AzTrials
AzTrials

Epilepsy With Partial-onset SeizuresPhase 3NCT02477839

Efficacy and Safety of Lacosamide as Adjunctive Therapy in Subjects ≥1 Month to <4 Years With Partial-onset Seizures

A Phase 3 study testing Lacosamide in people with Epilepsy With Partial-onset Seizures, run by UCB BIOSCIENCES, Inc. at 88 sites in 26 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 trial is to assess the efficacy, safety and tolerability of lacosamide administered as add-on therapy with 1 to 3 anti-seizure medications. This trial is for children aged 1 month to less than 4 years with epilepsy who currently have uncontrolled partial-onset seizures. Read more about this study

Who is it for?
Ages 1 month to 47 months
Conditions the study is for
Epilepsy With Partial-onset Seizures
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
255 participants
Where
88 sitesin 26 countries
Study dates
5 Jun 2015to 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 1 month to 47 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subject is male or female from >=1 month (ie, 4 weeks after full term [37 weeks gestational age]) to <4 years of age
  • Subject has a diagnosis of epilepsy with partial-onset seizures. The results of >=1 prior EEG and >=1 magnetic resonance imaging/computerized tomography scan should be consistent with this diagnosis
  • Subject weighs >=4 kg to <30 kg at Visit 1
  • Subject has experienced >=2 partial-onset seizures with or without secondary generalization during each consecutive 7-day period during the 2 weeks prior to Visit 1
  • Subject has >=2 partial-onset seizures with or without secondary generalization during the End-of-Baseline video-EEG. Electrographic seizures are defined as recognizable ictal patterns on an EEG involving >=2 contiguous electrodes. The seizures are initiated as a unilateral or strongly asymmetric abnormal epileptiform discharge lasting a total of >10 seconds
  • Subject is on a stable (concurrently or sequentially) dosage regimen of 1 to 3 AEDs. The dosage regimen of concomitant AED therapy must be kept constant for a period of >=2 weeks prior to Visit 1. A stable daily dosage regimen of a concomitant benzodiazepine (BZD) will be considered as a concomitant AED
  • Vagus nerve stimulation (VNS) is allowed and will not be counted as a concomitant AED. The VNS device must have been implanted for >=6 months prior to Visit 1; device settings must be kept stable for >=2 weeks prior to Visit 1 and kept stable during the Baseline, Treatment, and Transition Periods. Use of the VNS device magnet is allowed
  • Subject is an acceptable candidate for venipuncture

Who cannot join

  • Subject has experienced febrile seizures exclusively. The occurrence of febrile seizures in addition to partial-onset seizures is not exclusionary
  • Subject is on a ketogenic diet that has either changed within the 4 weeks prior to Visit 1 or is expected to change during the study
  • Subject has creatinine clearance <30 mL/minute
  • 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] >=450 ms)
  • Subject has a hemodynamically significant congenital heart disease
  • Subject has an arrhythmic heart condition requiring medical therapy
Show all 13Show fewer
  • Subject has a known history of severe anaphylactic reaction secondary to medication intake or serious blood dyscrasias
  • Subject has nonepileptic events that could be confused with seizures. Subjects may be included if epileptic events can be clearly distinguished and the frequency meets the study inclusion criteria
  • Subject has a current diagnosis of Lennox-Gastaut syndrome, epilepsia partialis continua, primary generalized epilepsy, Dravet Syndrome, or seizures that are not of partial-onset origin
  • Subject has a history of generalized convulsive status epilepticus <=2 months prior to Screening (Visit 1)
  • 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. Subjects treated with felbamate for >=12 months prior to Visit 1 and who have not experienced serious toxicity issues are eligible
  • Subject has an acute or subacutely 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)
  • Subject has a known cardiac sodium channelopathy, such as Brugada syndrome

Trial locations and contacts

88 sites in 26 countries.

88 sites in 26 countries

Russia9 sites
  • Sp0967 454

    Kemerovo

  • Sp0967 456

    Nizhny Novgorod

  • Sp0967 452

    Novosibirsk

  • Sp0967 453

    Omsk

  • Sp0967 455

    Perm

  • Sp0967 730

    Smolensk

  • Sp0967 458

    Tomsk

  • Sp0967 459

    Ulyanovsk

  • Sp0967 450

    Yekaterinburg

Other trials in Russia

Mexico8 sites
  • Sp0967 694

    Aguascalientes

  • Sp0967 561

    Chihuahua City

  • Sp0967 569

    Culiacán

  • Sp0967 693

    Culiacán

  • Sp0967 563

    Guadalajara

  • Sp0967 564

    México

  • Sp0967 568

    Monterrey

  • Sp0967 692

    Monterrey

Other trials in Mexico

United States7 sites
  • Sp0967 638

    Birmingham, Alabama, 35233

  • Sp0967 129

    Dallas, Texas, 75235

  • Sp0967 115

    Henderson, Nevada, 89052

  • Sp0967 120

    Lebanon, New Hampshire, 03756

  • Sp0967 630

    San Antonio, Texas, 78207

  • Sp0967 643

    San Antonio, Texas, 78249

  • Sp0967 117

    Tampa, Florida, 33609

Other trials in United States

Ukraine7 sites
  • Sp0967 602

    Dnipro

  • Sp0967 609

    Dnipro

  • Sp0967 681

    Ivano-Frankivsk

  • Sp0967 600

    Kiev

  • Sp0967 606

    Kiev

  • Sp0967 682

    Uzhhorod

  • Sp0967 603

    Vinnytsia

Other trials in Ukraine

China6 sites
  • Sp0967 530

    Beijing

  • Sp0967 535

    Changchun

  • Sp0967 532

    Chongqing

  • Sp0967 536

    Nanchang

  • Sp0967 531

    Shanghai

  • Sp0967 537

    Shenzhen

Other trials in China

Italy6 sites
  • Sp0967 397

    Genova

  • Sp0967 398

    Messina

  • Sp0967 381

    Milan

  • Sp0967 700

    Naples

  • Sp0967 383

    Roma

  • Sp0967 395

    Roma

Other trials in Italy

Hungary5 sites
  • Sp0967 361

    Budapest

  • Sp0967 362

    Budapest

  • Sp0967 363

    Budapest

  • Sp0967 364

    Budapest

  • Sp0967 368

    Budapest

Other trials in Hungary

Philippines5 sites
  • Sp0967 720

    Cebu

  • Sp0967 724

    Cebu

  • Sp0967 721

    Manila

  • Sp0967 723

    Manila

  • Sp0967 727

    Quezon City

Other trials in Philippines

Brazil4 sites
  • Sp0967 158

    Passo Fundo

  • Sp0967 152

    Porto Alegre

  • Sp0967 150

    São Paulo

  • Sp0967 154

    São Paulo

Other trials in Brazil

Georgia4 sites
  • Sp0967 620

    Tbilisi

  • Sp0967 621

    Tbilisi

  • Sp0967 622

    Tbilisi

  • Sp0967 623

    Tbilisi

Other trials in Georgia

Romania4 sites
  • Sp0967 581

    Bucharest

  • Sp0967 582

    Iași

  • Sp0967 573

    Sibiu

  • Sp0967 577

    Timișoara

Other trials in Romania

Croatia3 sites
  • Sp0967 613

    Osijek

  • Sp0967 610

    Rijeka

  • Sp0967 612

    Zagreb

Other trials in Croatia

France3 sites
  • Sp0967 349

    Marseille

  • Sp0967 346

    Rennes

  • Sp0967 344

    Strasbourg

Other trials in France

Serbia3 sites
  • Sp0967 461

    Belgrade

  • Sp0967 464

    Belgrade

  • Sp0967 463

    Novi Sad

Other trials in Serbia

South Korea2 sites
  • Sp0967 212

    Seoul

  • Sp0967 215

    Seoul

Other trials in South Korea

Thailand2 sites
  • Sp0967 237

    Bangkok

  • Sp0967 235

    Pathum Wan

Other trials in Thailand

Argentina1 site
  • Sp0967 142

    Córdoba

Other trials in Argentina

Bulgaria1 site
  • Sp0967 310

    Plovdiv

Other trials in Bulgaria

Czechia1 site
  • Sp0967 320

    Ostrava-Poruba

Other trials in Czechia

Greece1 site
  • Sp0967 542

    Athens

Other trials in Greece

Israel1 site
  • Sp0967 374

    Petah Tikva

Other trials in Israel

Moldova1 site
  • Sp0967 650

    Chisinau

Other trials in Moldova

Poland1 site
  • Sp0967 422

    Krakow

Other trials in Poland

Portugal1 site
  • Sp0967 750

    Lisbon

Other trials in Portugal

Slovakia1 site
  • Sp0967 474

    Bratislava

Other trials in Slovakia

Taiwan1 site
  • Sp0967 224

    Taipei

Other trials in Taiwan

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 >=1 Month to <4 Years of Age With Partial-Onset Seizures

The purpose of this trial is to assess the efficacy, safety and tolerability of lacosamide administered as add-on therapy with 1 to 3 anti-seizure medications. This trial is for children aged 1 month to less than 4 years with epilepsy who currently have uncontrolled partial-onset seizures.

Read the detailed description

The trial consists of a 7-day Baseline Period, a 20-day Titration Period, a 7-day Maintenance Period, and a 12-day Transition Period for subjects who complete the study and choose to enter the extension study. Subjects who will not enter the extension study will continue after the Maintenance Period with a 16-day Taper Period followed by a 30-day Safety Follow-Up Period. The Taper Period and Safety Follow-Up are also applicable for subjects not eligible for continuation and therefore ending the study earlier.

If subjects meet the eligibility criteria, they will be randomized to receive either lacosamide 8 mg/kg/day to 12 mg/kg/day, or placebo during the Maintenance Phase. The dose of lacosamide will be titrated from 4 mg/kg/day at study start to maximum of 12 mg/kg/day at 4-day intervals of 1-2 mg/kg/day.

All subjects who complete the 20-day Titration Period will enter the 7-day Maintenance Period. No dose adjustment is allowed during the Maintenance Phase. The Treatment Phase is defined as the combined Titration and Maintenance Phases.

Being tested
Lacosamide, Placebo
Keywords
Epilepsy, children, partial-onset seizures, lacosamide, LCM, 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, UCB Code: SPM 927, Abbreviated name: LCM

    Active Substance: Lacosamide Pharmaceutical Form: Syrup Concentration: 10 mg/mL Route of Administration: oral

  • PlaceboOther

    Also called PBO

    Active Substance: Placebo Pharmaceutical Form: Syrup Concentration: N/A Route of Administration: oral

Study groups in NCT02477839
Study groupRoleWhat they receive
LacosamideExperimentalLacosamide syrup 8 mg/kg/day to 12 mg/kg/day
Receives: Drug: Lacosamide
PlaceboPlacebo comparatorMatching placebo syrup
Receives: Other: Placebo

What is being measured

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

  1. Change in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    The change in ADF of electrographic partial-onset seizures as measured on the End-of-Maintenance Period video-electroencephalogram (EEG) compared to the End-of-Baseline Period video-EEG.

    Seizure frequency was analyzed using an analysis of covariance (ANCOVA) with terms for treatment, pooled randomized age stratum, pooled center, and Baseline seizure ADF. Seizure ADF was log transformed using the transformation of ln(X+1), where X is the seizure ADF. Baseline seizure ADF was log transformed.

    Least squares means were based on log-transformed data of the full ANCOVA model.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  2. Participant Withdrawals Due to Adverse Events (AEs) During the Study

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could, therefore, be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication.

    Measured: From the Baseline Period (Day -7) to the End of Study Visit (up to 93 days)

  3. Percentage of Participants With Adverse Events Reported Spontaneously by the Participant's Parent(s) and/or Legal Representative(s)/Caregiver(s) (in Accordance With Local Regulation) or Observed by the Investigator

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could, therefore, be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication.

    Measured: From the Baseline Period (Day -7) to the End of Study Visit (up to 93 days)

Secondary outcomes (9)
  1. Absolute Change in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    The absolute change in ADF of electrographic partial-onset seizures as measured on the End-of-Maintenance Period video-EEG compared to the End-of-Baseline Period video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  2. Percent Change in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    The percent change in ADF of electrographic partial-onset seizures as measured on the End-of-Maintenance Period video-EEG compared to the End-of-Baseline Period video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  3. Percentage of Participants Who Achieved 'Seizure-free' Status From All Seizure Types During the End-of-Maintenance (EOM) Period Video-EEG

    A study participant was considered seizure-free from all seizures if the End-of-Maintenance (EOM) Period video-EEG had zero seizures reported from all seizure types (not just partial-onset seizures (POS)).

    Measured: During the End-of-Maintenance Period (Day 24 to Day 27)

  4. Percentage of Participants Who Achieved 'Seizure-free' Status From Partial-onset Seizure Types Only During the End-of-Maintenance (EOM) Period Video-EEG

    A study participant was considered seizure free from partial-onset seizures (POS) if the End-of-Maintenance (EOM) Period video-EEG had zero POS reported.

    Measured: During the End-of-Maintenance Period (Day 24 to Day 27)

  5. Percentage of Participants Experiencing a >=25% to <50% Reduction in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    A ≥25% to <50% response was defined as ≥25% to <50% reduction in ADF of electrographic partial-onset seizures (POS) from the End-of-Baseline (EOB) video-EEG to the End-of-Maintenance (EOM) video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  6. Percentage of Participants Experiencing a 50% to 75% Reduction in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    A ≥50% to ≤75% response was defined as ≥50% to ≤75% reduction in ADF of electrographic partial-onset seizures (POS) from the End-of-Baseline (EOB) video-EEG to the End-of-Maintenance (EOM) video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  7. Percentage of Participants Experiencing a >75% Reduction in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    A >75% response was defined as >75% reduction in ADF of electrographic partial-onset seizures (POS) from the End-of-Baseline (EOB) video-EEG to the End-of-Maintenance (EOM) video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  8. Percentage of Participants Experiencing no Change in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures (Between <25% Reduction and <25% Increase) From EOB Period Video-EEG to EOM Period Video-EEG

    No change was defined as between <25% reduction and <25% increase in ADF of electrographic partial-onset seizures (POS) from the End-of-Baseline (EOB) video-EEG to the End-of-Maintenance (EOM) video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

  9. Percentage of Participants Experiencing an Increase in Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures of >=25% From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG

    An increase was defined as ≥25% increase in ADF of electrographic partial-onset seizures (POS) from the End-of-Baseline (EOB) video-EEG to the End-of-Maintenance (EOM) video-EEG.

    Measured: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)

Timeline

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

  1. First posted23 Jun 2015 (estimated)
  2. Study start5 Jun 2015
  3. Primary completion28 May 2020
  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
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02477839
Sponsor's protocol ID
SP0967
Other IDs
2013-000717-20
Status last verified
Jun 2021
First submitted
13 May 2015
Last updated
1 Jul 2021
Data monitoring committee
Yes
Expanded access
Available

Publications

  • Makedonska I, Ng YT, Beller C, Bozorg A, Csikos J, McClung C, Moeltgen H, Farkas MK; SP0967 Study Group. Efficacy and tolerability of adjunctive lacosamide in patients aged <4 years with focal seizures. Ann Clin Transl Neurol. 2024 Mar;11(3):768-779. doi: 10.1002/acn3.52004. Epub 2024 Feb 20.

    PubMed 38375995

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lacosamide in people with Epilepsy With Partial-onset Seizures, run by UCB BIOSCIENCES, Inc. at 88 sites in 26 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 13 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 1 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 88 sites in Russia, Mexico, United States, Ukraine, China and 21 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 1 Jul 2021). 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 Average Daily Frequency (ADF) of Electrographic Partial-onset Seizures From End-of-Baseline (EOB) Period Video-EEG to End-of-Maintenance (EOM) Period Video-EEG (time frame: End-of-Baseline Period (Day -3 to Day 1) to End-of-Maintenance Period (Day 24 to Day 27)). The study lists 3 primary outcomes in all. 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 NCT02477839, 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 1 Jul 2021; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in