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Pediatric Epileptic SyndromePhase 2NCT04015141

A Study to Evaluate Efficacy and Safety of Perampanel Administered as an Adjunctive Therapy in Pediatric Participants With Childhood Epilepsy

A Phase 2 study testing Perampanel Oral Suspension and Perampanel Tablet in people with Pediatric Epileptic Syndrome and Partial-onset Seizures, run by Eisai Inc. at 35 sites in 6 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of the study is to evaluate the efficacy of perampanel as measured by the 50 percent (%) responder rate during the maintenance period of the core study for seizure frequency in participants with pediatric epileptic syndrome (Cohort 1) and partial-onset seizures (POS) (Cohort 2). Read more about this study

Who is it for?
Ages 1 month to 18 years
What is being tested?
Perampanel Oral Suspension and Perampanel Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
35 sitesin 6 countries
Study dates
31 May 2019to 23 Dec 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Male or female participants. Cohort 1: age 1 month to less than 18 years; Cohort 2: age 1 month to less than 2 years at the time of informed consent/assent. Participants below the age of 1 year must have been at least 36 weeks of gestational age at birth.
  • Have a diagnosis of epilepsy with a pediatric epileptic syndrome (Cohort 1) or epilepsy with POS with or without secondary generalization (Cohort 2).
  • Have had equal or greater than 4 seizures over the 4-week interval prior to enrollment visit.
  • Absence of any progressive cause of epilepsy that has been confirmed clinically or based on brain imaging (example, magnetic resonance imaging [MRI] scan or computed tomography [CT] or ultrasound [for less than 1 year old]).
  • Currently maintained on stable doses of 1 to a maximum of 4 approved antiepileptic drugs (AEDs). A prescription medical marijuana (including products containing cannabidiol) is counted as 1 of the maximum of 4 allowed AEDs; however, it cannot be the only concomitant AED if this product is not an approved AED in the country where the study site is located. Doses must be stable for at least 4 weeks (at least 2 weeks for participant less than [<] 6 months old) before Visit 1/Baseline or screening; only 1 enzyme-inducing antiepileptic drug (EIAED) (defined as carbamazepine, phenytoin, oxcarbazepine, or eslicarbazepine) out of the maximum of 4 AEDs is allowed.

Who cannot join

  • Current or history of pseudo-seizures (psychogenic nonepileptic seizures) within approximately 5 years before screening visit.
  • Have a history of status epilepticus that required hospitalization within 6 months before screening visit.
  • Have an unstable psychiatric diagnosis that may confound participant's ability to participate in the study or that may prevent completion of the protocol specified tests (example, significant suicide risk, including suicidal behavior and ideation within 6 months before screening visit 1, current psychotic disorder, acute mania).
  • Any suicidal ideation with intent with or without a plan within 6 months before enrollment visit (answering "Yes" to questions 4 or 5 on the Suicidal Ideation section of the C-SSRS) in participants aged 6 and above or based on the opinion of the Investigator for participants less than 6 years.
  • Are scheduled or confirmed or both to have epilepsy surgery within 6 months after screening visit; however, those who have previously documented "failed" epilepsy surgery will be allowed.
  • Have a progressive central nervous system (CNS) disease, including degenerative CNS diseases and progressive tumors.
Show all 10Show fewer
  • Benzodiazepines for any indications other than epilepsy (example, anxiety/sleep disorders) prohibited from 1 month before Visit 1/Baseline or screening and during the study. Benzodiazepines for seizure control and as rescue medication are allowed.
  • A vagal nerve stimulator (VNS), responsive neurostimulator (RNS), or deep brain stimulator (DBS) implanted less than 5 months before screening visit or changes in parameter less than 4 weeks before screening visit (or thereafter during the study).
  • Use of perampanel within 30 days before screening visit, or perampanel was discontinued due to adverse reactions (perampanel-related) or lack of efficacy in case of previous exposure.
  • Weight less than 4.0 kilogram (kg) at Visit 1 (Baseline or screening).

Trial locations and contacts

35 sites in 6 countries.

35 sites in 6 countries

United States15 sites
  • Childrens Hospital Colorado

    Aurora, Colorado, 80045

  • Child Neurology Consultants of Austin

    Austin, Texas, 78731

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Dayton Children's Hospital

    Dayton, Ohio, 45404

  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

  • Northeast Regional Epilepsy Group

    Hackensack, New Jersey, 07601

  • David Geffen School of Medicine at UCLA

    Los Angeles, California, 90095

  • Nicklaus Children's Hospital

    Miami, Florida, 33155

  • Children's Specialty Group

    Norfolk, Virginia, 23510

  • Children's Hospital of Richmond at VCU - CHoR-PIN

    Richmond, Virginia, 23298

  • Road Runner Research Ltd

    San Antonio, Texas, 78249

  • Meridian Clinical Research-(Savannah Georgia)

    Savannah, Georgia, 31406

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • Pediatric Epilepsy and Neurology Specialists

    Tampa, Florida, 33607

  • Wake Forest Baptist Medical Center - PPDS

    Winston-Salem, North Carolina, 27157

Other trials in United States

France6 sites
  • Hôpital Pellegrin-Enfants

    Bordeaux

  • Hopitaux de La Timone

    Marseille, Bouches-du-Rhone

  • Hopital Necker

    Paris

  • Hopitaux de Paris CHU Hopital Robert Debre - Inserm U676

    Paris

  • CHRU Rennes

    Rennes

  • Centre Hospitalier Universitaire de Toulouse

    Toulouse

Other trials in France

Spain5 sites
  • Hospital Clinico San Carlos

    Madrid

  • Hospital General Universitario Gregorio Marañon

    Madrid

  • Complejo Hospitalario de Navarra

    Pamplona

  • CHUS - H. Clinico U. de Santiago

    Santiago de Compostela

  • Hospital Universitario Virgen del Rocio - PPDS

    Seville

Other trials in Spain

Belgium4 sites
  • Hôpital Universitaire des Enfants Reine Fabiola

    Brussels, Brussels Capital

  • UZ Brussel

    Brussels, Brussels Capital

  • UZ Gent

    Ghent, Oost-Vlaanderen

  • Centre Neurologique William Lennox

    Ottignies, Brabant Wallon

Other trials in Belgium

Germany4 sites
  • Universitätsklinikum Freiburg

    Freiburg im Breisgau

  • Universitätsklinikum Jena

    Jena

  • Dr. Von Haunersches Kinderspital

    Munich

  • Kleinwachau Sächsisches Epilepsiezentrum Radeberg Gemeinnützige Gmbh

    Radeberg

Other trials in Germany

Czechia1 site
  • Fakultni nemocnice Brno

    Brno

Other trials in Czechia

About this study

Official title: An Open-Label Study With Extension Phase to Evaluate the Efficacy and Safety of Perampanel Administered as an Adjunctive Therapy in Pediatric Subjects (Age 1 Month to Less Than 18 Years) With Childhood Epilepsy

The purpose of the study is to evaluate the efficacy of perampanel as measured by the 50 percent (%) responder rate during the maintenance period of the core study for seizure frequency in participants with pediatric epileptic syndrome (Cohort 1) and partial-onset seizures (POS) (Cohort 2).

Read the detailed description

This study will consist of a Core Study, Extension Phase A and Extension Phase B.

  1. Core Study will consist of the following 2 phases: Pretreatment (4 weeks screening or baseline period) and Treatment Period. The Treatment Period (23 weeks) of Core study include Titration period (10 weeks) and Maintenance period (13 weeks).
  2. Extension Phase A will consist of a Treatment Period (33 weeks) and a Follow-up Period (4 weeks). All participants who will complete the Core Study will be eligible to participate in Extension Phase A of the study.
  3. Extension Phase B will only be for participants who reside in countries where perampanel (oral tablets or oral suspension) is not commercially available or an extended access program (EAP) is not yet implemented, participants have completed Extension Phase A, and who, in the opinion of the investigator, will continue to benefit from treatment with perampanel.
Being tested
Perampanel Oral Suspension, Perampanel Tablet
Keywords
Partial-onset seizures, Pediatric epileptic syndrome, Epilepsy, Childhood epilepsy, Epilepsy in children, Refractory seizures, Inadequately controlled seizures, E2007, Fycompa, Perampanel
Medical subject headings
Epilepsy, Seizures

What participants receive

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

  • Perampanel Oral SuspensionDrug

    Also called E2007, Fycompa

    Perampanel oral suspension.

  • Perampanel TabletDrug

    Also called E2007, Fycompa

    Perampanel tablet.

Study groups in NCT04015141
Study groupRoleWhat they receive
PerampanelExperimentalParticipants aged 1 month to less than 18 years with pediatric epileptic syndrome (Cohort 1) or aged 1 month to less than 2 years with POS (Cohort 2) will receive perampanel oral suspension or perampanel tablets, once daily up to 56 weeks.
Receives: Drug: Perampanel Oral Suspension; Drug: Perampanel Tablet

What is being measured

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

  1. Proportion of 50% Responders For All Seizures During the Maintenance Period of Core Study

    A response of 50% will be defined as a decrease in 28-day seizure frequency of equal or greater than 50% compared to baseline seizure frequency.

    Measured: Week 10 to Week 23

Secondary outcomes (22)
  1. Proportion of 50% Responders During Treatment Period of Core Study and Extension Phase A

    A response of 50% is defined as a decrease in 28-day seizure frequency of equal or greater than 50% compared to baseline seizure frequency.

    Measured: Treatment Period of Core Study and Extension Phase A: Week 0 to Week 56

  2. Proportion of 25% and 75% Responders for all Seizures, During Maintenance Period of Core Study and During Treatment Period of Core Study and Extension Phase A

    A response of 25% is defined as a decrease in 28-day seizure frequency of equal or greater than 25% compared to baseline seizure frequency. 75% response is defined as a decrease in 28-day seizure frequency of equal or greater than 75% compared to baseline seizure frequency.

    Measured: Maintenance Period of Core study: Week 10 to Week 23; Treatment Period of Core Study and Extension Phase A: Week 0 to Week 56

  3. Proportion of Participants Who Are Seizure-Free During the Maintenance Period of Core Study and During the Treatment Period of Core Study and Extension Phase A

    Measured: Maintenance Period of Core study: Week 10 to Week 23; Treatment Period of Core Study and Extension Phase A: Week 0 to Week 56

  4. Change From Baseline in Seizure Frequency For All Seizures During the Treatment Period of Core Study and During the Treatment Period of Core Study and Extension Phase A

    Measured: Baseline, Treatment Period of Core study: Week 23, Treatment Period of Core Study and Extension Phase A: Week 56

  5. Percent Change From Baseline in Seizure Frequency For All Seizures During the Treatment Period of Core Study and During the Treatment Period of Core Study and Extension Phase A

    Measured: Baseline, Treatment Period of Core study: Week 23, Treatment Period of Core Study and Extension Phase A: Week 56

  6. Clinical Global Impression of Change (CGIC) at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    Assessment of disease severity will utilize the CGIC scale at end of treatment to evaluate participant's change in disease status since initiation of treatment. The CGIC is a 7-point scale that measures a physician's global impression of a participant's clinical condition. Scale ranges from 1 to 7 with lower scores indicating improvement (1=very much improved, 2=much improved, 3=minimally improved), higher scores indicating worsening (5=minimally worse, 6= much worse, 7=very much worse), and a score of 4 indicating no change.

    Measured: Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  7. Subject Global Impression of Change (SGIC) at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    SGIC is a 7-Point scale that provides a participant-determined summary measure of change from baseline of participant's status. Scale ranges from 1 to 7 with lower scores indicating improvement (1=very much improved, 2=much improved, 3=minimally improved), higher scores indicating worsening (5=minimally worse, 6= much worse, 7=very much worse), and a score of 4 indicating no change.

    Measured: Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  8. Change From Baseline in the Cognitive Drug Research (CDR) Parameter at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    The CDR System Global Cognition Score (cognitive test battery) is derived from 5 CDR System domain scores, also called factor scores: Power of Attention, Continuity of Attention, Quality of Episodic Memory, Quality of Working Memory, and Speed of Memory. The CDR assessment and Child Behavior Checklist (CBCL) will be administered to participants 6 years and over and 2 years and over, respectively, using an age-appropriate version to assess cognitive function and behavior.

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  9. Change from Baseline in CBCL Parameters at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    The CBCL is a questionnaire to assess behavioral and emotional problems in children as reported by the primary caregiver. It is standardized to evaluate maladaptive behavioral and emotional problems in ages 1.5 to 5 years (CBCL 1.5/5) or 6 to 18 years (CBCL). The CBCL examines three domains (Social Functioning, Mood and Anxiety Symptoms, and Externalizing Symptoms) by assessing 140 problem items that describe specific behavioral and emotional problems. Respondents indicate how accurately the statements describe the child by selecting from options on a 3-point Likert-type scale (0=Not True, 1= Somewhat or Sometimes True, or 2=Very True or Often True).

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  10. Change from Baseline in Lafayette Grooved Pegboard Test (LGPT) Parameters at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    LGPT measures visuomotor skills. This test is a manipulative dexterity test that consist of a metal matrix of 25 holes with randomly positioned slots. Participants require to insert 10 grooved pegs into the holes. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. The task is timed and the scores are the time taken for the participant to complete all 10 pegs for each hand. If the test cannot be completed within 300 seconds, 300 seconds are recorded for the time. An increase in score (longer time) indicates worsening of visuomotor skills.

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  11. Change from Baseline in Growth and Development Parameter - Height

    Measured: Baseline, Treatment Period of Core Study: Week 23; Extension Phase A: Weeks 28, 40, and 56

  12. Change from Baseline in Growth and Development Parameter - Weight

    Measured: Baseline, Treatment Period of Core Study: Weeks 2, 5, 8, 10, 14, 18 and 23; Extension Phase A: Weeks 28, 40, 56, and 60

  13. Change from Baseline in Growth and Development Parameter - Free Triiodothyronine (fT3) and Free Thyroxine (fT4) Levels in Blood

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  14. Change from Baseline in Growth and Development Parameter - Thyroid-Stimulating Hormone (TSH) Levels in Blood

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  15. Change from Baseline in Growth and Development Parameter - Insulin Like Growth Factors (IGF)-1

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  16. Change from Baseline in Growth and Development Parameter- Sexual Maturation Assessed by Tanner Staging

    Sexual maturation including pubic hair growth (both sexes), genital (males only) and breast (females only) development of participants will be assessed using Tanner Staging.

    Measured: Baseline, Treatment Period of Core Study: Week 23, Extension Phase A: Week 56

  17. Proportion of Participants with any Treatment-Emergent Reports of Suicidal Ideation and Behavior on the Columbia-Suicide Severity Rating Scale (C-SSRS) and Intensity of These Behaviors Assessed using C-SSRS Scores

    C-SSRS rates an individual's degree of suicidal ideation (SI) on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent." The scale identifies SI severity and intensity, which may be indicative of an individual's intent to commit suicide. C-SSRS is used to assess whether participant experienced SI (1:wish to be dead; 2:non-specific active suicidal thoughts; 3:active SI with any methods (not plan) without intent to act; 4:active SI with some intent to act, without specific plan; 5:active SI with specific plan and intent) and suicidal behavior (6:actual attempt; 7:interrupted attempt; 8:aborted attempt; 9:preparatory acts or behavior; 10:suicidal behavior). An assessment of SI and behavior using the C-SSRS will be performed throughout the study for participants aged 6 years and above at the time of consent. In participants younger than 6 years, SI and behavior will be monitored based upon clinical impression.

    Measured: Treatment period of Core Study: Weeks 0, 2, 5, 8, 10, 14, 18, and 23; Extension Phase A: Weeks 28, 46, 56 and 60

  18. Change from Baseline in Number of Seizures Recorded on Electroencephalogram (EEG) at the End of the Treatment Period of Core Study and at the End of Extension Phase A

    Measured: Baseline, End of the Treatment Period of Core Study: Week 23, End of Extension Phase A: Week 56

  19. Number of Participants with at Least One Treatment Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE)

    Measured: From date of first dose of perampanel up to 28 days after the last dose of perampanel (Week 60)

  20. Number of Participants with Treatment Emergent Markedly Abnormal Laboratory Values

    Measured: From date of first dose of perampanel up to Week 60

  21. Number of Participants with Clinically Notable Vital Sign Results

    Vital sign measurements include systolic and diastolic blood pressure [millimeters of Mercury (mmHg)], pulse (beats per minute), respiratory rate (per minute), temperature (degree centigrade), and weight (kilogram).

    Measured: From date of first dose of perampanel up to 28 days after the last dose of perampanel (Week 60)

  22. Number of Participants with Clinically Significant Abnormal Electrocardiograms

    Measured: From date of first dose of perampanel up to Week 60

Timeline

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

  1. First posted10 Jul 2019
  2. Study start31 May 2019
  3. Primary completion6 Apr 2027 (estimated)
  4. Study completion23 Dec 2027 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04015141
Sponsor's protocol ID
E2007-G000-236
Other IDs
2018-004456-38, 2018
Status last verified
Jul 2026
First submitted
27 May 2019
Last updated
10 Jul 2026
Results posted
No
Data monitoring committee
Yes
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 2 study testing Perampanel Oral Suspension and Perampanel Tablet in people with Pediatric Epileptic Syndrome and Partial-onset Seizures, run by Eisai Inc. at 35 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 5 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 10 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, France, Spain, Belgium, Germany 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Proportion of 50% Responders For All Seizures During the Maintenance Period of Core Study (time frame: Week 10 to Week 23). 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 10 Jul 2026.

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