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Partial-onset SeizuresPhase 3NCT01618695

A Study With an Open-label Extension Phase to Evaluate the Efficacy and Safety of Perampanel (E2007) Administered as an Adjunctive Therapy in Subjects With Refractory Partial-onset Seizures

A Phase 3 study testing Perampanel in people with Partial-onset Seizures, run by Eisai Co., Ltd. at 117 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to confirm the efficacy and safety of perampanel compared to placebo in patients with refractory partial-onset seizures Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Partial-onset Seizures
What is being tested?
Perampanel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
940 participants
Where
117 sitesin 7 countries
Study dates
15 May 2012to 28 May 2020
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female and greater than or equal to 12 years of age;
  • Have a diagnosis of epilepsy with partial seizures with or without secondarily generalized seizures
  • Participants with computed tomography (CT) or magnetic resonance imaging (MRI) diagnosis within the last 10 years (for adults) and 5 years (for adolescents) prior to visit 1 that ruled out progressive central nervous system (CNS) disorders, example, neurodegenerative disorders, brain tumors. For participants without existing CT or MRI results, CT or MRI was performed at or after Visit 1 but results evaluation was performed by Visit 2
  • Participants who had been treated for at least 12 weeks but confirmed to be uncontrolled with more than one standard antiepileptic drug (AED) for 2 years before enrollment
  • During the 6-week Prerandomization Phase participants must have had greater than or equal to 5 partial seizures per 6-week
  • Are currently being treated with stable doses and administrations of 1, 2, or a maximum of 3 approved AEDs. Only 1 inducer AED (defined as carbamazepine, phenytoin or oxcarbazepine only) out of the maximum of 3 AEDs is allowed

Who cannot join

  • Presence of nonmotor simple partial seizures only;
  • Presence of primary generalized epilepsies or seizures, such as absences and/or myoclonic epilepsies;
  • Presence or previous history of Lennox-Gastaut syndrome;
  • A history of status epilepticus within 1 year prior to screening
  • Seizure clusters where individual seizures cannot be counted
  • A history of psychogenic seizures within 5 years prior to screening

Trial locations and contacts

117 sites in 7 countries.

117 sites in 7 countries

Japan60 sites
  • Eisai Trial Site #1

    Akita

  • Eisai Trial Site #1

    Aomori

  • Eisai Trial Site #1

    Asaka, Saitama

  • Eisai Trial Site #1

    Beppu, Oita Prefecture

  • Eisai Trial Site #1

    Fujisawa, Kanagawa

  • Eisai Trial Site #1

    Fukui

  • Eisai Trial Site #1

    Fukuoka

  • Eisai Trial Site #2

    Fukuoka

  • Eisai Trial Site #1

    Gifu

  • Eisai Trial Site #1

    Gōshi, Kumamoto

  • Eisai Trial Site #1

    Hamamatsu, Shizuoka

  • Eisai Trial Site #1

    Higashimurayama, Saitama

  • Eisai Trial Site #1

    Hiroshima

  • Eisai Trial Site #2

    Hiroshima

  • Eisai Trial Site #1

    Itami, Hyōgo

  • Eisai Trial Site #1

    Iwanuma, Miyagi

  • Eisai Trial Site #1

    Izumi, Osaka

  • Eisai Trial Site #1

    Kagoshima

  • Eisai Trial Site #2

    Kagoshima

  • Eisai Trial Site #1

    Kanazawa, Ishikawa-ken

  • Eisai Trial Site #1

    Kawasaki, Kanagawa

  • Eisai Trial Site #1

    Kitakyushu, Fukuoka

  • Eisai Trial Site #1

    Kodaira, Tokyo

  • Eisai Trial Site #1

    Koga, Fukuoka

  • Eisai Trial Site #1

    Kokubunji, Tokyo

  • Eisai Trial Site #1

    Komatsushimachō, Tokushima

  • Eisai Trial Site #1

    Kumamoto

  • Eisai Trial Site #1

    Kurashiki, Okayama-ken

  • Eisai Trial Site #1

    Kurume, Fukuoka

  • Eisai Trial Site #1

    Kyoto

  • Eisai Trial Site #1

    Matsue, Shimane

  • Eisai Trial Site #1

    Miyakonojō, Miyazaki

  • Eisai Trial Site #1

    Miyazaki

  • Eisai Trial Site #1

    Moriyama, Shiga

  • Eisai Trial Site #1

    Nagoya, Aichi-ken

  • Eisai Trial Site #2

    Nagoya, Aichi-ken

  • Eisai Trial Site #3

    Nagoya, Aichi-ken

  • Eisai Trial Site #1

    Nara

  • Eisai Trial Site #1

    Niigata

  • Eisai Trial Site #1

    Okayama

  • Eisai Trial Site #1

    Ōmura, Nagasaki

  • Eisai Trial Site #1

    Saitama

  • Eisai Trial Site #2

    Saitama

  • Eisai Trial Site #1

    Sakai, Osaka

  • Eisai Trial Site #2

    Sakai, Osaka

  • Eisai Trial Site #1

    Sapporo, Hokkaido

  • Eisai Trial Site #2

    Sapporo, Hokkaido

  • Eisai Trial Site #1

    Sayama, Osaka

  • Eisai Trial Site #1

    Sendai, Miyagi

  • Eisai Trial Site #1

    Shizuoka

  • Eisai Trial Site #2

    Shizuoka

  • Eisai Trial Site #1

    Takatsuki, Osaka

  • Eisai Trial Site #1

    Tamana, Kumamoto

  • Eisai Trial Site #1

    Tōon, Ehime

  • Eisai Trial Site #1

    Toyama

  • Eisai Trial Site #1

    Tsuchiura, Ibaraki

  • Eisai Trial Site #1

    Ube, Yamaguchi

  • Eisai Trial Site #1

    Yamagata

  • Eisai Trial Site #1

    Yoshida-gun, Fukui

  • Eisai Trial Site #1

    Zentsujichó, Kagawa-ken

Other trials in Japan

China22 sites
  • Facility #1

    Beijing, Beijing Municipality

  • Facility #1

    Changchun, Jilin

  • Facility #1

    Chengdu, Sichuan

  • Facility #2

    Chengdu, Sichuan

  • Facility #1

    Chongqing, Chongqing Municipality

  • Facility #1

    Guangzhou, Guangdong

  • Facility #2

    Guangzhou, Guangdong

  • Facility #1

    Harbin, Heilongjiang

  • Facility #1

    Jinan, Shandong

  • Facility #2

    Jinan, Shandong

  • Facility #1

    Kunming, Yunnan

  • Facility #1

    Qingdao, Shandong

  • Facility #1

    Shanghai, Shanghai Municipality

  • Facility #2

    Shanghai, Shanghai Municipality

  • Facility #3

    Shanghai, Shanghai Municipality

  • Facility #1

    Taiyuan, Shan'xi

  • Facility #1

    Tianjin, Tianjin Municipality

  • Facility #1

    Wenzhou, Zhejiang

  • Facility #1

    Xi'an, Shaanxi

  • Facility #2

    Xi'an, Shaanxi

  • Facility #3

    Xi'an, Shaanxi

  • Facility #1

    Xiamen, Fujian

Other trials in China

South Korea14 sites
  • Facility #1

    Busan

  • Facility #2

    Busan

  • Facility #1

    Daegu

  • Facility #1

    Daejeon

  • Facility #1

    Gwangju

  • Facility #1

    Incheon

  • Facility #1

    Seoul

  • Facility #2

    Seoul

  • Facility #3

    Seoul

  • Facility #4

    Seoul

  • Facility #5

    Seoul

  • Facility #6

    Seoul

  • Facility #7

    Seoul

  • Facility #8

    Seoul

Other trials in South Korea

Australia7 sites
  • Facility #1

    Bedford Park

  • Facility #1

    Camperdown

  • Facility #1

    Clayton

  • Facility #1

    Fitzroy

  • Facility #1

    Heidelberg

  • Facility #1

    Melbourne

  • Facility #1

    Randwick

Other trials in Australia

Taiwan5 sites
  • Facility #1

    Taichung

  • Facility #1

    Tainan

  • Facility #1

    Taipei

  • Facility #2

    Taipei

  • Facility #1

    Taoyuan

Other trials in Taiwan

Thailand5 sites
  • Facility #1

    Rajathevee

  • Facility #1

    Tha Muang

  • Facility #2

    Tha Muang

  • Facility #3

    Tha Muang

  • Facility #4

    Tha Muang

Other trials in Thailand

Malaysia4 sites
  • Facility #1

    Kuala Lumpur

  • Facility #1

    Perak

  • Facility #1

    Pulau Pinang

  • Facility #1

    Terengganu

Other trials in Malaysia

About this study

Official title: A Double-blind, Placebo-controlled, Parallel-group Study With an Open-label Extension Phase to Evaluate the Efficacy and Safety of Perampanel (E2007) Administered as an Adjunctive Therapy in Subjects With Refractory Partial-onset Seizures

The purpose of this study is to confirm the efficacy and safety of perampanel compared to placebo in patients with refractory partial-onset seizures

Being tested
Perampanel, Placebo
Keywords
Partial-onset Seizures, partial seizures, seizure, epilepsy
Medical subject headings
Seizures, Epilepsy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PerampanelDrug

    Also called E2007

    Core study: 4 milligram (mg) group- Week 0 Once daily 2 milligram per day (mg/day), Week 1 to Week 18 Once daily 4 mg/day; 8 mg group- Week 0 Once daily 2 mg/day, Week 1 Once daily 4 mg/day, Week 2 Once daily 6 mg/day, Week 3 to Week 18 Once daily 8 mg/day; 12 mg group- Week 0 Once daily 2 mg/day, Week 1 Once daily 4 mg/day, Week 2 Once daily 6 mg/day, Week 3 Once daily 8 mg/day, Week 4 Once daily 10 mg/day, Week 5 to Week 18 Once daily 12 mg/day.

    Extension study: 4 mg group- Week 19 to Week 22 Once daily 4 mg/day, Week 23 Once daily 6 mg/day, Week 24 Once daily 8 mg/day, Week 25 Once daily 10 mg/day, Week 26 to Week 75 or more Once daily 12 mg/day; 8 mg group- Week 19 to Week 22 Once daily 8 mg/day, Week 23 Once daily 10 mg/day, Week 24 to Week 75 or more Once daily 12 mg/day; 12 mg group- Week 19 to Week 75 or more Once daily 12 mg/day.

  • PlaceboDrug

    Core study: Week 0 to Week 18 Once daily placebo.

    Extension study:

    Week 19 to Week 22 Once daily placebo, Week 23 Once daily perampanel 2 mg/day, Week 24 Once daily perampanel 4 mg/day, Week 25 Once daily perampanel 6 mg/day, Week 26 Once daily perampanel 8 mg/day, Week 27 Once daily perampanel 10 mg/day, Week 28 to Week 75 or more Once daily perampanel 12 mg/day.

Study groups in NCT01618695
Study groupRoleWhat they receive
PerampanelExperimentalNot described
Receives: Drug: Perampanel
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Core Phase: Percent Change in Seizure Frequency (For All Partial Seizures) Per 28 Days in the Randomization Phase Relative to Pre-randomization Phase (Baseline)

    Seizure frequency was based on number of seizures per 28 days, calculated as the number of seizures over the entire time interval divided by the number of days in the interval and multiplied by 28. All partial seizure included simple partial seizures without motor signs, simple partial with motor signs, complex partial, and complex partial with secondary generalized seizures. A simple partial seizure takes place on one side of the brain. Usually, people experiencing a simple partial seizure do not lose consciousness or awareness. A complex partial seizure is a type of seizure that arises in one lobe of the brain, rather than the whole brain. The seizure affects people's awareness and may cause them to lose consciousness.

    Measured: Baseline, Week 19

Secondary outcomes (3)
  1. Core Phase: Responder Rate During the Maintenance Period of the Randomization Phase Relative to the Prerandomization Phase (Baseline)- Last Observation Carried Forward (LOCF)

    Responder rate was percentage of participants with greater than or equal to (>=) 50% reduction in seizure frequency during maintenance period of the randomization phase relative to prerandomization phase (baseline). If the reduction in seizure frequency is less than (<) 50%, then the participants are considered as non-responders.

    Measured: Baseline, Week 19

  2. Core Phase: Percent Change in Seizure Frequency Per 28 Days For Complex Partial Seizures Plus Secondary Generalized Seizures in the Randomization Phase Relative to the Prerandomization Phase (Baseline)

    Seizure frequency was based on number of seizures per 28 days, calculated as the number of seizures over the entire time interval divided by the number of days in the interval and multiplied by 28. A complex partial seizure is a type of seizure that arises in one lobe of the brain, rather than the whole brain and it affects awareness and may cause in loss of consciousness. Secondary generalized seizures begin in one part of the brain, but then spread to both sides of the brain.

    Measured: Baseline, Week 19

  3. Core Phase: Number of Participants With Clinical Global Impression of Change (CGIC) Scores

    The investigator evaluated each participant for CGIC questionnaire to assess change in participant's disease clinical status from baseline. Assessment evaluated frequency of seizures, severity of seizures, occurrence of adverse events (AEs), and overall functional status of the participant using the 7-point scale. The evaluation used a 7-point scale with the scores 1: Very much improved, 2: Much improved, 3: Minimally improved, 4: No change, 5: Minimally worse, 6: Much worse, 7: Very much worse. Lower score indicated improvement and higher score indicated worsening.

    Measured: Baseline, Week 19

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jun 2012 (estimated)
  2. Study start15 May 2012
  3. Primary completion15 Sep 2014
  4. Study completion28 May 2020

Resources

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
940 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01618695
Sponsor's protocol ID
E2007-J000-335
Status last verified
Jul 2021
First submitted
11 Jun 2012
Last updated
29 Jul 2021
Data monitoring committee
No

Publications

  • Bresnahan R, Hill RA, Wang J. Perampanel add-on for drug-resistant focal epilepsy. Cochrane Database Syst Rev. 2023 Apr 14;4(4):CD010961. doi: 10.1002/14651858.CD010961.pub2.

    PubMed 37059702
  • Nishida T, Lee SK, Inoue Y, Saeki K, Ishikawa K, Kaneko S. Adjunctive perampanel in partial-onset seizures: Asia-Pacific, randomized phase III study. Acta Neurol Scand. 2018 Apr;137(4):392-399. doi: 10.1111/ane.12883. Epub 2017 Dec 17.

    PubMed 29250772

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Perampanel in people with Partial-onset Seizures, run by Eisai Co., Ltd. at 117 sites in 7 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 6 inclusion and 6 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 29 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 117 sites in Japan, China, South Korea, Australia, Taiwan and 2 more countries. 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. Some participants in this study may receive a placebo. 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 5 Jun 2020). 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?

Core Phase: Percent Change in Seizure Frequency (For All Partial Seizures) Per 28 Days in the Randomization Phase Relative to Pre-randomization Phase (Baseline) (time frame: Baseline, Week 19). 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 NCT01618695, which also lists 2 linked publications.

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 29 Jul 2021.

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