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EpilepsyPhase 3NCT01921205

Study to Investigate Lacosamide as Add-on Therapy in Subjects ≥4 Years to <17 Years of Age With Partial Onset Seizures

A Phase 3 study testing Lacosamide in people with Epilepsy, run by UCB Pharma at 118 sites in 28 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

Study to evaluate the efficacy of Lacosamide (LCM) administered in addition to 1 to ≤3 other Anti-Epileptic Drugs in subjects with epilepsy ≥4 years to <17 years of age who currently have uncontrolled partial onset seizures. Read more about this study

Who is it for?
Ages 4 to 16 years
Conditions the study is for
Epilepsy
What is being tested?
Lacosamide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
404 participants
Where
118 sitesin 28 countries
Study dates
29 Aug 2013to 24 Jan 2017
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 4 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • An Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent form is signed and dated by the parent(s) or legal representative. The Informed Consent form or a specific Assent form, where required, will be signed and dated by minors
  • Subject/legal representative is considered reliable and capable of adhering to the protocol (eg, able to understand and complete diaries), visit schedule, and medication intake according to the judgment of the investigator
  • Subject is male or female from ≥4 years to <17 years of age
  • Subject has a diagnosis of Epilepsy with partial-onset seizures. The results of ≥1 prior electroencephalogram (EEG) AND 1 prior magnetic resonance imaging/computerized tomography scan should be consistent with the above diagnosis
  • Subject has been observed to have uncontrolled partial-onset seizures after an adequate course of treatment (in the opinion of the investigator) with ≥2 Anti-Epileptic Drugs (AEDs) (concurrently or sequentially)
  • Subject must have been observed to have on average ≥2 partial onset seizures per 28 days with seizure free phase no longer than 21 days in the 8 week period prior to entry into the Baseline Period. During this study, subjects must have reported ≥2 partial onset seizures during the 8 week prospective Baseline Period to be eligible for randomization at Visit 2. (Note: In the case of simple partial onset seizures, only those seizures with motor signs will be counted towards meeting the inclusion criterion.)
  • Subject is on a stable dosage regimen of 1 to ≤3 AEDs. The daily dosage regimen of concomitant AED therapy must be kept constant for a period of ≥4 weeks prior to the Baseline Period
  • Vagal nerve stimulation (VNS) is allowed and will not be counted as a concomitant AED. The VNS device must be implanted for ≥6 months before Visit 1, and the device settings must be stable for ≥4 weeks before Visit 1 and be kept stable during the Baseline Period. Use of the VNS device magnet is allowed

Who cannot join

  • Subject has previously participated in this study or subject has been assigned to Lacosamide (LCM) in a previous LCM study
  • Subject has participated in another study of an investigational medicinal product (IMP) or a medical device within ≤2 months of Visit 1 or is currently participating in another study of an IMP or a medical device
  • Subject has any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize or would compromise the subject's ability to participate in this study
  • Subject ≥6 years of age has a lifetime history of suicide attempt (including an actual attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia Suicide Severity Rating Scale (C SSRS) at Screening
  • Subject has a known hypersensitivity to any component of the IMP or has ever received LCM
  • Female subject who is pregnant or nursing, and/or a female subject of childbearing potential who is not surgically sterile or does not practice 1 highly effective method of contraception (according to International Conference on Harmonisation [ICH] guidance defined as those that result in a failure rate of less than 1% per year when used consistently and correctly), unless sexually abstinent, for the duration of the study. Female subject of childbearing potential taking enzyme inducing antiepileptic drugs (EI AEDs: carbamazepine, phenytoin, barbiturates, primidone, topiramate, oxcarbazepine) who is not surgically sterile or does not practice 1 highly effective method of contraception according to the 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
Show all 22Show fewer
  • Subject has a medical condition that could be expected in the opinion of the investigator to interfere with drug absorption, distribution, metabolism, or excretion
  • Subject has experienced febrile seizures exclusively. The occurrence of febrile seizures in addition to other unprovoked seizures is not exclusionary
  • Subject is on a ketogenic or other specialized diet. If the subject was on a specialized diet in the past, they must be off the diet for ≥2 months prior to the Baseline Period
  • Subject has an alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin level ≥2 times the upper limit of normal (ULN), or creatinine clearance less than 30 mL/min
  • Subject has a clinically relevant ECG abnormality, in the opinion of the investigator (eg, second or third degree heart block at rest or a corrected QT interval [QTc] greater than 450 ms)
  • Subject has hemodynamically significant congenital heart disease
  • Subject has an arrhythmic heart condition requiring medical therapy
  • Subject has a known history of severe anaphylactic reaction or serious blood dyscrasias
  • Subject has nonepileptic events that could be confused with seizures
  • Subject has a current diagnosis of Lennox-Gastaut syndrome, primary generalized epilepsy, mixed seizure disorder (partial and primarily generalized seizures), or purely nocturnal seizures
  • Subject has a history of convulsive status epilepticus ≤2 months prior to the Baseline Period
  • Subject has been treated with vigabatrin and experienced any vision loss. Subjects who have received vigabatrin in the past must have documentation of an assessment for vision loss prior to study entry or documentation of why visual field testing cannot be performed
  • Subject has been treated with felbamate and has experienced any serious toxicity issues (defined as liver failure, aplastic anemia) with this treatment. Subjects treated with felbamate for <12 months are excluded. Note: any subject who has been treated with felbamate for ≥12 months and has not experienced serious toxicity issues is eligible
  • Subject has a medically documented history of alcohol or drug abuse
  • Subject has a known cardiac sodium channelopathy, such as Brugada syndrome
  • Subject has an acute or sub acutely progressive central nervous system disease. Subject has epilepsy secondary to a progressing cerebral disease or any other progressively neurodegenerative disease (malignant brain tumor or Rasmussen Syndrome)

Trial locations and contacts

118 sites in 28 countries.

118 sites in 28 countries

United States13 sites
  • 103

    Atlanta, Georgia

  • 127

    Boulder, Colorado

  • 102

    Charlotte, North Carolina

  • 122

    Dallas, Texas

  • 640

    Eugene, Oregon

  • 115

    Las Vegas, Nevada

  • 124

    Lexington, Kentucky

  • 112

    Louisville, Kentucky

  • 105

    Orlando, Florida

  • 114

    Seattle, Washington

  • 121

    Shreveport, Louisiana

  • 117

    Tampa, Florida

  • 101

    Tomball, Texas

Other trials in United States

Poland11 sites
  • 433

    Gdansk

  • 432

    Katowice

  • 420

    Kielce

  • 422

    Krakow

  • 431

    Krakow

  • 423

    Poznan

  • 425

    Poznan

  • 421

    Szczecin

  • 429

    Tyniec Mały

  • 430

    Warsaw

  • 428

    Wroclaw

Other trials in Poland

Italy9 sites
  • 384

    Bologna

  • 388

    Florence

  • 387

    Genova

  • 380

    Mantua

  • 381

    Milan

  • 393

    Padova

  • 383

    Roma

  • 392

    Roma

  • 386

    Verona

Other trials in Italy

Russia8 sites
  • 443

    Kazan'

  • 444

    Kazan'

  • 442

    Moscow

  • 449

    Moscow

  • 441

    Saint Petersburg

  • 446

    Saint Petersburg

  • 440

    Smolensk

  • 447

    Voronezh

Other trials in Russia

Hungary7 sites
  • 361

    Budapest

  • 362

    Budapest

  • 363

    Budapest

  • 364

    Budapest

  • 360

    Debrecen

  • 367

    Miskolc

  • 366

    Pécs

Other trials in Hungary

Romania6 sites
  • 574

    Bucharest

  • 572

    Cluj-Napoca

  • 576

    Sibiu

  • 580

    Suceava

  • 570

    Timișoara

  • 577

    Timișoara

Other trials in Romania

Thailand6 sites
  • 232

    Bangkok

  • 236

    Bangkoknoi

  • 231

    Muang

  • 233

    Muang

  • 235

    Pathumwan

  • 230

    Ratchathewi

Other trials in Thailand

Serbia5 sites
  • 464

    Belgrade

  • 460

    Kragujevac

  • 461

    New Belgrade

  • 462

    Novi Sad

  • 463

    Novi Sad

Other trials in Serbia

South Korea5 sites
  • 211

    Daegu

  • 210

    Seoul

  • 212

    Seoul

  • 213

    Seoul

  • 215

    Seoul

Other trials in South Korea

Czechia4 sites
  • 321

    Hradec Králové

  • 320

    Ostrava-Poruba

  • 322

    Prague

  • 323

    Prague

Other trials in Czechia

Georgia4 sites
  • 620

    Tbilisi

  • 621

    Tbilisi

  • 622

    Tbilisi

  • 623

    Tbilisi

Other trials in Georgia

Israel4 sites
  • 370

    Holon

  • 371

    Kfar Saba

  • 374

    Petah Tikva

  • 372

    Tel Aviv

Other trials in Israel

Ukraine4 sites
  • 602

    Dnipropetrovsk

  • 606

    Kiev

  • 682

    Uzhhorod

  • 603

    Vinnitsa

Other trials in Ukraine

Australia3 sites
  • 200

    Heidelberg West

  • 203

    Herston

  • 205

    South Brisbane

Other trials in Australia

Croatia3 sites
  • 613

    Osijek

  • 610

    Rijeka

  • 612

    Zagreb

Other trials in Croatia

Mexico3 sites
  • 569

    Culiacán

  • 563

    Guadalajara

  • 568

    Monterrey

Other trials in Mexico

Slovakia3 sites
  • 470

    Bardejov

  • 473

    Nitra

  • 472

    Nové Zámky

Other trials in Slovakia

Taiwan3 sites
  • 220

    Changhua

  • 222

    Taichung

  • 224

    Taipei

Other trials in Taiwan

United Kingdom3 sites
  • 514

    Birmingham

  • 515

    Birmingham

  • 511

    Leeds

Other trials in United Kingdom

Argentina2 sites
  • 143

    Buenos Aires

  • 142

    Córdoba

Other trials in Argentina

Bulgaria2 sites
  • 310

    Sofia

  • 312

    Sofia

Other trials in Bulgaria

Colombia2 sites
  • 172

    Floridablanca

  • 171

    Medellín

Other trials in Colombia

Estonia2 sites
  • 331

    Tallinn

  • 330

    Tartu

Other trials in Estonia

Latvia2 sites
  • 400

    Riga

  • 402

    Valmiera

Other trials in Latvia

Belgium1 site
  • 304

    Brussels

Other trials in Belgium

Lithuania1 site
  • 411

    Kaunas

Other trials in Lithuania

Montenegro1 site
  • 660

    Podgorica

Other trials in Montenegro

Slovenia1 site
  • 670

    Ljubljana

Other trials in Slovenia

About this study

Official title: A Multicenter, Double Blind, Randomized, Placebo Controlled, Parallel Group Study to Investigate the Efficacy and Safety of Lacosamide as Adjunctive Therapy in Subjects With Epilepsy ≥4 Years to <17 Years of Age With Partial Onset Seizures

Study to evaluate the efficacy of Lacosamide (LCM) administered in addition to 1 to ≤3 other Anti-Epileptic Drugs in subjects with epilepsy ≥4 years to <17 years of age who currently have uncontrolled partial onset seizures.

Read the detailed description

The primary objective of this study is to evaluate the efficacy of LCM administered concomitantly with 1 to ≤3 Anti-Epileptic Drugs (AEDs) in subjects with epilepsy ≥4 years to <17 years of age who currently have uncontrolled partial onset seizures.

The secondary objective is to evaluate the safety and tolerability of LCM in subjects ≥4 years to <17 years of age.

An additional objective is to evaluate the pharmacokinetics (PK) of LCM in subjects ≥4 years to <17 years of age.

Conditions
Epilepsy
Being tested
Lacosamide, Placebo
Keywords
Lacosamide, Vimpat, UCB, Epilepsy, Partial Onset Seizures, Pediatric
Medical subject headings
Epilepsy

What participants receive

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

  • LacosamideDrug

    Also called Vimpat(R)

    Subjects <30 kg (LCM oral solution): 4 mg/kg - 6 mg/kg BID ( 8mg/kg/day - 12 mg/kg/day)

    Subjects ≥30 kg to <50 kg (LCM oral solution): 3 mg/kg - 4 mg/kg BID (6 mg/kg/day - 8 mg/kg/day)

    Subjects ≥50 kg (LCM tablets): 150 mg - 200 mg BID (300 mg/day - 400 mg/day)

  • PlaceboOther

    Subjects <30 kg (placebo oral solution): 4 mg/kg - 6 mg/kg BID (8 mg/kg/day - 12 mg/kg/day)

    Subjects ≥30 kg to <50 kg (placebo oral solution): 3 mg/kg - 4 mg/kg BID (6 mg/kg/day - 8 mg/kg/day)

    Subjects ≥50 kg (placebo tablets): 150 mg - 200 mg BID (300 mg/day - 400 mg/day)

Study groups in NCT01921205
Study groupRoleWhat they receive
LacosamideExperimentalNot described
Receives: Drug: Lacosamide
PlaceboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

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

  1. Change in Partial Onset Seizure (POS) Frequency Per 28 Days From Baseline to the Maintenance Period

    The POS frequency is standardized to a 28-day duration. Negative values indicate improvement from Baseline.

    Measured: Baseline to Week 16 (or last value on treatment)

Secondary outcomes (11)
  1. Proportion of Responders Where a Responder is Defined as a Participant With >= 50% Reduction in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Maintenance Period

    Proportion of responders is presented as percentage of participants. A responder is a subject experiencing a 50 % or greater reduction in partial onset seizure frequency per 28 days from Baseline to the Maintenance Period.

    Measured: Baseline to Week 16 (or last value on treatment)

  2. Proportion of Subjects Experiencing a >=25 % to <50 %, 50 % to 75 %, or >75 % Reduction in Partial Onset Seizure Frequency Per 28 Days From Baseline to the End of Maintenance Period

    Proportion of subjects is presented as percentage of participants. A >=25%-<50% response in the Maintenance Period is defined as >=25% to <50% reduction in POS frequency per 28 days from Baseline to end of Maintenance Period. A >=50%-<=75% response in the Maintenance Period is defined as >=50% to <=75% reduction in POS frequency per 28 days from Baseline to end of Maintenance Period. A 75% response in the Maintenance Period is defined as >75% reduction in POS frequency per 28 days from Baseline to end of Maintenance Period.

    Measured: Baseline to Week 16 (or last value on treatment)

  3. Change in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods)

    The POS frequency is standardized to a 28-day duration. Negative values indicate improvement from Baseline.

    Measured: Baseline to Week 16 (or last value on treatment)

  4. Proportion of Subjects Experiencing a >=25 % to <50 %, 50 % to 75 %, or >75 % Reduction in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods)

    Proportion of subjects is presented as percentage of participants. A >=25%-<50% response in the Treatment Period is defined as >=25% to <50% reduction in POS frequency per 28 days from Baseline to end of Treatment Period. A >=50%-<=75% response in the Treatment Period is defined as >=50% to <=75% reduction in POS frequency per 28 days from Baseline to end of Treatment Period. A 75% response in the Treatment Period is defined as >75% reduction in POS frequency per 28 days from Baseline to end of Treatment Period.

    Measured: Baseline to Week 16 (or last value on treatment)

  5. Proportion of Subjects Experiencing no Change in Partial Onset Seizure Frequency (Between <25 % Reduction and <25 % Increase) Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods)

    Proportion of subjects is presented as percentage of participants. No change is defined as between <25% reduction and <25% increase in POS frequency per 28 days from Baseline to the entire Treatment Period, otherwise not between <25% reduction and <25% increase is defined as a change.

    Measured: Baseline to Week 16 (or last value on treatment)

  6. Proportion of Subjects Experiencing an Increase in Partial Onset Seizure Frequency Per 28 Days of >=25 % From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods)

    Proportion of subjects is presented as percentage of participants. An increase is defined as a >=25% increase in POS frequency per 28 days from Baseline to the entire Treatment Period, otherwise <25% increase is defined as no increase.

    Measured: Baseline to Week 16 (or last value on treatment)

  7. Change in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods) for Simple Partial Seizures

    The POS frequency is standardized to a 28-day duration. Negative values indicate improvement from Baseline.

    Measured: Baseline to Week 16 (or last value on treatment)

  8. Change in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods) for Complex Partial Seizures

    The POS frequency is standardized to a 28-day duration. Negative values indicate improvement from Baseline.

    Measured: Baseline to Week 16 (or last value on treatment)

  9. Change in Partial Onset Seizure Frequency Per 28 Days From Baseline to the Entire Treatment (ie, Titration+Maintenance Periods) for Secondary Generalized Seizures

    The POS frequency is standardized to a 28-day duration. Negative values indicate improvement from Baseline.

    Measured: Baseline to Week 16 (or last value on treatment)

  10. Proportion of Seizure Free Days During the Maintenance Period for Subjects Who Completed the Maintenance Period

    The proportion of seizure free days is calculated as (days with number of seizures = 0) divided by (days with recorded data in the subject diary), where 'days with recorded data in the subject diary' excludes any days where 'Not Done' is recorded.

    Measured: Week 7 to Week 16

  11. Proportion of Subjects Who Achieved "Seizure Free" Status (Yes/no) for Subjects Who Completed the Maintenance Period

    The proportion of seizure free days is calculated as (days with number of seizures = 0) divided by (days with recorded data in the subject diary), where 'days with recorded data in the subject diary' excludes any days where 'Not Done' is recorded.

    Measured: Week 7 to Week 16

Timeline

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

  1. First posted13 Aug 2013 (estimated)
  2. Study start29 Aug 2013
  3. Primary completion24 Jan 2017
  4. Study completion24 Jan 2017

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
404 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01921205
Sponsor's protocol ID
SP0969
Other IDs
2012-004996-38
Status last verified
Mar 2018
First submitted
8 Aug 2013
Last updated
18 Jul 2018
Data monitoring committee
Yes
Expanded access
Available

Publications

  • Johnson ME, McClung C, Bozorg AM. Analyses of seizure responses supportive of a novel trial design to assess efficacy of antiepileptic drugs in infants and young children with epilepsy: Post hoc analyses of pediatric levetiracetam and lacosamide trials. Epilepsia Open. 2021 Jun;6(2):359-368. doi: 10.1002/epi4.12482. Epub 2021 May 3.

    PubMed 34033237
  • Babar RK, Bresnahan R, Gillespie CS, Michael BD. Lacosamide add-on therapy for focal epilepsy. Cochrane Database Syst Rev. 2021 May 17;5(5):CD008841. doi: 10.1002/14651858.CD008841.pub3.

    PubMed 33998660
  • Farkas V, Steinborn B, Flamini JR, Zhang Y, Yuen N, Borghs S, Bozorg A, Daniels T, Martin P, Carney HC, Dimova S, Scheffer IE; SP0969 Study Group. Efficacy and tolerability of adjunctive lacosamide in pediatric patients with focal seizures. Neurology. 2019 Sep 17;93(12):e1212-e1226. doi: 10.1212/WNL.0000000000008126. Epub 2019 Aug 28.

    PubMed 31462582

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lacosamide in people with Epilepsy, run by UCB Pharma at 118 sites in 28 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 8 inclusion and 22 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 18 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 118 sites in United States, Poland, Italy, Russia, Hungary and 23 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 19 Mar 2018). 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?

Change in Partial Onset Seizure (POS) Frequency Per 28 Days From Baseline to the Maintenance Period (time frame: Baseline to Week 16 (or last value on treatment)). 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 NCT01921205, which also lists 3 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 18 Jul 2018.

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