Phase 3
N=239
Safety and Efficacy of Lacosamide as Additional Therapy in Patients Suffering From Epileptic Tonic-Clonic Seizures
Epilepsy
Bottom Line
View on ClinicalTrials.gov: NCT02408549 ↗Enrolled (actual)
239
Serious AEs
22.6%
Results posted
Dec 2023
Primary outcome: Primary: Number of Study Participants With Treatment-emergent Adverse Events (TEAEs) Over the Duration of the Treatment Period — 222 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Lacosamide Tablet (Drug); Lacosamide Oral Solution (Drug)
- Age
- Pediatric, Adult, Older Adult · 4+ yrs
- Sex
- All
- Sponsor
- UCB BIOSCIENCES, Inc.
- Primary completion
- Mar 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Study Participants With Treatment-emergent Adverse Events (TEAEs) Over the Duration of the Treatment Period |
222 | — |
| PRIMARY Number of Study Participants Withdrawn Due to TEAEs |
19 | — |
| PRIMARY Number of Study Participants With New Appearance of Absence and/or Myoclonic Seizures During the Treatment Period |
3; 5 | — |
| PRIMARY Number of Study Participants With an Increase of up to 25% in Days With Absence Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
5 | — |
| PRIMARY Number of Study Participants With an Increase of Greater Than (>)25% to 50% in Days With Absence Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
1 | — |
| PRIMARY Number of Study Participants With an Increase of >50% to 75% in Days With Absence Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
— | — |
| PRIMARY Number of Study Participants With an Increase of >75% in Days With Absence Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
— | — |
| PRIMARY Number of Study Participants With an Increase of up to 25% in Days With Myoclonic Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
4 | — |
| PRIMARY Number of Study Participants With an Increase of >25% to 50% in Days With Myoclonic Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
1 | — |
| PRIMARY Number of Study Participants With an Increase of >50% to 75% in Days With Myoclonic Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
1 | — |
| PRIMARY Number of Study Participants With an Increase of >75% in Days With Myoclonic Seizures Per 28 Days During the Treatment Period as Compared to the Prospective Baseline (of Study SP0982) |
2 | — |
| PRIMARY Percentage of Study Participants With at Least 50% Worsening in Days With Absence Seizures |
— | — |
| PRIMARY Percentage of Study Participants With at Least 50% Worsening in Days With Myoclonic Seizures |
3.2 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Hemoglobin) |
14.3; 3.7; 0.5; 0.8; 1.2; 2.5 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Hematocrit) |
6.9; 3.7; 1.2; 1.6; 1.2; 0.8 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Platelets) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Erythrocytes) |
1.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Leukocytes) |
0.5 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Basophils Absolute) |
0.4 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Eosinophils Absolute) |
0.9; 0.5; 1.5 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Lymphocytes Absolute) |
0.4; 3.2; 0.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Monocytes Absolute ) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Hematology Parameters (Neutrophils Absolute) |
0.9; 0.5; 0.5; 0.5; 0.6; 2.4 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Calcium) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Sodium) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Potassium) |
0.4 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Chloride) |
1.3; 2.3; 2.5; 1.5; 3.1; 1.2 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Bicarbonate) |
1.1; 1.2; 1.3; 0.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Creatinine) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Aspartate Aminotransferase) |
1.7; 0.7; 0.7; 0.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Alanine Aminotransferase) |
0.4; 0.5; 0.5; 0.7; 0.7; 0.4 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Chemistry Parameters (Total Bilirubin) |
0.5 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Alkaline Phosphatase) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Gamma Glutamyl Transferase) |
16.7; 1.0; 0.5; 1.8; 3.4; 0.8 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Glucose) |
0.5; 0.6; 0.7; 0.8; 1.0; 1.1 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Albumin) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Total Protein) |
— | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Serum Chemistry Parameters (Phosphate) |
0.7; 0.8 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead Electrocardiogram (ECG) Parameter (QT Interval) |
33.3; 0.5; 3.3; 0.8; 0.5; 2.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead ECG Parameter (QTc(F) Interval) |
33.3; 33.3; 33.3; 1.5; 1.0; 5.6 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead ECG Parameter (QTc(B) Interval) |
33.3; 33.3; 33.3; 33.3; 3.6; 2.0 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead ECG Parameter (PR Interval) |
6.3; 5.0; 1.5; 0.5; 1.0; 1.7 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead ECG Parameter (QRS Interval) |
5.1; 5.6; 9.9; 0.5; 7.6; 8.3 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in 12-lead ECG Parameter (Heart Rate Interval) |
1.4; 2.4; 1.5; 0.5; 0.5; 3.2 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Vital Sign Measurements (Pulse Rate) |
4.5; 0.5; 5.0; 2.5; 3.0; 1.5 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Vital Sign Measurements (Systolic Blood Pressure) |
3.5; 1.0; 2.5; 3.6; 3.1; 2.0 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Vital Sign Measurements (Diastolic Blood Pressure) |
6.3; 0.5; 2.5; 6.3; 6.3; 5.1 | — |
| SECONDARY Percentage of Study Participants With Treatment-emergent Marked Abnormalities (TEMAs) in Vital Sign Measurements (Body Weight) |
9.7; 5.6; 16.4; 10.5; 5.9; 19.3 | — |
| SECONDARY Percent Change in Primary Generalized Tonic-clonic Seizure (PGTCS) Frequency Per 28 Days From Combined Baseline |
-88.58 | — |
Summary
Assessment of long-term safety and efficacy of oral lacosamide (LCM) as an adjunctive therapy for uncontrolled primary generalized tonic-clonic seizures (PGTCS) in subjects >= 4 years of age with idiopathic generalized epilepsy (IGE). This study will enroll subjects from the LCM SP0982 [NCT02408523] study.
Eligibility Criteria
Inclusion Criteria
- Subject must have completed or be an eligible Baseline failure from the parent study (SP0982 [NCT02408523]). Note: Other subjects screened for SP0982 may be considered for roll-over to EP0012 if the investigator considers that the subject could benefit from treatment with open-label lacosamide (LCM) and based on prior discussion with and approval from the UCB Study Physician or representative
Exclusion Criteria
- Subject is receiving any investigational drugs or using any experimental devices in addition to lacosamide (LCM)
- Subject meets the withdrawal criteria for SP0982 or is experiencing an ongoing serious adverse event (SAE)
- Subject has an active suicidal ideation as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the "Since Last Visit" version of the Columbia-Suicide Severity Rating Scale (C-SSRS)
- Subject has >=2x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (≥1.5xULN total bilirubin if known Gilbert's syndrome). If subject has elevations only in total bilirubin that are >ULN and ULN for ALT, AST, ALP, or total bilirubin, a Baseline diagnosis and/or the cause of any clinically meaningful elevation must be understood and recorded in the electronic Case Report form (eCRF). Tests that result in ALT, AST, or ALP up to 25% above the exclusion limit may be repeated once for confirmation.
Data sourced from ClinicalTrials.gov (NCT02408549). 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.