Trial Outcomes & Findings for Retigabine Efficacy and Safety Trial for Partial Onset Refractory Seizures in Epilepsy (NCT NCT00235755)

NCT ID: NCT00235755

Last Updated: 2017-04-21

Results Overview

28-day total PS (PSs \[also called focal seizures\] are seizures limited to a specific area of the brain) frequency in the BL period = (Number \[No.\] of total PSs reported in the BL period divided by the No. of days of available total PS data in the BL period) x 28 days. 28-day total PS frequency in the DB period = (No. of total PSs reported in the DB period divided by the No. of days of available total PS data in the DB period) x 28 days. Percent change = (\[value in the DB period minus value at BL\] divided by the BL value) x 100%. Negative valu es indicate a reduction in seizure frequency.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

539 participants

Primary outcome timeframe

Baseline (Week -7 through Week 0), DB Phase (Week 1 through Week 16)

Results posted on

2017-04-21

Participant Flow

Participants who completed the Double-blind Phase (Titration plus Maintenance Phases) who elected to continue in the Open-Label Extension Study (OLE-S) entered the Transition Phase, for titration, if on placebo, or to maintain the blind if on retigabine. Participants who did not enter the Titration Phase entered a Taper Phase.

Participant milestones

Participant milestones
Measure
Placebo
Matching placebo tablets of dummy strengths of 50 milligrams (mg) and 100 mg were administered orally thrice a day (TID) during the 4-week Titration Phase. Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 12-week Maintenance Phase.
Retigabine 200 mg TID
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks. Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the 12-week Maintenance Phase.
Retigabine 300 mg TID
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks. Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the 12-week Maintenance Phase.
4-Week Titration Phase
STARTED
179
181
179
4-Week Titration Phase
COMPLETED
168
162
153
4-Week Titration Phase
NOT COMPLETED
11
19
26
12-Week Maintenance Phase
STARTED
168
162
153
12-Week Maintenance Phase
COMPLETED
152
135
122
12-Week Maintenance Phase
NOT COMPLETED
16
27
31

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Matching placebo tablets of dummy strengths of 50 milligrams (mg) and 100 mg were administered orally thrice a day (TID) during the 4-week Titration Phase. Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 12-week Maintenance Phase.
Retigabine 200 mg TID
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks. Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the 12-week Maintenance Phase.
Retigabine 300 mg TID
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks. Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the 12-week Maintenance Phase.
4-Week Titration Phase
Adverse Event
6
14
20
4-Week Titration Phase
Lost to Follow-up
0
1
1
4-Week Titration Phase
Protocol Violation
2
2
1
4-Week Titration Phase
Withdrawal by Subject
1
2
3
4-Week Titration Phase
Participant Did Not Receive Study Drug
0
0
1
4-Week Titration Phase
Randomization Occurred in Error
1
0
0
4-Week Titration Phase
Prolonged QT Interval at Visit 3
1
0
0
12-Week Maintenance Phase
Adverse Event
8
12
26
12-Week Maintenance Phase
Lost to Follow-up
2
3
0
12-Week Maintenance Phase
Lack of Efficacy
5
0
0
12-Week Maintenance Phase
Protocol Violation
0
4
2
12-Week Maintenance Phase
Withdrawal by Subject
0
8
3
12-Week Maintenance Phase
Abnormal Electrocardiogram Test Result
1
0
0

Baseline Characteristics

Retigabine Efficacy and Safety Trial for Partial Onset Refractory Seizures in Epilepsy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo - Double Blind (DB) Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 milligrams (mg) and 100 mg were administered orally thrice a day (TID) during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Total
n=538 Participants
Total of all reporting groups
Age, Continuous
37.7 Years
STANDARD_DEVIATION 11.75 • n=5 Participants
37.5 Years
STANDARD_DEVIATION 12.02 • n=7 Participants
37.7 Years
STANDARD_DEVIATION 12.77 • n=5 Participants
37.6 Years
STANDARD_DEVIATION 12.16 • n=4 Participants
Sex: Female, Male
Female
90 Participants
n=5 Participants
105 Participants
n=7 Participants
85 Participants
n=5 Participants
280 Participants
n=4 Participants
Sex: Female, Male
Male
89 Participants
n=5 Participants
76 Participants
n=7 Participants
93 Participants
n=5 Participants
258 Participants
n=4 Participants
Race/Ethnicity, Customized
Caucasian
169 participants
n=5 Participants
173 participants
n=7 Participants
170 participants
n=5 Participants
512 participants
n=4 Participants
Race/Ethnicity, Customized
African-American (black)
2 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
5 participants
n=4 Participants
Race/Ethnicity, Customized
Asian
3 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
5 participants
n=4 Participants
Race/Ethnicity, Customized
Mixed Race
5 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
16 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline (Week -7 through Week 0), DB Phase (Week 1 through Week 16)

Population: Intent-to-Treat Food and Drug Administration (ITT FDA) Population: all randomized participants (P) who received at least 1 dose of study drug. Only participants with post-BL seizure data are included in this analysis.

28-day total PS (PSs \[also called focal seizures\] are seizures limited to a specific area of the brain) frequency in the BL period = (Number \[No.\] of total PSs reported in the BL period divided by the No. of days of available total PS data in the BL period) x 28 days. 28-day total PS frequency in the DB period = (No. of total PSs reported in the DB period divided by the No. of days of available total PS data in the DB period) x 28 days. Percent change = (\[value in the DB period minus value at BL\] divided by the BL value) x 100%. Negative valu es indicate a reduction in seizure frequency.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=179 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=176 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=175 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Percent Change in the 28-day Total Partial Seizure (PS) Frequency From Baseline (BL) to the End of the Double-blind (DB) Phase (Titration and Maintenance Phases)
-27.9 percent change in seizure frequency
Interval -94.0 to 250.0
-15.9 percent change in seizure frequency
Interval -100.0 to 1712.0
-39.9 percent change in seizure frequency
Interval -100.0 to 226.0

PRIMARY outcome

Timeframe: Week 5 through Week 16

Population: ITT European Medicines Evaluation Agency (EMEA) Population: all randomized participants who had received at least 1 dose of study drug in the Maintenance Phase and had at least 1 seizure measurement (whether or not they had a seizure) recorded in the Maintenance Phase.

Responders were participants with at least a 50% reduction in the 28-day total partial seizure frequency in the Maintenance Phase as compared to the Baseline period.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Classified as Responders and Non-responders During the Maintenance Phase
Responders
61 participants
31 participants
70 participants
Number of Participants Classified as Responders and Non-responders During the Maintenance Phase
Non-responders
97 participants
133 participants
79 participants

SECONDARY outcome

Timeframe: Week 1 through Week 16

Population: ITT FDA Population

Responders were participants with at least a 50% reduction in the 28-day total partial seizure frequency in the DB Phase as compared to the Baseline period. Participants without any post-baseline data were considered non-responders.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Who Were Responders and Non-responders During the DB Phase
Responders
70 participants
31 participants
57 participants
Number of Participants Who Were Responders and Non-responders During the DB Phase
Non-responders
108 participants
148 participants
124 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 5 through Week 16

Population: ITT EMEA Population

28-day total partial seizure frequency in the BL period = (No. of total partial seizures reported in the BL period divided by the No. of days of available total partial seizure data in the BL period) x 28 days. 28-day total partial seizure frequency in the Maintenance Phase = (No. of total partial seizures reported in the Maintenance Phase divided by the No. of days of available total partial seizure data in the same phase) x 28 days. Percent change = (value in the Maintenance Phase minus value at BL divided by the BL value) x 100%. Negative values indicate a reduction in seizure frequency.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Percent Change From Baseline (BL) in the 28-day Total Partial Seizure Frequency During the Maintenance Phase
-44.3 Percent change in seizure frequency
Interval -100.0 to 714.0
-17.4 Percent change in seizure frequency
Interval -100.0 to 1589.0
-35.3 Percent change in seizure frequency
Interval -100.0 to 253.0

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 1 through Week 16

Population: ITT FDA Population

Participants who experienced a reduction from Baseline in the 28-day total partial seizure frequency were categorized as having a reduction of 75-100%, 50-\<75%, 25-\<50%, or \<25%, in addition to having no reduction. This quartile cutting was specified in the study protocol. Participants without any post-baseline data are included in the "No reduction" category.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the End of DB Phase (Titration and Maintenance Phases) by Indicated Quartile Reduction Categories
75% to 100% reduction
27 participants
12 participants
16 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the End of DB Phase (Titration and Maintenance Phases) by Indicated Quartile Reduction Categories
50% to <75% reduction
43 participants
19 participants
41 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the End of DB Phase (Titration and Maintenance Phases) by Indicated Quartile Reduction Categories
25% to <50% reduction
41 participants
39 participants
38 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the End of DB Phase (Titration and Maintenance Phases) by Indicated Quartile Reduction Categories
>0 to <25% reduction
24 participants
43 participants
38 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the End of DB Phase (Titration and Maintenance Phases) by Indicated Quartile Reduction Categories
No reduction
43 participants
66 participants
48 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 1 through Week 16

Population: ITT FDA Population

Participants who experienced a reduction from Baseline in the 28-day total partial seizure frequency were categorized in decile cutting, i.e., reduction categories of 90-100%, 80-\<90%, 70-\<80%, 60-\<70%, 50-\<60%, 40-\<50%, 30-\<40%, 20-\<30%, 10-\<20%, \>0-\<10%, and increase categories of 0-10%, \>10-20%, \>20-30%, \>30% (FDA endpoint). Participants without any post-baseline data were included in the category 0-10% increase category.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 90% to 100%
11 participants
3 participants
5 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 80% to <90%
14 participants
4 participants
8 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 70% to <80%
7 participants
8 participants
11 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 60% to <70%
21 participants
7 participants
14 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 50% to <60%
17 participants
9 participants
19 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 40% to <50%
17 participants
9 participants
13 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 30% to <40%
21 participants
15 participants
16 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 20% to <30%
9 participants
24 participants
16 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: 10% to <20%
10 participants
18 participants
18 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Reduction: >0% to <10%
8 participants
16 participants
13 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Increase: 0% to 10%
11 participants
20 participants
11 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Increase: >10% to 20%
7 participants
13 participants
9 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Increase: >20% to 30%
1 participants
8 participants
3 participants
Number of Participants With a Reduction in the 28-day Total Partial Seizure Frequency From Baseline to the DB Phase (Titration and Maintenance Phases) by Indicated Decile Reduction and Increase Categories
Increase: >30%
24 participants
25 participants
25 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 5 through Week 16

Population: ITT EMEA Population

Participants who experienced a reduction from Baseline in the 28-day total partial seizure frequency were categorized as having a \>75%, a 50-75%, or a \<50% reduction, in addition to having no reduction (EMEA endpoint).

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants With the Indicated Reduction From Baseline in the 28-day Total Partial Seizure Frequency During the Maintenance Phase
>75% reduction
30 participants
11 participants
27 participants
Number of Participants With the Indicated Reduction From Baseline in the 28-day Total Partial Seizure Frequency During the Maintenance Phase
50% to 75% reduction
40 participants
20 participants
34 participants
Number of Participants With the Indicated Reduction From Baseline in the 28-day Total Partial Seizure Frequency During the Maintenance Phase
>0 to <50% reduction
49 participants
83 participants
60 participants
Number of Participants With the Indicated Reduction From Baseline in the 28-day Total Partial Seizure Frequency During the Maintenance Phase
No reduction
30 participants
50 participants
37 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 5 through Week 16

Population: ITT EMEA Population

Participants who experienced an exacerbation from Baseline in the 28-day total partial seizure frequency were categorized as having a 0-25% or a \>25% increase (EMEA endpoint). The number of participants experiencing a \>0% reduction from Baseline in the 28-day total partial seizure frequency are also presented.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Who Experienced the Indicated Level of Exacerbation and Reduction in the 28-day Total Partial Seizure Frequency From Baseline During the Maintenance Phase
0% to 25% increase
11 participants
28 participants
14 participants
Number of Participants Who Experienced the Indicated Level of Exacerbation and Reduction in the 28-day Total Partial Seizure Frequency From Baseline During the Maintenance Phase
>=25% increase
19 participants
22 participants
23 participants
Number of Participants Who Experienced the Indicated Level of Exacerbation and Reduction in the 28-day Total Partial Seizure Frequency From Baseline During the Maintenance Phase
>0% reduction
119 participants
114 participants
121 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through Week 0), Week 1 through Week 16

Population: ITT FDA Population

New seizure types included those seizures which were not reported by any participant at Baseline.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Partial seizures without motor signs
12 participants
9 participants
8 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Partial evolving to secondarily generalized
9 participants
6 participants
5 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Partial seizures with motor signs
3 participants
5 participants
6 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Tonic-clonic seizures
3 participants
0 participants
0 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Flurries
1 participants
3 participants
2 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Tonic seizures
1 participants
3 participants
0 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Complex partial seizures
4 participants
1 participants
4 participants
Number of Participants Reporting New Seizure Types in the Indicated Categories During the DB Phase (Titration and Maintenance Phases) That Were Not Reported at Baseline
Unclassified seizures
0 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: Week 1 through Week 16

Population: ITT FDA Population. Only participants with post-baseline seizure data were included in the analysis.

Participants were considered to be seizure-free if they had not reported any seizures during the DB treatment period (Weeks 1-18). For a participant to be seizure free during the DB Phase, the participant had to be seizure free both Week 7 to Week 18 and Week 1 to Week 6. A participant could be seizure free Week 7 to Week 18 (during the Maintenance Phase), but not seizure free Week 1 to Week 6. Hence, there are fewer participants being reported as seizure free from Week 1 to Week 18 than from Week 7 to Week 18.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=175 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=176 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=179 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Who Were Seizure-free During the DB Phase (Titration and Maintenance Phases)
Seizure-free
7 participants
2 participants
0 participants
Number of Participants Who Were Seizure-free During the DB Phase (Titration and Maintenance Phases)
Not seizure-free
168 participants
174 participants
179 participants

SECONDARY outcome

Timeframe: Week 5 through Week 16

Population: ITT EMEA Population

Participants were considered to be seizure-free if they had not reported any seizures during the Maintenance Phase.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Who Were Seizure-free During the Maintenance Phase
Not seizure-free
142 participants
162 participants
153 participants
Number of Participants Who Were Seizure-free During the Maintenance Phase
Seizure-free
7 participants
2 participants
5 participants

SECONDARY outcome

Timeframe: Week 1 through Week 16

Population: ITT FDA Population. Only participants who had post-baseline seizure data were included in the analysis.

A seizure-free day was a day without any seizures. For a participant to be seizure free during the DB Phase, the participant had to be seizure free both Week 7 to Week 18 and Week 1 to Week 6. A participant could be seizure free Week 7 to Week 18 (during the Maintenance Phase), but not seizure free Week 1 to Week 6. Hence, there are fewer participants being reported as seizure free from Week 1 to Week 18 than from Week 7 to Week 18. The percentage of seizure-free days was calculated as the total number of days without seizures in the DB period divided by the number of days in DB period x 100%.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=175 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=176 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=179 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Percentage of Seizure-free Days During the DB Phase (Titration and Maintenance Phases)
82.1 percentage of days
Interval 0.0 to 100.0
77.8 percentage of days
Interval 0.0 to 100.0
79.5 percentage of days
Interval 0.0 to 99.0

SECONDARY outcome

Timeframe: Week 5 through Week 16

Population: ITT EMEA Population

A seizure-free day was a day without any seizures. The percentage of seizure-free days was calculated as the total number of days without seizures in the Maintenance Phase divided by the number of days in the Maintenance Phase x 100%.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Percentage of Seizure-free Days During the Maintenance Phase
84.5 percentage of days
Interval 0.0 to 100.0
78.1 percentage of days
Interval 0.0 to 100.0
81.6 percentage of days
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: Week 16/end of treatment phase

Population: ITT EMEA Population

Clinical Global Impression of Improvement (CGI-I) is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the treatment. Scores on the scale are rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=164 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=158 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Clinical Global Impression-Improvement (CGI-I) Score at the End of the Maintenance Phase
2.9 scores on a scale
Standard Deviation 1.21
3.2 scores on a scale
Standard Deviation 0.99
2.9 scores on a scale
Standard Deviation 1.05

SECONDARY outcome

Timeframe: Week 16/end of treatment phase

Population: ITT EMEA Population. Only participants with post-baseline PGI scores were included in the analysis.

PGI is a participant-rated scale of improvement that was administered at the end of the Maintenance Phase in order to assess the participant's impression of his or her own improvement. PGI assessments were scored using a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=139 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=155 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=149 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Patient Global Impression (PGI) Score at the End of the Maintenance Phase
3.0 scores on a scale
Standard Deviation 1.43
3.3 scores on a scale
Standard Deviation 1.00
2.9 scores on a scale
Standard Deviation 1.11

SECONDARY outcome

Timeframe: End of Baseline (Week 0), Weeks 4, 8, and 16

Population: Safety Population: all randomized participants who received at least 1 dose of retigabine or placebo. Only participants with QOLIE-31-P data were included in the analysis.

The QOLIE-31-P is a 31-item questionnaire evaluating a participant's QOL perception in 7 domains: seizure worry, emotional well being, energy/fatigue, cognitive functioning, medication effects, social functioning, overall QOL. Precoded numeric values for some domains are such that a higher number reflects a more favorable health state; others are such that a higher number reflects a less favorable state. Precoded values are first converted to 0-100 point scores; higher converted scores always reflect better QOL. The overall score is derived by weighting and then summing the 7 domain scores.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=166 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=165 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=173 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Quality of Life Assessed by Quality of Life in Epilepsy-Problems Questionnaire (QOLIE-31-P) at BL (Week 0) and Weeks 4, 8, and 16
Baseline, n=165, 173, 166
52.1 scores on a scale
Standard Deviation 15.93
53.3 scores on a scale
Standard Deviation 16.62
56.0 scores on a scale
Standard Deviation 17.45
Quality of Life Assessed by Quality of Life in Epilepsy-Problems Questionnaire (QOLIE-31-P) at BL (Week 0) and Weeks 4, 8, and 16
Week 4 (Titration Phase), n=155, 155, 149)
52.7 scores on a scale
Standard Deviation 16.94
55.4 scores on a scale
Standard Deviation 16.41
57.3 scores on a scale
Standard Deviation 18.12
Quality of Life Assessed by Quality of Life in Epilepsy-Problems Questionnaire (QOLIE-31-P) at BL (Week 0) and Weeks 4, 8, and 16
Week 8 (Maintenance Phase), n=141, 146, 127
52.7 scores on a scale
Standard Deviation 16.47
55.3 scores on a scale
Standard Deviation 17.05
59.6 scores on a scale
Standard Deviation 17.32
Quality of Life Assessed by Quality of Life in Epilepsy-Problems Questionnaire (QOLIE-31-P) at BL (Week 0) and Weeks 4, 8, and 16
Week 16 (Maintenance Phase), n=143, 133, 123
53.2 scores on a scale
Standard Deviation 16.38
54.7 scores on a scale
Standard Deviation 16.82
59.1 scores on a scale
Standard Deviation 16.57

SECONDARY outcome

Timeframe: Week 1 through Week 16

Population: Safety Population

Clinically important changes in laboratory values were to be reported as an adverse event if they met one of the following criteria: (1) intervention required; (2) change in dose of study drug required; (3) other treatment/therapy required; (4) association with other diagnoses.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
n=147 Participants
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
n=132 Participants
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
n=114 Participants
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Whose Clinical Laboratory Values Were Deemed an Adverse Event by the Investigator (>=2% in Any Treatment Arm)
Protenuria
0 participants
3 participants
2 participants
0 participants
1 participants
0 participants
Number of Participants Whose Clinical Laboratory Values Were Deemed an Adverse Event by the Investigator (>=2% in Any Treatment Arm)
Hyperlipidemia
0 participants
3 participants
0 participants
0 participants
0 participants
0 participants
Number of Participants Whose Clinical Laboratory Values Were Deemed an Adverse Event by the Investigator (>=2% in Any Treatment Arm)
Hypercholesterolemia
1 participants
2 participants
4 participants
0 participants
0 participants
1 participants
Number of Participants Whose Clinical Laboratory Values Were Deemed an Adverse Event by the Investigator (>=2% in Any Treatment Arm)
Hematuria
2 participants
2 participants
5 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: Week 1 through Week 16

Population: Safety Population

A summary of the adverse events classified as renal or urinary disorders and in which at least 2% (rounded to an integer) of participants in any treatment arm reported during the study is presented.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=179 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
n=147 Participants
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
n=132 Participants
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
n=114 Participants
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants Who Reported the Indicated Renal and Urinary Disorder Adverse Events at a Frequency Threshold of 2% (in Any Treatment Arm)
Dysuria
4 participants
0 participants
3 participants
0 participants
0 participants
0 participants
Number of Participants Who Reported the Indicated Renal and Urinary Disorder Adverse Events at a Frequency Threshold of 2% (in Any Treatment Arm)
Urinary retention
4 participants
0 participants
1 participants
0 participants
0 participants
0 participants
Number of Participants Who Reported the Indicated Renal and Urinary Disorder Adverse Events at a Frequency Threshold of 2% (in Any Treatment Arm)
Polyuria
2 participants
4 participants
1 participants
0 participants
0 participants
0 participants
Number of Participants Who Reported the Indicated Renal and Urinary Disorder Adverse Events at a Frequency Threshold of 2% (in Any Treatment Arm)
Urinary hesitation
1 participants
3 participants
6 participants
3 participants
1 participants
0 participants
Number of Participants Who Reported the Indicated Renal and Urinary Disorder Adverse Events at a Frequency Threshold of 2% (in Any Treatment Arm)
Haematuria
2 participants
2 participants
5 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline (Week -7 through 0), Weeks 8 and 16

Population: Safety Population. Only participants who remained in the study at the indicated week and who also had a PVR assessment were analyzed.

Post-void residual (PVR) urine refers to the amount of urine remaining in the bladder after normal urination. To investigate the possible effects of retigabine on bladder function, all participants underwent post-void residual bladder ultrasound at Baseline and during the Maintenance Phase. The PVR bladder ultrasound was performed by a urologist, a qualified ultrasound technician, or a qualified study nurse who was certified to do PVR bladder ultrasound. Change from Baseline in PVR residual volume was calculated as the values at Week 10 and Week 16 minus the value at Baseline.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=115 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=143 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=134 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Change From Baseline in Post-void Residual Urine Volume at Weeks 8 and 16 of the Maintenance Phase
Week 8, n=143, 134, 121
0 milliliters
Interval -162.0 to 165.0
0 milliliters
Interval -107.0 to 148.0
0 milliliters
Interval -195.0 to 400.0
Change From Baseline in Post-void Residual Urine Volume at Weeks 8 and 16 of the Maintenance Phase
Week 16, n=141, 131, 115
0 milliliters
Interval -262.0 to 173.0
0 milliliters
Interval -185.0 to 232.0
0 milliliters
Interval -195.0 to 609.0

SECONDARY outcome

Timeframe: Weeks 2 and 4 of Titration Phase and Weeks 6, 8, 12, and 16 of Maintenance Phase

Population: Safety Population. Only participants who remained in the study at the indicated week and who also had a body weight assessment were analyzed.

The number of participants with recorded weight gain of \>=7% over their baseline weight was measured.

Outcome measures

Outcome measures
Measure
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=175 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Placebo - DB Phase (Titration Plus Maintenance)
n=174 Participants
Matching placebo tablets of dummy strengths of 50 mg and 100 mg were administered orally TID during the 4-week Titration Phase and the 12-week Maintenance Phase
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=180 Participants
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Placebo - Transition Phase
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - Transition Phase
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - Transition Phase
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 2, n=174, 180, 175
3 participants
0 participants
3 participants
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 4, n=169, 172, 167
8 participants
0 participants
7 participants
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 6, n=169, 165, 152
7 participants
1 participants
8 participants
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 8, n=161, 160, 149
7 participants
1 participants
9 participants
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 12, n=159, 151, 144
13 participants
6 participants
15 participants
Number of Participants With a >=7% Increase in Body Weight During Weeks 2 and 4 of theTitration Phase and Weeks 6, 8, 12, and 16 of the Maintenance Phase
Week 16, n=153, 139, 132
12 participants
4 participants
13 participants

Adverse Events

Placebo - Double Blind (DB) Phase (Titration Plus Maintenance)

Serious events: 7 serious events
Other events: 56 other events
Deaths: 0 deaths

Placebo - Transition Phase

Serious events: 2 serious events
Other events: 38 other events
Deaths: 0 deaths

Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)

Serious events: 14 serious events
Other events: 92 other events
Deaths: 0 deaths

Retigabine 200 mg TID - Transition Phase

Serious events: 3 serious events
Other events: 18 other events
Deaths: 0 deaths

Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)

Serious events: 15 serious events
Other events: 117 other events
Deaths: 0 deaths

Retigabine 300 mg TID - Transition Phase

Serious events: 3 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo - Double Blind (DB) Phase (Titration Plus Maintenance)
n=179 participants at risk
Matching placebo tablets of dummy strengths of 50 milligrams (mg) and 100 mg were administered orally thrice a day (TID) during the 4-week Titration Phase and the 12-week Maintenance Phase
Placebo - Transition Phase
n=147 participants at risk
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 participants at risk
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Retigabine 200 mg TID - Transition Phase
n=132 participants at risk
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 participants at risk
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Retigabine 300 mg TID - Transition Phase
n=114 participants at risk
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Nervous system disorders
Convulsion
0.56%
1/179
0.00%
0/147
1.7%
3/181
1.5%
2/132
1.7%
3/178
0.88%
1/114
Nervous system disorders
Dizziness
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
1.1%
2/178
0.00%
0/114
Nervous system disorders
Coordination abnormal
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Nervous system disorders
Headache
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Nervous system disorders
Somnolence
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Nervous system disorders
Status epilepticus
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.88%
1/114
Nervous system disorders
Myoclonus
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Nervous system disorders
Nerve root compression
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Nervous system disorders
Transient ischaemic attack
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Renal and urinary disorders
Atonic urinary bladder
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Renal and urinary disorders
Urinary incontinence
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Renal and urinary disorders
Urinary retention
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Skin and subcutaneous tissue disorders
Rash macular
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
General disorders
Sudden unexplained death in epilepsy
0.56%
1/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
General disorders
Gait disturbance
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
General disorders
Chest pain
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
General disorders
Fatigue
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Gastrointestinal disorders
Diarrhoea
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Gastrointestinal disorders
Constipation
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Gastrointestinal disorders
Vomiting
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Gastrointestinal disorders
Abdominal pain
1.1%
2/179
0.68%
1/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.56%
1/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Gastrointestinal disorders
Haemorrhoids
0.56%
1/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Psychiatric disorders
Psychotic disorder
0.00%
0/179
0.68%
1/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Psychiatric disorders
Acute psychosis
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Psychiatric disorders
Deja vu
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Psychiatric disorders
Mood disorder due to a general medical condition
0.56%
1/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Infections and infestations
Erysipelas
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Infections and infestations
Sepsis
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Infections and infestations
Urinary tract infection
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.76%
1/132
0.00%
0/178
0.00%
0/114
Eye disorders
Corneal erosion
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Eye disorders
Visual disturbance
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Ear and labyrinth disorders
Vertigo
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.56%
1/178
0.00%
0/114
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.56%
1/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.56%
1/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Hepatobiliary disorders
Cholecystitis
1.1%
2/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Hepatobiliary disorders
Cholelithiasis
0.00%
0/179
0.68%
1/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Hepatobiliary disorders
Hepatic function abnormal
0.56%
1/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Injury, poisoning and procedural complications
Drug toxicity
0.00%
0/179
0.00%
0/147
1.1%
2/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Injury, poisoning and procedural complications
Joint injury
0.00%
0/179
0.00%
0/147
0.00%
0/181
0.00%
0/132
0.00%
0/178
0.88%
1/114
Blood and lymphatic system disorders
Neutropenia
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/179
0.00%
0/147
0.55%
1/181
0.00%
0/132
0.00%
0/178
0.00%
0/114

Other adverse events

Other adverse events
Measure
Placebo - Double Blind (DB) Phase (Titration Plus Maintenance)
n=179 participants at risk
Matching placebo tablets of dummy strengths of 50 milligrams (mg) and 100 mg were administered orally thrice a day (TID) during the 4-week Titration Phase and the 12-week Maintenance Phase
Placebo - Transition Phase
n=147 participants at risk
Participants receiving placebo during the Maintenance Phase were titrated to a target dose of retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). The starting dose for retigabine titration was 100 mg TID and was increased weekly by a maximum of 150 mg per day
Retigabine 200 mg TID - DB Phase (Titration Plus Maintenance)
n=181 participants at risk
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 200 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 600 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 200 mg TID
Retigabine 200 mg TID - Transition Phase
n=132 participants at risk
Participants receiving retigabine 200 mg TID during the Maintenance Phase were titrated to a target dose of 300 mg TID retigabine during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Retigabine doses were increased weekly by a maximum of 150 mg per day
Retigabine 300 mg TID - DB Phase (Titration Plus Maintenance)
n=178 participants at risk
Retigabine 50 mg and 100 mg tablets were administered orally for a target dose of 300 mg TID during the Titration Phase, during which participants were titrated from 300 mg per day to 900 mg per day with weekly increases in doses of 150 mg per day over the course of 2 to 4 weeks, followed by a 12-week Maintenance Phase, during which participants were administered 300 mg TID
Retigabine 300 mg TID - Transition Phase
n=114 participants at risk
Participants receiving retigabine 300 mg TID during the Maintenance Phase continued receiving retigabine 300 mg TID during the 4-week Transition Phase in a double-dummy, double-blind manner using a transition kit consisting of retigabine and placebo tablets (50 mg and 100 mg). Placebo doses were administered to maintain the blinding and were increased weekly by a maximum of 150 mg per day
Nervous system disorders
Dizziness
6.7%
12/179
10.9%
16/147
17.1%
31/181
2.3%
3/132
25.8%
46/178
8.8%
10/114
Nervous system disorders
Somnolence
10.1%
18/179
6.1%
9/147
14.4%
26/181
2.3%
3/132
25.8%
46/178
10.5%
12/114
Nervous system disorders
Headache
14.5%
26/179
5.4%
8/147
11.0%
20/181
3.0%
4/132
17.4%
31/178
6.1%
7/114
General disorders
Fatigue
2.8%
5/179
1.4%
2/147
16.6%
30/181
1.5%
2/132
15.2%
27/178
1.8%
2/114
Nervous system disorders
Tremor
2.2%
4/179
1.4%
2/147
1.7%
3/181
0.76%
1/132
9.0%
16/178
0.88%
1/114
Ear and labyrinth disorders
Vertigo
2.8%
5/179
0.68%
1/147
8.3%
15/181
0.76%
1/132
6.7%
12/178
1.8%
2/114
Gastrointestinal disorders
Nausea
3.9%
7/179
1.4%
2/147
6.1%
11/181
2.3%
3/132
6.7%
12/178
1.8%
2/114
General disorders
Asthenia
2.2%
4/179
1.4%
2/147
5.0%
9/181
1.5%
2/132
6.7%
12/178
3.5%
4/114
Nervous system disorders
Memory impairment
1.7%
3/179
1.4%
2/147
3.9%
7/181
0.76%
1/132
6.2%
11/178
0.88%
1/114
Eye disorders
Diplopia
1.1%
2/179
0.68%
1/147
6.6%
12/181
2.3%
3/132
5.6%
10/178
0.00%
0/114
Nervous system disorders
Disturbance in attention
2.2%
4/179
1.4%
2/147
7.2%
13/181
0.76%
1/132
5.6%
10/178
1.8%
2/114
Eye disorders
Vision blurred
1.7%
3/179
1.4%
2/147
0.55%
1/181
0.76%
1/132
5.1%
9/178
0.00%
0/114
Psychiatric disorders
Confusional state
0.00%
0/179
0.68%
1/147
1.7%
3/181
0.76%
1/132
5.1%
9/178
0.00%
0/114
Nervous system disorders
Coordination abnormal
1.7%
3/179
2.0%
3/147
6.1%
11/181
0.76%
1/132
4.5%
8/178
2.6%
3/114
General disorders
Gait disturbance
0.56%
1/179
0.68%
1/147
3.3%
6/181
0.00%
0/132
5.1%
9/178
0.00%
0/114

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER