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Partial Onset SeizuresPhase 4NCT03288129

Study to Evaluate the Efficacy and Safety of Perampanel as Monotherapy or First Adjunctive Therapy in Subjects With Partial Onset Seizures With or Without Secondarily Generalized Seizures or With Primary Generalized Tonic-Clonic Seizures

A Phase 4 study testing Perampanel in people with Partial Onset Seizures and Secondarily Generalized Seizures, run by Eisai Inc. at 24 sites in United States.

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

This study will assess the retention rate of perampanel when given as monotherapy or first adjunctive therapy in participants with partial-onset seizures or primary generalized tonic clonic seizures. Read more about this study

Who is it for?
Ages 4 years and older
What is being tested?
Perampanel
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
24 sitesUnited States
Study dates
23 Aug 2017to 27 Apr 2021
Phase
Phase 4
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 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants will be male or female and no younger than 4 years of age and be able to swallow perampanel tablets.
  • Participants must have a diagnosis of epilepsy with POS with or without SGS or with PGTCS. Either of the following must have occurred to support an epilepsy diagnosis:
  • At least two unprovoked (or reflex) seizures occurring greater than 24 hours apart
  • One unprovoked (or reflex) seizure with Electroencephalography (EEG) evidence of seizures
  • Participants who receive perampanel as a first adjunctive therapy must currently have been treated with stable doses of monotherapy with an anti-epileptic drug (AED) for 8 weeks prior to Visit 2 (Week 0), have not previously received adjunctive AED treatment, and must, in the investigator's judgement, be in need of initial adjunctive therapy after failure to control seizures with AED monotherapy, at the optimal dose and duration.
  • Participants who receive perampanel as monotherapy, who were newly diagnosed (treatment naïve), following the defined diagnosis of epilepsy.
  • Participants who are currently receiving monotherapy treatment may receive perampanel as monotherapy if, in the investigator's judgment, the participant may benefit from a change in monotherapy treatment. Participants must not have previously received adjunctive AED treatment.
  • If antidepressants or antianxiety drugs are used, participants must be on a stable dose regimen of these drugs during the 8 weeks before Visit 2 (Week 0).

Who cannot join

  • Participants should not have previously received or currently be receiving perampanel.
  • Females who are breastfeeding or pregnant at Screening or Baseline (as documented by a positive beta human chorionic gonadotropin [β-hCG] or hCG test with a minimum sensitivity of 25 International Units per liter [IU/L] or equivalent units of β-hCG or hCG); a separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first dose of study drug.
  • Females of childbearing potential who:
  • Within 28 days before study entry, did not use a highly effective method of contraception, which includes any of the following:
  • Total abstinence (if it is their preferred and usual lifestyle)
  • An intrauterine device or intrauterine hormone-releasing system
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  • An oral contraceptive (with additional barrier method if using contraceptive containing levonorgestrel); participant must be on a stable dose of the same oral contraceptive product for at least 28 days before dosing and throughout the study and for 28 days after study drug discontinuation
  • Have a vasectomized partner with confirmed azoospermia
  • Do not agree to use a highly effective method of contraception (as described above) throughout the entire study period and for 28 days after study drug discontinuation For sites outside of the European Union, it is permissible that if a highly effective method of contraception is not appropriate or acceptable to the participant, then the participant must agree to use a medically acceptable method of contraception, i.e, double barrier methods of contraception such as condom plus diaphragm or cervical/vault cap with spermicide.
  • NOTE: All females will be considered to be of childbearing potential unless they are postmenopausal (amenorrheic for at least 12 consecutive months, in the appropriate age group, and without other known or suspected cause) or have been sterilized surgically (i.e, bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy, all with surgery at least 1 month before dosing).
  • Presence of or previous history of Lennox-Gastaut syndrome
  • Presence of non-motor simple partial seizures only
  • A history of status epilepticus within 1 year before Screening Visit (Visit 1)
  • Participants on antipsychotics or who have psychotic disorder(s) or unstable recurrent affective disorder(s) with a history of attempted suicide within 1 year before Screening Visit (Visit 1)
  • Presence of a progressive central nervous system (CNS) disease, including degenerative CNS diseases and progressive tumors
  • Concomitant use of barbiturates (except for seizure control indication and premedication for electroencephalogram) and benzodiazepines (except for seizure control indication) within 8 weeks prior to Visit 2 (Week 0)
  • Use of intermittent rescue benzodiazepines (i.e, 1 to 2 doses over a 24-hour period is considered a one time rescue) 2 or more times in the 8-week period prior to Visit 2 (Week 0)
  • Severe renal insufficiency (defined by estimated glomerular filtration rate of < 30 milliliters per minute [mL/min]) or participants who receive hemodialysis
  • Evidence of clinically significant disease (eg, cardiac, respiratory, gastrointestinal, renal disease, hepatic disease) that in the opinion of the investigator(s) could affect the participant's safety or study conduct NOTE: Stable elevation of liver enzymes, alanine aminotransferase and aspartate aminotransferase due to concomitant medication(s) will be allowed if they are less than 3 times the upper limits of normal.
  • Hypersensitivity to perampanel or any excipients
  • Participants with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption
  • Participants who are participating in other interventional clinical trial
  • Participant who are judged to have inadequate cognitive ability for participation in the study (intelligence quotient < 80 or investigator judgment)
  • Any suicidal ideation with intent with or without a plan, at the time of or within 6 months of screening, as indicated by answering "Yes" to questions 4 and 5 on the Suicidal Ideation section of the Columbia Suicide Severity Rating Scale (C-SSRS)
  • Any lifetime suicidal behavior based on the C-SSRS
  • Concomitant use of any form of cannabidiol (CBD)
  • Planned brain surgery during study participation

Trial locations and contacts

24 sites in 1 country.

24 sites in 1 country

United States24 sites
  • UNM Health Providers

    Albuquerque, New Mexico, 87106

  • The Regents of The University of Michigan

    Ann Arbor, Michigan, 48109

  • Johns Hopkins Medicine

    Baltimore, Maryland, 21287

  • Mid-Atlantic Epilepsy and Sleep Center

    Bethesda, Maryland, 20817

  • The Board of Trustees of the University of Alabama for the University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • RUSH University Medical Center

    Chicago, Illinois, 60612

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • Duke Neurology

    Durham, North Carolina, 27710

  • Michigan State University

    East Lansing, Michigan, 48824

  • JFK Medical Center

    Edison, New Jersey, 08820

  • Minneapolis Clinic of Neurology

    Golden Valley, Minnesota, 55442

  • Northeast Regional Epilepsy Group

    Hackensack, New Jersey, 07601

  • Baptist Health, Nemours Children's Specialty Care

    Jacksonville, Florida, 32207

  • UCSD Epilepsy Center

    La Jolla, California, 92393

  • University of Kentucky

    Lexington, Kentucky, 40536

  • Arkansas Epilepsy Program

    Little Rock, Arkansas, 72205

  • Mount Sinai Medical Center

    New York, New York, 10016

  • Stanford Medical Center

    Palo Alto, California, 94304

  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

  • UC Davis Medical Center

    Sacramento, California, 95817

  • Children's Hospital of San Antonio

    San Antonio, Texas, 78207

Other trials in United States

About this study

Official title: Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Perampanel as Monotherapy or First Adjunctive Therapy in Subjects With Partial Onset Seizures With or Without Secondarily Generalized Seizures or With Primary Generalized Tonic-Clonic Seizures

This study will assess the retention rate of perampanel when given as monotherapy or first adjunctive therapy in participants with partial-onset seizures or primary generalized tonic clonic seizures. The study consists of 4 periods: a Screening Period (to start no earlier than 6 weeks before the first dose of study drug), a Titration Period (up to 13 weeks), a Maintenance Period (39 weeks), and a Follow-Up Period (4 weeks).

Being tested
Perampanel
Keywords
monotherapy, adjunctive therapy, open-label, multicenter

What participants receive

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

  • PerampanelDrug

    Also called Fycompa, E2007

    film-coated tablets

Study groups in NCT03288129
Study groupRoleWhat they receive
PerampanelExperimentalPerampanel will be administered orally once daily (QD) at bedtime. At the beginning of the Titration Period, oral perampanel will start at a dose of 2 milligrams (mg) QD. Doses of perampanel will then be up titrated in increments of 2 mg at no less than 2-week intervals according to the investigator's judgment. At the 4 mg dose, the investigator will confirm whether further dose escalation is needed based on participant response and tolerability. The investigator may adjust dosing further or leave the participant at 4 mg. The maximum dose is 12 mg. During the 39-week Maintenance Period, participants will continue to receive the perampanel dose level that was administered at the end of the Titration Period.
Receives: Drug: Perampanel

What is being measured

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

  1. Percentage of Participants Remaining on Perampanel Treatment at 3 Months After the Initiation of Treatment

    The retention rate was defined as the percentage of participants remaining on perampanel treatment at 3 months after the initiation of treatment.

    Measured: Month 3

  2. Percentage of Participants Remaining on Perampanel Treatment at 6 Months After the Initiation of Treatment

    The retention rate was defined as the percentage of participants remaining on perampanel treatment at 6 months after the initiation of treatment.

    Measured: Month 6

  3. Percentage of Participants Remaining on Perampanel Treatment at 9 Months After the Initiation of Treatment

    The retention rate was defined as the percentage of participants remaining on perampanel treatment at 9 months after the initiation of treatment.

    Measured: Month 9

  4. Percentage of Participants Remaining on Perampanel Treatment at 12 Months After the Initiation of Treatment

    The retention rate was defined as the percentage of participants remaining on perampanel treatment at 12 months after the initiation of treatment.

    Measured: Month 12

Secondary outcomes (6)
  1. Percentage of Participants Who Achieved Seizure-free Status During the Maintenance Period

    Seizure-free status was defined as no incidence of seizure during the entire maintenance period. Partial seizures: when abnormal electrical activity begins in only one part of brain include (1) simple partial seizures: participants does not lose consciousness may experience muscle jerking or stiffening, (2) complex partial seizures: participant loses awareness. SGS: disturbances that spread to both sides of brain after partial seizure has already begun and happen when burst of electrical activity in limited area (the partial seizure) spreads throughout brain. PGTCS: disturbances in functioning of both sides of brain that caused by electrical signals spreading through brain inappropriately.

    Measured: Up to 39 weeks of Maintenance Period

  2. Percentage of Participants Who Achieved 3-month Seizure-free Status During the Maintenance Period

    Seizure-free status was defined as no incidence of seizure at 3 months during the Maintenance Period. Partial seizures: when abnormal electrical activity begins in only one part of brain include (1) simple partial seizures: participant does not lose consciousness may experience muscle jerking or stiffening, (2) complex partial seizures: participant loses awareness. SGS: disturbances that spread to both sides of brain after partial seizure has already begun and happen when burst of electrical activity in limited area (the partial seizure) spreads throughout brain. PGTCS: disturbances in functioning of both sides of brain that caused by electrical signals spreading through brain inappropriately.

    Measured: Up to 3 months of Maintenance Period

  3. Percentage of Participants Who Achieved 6-month Seizure-free Status During the Maintenance Period

    Seizure-free status was defined as no incidence of seizure at 6 months during Maintenance Period. Partial seizures: when abnormal electrical activity begins in only one part of brain include (1) simple partial seizures: participant does not lose consciousness may experience muscle jerking or stiffening, (2) complex partial seizures: participant loses awareness. SGS: disturbances that spread to both sides of brain after partial seizure has already begun and happen when burst of electrical activity in limited area (the partial seizure) spreads throughout brain. PGTCS: disturbances in functioning of both sides of brain that caused by electrical signals spreading through brain inappropriately.

    Measured: Up to 6 months of Maintenance Period

  4. Percentage of Participants Who Received Perampanel as a First Adjunctive Therapy and Converted to Perampanel Monotherapy

    Percentage of participants who received perampanel as a first adjunctive therapy and converted to perampanel monotherapy were reported.

    Measured: Up to 52 weeks

  5. Number of Participants With Treatment-emergent Adverse Events (TEAE)

    A TEAE was defined as an adverse event (AE) that emerged during treatment, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous.

    Measured: From date of first administration of study drug up to 28 days after last dose of study drug (up to 56 weeks)

  6. Number of Participants With Treatment-emergent Serious Adverse Events (SAE)

    A SAE was defined as any untoward medical occurrence that at any dose: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect. A TEAE was defined as an event that emerges during treatment having been absent pre-treatment, or worsens relative to the pre-treatment state.

    Measured: From date of first administration of study drug up to 28 days after last dose of study drug (up to 56 weeks)

Timeline

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

  1. First posted19 Sep 2017
  2. Study start23 Aug 2017
  3. Primary completion27 Apr 2021
  4. Study completion27 Apr 2021

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03288129
Sponsor's protocol ID
E2007-G000-410
Other IDs
2017-001180-20, 2017
Status last verified
Apr 2022
First submitted
13 Sep 2017
Last updated
16 May 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Perampanel in people with Partial Onset Seizures and Secondarily Generalized Seizures, run by Eisai Inc. at 24 sites in United States.

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 27 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 16 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 16 May 2022). 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?

Percentage of Participants Remaining on Perampanel Treatment at 3 Months After the Initiation of Treatment (time frame: Month 3). The study lists 4 primary outcomes in all. 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 16 May 2022.

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