Trial Outcomes & Findings for 4-Year Open-Label Extension Phase of the Parallel-Group Study of E2007 in Patients With Refractory Partial Seizures (NCT NCT00368472)

NCT ID: NCT00368472

Last Updated: 2015-12-10

Results Overview

An AE was defined as any untoward medical occurrence in a clinical investigation participant administered an investigational product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious or non-serious) that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed. The data is presented in the safety section of the results.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

138 participants

Primary outcome timeframe

From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years

Results posted on

2015-12-10

Participant Flow

Participant milestones

Participant milestones
Measure
Perampanel
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Overall Study
STARTED
138
Overall Study
COMPLETED
33
Overall Study
NOT COMPLETED
105

Reasons for withdrawal

Reasons for withdrawal
Measure
Perampanel
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Overall Study
Adverse Event
22
Overall Study
Medication non-compliance
4
Overall Study
Protocol Violation
2
Overall Study
Request of Investigator or Sponsor
3
Overall Study
Withdrawal by Subject
40
Overall Study
Diary non-compliance
1
Overall Study
Other
32
Overall Study
Missing Final Disposition Date
1

Baseline Characteristics

4-Year Open-Label Extension Phase of the Parallel-Group Study of E2007 in Patients With Refractory Partial Seizures

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Perampanel
n=138 Participants
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Age, Continuous
40.7 Years
STANDARD_DEVIATION 11.87 • n=5 Participants
Sex: Female, Male
Female
80 Participants
n=5 Participants
Sex: Female, Male
Male
58 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years

Population: Safety Analysis Set was defined as participants who received at least 1 dose of open-label perampanel and had at least 1 safety assessment after the first dose of perampanel in the OLE study.

An AE was defined as any untoward medical occurrence in a clinical investigation participant administered an investigational product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious or non-serious) that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed. The data is presented in the safety section of the results.

Outcome measures

Outcome measures
Measure
Perampanel
n=138 Participants
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Number of Participants With Treatment-emergent Non-serious Adverse Events (AEs) and Treatment-emergent Serious Adverse Events (SAEs)
Treatment-emergent non-serious AEs
112 Participants
Number of Participants With Treatment-emergent Non-serious Adverse Events (AEs) and Treatment-emergent Serious Adverse Events (SAEs)
Treatment-emergent SAEs
33 Participants

SECONDARY outcome

Timeframe: Baseline up to Week 221

Population: The analysis was based on the Full Intent to Treat (ITT) Analysis Set, defined as participants who received at least 1 dose of open-label perampanel and had valid seizure data during the OLE study.

Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The seizure frequency per 28 days was calculated as the number of seizures divided by the number of days in the interval and multiplied by 28. The percent change in 28-day seizure frequency from baseline was assessed for all partial-onset seizures types. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel.

Outcome measures

Outcome measures
Measure
Perampanel
n=138 Participants
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Percent Change in Seizure Frequency Per 28 Days Relative to Pre-Perampanel Baseline
-31.5 Percent Change
Interval -99.2 to 576.1

SECONDARY outcome

Timeframe: Baseline up to week 221

Population: The analysis was based on the Full Intent to Treat (ITT) Analysis Set, defined as participants who received at least 1 dose of open-label perampanel and had valid seizure data during the OLE study.

Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The percentage of participants who experienced a 50% or greater reduction in seizure frequency per 28 days relative to the pre-perampanel Baseline (responders) was assessed. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel. The data is presented as percent responders.

Outcome measures

Outcome measures
Measure
Perampanel
n=138 Participants
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Percentage of Participants Who Experienced a 50% or Greater Reduction in Seizure Frequency Per 28 Days Relative to the Pre-perampanel Baseline
36.2 Percent responders

Adverse Events

Perampanel

Serious events: 33 serious events
Other events: 112 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Perampanel
n=138 participants at risk
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Injury, poisoning and procedural complications
Fibula fracture
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Lower limb fracture
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Overdose
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Road traffic accident
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Scapula fracture
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Therapeutic agent toxicity
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Tibia fracture
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer in situ
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer recurrent
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Cardiac disorders
Cardiac arrest
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Cerebrovascular accident
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Convulsion
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Encephalopathy
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Epilepsy
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Grand mal convulsion
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Guillain-Barre syndrome
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Paraplegia
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Postictal state
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Sciatica
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Status epilepticus
2.9%
4/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
General disorders
Sudden unexplained death in epilepsy
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Psychotic disorder
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Schizophrenia
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Suicide attempt
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Gastrointestinal disorders
Ileitis
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Metabolism and nutrition disorders
Type 2 diabetes mellitus
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Gastroenteritis
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Intervertebral discitis
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Pneumonia
2.2%
3/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Wound infection
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Contusion
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.72%
1/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.

Other adverse events

Other adverse events
Measure
Perampanel
n=138 participants at risk
Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study.
Vascular disorders
Hypertension
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
General disorders
Fatigue
12.3%
17/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
General disorders
Irritability
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
General disorders
Oedema peripheral
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Anxiety
8.0%
11/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Depression
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Psychiatric disorders
Insomnia
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Contusion
8.7%
12/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Fall
8.7%
12/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Foot fracture
2.9%
4/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Head injury
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Procedural pain
2.9%
4/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Injury, poisoning and procedural complications
Skin laceration
8.0%
11/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Investigations
Blood creatine phosphokinase increased
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Investigations
Weight decreased
1.4%
2/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Investigations
Weight increased
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Respiratory, thoracic and mediastinal disorders
Cough
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Ataxia
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Balance disorder
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Convulsion
9.4%
13/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Dizziness
40.6%
56/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Headache
18.1%
25/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Paraesthesia
2.9%
4/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Somnolence
18.8%
26/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Nervous system disorders
Tremor
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Eye disorders
Diplopia
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Ear and labyrinth disorders
Vertigo
7.2%
10/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Gastrointestinal disorders
Diarrhoea
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Gastrointestinal disorders
Nausea
8.7%
12/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Gastrointestinal disorders
Vomiting
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Skin and subcutaneous tissue disorders
Rash
8.0%
11/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Arthralgia
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Back pain
10.9%
15/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Neck pain
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Musculoskeletal and connective tissue disorders
Pain in extremity
5.8%
8/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Bronchitis
4.3%
6/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Influenza
5.1%
7/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Nasopharyngitis
10.1%
14/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Rhinitis
3.6%
5/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Upper respiratory tract infection
8.7%
12/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Urinary tract infection
8.0%
11/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
Infections and infestations
Viral infection
2.9%
4/138 • From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.

Additional Information

Eisai Medical Services

Eisai, Inc.

Phone: 1-888-422-4743

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER