Phase 3
N=98
Long-Term Safety Study of Retigabine Immediate Release (IR) as Adjunctive Therapy in the Treatment of Adults With Partial-Onset Seizures (POS)
Epilepsy
Bottom Line
View on ClinicalTrials.gov: NCT01336621 ↗Enrolled (actual)
98
Serious AEs
4.7%
Results posted
Feb 2018
Primary outcome: Primary: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious AEs (TESAEs): Safety Population — 38; 4 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Retigabine IR (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Dec 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious AEs (TESAEs): Safety Population |
38; 4 | — |
| PRIMARY Number of Participants With AEs and SAEs: All SFUCP Subjects |
3; 1 | — |
| PRIMARY Number of Participants Withdrawn Due to TEAEs |
16 | — |
| PRIMARY Number of Participants With Retinal Pigmentary Abnormalities |
8 | — |
| PRIMARY Number of Participants With Pigmentation of Non-retinal Ocular Tissue(s) |
15 | — |
| PRIMARY Number of Participants With Abnormal Discoloration of Skin |
11; 5; 3; 10; 9 | — |
| PRIMARY Number of Participants With a Clinically Significant Decrease in Visual Acuity From Initial Examination |
3 | — |
| PRIMARY Number of Participants With Decrease in Confrontational Visual Field From Initial Examination |
1 | — |
| PRIMARY Number of Participants With Potential Clinical Concern (PCC) Values of Change From Baseline in Vital Signs and Weight |
15; 7; 15; 18; 18; 8 | — |
| PRIMARY Change From Baseline in Electrocardiogram (ECG) Parameter Including HR |
-2.2; -0.6; -1.5; -1.7; -0.6; -0.2 | — |
| PRIMARY Change From Baseline in ECG Parameter Including PR Interval, QRS Duration, Uncorrected QT Interval, Corrected QT by Bazett's Formula (QTcB), Corrected QT by Fridericia's Formula (QTcF) and RR Interval |
2.4; 1.3; 3.2; 1.2; -0.2; 1.3 | — |
| PRIMARY Number of Participants With Clinical Chemistry Parameters of PCC |
2; 0; 1; 0; 0; 0 | — |
| PRIMARY Number of Participants With Hematology Parameters of PCC |
7; 4; 3; 1; 4; 20 | — |
| PRIMARY Number of Participants With Urinalysis Parameters of PCC |
4; 54; 59; 4; 0; 1 | — |
| PRIMARY Change From Baseline in Albumin and Total Protein |
-1.6; -0.9; -0.8; -0.7; -1.5; -1.1 | — |
| PRIMARY Change From Baseline in Alk. Phosphatase, ALT, AST, Creatine Kinase and LD Levels |
-2.7; 1.1; 3.5; 3.9; 1.0; 4.1 | — |
| PRIMARY Change From Baseline in Direct Bilirubin, Total Bilirubin and Creatinine |
0.1; -0.1; -0.2; -0.1; 0.0; -0.0 | — |
| PRIMARY Change From Baseline in BUN/Creatinine Ratio |
0.3; 3.8; 2.7; 1.0; 1.9; -0.0 | — |
| PRIMARY Change From Baseline in Calcium, Chloride, CO2, Glucose, Potassium, Magnesium, Sodium and BUN |
-0.028; -0.011; -0.026; -0.025; -0.026; -0.019 | — |
| PRIMARY Change From Baseline in Absolute Basophils, Absolute Eosinophils, Absolute Lymphocytes, Absolute Monocytes, Absolute Total Neutrophils, Platelet Count and WBC Count |
-0.001; -0.005; -0.003; 0.001; 0.002; -0.002 | — |
| PRIMARY Change From Baseline in Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Levels |
-3.5; -2.4; -2.7; -2.9; -2.9; -2.5 | — |
| PRIMARY Change From Baseline in Hematocrit Levels |
-0.0080; -0.0087; -0.0066; -0.0030; -0.0020; -0.0020 | — |
| PRIMARY Change From Baseline in Mean Corpuscle Hemoglobin (MCH) Levels |
-0.17; -0.33; -0.47; -0.83; -0.77; -0.91 | — |
| PRIMARY Change From Baseline in Mean Corpuscle Volume (MCV) and Mean Platelet Volume (MPV) Levels |
0.0; -1.5; -1.0; -1.2; -0.8; -1.4 | — |
| PRIMARY Change From Baseline in RBC Count |
-0.10; -0.03; -0.03; 0.01; 0.00; 0.04 | — |
| PRIMARY Change From Baseline in Percent Basophils, Percent Eosinophils, Percent Lymphocytes, Percent Monocytes, Percent Neutrophils and RBC Distribution Width (RDW) Levels |
-0.00; -0.06; -0.03; 0.07; 0.04; -0.02 | — |
| PRIMARY Change From Baseline in Urine Albumin Creatinine Ratio |
-0.57; -0.07; 0.15; -0.64; -0.69; -0.53 | — |
| PRIMARY Change From Baseline in Urine Albumin Levels |
-5.2; -1.8; -17.1; -21.0; -21.6; -15.7 | — |
| PRIMARY Change From Baseline in Urine Creatinine Levels |
-2019.6; -1846.2; -3023.7; -2849.6; -1626.5; -3534.2 | — |
| PRIMARY Changes From Baseline in American Urological Association Symptom Scale (AUA SS) Score |
-0.7; -0.9; -1.0; -1.0; -2.3; -6.5 | — |
| PRIMARY Change From Baseline in Post-Void Residual (PVR) Bladder Ultrasound Urine Volume |
-6.0; 2.7; 3.9; 2.0; -16.0; -23.3 | — |
| PRIMARY Number of Participants With Suicidal Ideation or Behavior Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Score |
1; 0; 0 | — |
| PRIMARY Number of Participants Experiencing New Seizure Types |
5; 2; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants Experiencing Worsening of Seizures |
1 | — |
| PRIMARY Duration of Retigabine Exposure |
103.7 | — |
| PRIMARY Number of Participants With Resolution of Abnormal Eye Pigmentation After Discontinuation of Retigabine |
1; 1 | — |
| PRIMARY Number of Participants With Resolution of Dermatologist Confirmed Abnormal Discoloration After Discontinuation of Retigabine |
2 | — |
| PRIMARY Time From Discontinuation of Retigabine to Resolution of Abnormal Eye Pigmentation |
157.0; 119.0 | — |
| PRIMARY Time From Discontinuation of Retigabine to Resolution of All Dermatologist-confirmed Abnormal Discoloration |
582.0; 192.0; 253.0; 701.0 | — |
| SECONDARY Number of Participants Experiencing a 0 to <25, 25 to <50, 50 to <75 and 75 to 100 Percent Reduction in 28 Day POS Frequency From Baseline |
7; 13; 26; 42 | — |
| SECONDARY Percent Change From Baseline in 28-day Partial-onset Seizure Frequency |
-56.9 | — |
| SECONDARY Number of Participants Experiencing an Increase in 28-day Partial-onset Seizure Frequency From Baseline |
10 | — |
| SECONDARY Number of Participants Who Remained Seizure-free |
27; 13 | — |
Summary
The purpose of this Phase III study is to assess the long-term safety, tolerability and efficacy of flexibly dosed retigabine Immediate Release (IR) as adjunctive therapy in adult subjects with partial-onset seizures. In addition, those subjects who successfully completed 20 weeks of adjunctive treatment with retigabine IR in the parent study, RGB113905, and who were thought to have benefitted from treatment will be provided continued access to retigabine IR.
Eligibility Criteria
Inclusion Criteria
- The subject has successfully completed the 20-weeks (4-weeks Titration and 16-weeks of Flexible Dose Evaluation Phases) of treatment with retigabine IR as adjunctive therapy to one of the pre-specified AEDs in the parent study RGB113905.
- The investigator and the subject, or caregiver, if applicable, should consider it beneficial for the subject to receive continued retigabine IR therapy.
- The subject is able and willing to maintain an accurate and complete daily written Seizure Calendar or has a caregiver who is able and willing to maintain an accurate and complete daily written Seizure Calendar for the entire duration of the study.
- The subject has given written informed consent, or has a legally authorized representative who has given written informed consent, prior to the performance of any study assessments.
- A female subject is eligible to enter and participate in the study if she is of non-childbearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is pre- menarcheal or post menopausal).
- A female subject is eligible to enter and participate in the study if she is child-bearing potential and has a negative pregnancy test at Screening, and agrees to use one of the contraceptive methods listed in Appendix 3 of the protocol.
- A female subject is eligible to enter and participate in the study if she not pregnant or lactating or planning to become pregnant during the study.
- French subjects only: In France, a subject will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.
Exclusion Criteria
- Has met any of the withdrawal criteria in the previous RGB113905 study or has clinically significant abnormal clinical laboratory or ECG findings not resolved prior to entry to the open-label extension study.
- Is suffering from acute or progressive neurological disease, severe psychiatric disease, or severe mental abnormalities that are likely to interfere with the study objectives.
- Has any medical condition that, in the investigator's judgment, is considered to be clinically significant and could potentially affect subject safety or study outcome, including but not limited to: clinically significant cardiac, renal, hepatic condition, or a condition that affects the absorption, distribution, metabolism or excretion of drugs.
- Has any abnormality on 12-lead ECG at Screening which is clinically significant in the opinion of the investigator, or has QTc (either QTcB Bazett's correction or QTcF Fridericia's correction) >500 msec or >530 msec for subjects with Bundle Branch Block or an increase in QTc of >60 msec from Baseline in the parent study.
- Is unwilling or inability to follow the study procedures or reporting of AEs.
- Is planning on following a ketogenic diet or planning surgery or implantation of a Vagus Nerve Stimulator (VNS) to control seizures during the study. Note: Subjects who already have a VNS implanted which is functional may be permitted to enter the study.
- Has active suicidal plan/intent or has had active suicidal thoughts in the past 6 months. Has history of suicide attempt in the last 2 years or more than 1 lifetime suicide attempt.
Data sourced from ClinicalTrials.gov (NCT01336621). 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.