Double-blind, Randomized Study Evaluating the Efficacy and Safety of Brivaracetam in Adults With Partial Onset Seizures

NCT ID: NCT00490035

Last Updated: 2022-07-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

399 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2009-02-28

Brief Summary

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This study will evaluate the efficacy and safety of Brivaracetam to support the submission file in the indication of adjunctive treatment in adolescents and adults with partial onset seizures.

Detailed Description

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Conditions

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Epilepsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Matching Placebo tablets administered twice a day

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Daily oral dose of two equal intakes, morning and evening, of Placebo in a double-blinded way for the 12-week Treatment Period

Brivaracetam 20 mg/day

Brivaracetam 20 mg/day, 10 mg administered twice a day

Group Type EXPERIMENTAL

Brivaracetam

Intervention Type DRUG

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 20 mg /day in a double-blinded way for the 12-week Treatment Period

Brivaracetam 50 mg/day

Brivaracetam 50 mg/day, 25 mg administered twice a day

Group Type EXPERIMENTAL

Brivaracetam

Intervention Type DRUG

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 50 mg /day in a double-blinded way for the 12-week Treatment Period.

Brivaracetam 100 mg/day

Brivaracetam 100 mg/day, 50 mg administered twice a day

Group Type EXPERIMENTAL

Brivaracetam

Intervention Type DRUG

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 100 mg /day in a double-blinded way for the 12-week Treatment Period.

Interventions

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Placebo

Daily oral dose of two equal intakes, morning and evening, of Placebo in a double-blinded way for the 12-week Treatment Period

Intervention Type OTHER

Brivaracetam

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 20 mg /day in a double-blinded way for the 12-week Treatment Period

Intervention Type DRUG

Brivaracetam

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 50 mg /day in a double-blinded way for the 12-week Treatment Period.

Intervention Type DRUG

Brivaracetam

Daily oral dose of two equal intakes, morning and evening, of Brivaracetam 100 mg /day in a double-blinded way for the 12-week Treatment Period.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects were from 16 to 70 years, both inclusive. Subjects under 18 years of age were only included where legally permitted and ethically accepted
* Subjects with well-characterized focal epilepsy or epileptic syndrome according to the International League Against Epilepsy (ILAE) classification
* Subjects had a history of partial onset seizures (POS) whether or not secondarily generalized (Type I seizures according to the ILAE classification)
* Subjects had at least 2 POS whether or not secondarily generalized per month during the 3 months preceding Visit 1
* Subjects had at least 8 POS whether or not secondarily generalized during the 8-Week Baseline Period
* Subjects were uncontrolled while treated by 1 to 2 permitted concomitant antiepileptic drugs (AEDs). Vagal nerve stimulation was allowed and was not counted as a concomitant AED

Exclusion Criteria

* History or presence of seizures occurring only in clusters (too frequently or indistinctly separated to be reliably counted) before Visit 3
* History or presence of status epilepticus during the year preceding Visit 1 or during Baseline
Minimum Eligible Age

16 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Clinical Trial Call Center

Role: STUDY_DIRECTOR

+1 877 822 9493 (UCB)

Locations

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13

Ghent, , Belgium

Site Status

19

La Louvière, , Belgium

Site Status

12

Liège, , Belgium

Site Status

10

Sankt Vith, , Belgium

Site Status

44

Kuopio, , Finland

Site Status

41

Oulu, , Finland

Site Status

42

Seinäjoki, , Finland

Site Status

43

Tampere, , Finland

Site Status

60

Angers, , France

Site Status

56

Béthune, , France

Site Status

62

Bron, , France

Site Status

57

Dijon, , France

Site Status

53

Lille, , France

Site Status

52

Montpellier, , France

Site Status

64

Nancy, , France

Site Status

54

Paris, , France

Site Status

51

Rennes, , France

Site Status

61

Roanne, , France

Site Status

55

Strasbourg, , France

Site Status

76

Bad Berka, , Germany

Site Status

73

Berlin, , Germany

Site Status

79

Bernau, , Germany

Site Status

78

Bielefeld, , Germany

Site Status

74

Freiburg im Breisgau, , Germany

Site Status

75

Kehl-Kork, , Germany

Site Status

77

Mainz, , Germany

Site Status

70

München, , Germany

Site Status

72

Radeberg, , Germany

Site Status

71

Ulm, , Germany

Site Status

94

Budapest, , Hungary

Site Status

90

Debrecen, , Hungary

Site Status

92

Pécs, , Hungary

Site Status

256

Bangalore, , India

Site Status

257

Bangalore, , India

Site Status

253

Hyderabad, , India

Site Status

258

Jaipur, , India

Site Status

255

Kolkata, , India

Site Status

250

Lucknow, , India

Site Status

259

Mumbai, , India

Site Status

270

Pune, , India

Site Status

251

Pune Maharashtra, , India

Site Status

104

Bologna, , Italy

Site Status

105

Foggia, , Italy

Site Status

101

Perugia, , Italy

Site Status

103

Roma, , Italy

Site Status

107

Roma, , Italy

Site Status

124

Breda, , Netherlands

Site Status

125

The Hague, , Netherlands

Site Status

122

Zwolle, , Netherlands

Site Status

142

Bialystok, , Poland

Site Status

143

Gdansk, , Poland

Site Status

153

Grodzisk Mazowiecki, , Poland

Site Status

147

Katowice, , Poland

Site Status

151

Katowice, , Poland

Site Status

141

Kielce, , Poland

Site Status

150

Krakow, , Poland

Site Status

148

Lodz, , Poland

Site Status

144

Lublin, , Poland

Site Status

152

Poznan, , Poland

Site Status

146

Szczecin, , Poland

Site Status

140

Warsaw, , Poland

Site Status

145

Warsaw, , Poland

Site Status

149

Warsaw, , Poland

Site Status

187

Alcorcón, , Spain

Site Status

181

Barcelona, , Spain

Site Status

184

Donostia / San Sebastian, , Spain

Site Status

182

Madrid, , Spain

Site Status

183

Vigo, , Spain

Site Status

185

Zaragoza, , Spain

Site Status

201

Biel, , Switzerland

Site Status

205

Geneva, , Switzerland

Site Status

203

Sankt Gallen, , Switzerland

Site Status

202

Tschugg, , Switzerland

Site Status

204

Zurich, , Switzerland

Site Status

223

Liverpool, , United Kingdom

Site Status

224

Middlesbrough, , United Kingdom

Site Status

Countries

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Belgium Finland France Germany Hungary India Italy Netherlands Poland Spain Switzerland United Kingdom

References

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Ryvlin P, Werhahn KJ, Blaszczyk B, Johnson ME, Lu S. Adjunctive brivaracetam in adults with uncontrolled focal epilepsy: results from a double-blind, randomized, placebo-controlled trial. Epilepsia. 2014 Jan;55(1):47-56. doi: 10.1111/epi.12432. Epub 2013 Oct 28.

Reference Type RESULT
PMID: 24256083 (View on PubMed)

Toledo M, Whitesides J, Schiemann J, Johnson ME, Eckhardt K, McDonough B, Borghs S, Kwan P. Safety, tolerability, and seizure control during long-term treatment with adjunctive brivaracetam for partial-onset seizures. Epilepsia. 2016 Jul;57(7):1139-51. doi: 10.1111/epi.13416. Epub 2016 Jun 6.

Reference Type RESULT
PMID: 27265725 (View on PubMed)

Ben-Menachem E, Mameniskiene R, Quarato PP, Klein P, Gamage J, Schiemann J, Johnson ME, Whitesides J, McDonough B, Eckhardt K. Efficacy and safety of brivaracetam for partial-onset seizures in 3 pooled clinical studies. Neurology. 2016 Jul 19;87(3):314-23. doi: 10.1212/WNL.0000000000002864. Epub 2016 Jun 22.

Reference Type RESULT
PMID: 27335114 (View on PubMed)

Brodie MJ, Whitesides J, Schiemann J, D'Souza J, Johnson ME. Tolerability, safety, and efficacy of adjunctive brivaracetam for focal seizures in older patients: A pooled analysis from three phase III studies. Epilepsy Res. 2016 Nov;127:114-118. doi: 10.1016/j.eplepsyres.2016.08.018. Epub 2016 Aug 18.

Reference Type RESULT
PMID: 27589414 (View on PubMed)

Mukuria C, Young T, Keetharuth A, Borghs S, Brazier J. Sensitivity and responsiveness of the EQ-5D-3L in patients with uncontrolled focal seizures: an analysis of Phase III trials of adjunctive brivaracetam. Qual Life Res. 2017 Mar;26(3):749-759. doi: 10.1007/s11136-016-1483-3. Epub 2016 Dec 21.

Reference Type RESULT
PMID: 28004320 (View on PubMed)

Moseley BD, Sperling MR, Asadi-Pooya AA, Diaz A, Elmouft S, Schiemann J, Whitesides J. Efficacy, safety, and tolerability of adjunctive brivaracetam for secondarily generalized tonic-clonic seizures: Pooled results from three Phase III studies. Epilepsy Res. 2016 Nov;127:179-185. doi: 10.1016/j.eplepsyres.2016.09.003. Epub 2016 Sep 3.

Reference Type RESULT
PMID: 27608437 (View on PubMed)

Brandt C, Borghs S, Elmoufti S, Mueller K, Townsend R, de la Loge C. Health-related quality of life in double-blind Phase III studies of brivaracetam as adjunctive therapy of focal seizures: A pooled, post-hoc analysis. Epilepsy Behav. 2017 Apr;69:80-85. doi: 10.1016/j.yebeh.2016.11.031. Epub 2017 Feb 23.

Reference Type RESULT
PMID: 28236727 (View on PubMed)

Klein P, Johnson ME, Schiemann J, Whitesides J. Time to onset of sustained >/=50% responder status in patients with focal (partial-onset) seizures in three phase III studies of adjunctive brivaracetam treatment. Epilepsia. 2017 Feb;58(2):e21-e25. doi: 10.1111/epi.13631. Epub 2016 Dec 18.

Reference Type RESULT
PMID: 27988967 (View on PubMed)

Asadi-Pooya AA, Sperling MR, Chung S, Klein P, Diaz A, Elmoufti S, Schiemann J, Whitesides J. Efficacy and tolerability of adjunctive brivaracetam in patients with prior antiepileptic drug exposure: A post-hoc study. Epilepsy Res. 2017 Mar;131:70-75. doi: 10.1016/j.eplepsyres.2017.02.007. Epub 2017 Feb 27.

Reference Type RESULT
PMID: 28279891 (View on PubMed)

Benbadis S, Klein P, Schiemann J, Diaz A, Elmoufti S, Whitesides J. Efficacy, safety, and tolerability of brivaracetam with concomitant lamotrigine or concomitant topiramate in pooled Phase III randomized, double-blind trials: A post-hoc analysis. Epilepsy Behav. 2018 Mar;80:129-134. doi: 10.1016/j.yebeh.2017.12.024. Epub 2018 Feb 3.

Reference Type RESULT
PMID: 29414542 (View on PubMed)

Brodie MJ, Fakhoury T, McDonough B, Colson AO, Stockis A, Elmoufti S, Whitesides J. Brivaracetam-induced elevation of carbamazepine epoxide levels: A post-hoc analysis from the clinical development program. Epilepsy Res. 2018 Sep;145:55-62. doi: 10.1016/j.eplepsyres.2018.06.002. Epub 2018 Jun 4.

Reference Type RESULT
PMID: 29908435 (View on PubMed)

Klein P, Laloyaux C, Elmoufti S, Gasalla T, Martin MS. Time course of 75%-100% efficacy response of adjunctive brivaracetam. Acta Neurol Scand. 2020 Aug;142(2):175-180. doi: 10.1111/ane.13287. Epub 2020 Jun 9.

Reference Type RESULT
PMID: 32432339 (View on PubMed)

Moseley BD, Dimova S, Elmoufti S, Laloyaux C, Asadi-Pooya AA. Long-term efficacy and tolerability of adjunctive brivaracetam in adults with focal to bilateral tonic-clonic (secondary generalized) seizures: Post hoc pooled analysis. Epilepsy Res. 2021 Oct;176:106694. doi: 10.1016/j.eplepsyres.2021.106694. Epub 2021 Jun 24.

Reference Type RESULT
PMID: 34218211 (View on PubMed)

Ryvlin P, Dimova S, Elmoufti S, Floricel F, Laloyaux C, Nondonfaz X, Biton V. Tolerability and efficacy of adjunctive brivaracetam in adults with focal seizures by concomitant antiseizure medication use: Pooled results from three phase 3 trials. Epilepsia. 2022 Aug;63(8):2024-2036. doi: 10.1111/epi.17304. Epub 2022 Jun 10.

Reference Type RESULT
PMID: 35582748 (View on PubMed)

Bresnahan R, Panebianco M, Marson AG. Brivaracetam add-on therapy for drug-resistant epilepsy. Cochrane Database Syst Rev. 2022 Mar 14;3(3):CD011501. doi: 10.1002/14651858.CD011501.pub3.

Reference Type DERIVED
PMID: 35285519 (View on PubMed)

Lee SK, Heo K, Kim SE, Lee SA, Elmoufti S, Laloyaux C, Hur B. Effect of Number of Previous Antiseizure Medications on Efficacy and Tolerability of Adjunctive Brivaracetam for Uncontrolled Focal Seizures: Post Hoc Analysis. Adv Ther. 2021 Jul;38(7):4082-4099. doi: 10.1007/s12325-021-01816-5. Epub 2021 Jun 21.

Reference Type DERIVED
PMID: 34155568 (View on PubMed)

Ben-Menachem E, Baulac M, Hong SB, Cleveland JM, Reichel C, Schulz AL, Wagener G, Brandt C. Safety, tolerability, and efficacy of brivaracetam as adjunctive therapy in patients with focal seizures, generalized onset seizures, or Unverricht-Lundborg disease: An open-label, long-term follow-up trial. Epilepsy Res. 2021 Feb;170:106526. doi: 10.1016/j.eplepsyres.2020.106526. Epub 2020 Dec 4.

Reference Type DERIVED
PMID: 33461041 (View on PubMed)

Other Identifiers

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2006-006344-59

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

N01252

Identifier Type: -

Identifier Source: org_study_id

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