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Highly Drug-resistant Focal EpilepsyPhase 2NCT02495844

A Study of UCB0942 in Adult Patients With Highly Drug-resistant Focal Epilepsy

A Phase 2 study testing UCB0942 in people with Highly Drug-resistant Focal Epilepsy, run by UCB Biopharma S.P.R.L. at 18 sites in 6 countries.

Completed

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

Official record
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Trial summary

This study is to assess the efficacy, safety, and tolerability of the investigational drug UCB0942in adult subjects with drug-resistant focal epilepsy across multiple centers in Europe. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Highly Drug-resistant Focal Epilepsy
What is being tested?
UCB0942
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
55 participants
Where
18 sitesin 6 countries
Study dates
Jul 2015to Jul 2017
Phase
Phase 2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is an adult (18 years of age or more)
  • Subject is able to understand the study and the ICF as assessed by the Investigator. Subjects with known mental retardation (defined as IQ below 70) are not eligible to participate. Subject and/or caregiver is considered reliable and capable of adhering to the protocol (eg, able to understand and complete diaries), visit schedule, and the medication intake scheme as instructed according to the judgment of the Investigator
  • Subject fulfills ILAE (1989) criteria for focal epilepsy; clinical semiology should be described and fulfill criteria for focal seizures; there will have been an electroencephalogram (EEG) reading compatible with focal epilepsy in the last 5 years; the subject has no seizures that are not focal by the new ILAE criteria; a brain MRI (magnetic resonance imaging) or head CT (computed tomography) to be performed before randomization, if no such scan was performed in the last 5 years, and a report is available. If a scan was performed within the last 5 years but the epilepsy has not been stable since the last scan, a new scan should be obtained
  • Subject has failed to achieve seizure control with ≥4 appropriately chosen Antiepileptic Drug (AED) regimens of adequate dose and duration, including the current treatment, as documented in medical records and per Investigator assessment of patient report
  • Subject is currently treated with a stable dose of at least 1 AED for the 4 weeks prior to the Screening Visit (Visit 1) and throughout the duration of the Treatment Period with or without additional concurrent vagus nerve stimulation (VNS) or other neurostimulation treatments. The VNS must have been in place for at least 12 months with constant settings for at least 3 months and the battery life of unit anticipated to extend for the duration of study prior to the Screening Visit and throughout the duration of the study
  • During the 4 weeks prior to Screening (Historical Baseline Period), subject must report to have had an average of at least 4 spontaneous and observable focal seizures per week ("focal seizures" refers to partial-onset seizures of type IA1, IB, and IC, but does not include type IA2, IA3, or IA4 seizures), and cannot have had any seizure-free period longer than 3 days (based on Investigator assessment of subject report and seizure diaries if available). The cut-off seizure frequency (4 seizures per week) and maximum seizure-free interval (3 days) must be maintained during the 2-week Prospective Outpatient Baseline Period
  • Female subjects of nonchildbearing potential (premenarcheal, postmenopausal for at least 2 years, bilateral oophorectomy or tubal ligation, and complete hysterectomy) are eligible. Female subjects of childbearing potential are eligible if they use medically accepted contraceptive methods. Oral or depot contraceptive treatment with at least ethinylestradiol 30 μg per intake used with an additional barrier contraception method, monogamous relationship with vasectomized or female partner, or double-barrier contraception are acceptable methods. The subject must understand the consequences and potential risks of inadequately protected sexual activity, be educated about and understand the proper use of contraceptive methods, and undertake to inform the Investigator of any potential change in status. Abstinence will be considered as an acceptable method of contraception if the Investigator can document that the subject agrees to be compliant when it is in line with the preferred and usual lifestyle of the subject
  • Male subjects confirm that during the study period and for a period of 3 months after the final dose, when having sexual intercourse with a woman of childbearing potential, he will use a barrier contraceptive (eg, condom) and that the respective partner will use an additional contraceptive method

Who cannot join

  • Subject has participated in another study of an investigational medication (or medical device) within the last 30 days or is currently participating in another study of an investigational medication (or a medical device)
  • Subject has a known hypersensitivity to any components of UCB0942 formulation or to similar drugs (LEV, BRV, or benzodiazepines), or a history of drug or other allergy that, in the opinion of the Investigator or UCB Study Physician, contraindicates her/his participation
  • Subject has a current or past psychiatric condition that, in the opinion of the Investigator, could compromise his/her safety or ability to participate in this study including a history of schizophrenia, schizoaffective disorder, bipolar disorder, or severe unipolar depression. The presence of potential psychiatric exclusion criteria will be determined based on screening with the BPRS plus the Mini International Neuropsychiatric Interview (MINI)
  • Subject has taken other (non-AED) prescription, nonprescription, dietary (eg, grapefruit or passion fruit), or herbal products that are potent inducers or inhibitors of the CYP3A4 pathway for 2 weeks (or 5 half-lives, whichever is longer) prior to the Baseline Visit
  • Subject is currently treated with carbamazepine, phenytoin, primidone, or phenobarbital or any other drug known to induce CYP3A4 liver enzymes; Subject is taking tiagabine, felbamate, or vigabatrin; Subject is taking benzodiazepines, zolpidem, zaleplon, or zopiclone >3 times per week for any indication
  • Subject has a clinically significant abnormality on echocardiography at Screening or a history of rheumatic heart disease or other known valvular abnormalities
  • Subjects with a history of hypersensitivity reactions or autoimmune disease
  • Female subject who is pregnant or breastfeeding

Trial locations and contacts

18 sites in 6 countries.

18 sites in 6 countries

Germany6 sites
  • Ep0069 402

    Bielefeld

  • Ep0069 408

    Hamburg

  • Ep0069 401

    Kehlkork

  • Ep0069 407

    Marburg

  • Ep0069 403

    Radeberg

  • Ep0069 405

    Ravensburg

Other trials in Germany

Spain5 sites
  • Ep0069 502

    Barcelona

  • Ep0069 505

    Llobregat

  • Ep0069 506

    Madrid

  • Ep0069 501

    Seville

  • Ep0069 503

    Valencia

Other trials in Spain

Belgium3 sites
  • Ep0069 103

    Brussels

  • Ep0069 101

    Ghent

  • Ep0069 102

    Leuven

Other trials in Belgium

Hungary2 sites
  • Ep0069 601

    Budapest

  • Ep0069 602

    Budapest

Other trials in Hungary

Bulgaria1 site
  • Ep0069 201

    Sofia

Other trials in Bulgaria

Netherlands1 site
  • Ep0069 302

    Heeze

Other trials in Netherlands

About this study

Official title: Double-blind, Randomized, Placebo-controlled Study of the Efficacy, Safety/Tolerability, and Pharmacokinetic Profile of UCB0942 in Adults With Highly Drug-resistant Focal Epilepsy.

This study is to assess the efficacy, safety, and tolerability of the investigational drug UCB0942in adult subjects with drug-resistant focal epilepsy across multiple centers in Europe.

Read the detailed description

The study will include a Screening Visit, a Prospective Outpatient Baseline Period (2 to 3 weeks), an Inpatient Period (3 weeks), an Outpatient Period (8 weeks of treatment and 2 weeks of taper), and a Safety Follow-Up Period (4 weeks). The total study duration after screening will be 19 to 20 weeks. Approximately 6 months after the last visit subjects will be asked to return for an additional visit.

Being tested
UCB0942, Placebo
Keywords
UCB0942, Treatment-resistant focal epilepsy, Partial seizures, Seizure therapy
Medical subject headings
Seizures

What participants receive

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

  • UCB0942Drug

    Active substance: UCB0942 Pharmaceutical form: Film-coated tablet Concentration: 200 mg Route of Administration: Oral use

  • UCB0942Drug

    Active substance: UCB0942 Pharmaceutical form: Film-coated tablet Concentration: 100 mg Route of Administration: Oral use

  • PlaceboDrug

    Pharmaceutical form: Film-coated tablet Route of administration: Oral use

Study groups in NCT02495844
Study groupRoleWhat they receive
UCB0942ExperimentalUCB0942/UCB0942
Receives: Drug: UCB0942
PlaceboPlacebo comparatorPlacebo/UCB0942 (after 2-week inpatient period, placebo subjects will receive the experimental medicine, UCB0942).
Receives: Drug: UCB0942; Drug: Placebo

What is being measured

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

  1. 75 % Responder Rate During the 2-week Inpatient Period

    The 75% responder rate is defined as the percentage of subjects with a 75 % or greater reduction in focal seizure frequency during the 2-week Inpatient Period compared with the Baseline Period.

    Measured: During the 2-week Inpatient Period

Secondary outcomes (12)
  1. Median Percent Change in Weekly Focal Seizure Frequency During the 2-week Inpatient Period

    A negative value in median percent change reflects a reduction from Baseline.

    Measured: During the 2-week Inpatient Period

  2. Median Percent Change in Weekly Focal Seizure Frequency During the Outpatient Maintenance Period

    A negative value in median percent change reflects a reduction from Baseline.

    Measured: During the Outpatient Maintenance Period (8 weeks)

  3. Median Percent Change in Weekly Focal Seizure Frequency During the On-UCB0942 Overall Period

    A negative value in median percent change reflects a reduction from Baseline.

    Measured: During the On-UCB0942 Overall Period (approximately 11 weeks)

  4. Seizure-free Rate (All Seizures) During the 2-week Inpatient Period

    Seizure-free rate is reported as the percentage of seizure-free participants during the 2-week Inpatient Period.

    Measured: During the 2-week Inpatient Period

  5. Seizure-free Rate (All Seizures) During the Last 4 Weeks of the Outpatient Maintenance Period

    Seizure-free rate is reported as the percentage of seizure-free participants during the last 4 weeks of the Outpatient Maintenance Period.

    Measured: During the last 4 weeks of the Outpatient Maintenance Period

  6. Seizure-free Rate (All Seizures) During the On-UCB0942 Overall Period

    Seizure-free rate is reported as the percentage of seizure-free participants during the On-UCB0942 Overall Period.

    Measured: During the On-UCB0942 Overall Period (approximately 11 weeks)

  7. 75 % Responder Rate During the Last 4 Weeks of the Outpatient Maintenance Period

    The 75 % responder rate is defined as the percentage of subjects who achieve a 75 % or greater reduction in focal seizure frequency.

    Measured: During the last 4 weeks of the Outpatient Maintenance Period

  8. 75 % Responder Rate During the On-UCB0942 Overall Period

    The 75 % responder rate is defined as the percentage of subjects who achieve a 75 % or greater reduction in focal seizure frequency.

    Measured: During the On-UCB0942 Overall Period (approximately 11 weeks)

  9. Percentage of Seizure Free Days (All Seizures) During the 2-week Inpatient Period

    For the active group, the 2-week Inpatient Period refers to the last 2 weeks of the Inpatient Period, while for the Placebo group, it refers to the first 2 weeks of the Inpatient Period.

    Measured: During the 2-week Inpatient Period

  10. Percentage of Seizure-free Days (All Seizures) During the Outpatient Maintenance Period

    Measured: During the Outpatient Maintenance Period (8 weeks)

  11. Number of Patients Reporting at Least One Serious Adverse Event (SAE) During the Course of the Study

    Number of subjects experiencing at least one serious adverse event (reported by the subject and/or caregiver or observed by the Investigator or inpatient staff).

    Measured: All study duration (approximately 19 to 20 weeks)

  12. Number of Subject Withdrawals Due to Adverse Events (AEs) During the Course of the Study

    Number of subjects who withdrew from the study due adverse event (reported by the subject and/or caregiver or observed by the Investigator or inpatient staff).

    Measured: All study duration (approximately 19 to 20 weeks)

Timeline

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

  1. First posted13 Jul 2015 (estimated)
  2. Study startJul 2015
  3. Primary completionFeb 2017
  4. Study completionJul 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02495844
Sponsor's protocol ID
EP0069
Other IDs
2014-003330-12, 2014
Status last verified
Feb 2019
First submitted
29 Jun 2015
Last updated
5 Feb 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing UCB0942 in people with Highly Drug-resistant Focal Epilepsy, run by UCB Biopharma S.P.R.L. at 18 sites in 6 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 8 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 5 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in Germany, Spain, Belgium, Hungary, Bulgaria and 1 more country. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Feb 2019). 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?

75 % Responder Rate During the 2-week Inpatient Period (time frame: During the 2-week Inpatient Period). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Feb 2019.

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