Trial Outcomes & Findings for Safety of Intravenous Lacosamide Dose Followed by Twice Daily Oral Lacosamide in Subjects With Partial-onset Seizures (NCT NCT00655551)

NCT ID: NCT00655551

Last Updated: 2018-07-17

Results Overview

An Adverse Event (AE) is any untoward medical occurrence (eg, noxious or pathological changes) in a subject or clinical investigation subject compared with pre-existing conditions, that occurs during any period of a clinical trial including Pre-treatment, Run-In, Wash-Out, or Follow-Up Periods. An AE is defined as being independent of assumption of any causality (eg, to study or concomitant medication, primary or concomitant disease, or study design).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

100 participants

Primary outcome timeframe

Treatment period (up to 7 days)

Results posted on

2018-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Lacosamide (200 mg)
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
All Periods Combined
STARTED
25
50
25
All Periods Combined
COMPLETED
25
47
21
All Periods Combined
NOT COMPLETED
0
3
4
Period 1 (up to 7 Days)
STARTED
25
0
0
Period 1 (up to 7 Days)
COMPLETED
25
0
0
Period 1 (up to 7 Days)
NOT COMPLETED
0
0
0
Period 2 (up to 7 Days)
STARTED
0
25
0
Period 2 (up to 7 Days)
COMPLETED
0
24
0
Period 2 (up to 7 Days)
NOT COMPLETED
0
1
0
Period 3 (up to 7 Days)
STARTED
0
0
25
Period 3 (up to 7 Days)
COMPLETED
0
0
21
Period 3 (up to 7 Days)
NOT COMPLETED
0
0
4
Period 4 (up to 7 Days)
STARTED
0
25
0
Period 4 (up to 7 Days)
COMPLETED
0
23
0
Period 4 (up to 7 Days)
NOT COMPLETED
0
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lacosamide (200 mg)
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
All Periods Combined
Adverse Event
0
3
4
Period 2 (up to 7 Days)
Adverse Event
0
1
0
Period 3 (up to 7 Days)
Adverse Event
0
0
4
Period 4 (up to 7 Days)
Adverse Event
0
2
0

Baseline Characteristics

Safety of Intravenous Lacosamide Dose Followed by Twice Daily Oral Lacosamide in Subjects With Partial-onset Seizures

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lacosamide (200 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 Participants
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
Total
n=100 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
48 Participants
n=7 Participants
25 Participants
n=5 Participants
98 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
39.1 years
STANDARD_DEVIATION 11.77 • n=5 Participants
38.6 years
STANDARD_DEVIATION 11.53 • n=7 Participants
39.6 years
STANDARD_DEVIATION 12.24 • n=5 Participants
39.0 years
STANDARD_DEVIATION 11.66 • n=4 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
26 Participants
n=7 Participants
9 Participants
n=5 Participants
49 Participants
n=4 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
24 Participants
n=7 Participants
16 Participants
n=5 Participants
51 Participants
n=4 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
50 participants
n=7 Participants
25 participants
n=5 Participants
100 participants
n=4 Participants

PRIMARY outcome

Timeframe: Treatment period (up to 7 days)

An Adverse Event (AE) is any untoward medical occurrence (eg, noxious or pathological changes) in a subject or clinical investigation subject compared with pre-existing conditions, that occurs during any period of a clinical trial including Pre-treatment, Run-In, Wash-Out, or Follow-Up Periods. An AE is defined as being independent of assumption of any causality (eg, to study or concomitant medication, primary or concomitant disease, or study design).

Outcome measures

Outcome measures
Measure
Lacosamide (200 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 Participants
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
Number of Subjects With at Least One Adverse Event During the Treatment Period (up to 7 Days)
17 subjects
42 subjects
20 subjects

PRIMARY outcome

Timeframe: Entire trial period (up to 6 weeks), screening through safety follow-up period (2 weeks post last medication)

An Adverse Event (AE) is any untoward medical occurrence (eg, noxious or pathological changes) in a subject or clinical investigation subject compared with pre-existing conditions, that occurs during any period of a clinical trial including Pre-treatment, Run-In, Wash-Out, or Follow-Up Periods. An AE is defined as being independent of assumption of any causality (eg, to study or concomitant medication, primary or concomitant disease, or study design).

Outcome measures

Outcome measures
Measure
Lacosamide (200 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 Participants
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
Number of Subjects Who Withdrew From the Trial Due to an Adverse Event
0 subjects
3 subjects
4 subjects

SECONDARY outcome

Timeframe: 0-4 hours post start of the infusion

An Adverse Event (AE) is any untoward medical occurrence (eg, noxious or pathological changes) in a subject or clinical investigation subject compared with pre-existing conditions, that occurs during any period of a clinical trial including Pre-treatment, Run-In, Wash-Out, or Follow-Up Periods. An AE is defined as being independent of assumption of any causality (eg, to study or concomitant medication, primary or concomitant disease, or study design).

Outcome measures

Outcome measures
Measure
Lacosamide (200 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 Participants
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 Participants
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
Number of Subjects With at Least One Adverse Event With an Onset Within 4 Hours of Start of Infusion
5 subjects
24 subjects
16 subjects

Adverse Events

Lacosamide (200 mg)

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

Lacosamide (300 mg)

Serious events: 0 serious events
Other events: 37 other events
Deaths: 0 deaths

Lacosamide (400 mg)

Serious events: 1 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lacosamide (200 mg)
n=25 participants at risk
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 participants at risk
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 participants at risk
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
General disorders
Chest pain
0.00%
0/25 • up to 7 days
0.00%
0/50 • up to 7 days
4.0%
1/25 • Number of events 1 • up to 7 days

Other adverse events

Other adverse events
Measure
Lacosamide (200 mg)
n=25 participants at risk
Single loading dose of intravenous (iv) lacosamide 200 mg followed by 6.5 days of oral lacosamide 100 mg twice daily
Lacosamide (300 mg)
n=50 participants at risk
Single loading dose of intravenous (iv) lacosamide 300 mg dose followed by 6.5 days of oral lacosamide 150 mg twice daily
Lacosamide (400 mg)
n=25 participants at risk
Single loading dose of intravenous (iv) lacosamide 400 mg followed by 6.5 days of oral lacosamide 200 mg twice daily
Eye disorders
Diplopia
4.0%
1/25 • Number of events 1 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
20.0%
5/25 • Number of events 6 • up to 7 days
Eye disorders
Vision blurred
0.00%
0/25 • up to 7 days
4.0%
2/50 • Number of events 2 • up to 7 days
12.0%
3/25 • Number of events 3 • up to 7 days
Gastrointestinal disorders
Nausea
0.00%
0/25 • up to 7 days
16.0%
8/50 • Number of events 8 • up to 7 days
24.0%
6/25 • Number of events 8 • up to 7 days
Gastrointestinal disorders
Dry mouth
0.00%
0/25 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
12.0%
3/25 • Number of events 3 • up to 7 days
Gastrointestinal disorders
Hypoaesthesia oral
0.00%
0/25 • up to 7 days
6.0%
3/50 • Number of events 5 • up to 7 days
8.0%
2/25 • Number of events 2 • up to 7 days
Gastrointestinal disorders
Paraesthesia oral
4.0%
1/25 • Number of events 1 • up to 7 days
4.0%
2/50 • Number of events 2 • up to 7 days
8.0%
2/25 • Number of events 2 • up to 7 days
Gastrointestinal disorders
Vomiting
0.00%
0/25 • up to 7 days
4.0%
2/50 • Number of events 2 • up to 7 days
12.0%
3/25 • Number of events 3 • up to 7 days
Gastrointestinal disorders
Diarrhoea
0.00%
0/25 • up to 7 days
8.0%
4/50 • Number of events 4 • up to 7 days
0.00%
0/25 • up to 7 days
General disorders
Fatigue
0.00%
0/25 • up to 7 days
18.0%
9/50 • Number of events 9 • up to 7 days
12.0%
3/25 • Number of events 3 • up to 7 days
General disorders
Gait disturbance
8.0%
2/25 • Number of events 2 • up to 7 days
2.0%
1/50 • Number of events 1 • up to 7 days
0.00%
0/25 • up to 7 days
Nervous system disorders
Dizziness
20.0%
5/25 • Number of events 6 • up to 7 days
46.0%
23/50 • Number of events 27 • up to 7 days
60.0%
15/25 • Number of events 19 • up to 7 days
Nervous system disorders
Somnolence
0.00%
0/25 • up to 7 days
34.0%
17/50 • Number of events 18 • up to 7 days
36.0%
9/25 • Number of events 9 • up to 7 days
Nervous system disorders
Headache
8.0%
2/25 • Number of events 2 • up to 7 days
4.0%
2/50 • Number of events 2 • up to 7 days
16.0%
4/25 • Number of events 4 • up to 7 days
Nervous system disorders
Paraesthesia
8.0%
2/25 • Number of events 2 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
4.0%
1/25 • Number of events 4 • up to 7 days
Nervous system disorders
Tremor
0.00%
0/25 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
4.0%
1/25 • Number of events 1 • up to 7 days
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/25 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
4.0%
1/25 • Number of events 1 • up to 7 days
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/25 • up to 7 days
0.00%
0/50 • up to 7 days
8.0%
2/25 • Number of events 2 • up to 7 days
General disorders
Chest pain
0.00%
0/25 • up to 7 days
0.00%
0/50 • up to 7 days
8.0%
2/25 • Number of events 2 • up to 7 days
Nervous system disorders
Coordination abnormal
0.00%
0/25 • up to 7 days
6.0%
3/50 • Number of events 3 • up to 7 days
0.00%
0/25 • up to 7 days

Additional Information

UCB Clinical Trial Call Center

UCB, Inc

Phone: +1 877 822 9493

Results disclosure agreements

  • Principal investigator is a sponsor employee UCB has \> 60 days 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 results shall be published regardless of outcome.
  • Publication restrictions are in place

Restriction type: OTHER