Trial Outcomes & Findings for Long Term Follow-up Study With Keppra XR (Levetiracetam XR) for Partial Seizures (NCT NCT00419393)

NCT ID: NCT00419393

Last Updated: 2014-09-05

Results Overview

An adverse event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

190 participants

Primary outcome timeframe

Duration of the Treatment Period (6 months-2 years)

Results posted on

2014-09-05

Participant Flow

The study began December 2007 recruiting in the United States, Poland, Mexico, and the Russian Federation. The study completed March 2010.

Participant milestones

Participant milestones
Measure
Keppra XR (Levetiracetam XR)
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Overall Study
STARTED
190
Overall Study
COMPLETED
166
Overall Study
NOT COMPLETED
24

Reasons for withdrawal

Reasons for withdrawal
Measure
Keppra XR (Levetiracetam XR)
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Overall Study
Adverse Event
5
Overall Study
Protocol Violation
5
Overall Study
Withdrawal by Subject
7
Overall Study
Other: Sponsor request
3
Overall Study
Other: Subject had temporal lobectomy
1
Overall Study
Other: Site closure
1
Overall Study
Other: Other health problems
1
Overall Study
Other: Investigator decision
1

Baseline Characteristics

Long Term Follow-up Study With Keppra XR (Levetiracetam XR) for Partial Seizures

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Keppra XR (Levetiracetam XR)
n=190 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Age, Categorical
<=18 years
40 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
147 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age, Continuous
33.44 years
STANDARD_DEVIATION 14.46 • n=5 Participants
Sex: Female, Male
Female
111 Participants
n=5 Participants
Sex: Female, Male
Male
79 Participants
n=5 Participants
Region of Enrollment
United States
26 participants
n=5 Participants
Region of Enrollment
Mexico
49 participants
n=5 Participants
Region of Enrollment
Poland
59 participants
n=5 Participants
Region of Enrollment
Russian Federation
56 participants
n=5 Participants

PRIMARY outcome

Timeframe: Duration of the Treatment Period (6 months-2 years)

Population: Of the 190 subjects beginning the study, 189 received at least one dose of study medication, placing them in the Safety Set (SS) analyzed here.

An adverse event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Outcome measures

Outcome measures
Measure
Keppra XR
n=189 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Number of Subjects Who Experienced at Least 1 Treatment Emergent Adverse Event During the Actual Treatment Period (6 Months-2 Years)
126 number of subjects

PRIMARY outcome

Timeframe: Duration of the Treatment Period (6 months-2 years)

Population: Of the 190 subjects beginning the study, 189 received at least one dose of study medication, placing them in the Safety Set (SS) analyzed here.

A serious adverse event is any untoward medical occurrences in a subject administered study treatment, whether or not the event is related to treatment, with at least one of the follow outcomes: death, life-threatening, initial inpatient hospitalization or prolongation of hospitalization, significant or persistent disability/incapacity, congenital anomaly/birth defect, or an important medical event that may jeopardize the subject and require a medical/surgical intervention.

Outcome measures

Outcome measures
Measure
Keppra XR
n=189 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Number of Subjects Who Experienced at Least 1 Serious Treatment Emergent Adverse Event During the Actual Treatment Period (6 Months-2 Years)
22 number of subjects

PRIMARY outcome

Timeframe: Duration of the Treatment Period (6 months-2 years)

Population: Of the 190 subjects beginning the study, 189 received at least one dose of study medication, placing them in the Safety Set (SS) analyzed here.

An adverse event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Outcome measures

Outcome measures
Measure
Keppra XR
n=189 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Number of Subjects Prematurely Discontinuing Due to a Treatment-emergent Adverse Event During the Actual Treatment Period
5 number of subjects

SECONDARY outcome

Timeframe: Study entry through 6 months

Population: Of the 190 subjects beginning the study, 139 are in the Efficacy (EFF) population, entered the study on Keppra XR monotherapy, and have been exposed to treatment for at least 6 months. The Efficacy population includes subjects that are in the Safety Set (SS) with at least one reported efficacy measure.

Among subjects in the Efficacy (EFF) population entering the study on Keppra XR monotherapy and exposed for at least 6 months, is the percentage of subjects remaining on monotherapy treatment for at least 6 months.

Outcome measures

Outcome measures
Measure
Keppra XR
n=139 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Percentage of Subjects Remaining on Keppra XR Monotherapy From Study Entry Through 6 Months
77.0 percentage of subjects

SECONDARY outcome

Timeframe: Study entry through 12 months

Population: Of the 190 subjects beginning the study, 49 are in the Efficacy (EFF) population, entered the study on Keppra XR monotherapy, and have been exposed to treatment for at least 12 months. The Efficacy population includes subjects that are in the Safety Set (SS) with at least one reported efficacy measure.

Among subjects in the Efficacy (EFF) population entering the study on Keppra XR monotherapy and exposed for at least 6 months, is the percentage of subjects remaining on monotherapy treatment for at least 12 months.

Outcome measures

Outcome measures
Measure
Keppra XR
n=49 Participants
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Percentage of Subjects Remaining on Keppra XR Monotherapy From Study Entry Through 12 Months
65.3 percentage of subjects

Adverse Events

Keppra XR (Levetiracetam XR)

Serious events: 22 serious events
Other events: 57 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Keppra XR (Levetiracetam XR)
n=189 participants at risk
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Cardiac disorders
Angina pectoris
0.53%
1/189 • Number of events 1 • Up to two years
Gastrointestinal disorders
Abdominal pain
0.53%
1/189 • Number of events 1 • Up to two years
General disorders
Chest pain
1.1%
2/189 • Number of events 2 • Up to two years
General disorders
Drowning
0.53%
1/189 • Number of events 1 • Up to two years
General disorders
Non-cardiac chest pain
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Bile duct stone
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Cholangitis
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Cholecystitis
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Hepatic cirrhosis
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Hepatic fibrosis
0.53%
1/189 • Number of events 1 • Up to two years
Hepatobiliary disorders
Hepatitis
0.53%
1/189 • Number of events 1 • Up to two years
Infections and infestations
Pneumonia
0.53%
1/189 • Number of events 1 • Up to two years
Infections and infestations
Pulmonary tuberculosis
0.53%
1/189 • Number of events 1 • Up to two years
Injury, poisoning and procedural complications
Anticonvulsant toxicity
0.53%
1/189 • Number of events 1 • Up to two years
Injury, poisoning and procedural complications
Concussion
0.53%
1/189 • Number of events 1 • Up to two years
Injury, poisoning and procedural complications
Lumbar puncture headache
0.53%
1/189 • Number of events 1 • Up to two years
Injury, poisoning and procedural complications
Spinal compression fracture
0.53%
1/189 • Number of events 1 • Up to two years
Musculoskeletal and connective tissue disorders
Periostitis
0.53%
1/189 • Number of events 1 • Up to two years
Nervous system disorders
Convulsion
2.1%
4/189 • Number of events 4 • Up to two years
Nervous system disorders
Aphasia
0.53%
1/189 • Number of events 1 • Up to two years
Nervous system disorders
Grand mal convulsion
0.53%
1/189 • Number of events 1 • Up to two years
Nervous system disorders
Postictal paralysis
0.53%
1/189 • Number of events 1 • Up to two years
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.53%
1/189 • Number of events 1 • Up to two years
Pregnancy, puerperium and perinatal conditions
Pregnancy with contraceptive device
0.53%
1/189 • Number of events 1 • Up to two years
Psychiatric disorders
Psychotic disorder
0.53%
1/189 • Number of events 1 • Up to two years
Renal and urinary disorders
Anuria
0.53%
1/189 • Number of events 1 • Up to two years
Renal and urinary disorders
Hydronephrosis
0.53%
1/189 • Number of events 1 • Up to two years
Renal and urinary disorders
Nephrolithiasis
0.53%
1/189 • Number of events 1 • Up to two years
Reproductive system and breast disorders
Metrorrhagia
0.53%
1/189 • Number of events 1 • Up to two years
Skin and subcutaneous tissue disorders
Toxic skin eruption
0.53%
1/189 • Number of events 1 • Up to two years
Surgical and medical procedures
Abortion induced
0.53%
1/189 • Number of events 1 • Up to two years

Other adverse events

Other adverse events
Measure
Keppra XR (Levetiracetam XR)
n=189 participants at risk
1000 - 3000 mg/day Keppra XR (Levetiracetam XR), flexible dosing, throughout the duration of the study (planned: approximately 6 months-3 years)
Infections and infestations
Nasopharyngitis
7.9%
15/189 • Number of events 19 • Up to two years
Infections and infestations
Influenza
7.4%
14/189 • Number of events 27 • Up to two years
Nervous system disorders
Headache
13.8%
26/189 • Number of events 57 • Up to two years
Nervous system disorders
Somnolence
7.9%
15/189 • Number of events 18 • Up to two years
Nervous system disorders
Dizziness
5.3%
10/189 • Number of events 12 • Up to two years
Respiratory, thoracic and mediastinal disorders
Cough
5.3%
10/189 • Number of events 19 • Up to two years

Additional Information

UCB (Study Director)

UCB Clinical Trial Call Center

Phone: +1 887 822 9493

Results disclosure agreements

  • Principal investigator is a sponsor employee UCB has \> 60 but \<= 180 days to review results communications prior to public release and may delete information that is confidential and compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that the results shall be published regardless of outcome.
  • Publication restrictions are in place

Restriction type: OTHER