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.
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
Spain5 sites
Ep0069 502
Barcelona
Ep0069 505
Llobregat
Ep0069 506
Madrid
Ep0069 501
Seville
Ep0069 503
Valencia
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.
- Conditions
- Highly Drug-resistant Focal Epilepsy
- 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 group | Role | What they receive |
|---|---|---|
| UCB0942 | Experimental | UCB0942/UCB0942 Receives: Drug: UCB0942 |
| Placebo | Placebo comparator | Placebo/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.
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)
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
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)
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)
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
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
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)
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
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)
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
Percentage of Seizure-free Days (All Seizures) During the Outpatient Maintenance Period
Measured: During the Outpatient Maintenance Period (8 weeks)
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)
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.
- First posted13 Jul 2015 (estimated)
- Study startJul 2015
- Primary completionFeb 2017
- Study completionJul 2017
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.
- Other trials for Highly Drug-resistant Focal EpilepsyStudies 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 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)
Sponsor and investigators
- Lead sponsor
- UCB Biopharma S.P.R.L.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- PRA Health Sciences
- Responsible party
- Sponsor
- Investigators
- UCB Cares, Study director, +1 844 599 2273 (UCB)
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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.
- ClinicalTrials.gov ID
- NCT02495844
- Acronym / sponsor ID
- EP0069
- Conditions
- Highly Drug-resistant Focal Epilepsy
- Keywords
- UCB0942, Treatment-resistant focal epilepsy, Partial seizures, Seizure therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- UCB Biopharma S.P.R.L.Industry (pharma, biotech, devices)
- Collaborators
- PRA Health Sciences
- Study start
- Jul 2015
- Primary completion
- Feb 2017 (actual)
- Study completion
- Jul 2017 (actual)
- First posted
- 13 Jul 2015 (estimated)
- Results
- Posted 5 Feb 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
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 |
|---|---|---|
| UCB0942 | Experimental | Drug: UCB0942UCB0942/UCB0942 |
| Placebo | Placebo comparator | Drug: UCB0942, Drug: PlaceboPlacebo/UCB0942 (after 2-week inpatient period, placebo subjects will receive the experimental medicine, UCB0942). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- 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
Key exclusion criteria (8 listed)
- 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
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 |
|---|---|---|
| UCB0942Active substance: UCB0942 Pharmaceutical form: Film-coated tablet Concentration: 200 mg Route of Administration: Oral use | Drug | UCB0942 |
| UCB0942Active substance: UCB0942 Pharmaceutical form: Film-coated tablet Concentration: 100 mg Route of Administration: Oral use | Drug | Placebo, UCB0942 |
| PlaceboPharmaceutical form: Film-coated tablet Route of administration: Oral use | Drug | Placebo |
Primary outcome
75 % Responder Rate During the 2-week Inpatient Period
Time frame: 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.
12 secondary outcomes
Median Percent Change in Weekly Focal Seizure Frequency During the 2-week Inpatient Period
Time frame: During the 2-week Inpatient Period
Median Percent Change in Weekly Focal Seizure Frequency During the Outpatient Maintenance Period
Time frame: During the Outpatient Maintenance Period (8 weeks)
Median Percent Change in Weekly Focal Seizure Frequency During the On-UCB0942 Overall Period
Time frame: During the On-UCB0942 Overall Period (approximately 11 weeks)
Seizure-free Rate (All Seizures) During the 2-week Inpatient Period
Time frame: During the 2-week Inpatient Period
Seizure-free Rate (All Seizures) During the Last 4 Weeks of the Outpatient Maintenance Period
Time frame: During the last 4 weeks of the Outpatient Maintenance Period
Seizure-free Rate (All Seizures) During the On-UCB0942 Overall Period
Time frame: During the On-UCB0942 Overall Period (approximately 11 weeks)
75 % Responder Rate During the Last 4 Weeks of the Outpatient Maintenance Period
Time frame: During the last 4 weeks of the Outpatient Maintenance Period
75 % Responder Rate During the On-UCB0942 Overall Period
Time frame: During the On-UCB0942 Overall Period (approximately 11 weeks)
Percentage of Seizure Free Days (All Seizures) During the 2-week Inpatient Period
Time frame: During the 2-week Inpatient Period
Percentage of Seizure-free Days (All Seizures) During the Outpatient Maintenance Period
Time frame: During the Outpatient Maintenance Period (8 weeks)
Number of Patients Reporting at Least One Serious Adverse Event (SAE) During the Course of the Study
Time frame: All study duration (approximately 19 to 20 weeks)
Number of Subject Withdrawals Due to Adverse Events (AEs) During the Course of the Study
Time frame: All study duration (approximately 19 to 20 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Feb 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
UCB Cares study director
+1 844 599 2273 (UCB)
18 sites in 6 countries: see every site and its status.
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.