Trial Outcomes & Findings for A Study to Look at the Efficacy and Safety of Keppra® Extended Release Formulation - XR (NCT NCT00368069)

NCT ID: NCT00368069

Last Updated: 2020-07-15

Results Overview

Number of POS over the treatment period standardized to 1 week period.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

158 participants

Primary outcome timeframe

Treatment period (12 weeks)

Results posted on

2020-07-15

Participant Flow

The N01235 study began recruitment in August 2006 with study completion occurring in May 2007.

Baseline and Participant Flow data consists of the Intent-to-Treat (ITT) analysis group. The ITT group consists of all randomized subjects.

Participant milestones

Participant milestones
Measure
Keppra®
Keppra® extended release formulation (XR)
Placebo
placebo
Overall Study
STARTED
79
79
Overall Study
COMPLETED
71
72
Overall Study
NOT COMPLETED
8
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Keppra®
Keppra® extended release formulation (XR)
Placebo
placebo
Overall Study
Adverse Event
5
2
Overall Study
Lack of Efficacy
0
1
Overall Study
Lost to Follow-up
1
0
Overall Study
Protocol Violation
0
2
Overall Study
Withdrawal of Consent
2
1
Overall Study
no blood sampling possible
0
1

Baseline Characteristics

A Study to Look at the Efficacy and Safety of Keppra® Extended Release Formulation - XR

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Keppra®
n=79 Participants
Keppra® extended release formulation (XR)
Placebo
n=79 Participants
placebo
Total
n=158 Participants
Total of all reporting groups
Age, Continuous
33.97 years
STANDARD_DEVIATION 13.41 • n=5 Participants
32.38 years
STANDARD_DEVIATION 12.60 • n=7 Participants
33.17 years
STANDARD_DEVIATION 13.00 • n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
32 Participants
n=7 Participants
59 Participants
n=5 Participants
Sex: Female, Male
Male
52 Participants
n=5 Participants
47 Participants
n=7 Participants
99 Participants
n=5 Participants
Region of Enrollment
Mexico
15 participants
n=5 Participants
16 participants
n=7 Participants
31.0 participants
n=5 Participants
Region of Enrollment
Finland
2 participants
n=5 Participants
2 participants
n=7 Participants
4.0 participants
n=5 Participants
Region of Enrollment
Ukraine
13 participants
n=5 Participants
12 participants
n=7 Participants
25.0 participants
n=5 Participants
Region of Enrollment
South Africa
4 participants
n=5 Participants
4 participants
n=7 Participants
8.0 participants
n=5 Participants
Region of Enrollment
Russian Federation
19 participants
n=5 Participants
19 participants
n=7 Participants
38.0 participants
n=5 Participants
Region of Enrollment
India
25 participants
n=5 Participants
26 participants
n=7 Participants
51.0 participants
n=5 Participants
Region of Enrollment
Brazil
1 participants
n=5 Participants
0 participants
n=7 Participants
1.0 participants
n=5 Participants

PRIMARY outcome

Timeframe: Treatment period (12 weeks)

Population: Intention-to-treat (ITT) (Analyses were performed on subjects from the ITT with non-missing information during baseline and treatment period.)

Number of POS over the treatment period standardized to 1 week period.

Outcome measures

Outcome measures
Measure
Keppra®
n=75 Participants
Keppra® extended release formulation (XR)
Placebo
n=78 Participants
placebo
Partial Onset Seizure (POS) Frequency Per Week - Intention-To-Treat (ITT) Population
0.912 seizures per week (log-transformed data)
Standard Error 0.053
1.067 seizures per week (log-transformed data)
Standard Error 0.052

PRIMARY outcome

Timeframe: Treatment Period (12 weeks)

Population: Per Protocol (PP) Population (Analyses were performed on subjects from the PP Population with non-missing information during both baseline and treatment period)

Number of POS over the treatment period standardized to 1 week period

Outcome measures

Outcome measures
Measure
Keppra®
n=67 Participants
Keppra® extended release formulation (XR)
Placebo
n=69 Participants
placebo
Partial Onset Seizure (POS) Frequency Per Week - Per Protocol (PP) Population
0.914 seizures per week (log-transformed data)
Standard Error 0.049
1.119 seizures per week (log-transformed data)
Standard Error 0.048

SECONDARY outcome

Timeframe: Baseline Period (8 weeks) - Treatment Period (12 weeks)

Population: ITT Population - no imputation techniques used for missing data (number of subjects with non-missing data for Baseline = ITT Population and for Treatment period = 75 patients for levetiracetam and 78 patients for PBO) Clusters of type I count are included in the count of Type I seizures

Outcome measures

Outcome measures
Measure
Keppra®
n=79 Participants
Keppra® extended release formulation (XR)
Placebo
n=79 Participants
placebo
POS Seizure Frequency Per Week Over Baseline and Treatment Period
Baseline POS frequency per week
1.80 seizures per week
Interval 1.13 to 4.13
2.11 seizures per week
Interval 1.33 to 3.26
POS Seizure Frequency Per Week Over Baseline and Treatment Period
Treatment POS frequency per week
0.99 seizures per week
Interval 0.33 to 2.7
1.36 seizures per week
Interval 0.92 to 2.85

SECONDARY outcome

Timeframe: Treatment period (12 weeks)

Population: ITT (Analyses were performed on subjects from the ITT with non-missing information during baseline and treatment period.)

Number of All type Seizures over the treatment period standardized to 1 week period (Type I -Partial Onset Seizures, Type II - Generalized Seizures, Type III - Unclassified Epileptic Seizures)

Outcome measures

Outcome measures
Measure
Keppra®
n=75 Participants
Keppra® extended release formulation (XR)
Placebo
n=78 Participants
placebo
All (Type I+II+III) Seizures Frequency Per Week
0.928 seizures per week (log-transformed data)
Standard Error 0.053
1.086 seizures per week (log-transformed data)
Standard Error 0.052

SECONDARY outcome

Timeframe: Treatment period (12 weeks)

Population: ITT Based on the number of evaluable patients. A patient is considered as evaluable for the response status if he has seizure information in at least one of the periods (baseline or treatment period)

A subject is considered as a 50% responder in POS if he/she has a \>= 50% decrease from Baseline in the POS frequency/week over Treatment period.

Outcome measures

Outcome measures
Measure
Keppra®
n=79 Participants
Keppra® extended release formulation (XR)
Placebo
n=79 Participants
placebo
50% Response in Weekly POS Frequency
Response
34 Participants
23 Participants
50% Response in Weekly POS Frequency
Non-Response
45 Participants
56 Participants

SECONDARY outcome

Timeframe: over the treatment period (12 weeks)

Population: ITT Based on the number of evaluable patients. A patient is considered as evaluable for the response status if he has seizure information in at least one of the periods (baseline or treatment period).

The response is classified according to the percent reduction from baseline in the POS frequency per week over the Treatment Period of 12 weeks duration.

Outcome measures

Outcome measures
Measure
Keppra®
n=79 Participants
Keppra® extended release formulation (XR)
Placebo
n=79 Participants
placebo
Response in Weekly POS Frequency (Categorized Into 6 Categories According to Reduction) Over the Treatment Period of 12 Weeks
< -25%
11 Participants
13 Participants
Response in Weekly POS Frequency (Categorized Into 6 Categories According to Reduction) Over the Treatment Period of 12 Weeks
75% - <100%
11 Participants
7 Participants
Response in Weekly POS Frequency (Categorized Into 6 Categories According to Reduction) Over the Treatment Period of 12 Weeks
100%
8 Participants
2 Participants
Response in Weekly POS Frequency (Categorized Into 6 Categories According to Reduction) Over the Treatment Period of 12 Weeks
-25% - <25%
14 Participants
23 Participants
Response in Weekly POS Frequency (Categorized Into 6 Categories According to Reduction) Over the Treatment Period of 12 Weeks
25% - <75%
35 Participants
34 Participants

Adverse Events

Keppra®

Serious events: 6 serious events
Other events: 23 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Keppra®
n=77 participants at risk
Keppra® extended release formulation (XR)
Placebo
n=79 participants at risk
placebo
Injury, poisoning and procedural complications
Concussion
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Epilepsy
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
1.3%
1/79 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Ischaemic stroke
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Partial seizures with secondary generalisation
0.00%
0/77 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
1.3%
1/79 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Simple partial seizures
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Stupor
0.00%
0/77 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
1.3%
1/79 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Skin and subcutaneous tissue disorders
Rash
1.3%
1/77 • Number of events 1 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.

Other adverse events

Other adverse events
Measure
Keppra®
n=77 participants at risk
Keppra® extended release formulation (XR)
Placebo
n=79 participants at risk
placebo
Gastrointestinal disorders
Nausea
5.2%
4/77 • Number of events 5 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
2.5%
2/79 • Number of events 2 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
General disorders
Irritability
6.5%
5/77 • Number of events 5 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
0.00%
0/79 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Infections and infestations
Influenza
7.8%
6/77 • Number of events 7 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
3.8%
3/79 • Number of events 3 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Infections and infestations
Nasopharyngitis
6.5%
5/77 • Number of events 6 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
5.1%
4/79 • Number of events 4 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Dizziness
5.2%
4/77 • Number of events 4 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
2.5%
2/79 • Number of events 2 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Headache
6.5%
5/77 • Number of events 8 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
13.9%
11/79 • Number of events 21 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
Nervous system disorders
Somnolence
7.8%
6/77 • Number of events 7 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.
2.5%
2/79 • Number of events 2 • Adverse Events were collected from Selection Visit (Week 0) until Final Visit (Week 22).
Adverse Event reporting is data is taken from the Safety Set (SS) analysis group. The SS is comprised all subjects who were dispensed study medication.

Additional Information

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UCB Pharma

Phone: +1 877 822 9493

Results disclosure agreements

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