0.156; 0.128 proportion of participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Eslicarbazepine acetate 1600 mg (Drug); Eslicarbazepine acetate 1200 mg (Drug)
Age
Pediatric, Adult, Older Adult · 16+ yrs
Sex
All
Sponsor
Sumitomo Pharma America, Inc.
Primary completion
Nov 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method
0.156; 0.128
SECONDARY
Proportion (%) of Subjects That Are Seizure-free During the 10-week Double-blind Monotherapy Treatment Period.
7.4; 10.0
SECONDARY
Percentage of Subjects Seizure-free During the Last 4 Weeks on Eslicarbazepine Acetate Monotherapy.
16.7; 17.0
SECONDARY
Completion Rate (% of Subjects Completing the 18 Weeks of Double-blind Treatment).
75.9; 80.0
SECONDARY
Completion Rate During the 10 Weeks of Monotherapy (% of Subjects Entering the Monotherapy Period Who Complete).
85.4; 90.9
SECONDARY
Time on Eslicarbazepine Acetate Monotherapy.
NA; NA
SECONDARY
Change in Seizure Frequency From Baseline.
-36.1; -47.5; -19.3; -35.6; -39.4; -42.9
SECONDARY
Responder Rate (Proportion [%] of Subjects With a ≥50% Reduction of Seizure Frequency From Baseline).
35.2; 46.0; 29.6; 37.0; 29.6; 39.0
SECONDARY
Proportion (%) of Subjects Reaching Each Exit Criteria
0; 0; 1.9; 0; 5.6; 2.0
SECONDARY
Change in Total Score From Baseline in 31-Item Quality of Life in Epilepsy (QOLIE-31).
3.4; 5.8; 4.0; 4.7
SECONDARY
Change in Total Score in Montgomery-Asberg Depression Rating Scale (MADRS),From Baseline .
-1.2; -1.8; 0.0; -1.6
SECONDARY
Change in Total Score of MADRS From Baseline in Those Subjects With a MADRS Score of ≥14 at Randomization.
-3.9; -6.6; -6.1; -4.1
SECONDARY
Proportion (%) of Subjects With Increase of Body Weight >= 7% From Baseline
1.8; 11.7
SECONDARY
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L.
49.1; 54.5; 8.8; 20.9; 0; 0
SECONDARY
Proportion (%) of Events in Each Classification of the Columbia Suicide Severity Rating Scale (C SSRS).
3.4; 0; 0; 0.9; 0; 0
SECONDARY
Standardized Seizure Frequency (SSF) by Period
5.5; 5.2; 7.4; 8.7; 6.0; 6.4

Summary

This is an 18-week, double-blind, multicenter study with gradual conversion from previous antiepileptic therapy to eslicarbazepine acetate monotherapy in subjects with partial epilepsy.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of partial epilepsy as defined in the Classification of Seizures of the International League Against Epilepsy (ILAE) (simple partial seizures with observable motor component, or complex, with or without secondary generalization)
  • Medical history of seizures;
  • Absence of confounding factors (pseudoseizures, syncope);
  • Documented EEG recording (done within 5 years prior to screening) consistent with focal onset epilepsy
  • Documented CT or MRI scan conducted within 10 years prior to screening, showing the absence of a structural abnormality (eg, tumor or malformation)
  • ≥ 4 partial onset seizures during the 8 weeks prior screening with no 28-day seizure free period
  • Stable treatment with 1-2 AEDs during the last 4 weeks prior to screening
  • Subjects must have the ability to comprehend the informed consent form and be willing to provide informed consent. For subjects who are unable to comprehend the written consent, a witness/caregiver who is able to describe and provide an understanding of the informed consent to the subject must sign the consent form on behalf of the subject.
  • Subjects must give written informed consent prior to participation in the study. For subjects <18 years of age, the informed consent must be signed by the subject's parent or legal guardian, and, when appropriate and/or required by state or local law, minor subjects must give written informed assent prior to participation in the study. Subjects of Asian ancestry are required to give written informed consent for genotyping. All subjects must sign a HIPAA Form. All females of child bearing potential must also sign the "Women of Childbearing Potential" Addendum.
  • A female subject is eligible to enter and participate in the study if she is of:
  • Non-childbearing potential (ie, physiologically incapable of becoming pregnant, including any female who is pre-menarchal or post-menopausal);
  • Child-bearing potential (all females ≤65 years of age), has a negative pregnancy test at screening and agrees to satisfy contraception requirements

Exclusion Criteria

  • Subjects with only simple partial seizures without a motor component
  • Presence of generalized seizure syndromes (eg, juvenile myoclonic epilepsy or Lennox-Gastaut syndrome)
  • History of pseudo-seizures
  • Current seizures related to an acute medical illness
  • Seizures secondary to metabolic, toxic or infectious disorder or drug abuse
  • Status epilepticus within 2 years prior to screening
  • Seizures only occurring in a cluster pattern
  • Subjects taking 2 of the following sodium channel blocking AEDs: phenytoin, carbamazepine, oxcarbazepine, or lamotrigine
  • Subjects taking 2 AEDs with both being in the upper dose range (defined as approximately two-thirds of the defined daily dose)
  • Subjects taking more than 2 AEDs
  • Subjects with progressive structural central nervous system lesion or progressive encephalopathy
  • Psychiatric exclusion criteria
  • Medical exclusion criteria: known renal insufficiency (estimated creatinine clearance [CrCL]) <60 mL/min based on serum creatinine using the Cockcroft-Gault formula
  • Clinical and laboratory exclusion criteria: Subjects of Asian ancestry who tests positive for the presence of the HLA-B*1502 allele
  • Subjects who have been on benzodiazepines, phenobarbital, or primidone on a regular basis within 3 months prior to screening
  • Subjects taking antipsychotics, tricyclic antidepressants, anxiolytics, sedative hypnotics including non-benzodiazepines, central opioid agonists/antagonists, monoamine oxidase inhibitors (MAOIs) within at least 5 half lives (or for at least 2 weeks whichever is longer) prior to randomization
  • Subjects presently on felbamate or vigabatrin
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01091662). 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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