Epilepsy With Simple or Complex Partial Onset SeizuresPhase 3NCT00866775
Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
A Phase 3 study testing Eslicarbazepine acetate in people with Epilepsy With Simple or Complex Partial Onset Seizures, run by Sumitomo Pharma America, Inc. at 106 sites in 2 countries.
Trial 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. Read more about this study
- Who is it for?
- Ages 16 to 70 years
- Conditions the study is for
- Epilepsy With Simple or Complex Partial Onset Seizures
- What is being tested?
- Eslicarbazepine acetate
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 193 participants
- Where
- 106 sitesin 2 countries
- Study dates
- Apr 2009to May 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 70 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- 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) a. Medical history of seizures; b. Absence of confounding factors (pseudoseizures, syncope); c. 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 progressive structural abnormality (eg, tumor). Mesial temporal sclerosis is acceptable.
- ≥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: a. Non-childbearing potential (ie, physiologically incapable of becoming pregnant, including any female who is pre-menarchal or post-menopausal); b. Child-bearing potential (all females ≤65 years of age), has a negative pregnancy test at screening and agrees to satisfy contraception requirements.
Who cannot join
- 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.
Show all 18Show fewer
- 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: subjects with history of suicide attempt in last 2 years; major depressive episode within last 6 months; abuse of alcohol or substance abuse in last 2 years; significant psychiatric disorder or recurrent episodes of severe depression within 2 years prior to screening.
- Medical exclusion criteria: known renal insufficiency or subject with 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
- Female subjects who are currently breastfeeding or intending to breastfeed during study period.
Trial locations and contacts
106 sites in 2 countries.
106 sites in 2 countries
United States103 sites
McFarland Clinic, PC
Ames, Iowa, 50010
Neurology Associates of Arlington, PA
Arlington, Texas, 76017
Peachtree Neurological Clinic
Atlanta, Georgia, 30309
Emory University Department of Neurology
Atlanta, Georgia, 30322
PANDA Neurology and Atlanta Headache Specialists
Atlanta, Georgia, 30328
Anschutz Outpatient Pavilion
Aurora, Colorado, 80045
John Hopkins University
Baltimore, Maryland, 21287
Northern Ohio Neurosciences
Bellevue, Ohio, 44811
Neurological Associates of Washington/Clinical Trials of America Inc.
Bellevue, Washington, 98004
Sutter East Bay Medical Foundation
Berkley, California, 94705
Mid-Atlantic Epilepsy and Sleep Center
Bethesda, Maryland, 20817
Norwood Neurology
Birmingham, Alabama, 35234
Greystone Neurology Center
Birmingham, Alabama, 35242
Consultants in Epilepsy and Neurology, PLLC.
Boise, Idaho, 83702
Massachusetts General Hospital Epilepsy Service - WACC
Boston, Massachusetts, 02114
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Bradenton Research Center, Inc.
Bradenton, Florida, 34205
Cooper University Health System
Camden, New Jersey, 08103
Five Towns Neuroscience Research
Cedarhurst, New York, 11516
The Neurology Institute
Charlotte, North Carolina, 28204
Cooper University Health System
Cherry Hill, New Jersey, 08034
The Comprehensive Epilepsy Care Center for Children and Adults
Chesterfield, Missouri, 63017
Rush University
Chicago, Illinois, 60612
UCMC
Chicago, Illinois, 60637
Miami Clinical Research
Coral Gables, Florida, 33134
Gus Stratton / Neurology
Cranston, Rhode Island, 02920
Texas Neurology, PA
Dallas, Texas, 75214
Neurological Clinic of Texas P.A.
Dallas, Texas, 75230
Associated Neurologists, PC
Danbury, Connecticut, 06810
Denver Health Medical Center
Denver, Colorado, 80204
NJ Neuroscience Center
Edison, New Jersey, 08818
Synergy Escondido
Escondido, California, 92025
Precise Research Centers
Flowood, Mississippi, 39232
Collaborative Neuroscience Network
Garden Grove, California, 92845
Mid-South Physcians Group
Germantown, Tennessee, 38138
NW FL Clinical Research Group, LLC
Gulf Breeze, Florida, 32561
North Oaks Neurology
Hammond, Louisiana, 70403
PMG Research of Hickory, LLC
Hickory, North Carolina, 28602
Infiniti Clinical Research, LLC
Hollywood, Florida, 33021
Baylor College of Medicine
Houston, Texas, 77030
UT Health Science Center at Houston
Houston, Texas, 77030
Todd Swick, MD, PA
Houston, Texas, 77063
University of Florida Health Science Center
Jacksonville, Florida, 32209
University of Kansas Medical Center
Kansas City, Kansas, 66160
Bluegrass Epilepsy Research LLC
Lexington, Kentucky, 40504
K & S Professional Research Services
Little Rock, Arkansas, 72201
Institute of Neurology and Neurosurgery at St. Bamabas, Suite 101
Livingston, New Jersey, 07039
Faculty of Physicians & Surgeons of Loma Linda University
Loma Linda, California, 92354
Loma Linda University
Loma Linda, California, 92354
American Institute of Research
Los Gatos, California, 95032
Neurology Associates, PA
Maitland, Florida, 32751
Neurology Associates of Arlington, PA
Mansfield, Texas, 76063
Providence Medical Group
Medford, Oregon, 97504
MIMA Century Research Associates
Melbourne, Florida, 32901
San Marcus Research Clinic
Miami, Florida, 33015
Neurosciences Consultants, LLC
Miami, Florida, 33176
Winthrop University Hospital
Mineola, New York, 11501
USA Neurology
Mobile, Alabama, 36693
West Virginia University
Morgantown, West Virginia, 26506
Access Clinical Trials
Nashville, Tennessee, 37203
VU Department of Neurology
Nashville, Tennessee, 37232
Jersey Shore University Medical Center
Neptune City, New Jersey, 07753
University of Medicine and Dentistry of New Jersey
New Brunswick, New Jersey, 08901
Beth Israel Medical Center
New York, New York, 10003
Clinilabs Inc.
New York, New York, 10019
Sentara Neurology Specialists
Norfolk, Virginia, 23507
Neurology Clinic, P.C.
Northport, Alabama, 35476
Northridge Neurological Center
Northridge, California, 91325
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112'
5929 N. May Ave.
Oklahoma City, Oklahoma, 73112
Neurological Services Orlando
Orlando, Florida, 32806
Pediatric Neurolog, PA
Orlando, Florida, 32819
Neurology Associates of Ormond Beach
Ormond Beach, Florida, 32174
Yafa Minazad, DO
Pasadena, California, 91105
St. Joseph's Regional Medical Center
Paterson, New Jersey, 07503
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Children's Hospital Philadelphia
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Clinical Research Consortium
Phoenix, Arizona, 85003
Clinical Research Consortium - Arizona
Phoenix, Arizona, 85004
Xenoscience Inc.
Phoenix, Arizona, 85004
Children's Hospital of Pittsburg of UPMC
Pittsburgh, Pennsylvania, 15201
Medsol Clinical Research Center
Port Charlotte, Florida, 33952
Rainier Clinical Research Center, Inc.
Renton, Washington, 98057
University of Rochester
Rochester, New York, 14642
Harbin Clinic
Rome, Georgia, 30165
Neurological Research Institute
Santa Monica, California, 90404
MMP Neurology
Scarborough, Maine, 04074
Pacific Medical Centers
Seattle, Washington, 98144
Southern Illinois University
Springfield, Illinois, 62702
PsychCare Consultants Research
St Louis, Missouri, 63128
Arizona Neurological Institute
Sun City, Arizona, 85351
GA Neurology and Sleep Medicine Associates
Suwanee, Georgia, 30024
Tallahassee Neurological Clinic
Tallahassee, Florida, 32308
Pediatric Epilepsy & Neurology Specialists, PA
Tampa, Florida, 33609
Florida Comprehensive Epilepsy and Seizure Disorder Center
Tampa, Florida, 33613
Scott and White Memorial Hospital
Temple, Texas, 76508
Center for Neurosciences
Tucson, Arizona, 85718
Vero Neurology
Vero Beach, Florida, 32960
Palm Beach Clinical Research Network LLC
Wellington, Florida, 33414
American Institute of Research
Whittier, California, 90603
Central DuPage Hospital
Winfield, Illinois, 60190
Wake Forest University
Winstom-Salem, North Carolina, 27157
Canada3 sites
Neuro-Epilepsy Clinic
Greenfield Park, Quebec, J4V2J2
London Health Sciences Center
London, Ontario, N6A5A5
Centre Hospitalier Universitaire de Sherbrooke
Sherbrooke, Quebec, J1H 5N4
About this study
Official title: Double-Blind, Randomized, Historical Control Study of the Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
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.
Read the detailed description
This is an 18-week, double-blind, randomized, historical control, multicenter study with gradual conversion to monotherapy in subjects with partial onset seizures who are not well controlled by current AEDs. The 18 week double-blind treatment period consists of a 2-week period for titration of study drug, 6-week period for taper or conversion off AEDs, and a 10-week monotherapy period. Subjects not entering an optional open-label extension study will enter a 1-week period to taper off study drug followed by an end of study visit (week 19). This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.
- Being tested
- Eslicarbazepine acetate
- Keywords
- Seizure, Epilepsy, Anticonvulsant, Historical Control, Monotherapy
- Medical subject headings
- Seizures, Epilepsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Eslicarbazepine acetateDrug
1600 mg QD
Eslicarbazepine acetateDrug
1200 mg QD
| Study group | Role | What they receive |
|---|---|---|
| Eslicarbazepine 1600 mg QD | Experimental | Subjects randomized to 1600 mg QD of eslicarbazepine acetate will titrate from 600 mg QD (Day 0) to 1200 mg QD (Week 1) to 1600 mg QD (Weeks 2-18)
Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. Receives: Drug: Eslicarbazepine acetate |
| Eslicarbazepine 1200 mg QD | Experimental | Subjects randomized to 1200 mg QD eslicarbazepine acetate will titrate from 400 mg QD (Day 0) to 800 mg QD (week 1) to 1200 mg QD (weeks 2-18)
Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. Receives: Drug: Eslicarbazepine acetate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method
Cumulative exit rate was defined as the proportion of subjects meeting at least one of the five exit criteria over a 16-wk study period (start of Antiepilectic Drugs(AED) taper/conv.period (Wk 3 to end of double blind monotherapy period (Wk 18)):1.One episode of status epilepticus.2.One secondary general partial seizure (in subjects who did not have gen. seizures during 6 months prior to screening).3.A two fold increase in any consecutive 28 day seizure rate compared to the highest consecutive 28 day seizure rate during the 8 wk baseline period. 4.A two fold increase in any consecutive 2 day seizure rate compared to the highest consecutive 2 day seizure rate during the 8 wk baseline period. If the highest number of seizures in any consecutive 2 day period during the 8 wk baseline was 1 then 3 seizures in a consecutive 2 day period was required to exit.5.Worsening of seizures or increase in seizure frequency considered serious or requiring intervention as judged by the Investigator.
Measured: Week 3 to Week 18
Secondary outcomes (15)
Percentage of Subjects That Are Seizure-free During the 10-week Double-blind Monotherapy Treatment Period.
Seizure-free subjects during the monotherapy period were determined as subjects who had seizure assessments during the monotherapy period, and did not have any seizures in the 10 weeks between Visits 6 and 9 (Weeks 9 through 18). Subjects who discontinued during this period were considered not seizure-free even if they were seizure-free at the time of discontinuation, i.e., to be considered seizure-free, subjects must complete the 10-week period without any seizures.
Measured: Weeks 9 through 18
Percentage of Subjects Seizure-free During the Last 4 Weeks on Eslicarbazepine Acetate Monotherapy.
Seizure-free subjects during the last four weeks of monotherapy were determined as subjects who had seizure assessments during the 4 weeks between Visits 8 and 9 (Weeks 15 through 18), and did not have any seizures.
Measured: Weeks 15 through 18
Completion Rate
Subjects completing the study were determined as subjects who completed the 18 weeks of double-blind treatment.
Measured: Week 1 to Week 18
Completion Rate During the 10 Weeks of Monotherapy
Monotherapy completion rate was defined as the proportion (%) of subjects entering the monotherapy period who completed the 10 weeks of monotherapy treatment.
Measured: Weeks 8 through 18
Time on Eslicarbazepine Acetate Monotherapy.
The start of the monotherapy period was defined as the date of termination of all other AEDs while taking study monotherapy medication. Time on monotherapy was defined from the start of monotherapy period to the last dose of monotherapy treatment.
Measured: Week 8 to Week 18
Change in Seizure Frequency From Baseline.
The relative (%) change in standardized seizure frequency was evaluated for four periods: titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18).
Measured: Week 0 to Week 18, Double-blind: weeks 1to 18; baseline:weeks-8 to -1; Titration: weeks 1 to 2; AED taper/conversion:weeks 3 to 8; monotherapy: weeks 9 to 18
Responder Rate (Proportion [%] of Subjects With a ≥50% Reduction of Seizure Frequency From Baseline).
Responder rate was defined as the proportion (%) of subjects with a ≥ 50% reduction of seizure frequency from baseline. This analysis was done for the titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18) periods.
Measured: Week 0 to Week 18, Double blind: weeks to 8; baseline:weeks -8 to -1; titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; monotherapy: weeks 9 to 18
Percentage of Subjects Reaching Each of the Exit Events.
The percentage of subjects reaching each of the 5 exit criteria. 1.One episode of status epilepticus.2.One secondary general partial seizure (in subjects who did not have gen. seizures during 6 months prior to screening).3.A two fold increase in any consecutive 28 day seizure rate compared to the highest consecutive 28 day seizure rate during the 8 wk baseline period. 4.A two fold increase in any consecutive 2 day seizure rate compared to the highest consecutive 2 day seizure rate during the 8 wk baseline period. If the highest number of seizures in any consecutive 2 day period during the 8 wk baseline was 1 then 3 seizures in a consecutive 2 day period was required to exit.5.Worsening of seizures or increase in seizure frequency considered serious or requiring intervention as judged by the Investigator.
Measured: Week 1 to Week 18
Change in Total Score From Baseline in 31-Item Quality of Life in Epilepsy (QOLIE-31).
The QOLIE-31 overall score was obtained by using a weighted average of multi-item scale scores. The recorded responses were converted to 0-100 point scales. The mean of the individual item scores in each subgroup were calculated, with higher converted scores reflecting better quality of life.
Measured: Week 0 to Week 18, baseline: day 0: End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Change in Total Score From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS).
The total score of MADRS is defined as the sum of all individual symptom scores, ranging from 0 to 60, higher score indicates more severe depression. Each of the 10 symptoms of depression on MADRS was measured on a scale of 0 to 6 with 0 representing the lowest severity of the symptom and 6 representing the highest severity
Measured: Week 0 to Week 18; Baseline: day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Change in Total Score From Baseline in MADRS in Those Subjects With a MADRS Score of ≥14 at Randomization.
The total score of MADRS is defined as the sum of all individual symptom scores, ranging from 0 to 60, higher score indicates more severe depression. Each of the 10 symptoms of depression on MADRS was measured on a scale of 0 to 6 with 0 representing the lowest severity of the symptom and 6 representing the highest severity
Measured: Week 0 to Week 18, Baseline: Day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Percentage of Subjects With Increase of Body Weight >= 7%
Measured: 18 Week Double-blind treatment period
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L
Measured: 18 Week Double-blind treatment period
Proportion (%) of Events in Each Classification of the Columbia Suicide Severity Rating Scale (C SSRS).
Measured: 18 Week Double-blind treatment period
Standardized Seizure Frequency (SSF) by Period
Seizure frequency was evaluated by using a standardized frequency per 4 weeks (28 days). It was evaluated for five periods: baseline (Weeks -8 to -1), titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18).
Measured: Week 1 to Week 18, Double-blind: weeks 1 to 18; Baseline: weeks -8 to -1; Titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; Monotherapy: weeks 9 to 18
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2009 (estimated)
- Study startApr 2009
- Primary completionMay 2013
- Study completionMay 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Epilepsy With Simple or Complex Partial Onset SeizuresStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 193 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- CNS Medical Director, Study director, Sumitomo Pharma America, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00866775
- Sponsor's protocol ID
- 093-045
- Status last verified
- Feb 2016
- First submitted
- 18 Mar 2009
- Last updated
- 11 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Sperling MR, Harvey J, Grinnell T, Cheng H, Blum D; 045 Study Team. Efficacy and safety of conversion to monotherapy with eslicarbazepine acetate in adults with uncontrolled partial-onset seizures: a randomized historical-control phase III study based in North America. Epilepsia. 2015 Apr;56(4):546-55. doi: 10.1111/epi.12934. Epub 2015 Feb 16.
PubMed 25689448
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Double-Blind, Randomized, Historical Control Study of the Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
- ClinicalTrials.gov ID
- NCT00866775
- Acronym / sponsor ID
- 093-045
- Keywords
- Seizure, Epilepsy, Anticonvulsant, Historical Control, Monotherapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 193 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Apr 2009
- Primary completion
- May 2013 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 20 Mar 2009 (estimated)
- Results
- Posted 4 Feb 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
This is an 18-week, double-blind, randomized, historical control, multicenter study with gradual conversion to monotherapy in subjects with partial onset seizures who are not well controlled by current AEDs. The 18 week double-blind treatment period consists of a 2-week period for titration of study drug, 6-week period for taper or conversion off AEDs, and a 10-week monotherapy period. Subjects not entering an optional open-label extension study will enter a 1-week period to taper off study drug followed by an end of study visit (week 19). This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Eslicarbazepine 1600 mg QD | Experimental | Drug: Eslicarbazepine acetateSubjects randomized to 1600 mg QD of eslicarbazepine acetate will titrate from 600 mg QD (Day 0) to 1200 mg QD (Week 1) to 1600 mg QD (Weeks 2-18) Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. |
| Eslicarbazepine 1200 mg QD | Experimental | Drug: Eslicarbazepine acetateSubjects randomized to 1200 mg QD eslicarbazepine acetate will titrate from 400 mg QD (Day 0) to 800 mg QD (week 1) to 1200 mg QD (weeks 2-18) Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. |
Who may qualify
- Ages
- 16 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (7 listed)
- 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) a. Medical history of seizures; b. Absence of confounding factors (pseudoseizures, syncope); c. 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 progressive structural abnormality (eg, tumor). Mesial temporal sclerosis is acceptable.
- ≥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.
Key exclusion criteria (18 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Eslicarbazepine acetate1600 mg QD | Drug | Eslicarbazepine 1600 mg QD |
| Eslicarbazepine acetate1200 mg QD | Drug | Eslicarbazepine 1200 mg QD |
Primary outcome
Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method
Time frame: Week 3 to Week 18
Cumulative exit rate was defined as the proportion of subjects meeting at least one of the five exit criteria over a 16-wk study period (start of Antiepilectic Drugs(AED) taper/conv.period (Wk 3 to end of double blind monotherapy period (Wk 18)):1.One episode of status epilepticus.2.One secondary general partial seizure (in subjects who did not have gen. seizures during 6 months prior to screening).3.A two fold increase in any consecutive 28 day seizure rate compared to the highest consecutive 28 day seizure rate during the 8 wk baseline period. 4.A two fold increase in any consecutive 2 day seizure rate compared to the highest consecutive 2 day seizure rate during the 8 wk baseline period. If the highest number of seizures in any consecutive 2 day period during the 8 wk baseline was 1 then 3 seizures in a consecutive 2 day period was required to exit.5.Worsening of seizures or increase in seizure frequency considered serious or requiring intervention as judged by the Investigator.
15 secondary outcomes
Percentage of Subjects That Are Seizure-free During the 10-week Double-blind Monotherapy Treatment Period.
Time frame: Weeks 9 through 18
Percentage of Subjects Seizure-free During the Last 4 Weeks on Eslicarbazepine Acetate Monotherapy.
Time frame: Weeks 15 through 18
Completion Rate
Time frame: Week 1 to Week 18
Completion Rate During the 10 Weeks of Monotherapy
Time frame: Weeks 8 through 18
Time on Eslicarbazepine Acetate Monotherapy.
Time frame: Week 8 to Week 18
Change in Seizure Frequency From Baseline.
Time frame: Week 0 to Week 18, Double-blind: weeks 1to 18; baseline:weeks-8 to -1; Titration: weeks 1 to 2; AED taper/conversion:weeks 3 to 8; monotherapy: weeks 9 to 18
Responder Rate (Proportion [%] of Subjects With a ≥50% Reduction of Seizure Frequency From Baseline).
Time frame: Week 0 to Week 18, Double blind: weeks to 8; baseline:weeks -8 to -1; titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; monotherapy: weeks 9 to 18
Percentage of Subjects Reaching Each of the Exit Events.
Time frame: Week 1 to Week 18
Change in Total Score From Baseline in 31-Item Quality of Life in Epilepsy (QOLIE-31).
Time frame: Week 0 to Week 18, baseline: day 0: End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Change in Total Score From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS).
Time frame: Week 0 to Week 18; Baseline: day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Change in Total Score From Baseline in MADRS in Those Subjects With a MADRS Score of ≥14 at Randomization.
Time frame: Week 0 to Week 18, Baseline: Day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
Percentage of Subjects With Increase of Body Weight >= 7%
Time frame: 18 Week Double-blind treatment period
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L
Time frame: 18 Week Double-blind treatment period
Proportion (%) of Events in Each Classification of the Columbia Suicide Severity Rating Scale (C SSRS).
Time frame: 18 Week Double-blind treatment period
Standardized Seizure Frequency (SSF) by Period
Time frame: Week 1 to Week 18, Double-blind: weeks 1 to 18; Baseline: weeks -8 to -1; Titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; Monotherapy: weeks 9 to 18
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 25689448Sperling MR, Harvey J, Grinnell T, Cheng H, Blum D; 045 Study Team. Efficacy and safety of conversion to monotherapy with eslicarbazepine acetate in adults with uncontrolled partial-onset seizures: a randomized historical-control phase III study based in North America. Epilepsia. 2015 Apr;56(4):546-55. doi: 10.1111/epi.12934. Epub 2015 Feb 16.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
CNS Medical Director study director
Sumitomo Pharma America, Inc.
106 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Eslicarbazepine acetate in people with Epilepsy With Simple or Complex Partial Onset Seizures, run by Sumitomo Pharma America, Inc. at 106 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 4 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method (time frame: Week 3 to Week 18). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00866775, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2016.