Phase 3
Completed N=19
A Trial to Evaluate the Long Term Safety and Tolerability of Lacosamide Taken as Monotherapy in Adults With Partial-onset Seizures
Source: ClinicalTrials.gov NCT02124564 ↗Enrolled (actual)
19
Serious AEs
10.5%
Results posted
Jun 2019
Primary outcomePrimary: Number of Subjects With at Least One Incidence of Treatment-Emergent Adverse Events (TEAEs) During the Study — 19 Participants
Summary
This study is to evaluate the long-term safety and tolerability of Lacosamide (LCM) 200 mg/day to LCM 600 mg/day taken in monotherapy in Japanese subjects who currently have partial-onset seizures with or without secondary generalization and who are treated with a single Anti-Epileptic Drug (AED) with marketing approval in Japan.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects With at Least One Incidence of Treatment-Emergent Adverse Events (TEAEs) During the Study |
19 | — |
| PRIMARY Number of Subjects Who Withdraw Due to Adverse Events (AEs) During the Study |
2 | — |
| PRIMARY Number of Subjects With at Least One Incidence of Serious Adverse Events (SAEs) During the Study |
2 | — |
| SECONDARY Number of Subjects Remaining Seizure Free for 6 Consecutive Months During the Monotherapy Period |
6 | — |
| SECONDARY Number of Subjects Remaining Seizure Free for 12 Consecutive Months During the Monotherapy Period |
6 | — |
| SECONDARY Percentage of Participants in the Monotherapy Period Without Discontinuation Due to Adverse Events (AE) or Lack of Efficacy (LOE) |
81.3; 81.3; 81.3; 81.3 | — |
| SECONDARY Plasma Concentrations of Lacosamide Versus Time Postdose |
0.028; 0.034 | — |
Eligibility Criteria
Inclusion Criteria
- Subject is male or female and ≥16 years of age
- Subject has a diagnosis of epilepsy, having experienced unprovoked partial-onset seizures (IA, IB, or IC with clear focal origin) that are classifiable according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures, 1981
- Subject experiences partial-onset seizures despite appropriately chosen and adequately tried treatment with 1 antiepileptic drug (AED)
- Subject has been treated for epilepsy with a stable dose of 1 marketed AED The use of benzodiazepines is permitted as rescue therapy for epilepsy. Benzodiazepines may have been used as needed but not more frequently than once per week.
Exclusion Criteria
- Subject has a history or presence of seizures of other types than partial onset (IA, IB, or IC with clear focal origin)
- Subject is taking benzodiazepines for a nonepilepsy indication (Exception: Concomitant use of benzodiazepines is allowed if the subject is taking them on a regular basis, has been on a stable dose for at least 1 month prior to Visit 1, and does not require changes in the dosage and administration throughout the study period. However, concomitant use of benzodiazepines on an as needed basis is not permitted.)
- Female subject who is pregnant or nursing, and/or a woman of childbearing potential who is not surgically sterile, 2 years postmenopausal or does not practice 1 highly effective method of contraception, unless sexually abstinent, for the duration of the study
- Female subject of childbearing potential taking enzyme-inducing antiepileptic drugs (EI-AEDs: CBZ, phenytoin, barbiturates, primidone, topiramate) who is not surgically sterile, 2 years postmenopausal or does not practice 1 highly effective method of contraception according to the World Health Organization (WHO) recommendation (ie, depot medroxyprogesterone acetate, norethisterone enantate, intrauterine devices, combined injectables, and progestogen implants) with administration of EI-AEDs or does not practice 2 combined methods of contraception (ie, combined hormonal contraception plus barrier method with spermicidal agent), unless sexually abstinent, for the duration of the study
- Subject has sick sinus syndrome without a pacemaker, or a second or third degree atrioventricular (AV) block, or subject has any other clinically relevant electrocardiogram (ECG) abnormalities
- Subject has a history of convulsive status epilepticus within the last 12 months prior to Visit 1
Data sourced from ClinicalTrials.gov (NCT02124564). 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. Informational only — not medical advice.