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.
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
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
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
Australia7 sites
Facility #1
Bedford Park
Facility #1
Camperdown
Facility #1
Clayton
Facility #1
Fitzroy
Facility #1
Heidelberg
Facility #1
Melbourne
Facility #1
Randwick
Taiwan5 sites
Facility #1
Taichung
Facility #1
Tainan
Facility #1
Taipei
Facility #2
Taipei
Facility #1
Taoyuan
Thailand5 sites
Facility #1
Rajathevee
Facility #1
Tha Muang
Facility #2
Tha Muang
Facility #3
Tha Muang
Facility #4
Tha Muang
Malaysia4 sites
Facility #1
Kuala Lumpur
Facility #1
Perak
Facility #1
Pulau Pinang
Facility #1
Terengganu
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
- Conditions
- 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 group | Role | What they receive |
|---|---|---|
| Perampanel | Experimental | Not described Receives: Drug: Perampanel |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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
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.
- First posted13 Jun 2012 (estimated)
- Study start15 May 2012
- Primary completion15 Sep 2014
- Study completion28 May 2020
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 (2)Papers the sponsor has linked to this study.
- Other trials for 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
- 940 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 37059702Nishida 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
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01618695
- Acronym / sponsor ID
- E2007-J000-335
- Conditions
- Partial-onset Seizures
- Keywords
- Partial-onset Seizures, partial seizures, seizure, epilepsy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 940 participants (actual)
- Lead sponsor
- Eisai Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 15 May 2012 (actual)
- Primary completion
- 15 Sep 2014 (actual)
- Study completion
- 28 May 2020 (actual)
- First posted
- 13 Jun 2012 (estimated)
- Results
- Posted 5 Jun 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to confirm the efficacy and safety of perampanel compared to placebo in patients with refractory partial-onset seizures
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 |
|---|---|---|
| Perampanel | Experimental | Drug: Perampanel |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (6 listed)
- 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
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 |
|---|---|---|
| PerampanelAlso: E2007Core 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. | Drug | Perampanel |
| PlaceboCore 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. | Drug | Placebo |
Primary outcome
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
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.
3 secondary outcomes
Core Phase: Responder Rate During the Maintenance Period of the Randomization Phase Relative to the Prerandomization Phase (Baseline)- Last Observation Carried Forward (LOCF)
Time frame: Baseline, Week 19
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)
Time frame: Baseline, Week 19
Core Phase: Number of Participants With Clinical Global Impression of Change (CGIC) Scores
Time frame: Baseline, Week 19
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jul 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37059702Bresnahan 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.
- Derived from this study: PubMed 29250772Nishida 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.
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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.
The record lists no contact. Use the official record to reach the sponsor.
117 sites in 7 countries: see every site and its status.
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.