Trial to Assess Lacosamide as the First add-on Anti-epileptic Drug Treatment in Patients With Partial-onset Seizures

NCT ID: NCT00955357

Last Updated: 2018-07-17

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

PHASE4

Total Enrollment

461 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2013-08-31

Brief Summary

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To evaluate the efficacy and safety of oral Lacosamide as first add on treatment in subjects with uncontrolled partial-onset seizures after prior treatment with a monotherapy Antiepileptic Drug (AED) regimen compared to subjects who have received treatment with at least 2 AEDs.

Detailed Description

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The study consisted of 3 Periods: Period 1: a 1-week Screening Phase, Period 2: a 30-week Treatment Phase (consisting of a 6-week Titration Phase and a 24-week Maintenance Phase), and Period 3: a 3-week Taper/Safety Follow-Up Phase.

Conditions

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Partial Epilepsies

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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First Add-on

Lacosamide added to first adequate monotherapy (no history of Antiepileptic Drug \[AED\] polytherapy) and epilepsy diagnosis \< or = 24 months at Screening.

Group Type EXPERIMENTAL

Lacosamide

Intervention Type DRUG

Oral Lacosamide:

Subjects Titration Phase (6 Weeks):

Week 1 - 50 mg tablet Twice daily (bid); Week 2 - 100 mg tablet bid; Week 3 - 150 mg tablet bid; Week 4 - 200 mg tablet bid; Week 5 - 200 mg tablet bid; Week 6 - 150 mg tablet bid OR Week 6 - 200 mg tablet bid

Maintenance Phase (24 Weeks):

200 mg tablet bid OR 150 mg tablet bid

Taper Phase (1 - 3 Weeks):

50 mg tablet bid for 1 week OR 100 mg tablet bid for 1 week OR 150 mg tablet bid for 1 week

Later Add-on

Lacosamide added to 1 to 3 Antiepileptic Drugs (AEDs) (with tentatives of at least 2 prior AED treatment regimens) and epilepsy diagnosis \> or = 5 years at Screening.

Group Type EXPERIMENTAL

Lacosamide

Intervention Type DRUG

Oral Lacosamide:

Subjects Titration Phase (6 Weeks):

Week 1 - 50 mg tablet Twice daily (bid); Week 2 - 100 mg tablet bid; Week 3 - 150 mg tablet bid; Week 4 - 200 mg tablet bid; Week 5 - 200 mg tablet bid; Week 6 - 150 mg tablet bid OR Week 6 - 200 mg tablet bid

Maintenance Phase (24 Weeks):

200 mg tablet bid OR 150 mg tablet bid

Taper Phase (1 - 3 Weeks):

50 mg tablet bid for 1 week OR 100 mg tablet bid for 1 week OR 150 mg tablet bid for 1 week

Interventions

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Lacosamide

Oral Lacosamide:

Subjects Titration Phase (6 Weeks):

Week 1 - 50 mg tablet Twice daily (bid); Week 2 - 100 mg tablet bid; Week 3 - 150 mg tablet bid; Week 4 - 200 mg tablet bid; Week 5 - 200 mg tablet bid; Week 6 - 150 mg tablet bid OR Week 6 - 200 mg tablet bid

Maintenance Phase (24 Weeks):

200 mg tablet bid OR 150 mg tablet bid

Taper Phase (1 - 3 Weeks):

50 mg tablet bid for 1 week OR 100 mg tablet bid for 1 week OR 150 mg tablet bid for 1 week

Intervention Type DRUG

Other Intervention Names

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SPM927 Harkoseride Vimpat

Eligibility Criteria

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Inclusion Criteria

Group 1:

* Subject has a diagnosis of epilepsy with simple partial seizures (motor component) and/or complex partial seizures with or without secondary generalization
* Currently taking adequate monotherapy (defined as a single Antiepileptic Drug (AED) for at least 28 days prior to Screening) and has no history of AED polytherapy. Prior use of rescue medication (short-term intermittent use) is acceptable
* Epilepsy diagnosis should be ≤24 months at the time of the Screening Visit
* The minimum allowed seizure frequency at any time during the 12 weeks prior to the Screening Visit is ≥3 partial-onset seizures

Group 2:

* Subject has a diagnosis of epilepsy with simple partial seizures (motor component) and/or complex partial seizures with or without secondary generalization
* Currently taking 1 to 3 AEDs, and has tried at least 2 prior AED treatment regimens (concurrently or sequentially)
* Epilepsy diagnosis should be ≥5 years at the time of the Screening Visit
* The minimum allowed seizure frequency during the 12 weeks prior to the Screening Visit is ≥1 partial-onset seizure per 28 days

Exclusion Criteria

* Previous use of Lacosamide
* History of seizure disorder characterized primarily by isolated auras
* History of primary generalized seizures
* History of status epilepticus within last 12-months
* History of cluster seizures during the 12 week period prior to Visit 1
* Nonepileptic events, including pseudoseizures that could be confused with seizure
* Lifetime history of suicide attempt or suicidal ideation in the past 6 months
* Hypersensitivity to any component of Lacosamide
* History of drug or alcohol abuse
* History of an acute or subacutely progressive Central Nervous System (CNS) disease
* Undergone cranial surgery within the last year prior to study entry
* Concomitant treatment of Felbamate or previous Felbamate therapy within the last 6 months
* Prior or concomitant Vigabatrin use
Minimum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

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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103

Irvine, California, United States

Site Status

123

Rancho Mirage, California, United States

Site Status

156

Clearwater, Florida, United States

Site Status

157

Destin, Florida, United States

Site Status

140

Hollywood, Florida, United States

Site Status

161

Ocala, Florida, United States

Site Status

108

Atlanta, Georgia, United States

Site Status

112

Atlanta, Georgia, United States

Site Status

124

Augusta, Georgia, United States

Site Status

115

Macon, Georgia, United States

Site Status

118

Rome, Georgia, United States

Site Status

128

Flossmoor, Illinois, United States

Site Status

130

Des Moines, Iowa, United States

Site Status

102

Bowling Green, Kentucky, United States

Site Status

117

Paducah, Kentucky, United States

Site Status

107

Houma, Louisiana, United States

Site Status

145

Ruston, Louisiana, United States

Site Status

101

Annapolis, Maryland, United States

Site Status

162

Waldorf, Maryland, United States

Site Status

153

Boston, Massachusetts, United States

Site Status

136

Pittsfield, Massachusetts, United States

Site Status

144

Springfield, Massachusetts, United States

Site Status

151

Kansas City, Missouri, United States

Site Status

114

Paterson, New Jersey, United States

Site Status

109

Brooklyn, New York, United States

Site Status

133

Brooklyn, New York, United States

Site Status

127

West Seneca, New York, United States

Site Status

158

Charlotte, North Carolina, United States

Site Status

139

Bismarck, North Dakota, United States

Site Status

134

Akron, Ohio, United States

Site Status

150

Canton, Ohio, United States

Site Status

141

Tulsa, Oklahoma, United States

Site Status

121

Indiana, Pennsylvania, United States

Site Status

120

Columbia, South Carolina, United States

Site Status

149

Orangeburg, South Carolina, United States

Site Status

152

Spartanburg, South Carolina, United States

Site Status

148

Austin, Texas, United States

Site Status

154

Dallas, Texas, United States

Site Status

146

Tomball, Texas, United States

Site Status

119

Fredericksburg, Virginia, United States

Site Status

503

Vienna, , Austria

Site Status

703

Blagoevrad, , Bulgaria

Site Status

706

Pleven, , Bulgaria

Site Status

700

Sofia, , Bulgaria

Site Status

702

Sofia, , Bulgaria

Site Status

704

Sofia, , Bulgaria

Site Status

705

Sofia, , Bulgaria

Site Status

707

Sofia, , Bulgaria

Site Status

708

Sofia, , Bulgaria

Site Status

701

Varna, , Bulgaria

Site Status

736

Hradec Králové, , Czechia

Site Status

735

Litoměřice, , Czechia

Site Status

733

Ostrava, , Czechia

Site Status

732

Ostrava-Hrabuvka, , Czechia

Site Status

737

Prague, , Czechia

Site Status

734

Trutnov, , Czechia

Site Status

930

Aarhus, , Denmark

Site Status

400

Helsinki, , Finland

Site Status

402

Oulu, , Finland

Site Status

401

Tampere, , Finland

Site Status

610

Strasbourg, , France

Site Status

611

Toulon, , France

Site Status

521

Athens, , Greece

Site Status

520

Thessaloniki, , Greece

Site Status

552

Faenza, , Italy

Site Status

546

Gallarate, , Italy

Site Status

541

Napoli, , Italy

Site Status

559

Pietra Ligure, , Italy

Site Status

557

Prato, , Italy

Site Status

540

Roma, , Italy

Site Status

549

Roma, , Italy

Site Status

542

Taranto, , Italy

Site Status

547

Torino, , Italy

Site Status

551

Trieste, , Italy

Site Status

180

Aguascalientes, , Mexico

Site Status

183

Chihuahua City, , Mexico

Site Status

185

Chihuahua City, , Mexico

Site Status

184

Ciudad Juárez, , Mexico

Site Status

189

Guadalajara, , Mexico

Site Status

181

Mexico City, , Mexico

Site Status

193

Mexico City, , Mexico

Site Status

195

Mexico City, , Mexico

Site Status

186

Monterrey, , Mexico

Site Status

187

Monterrey, , Mexico

Site Status

188

Monterrey, , Mexico

Site Status

182

Polanco, , Mexico

Site Status

815

Bucharest, , Romania

Site Status

810

Cluj-Napoca, , Romania

Site Status

814

Oradea, , Romania

Site Status

813

Târgu Mureş, , Romania

Site Status

830

Kazan', , Russia

Site Status

831

Kazan', , Russia

Site Status

834

Moscow, , Russia

Site Status

833

Novosibirsk, , Russia

Site Status

598

Terrassa, Barcelona, Spain

Site Status

592

Almería, , Spain

Site Status

597

Bajo Sevilla, , Spain

Site Status

590

Barcelona, , Spain

Site Status

596

Santiago de Compostela, , Spain

Site Status

594

Valencia, , Spain

Site Status

599

Valladolid, , Spain

Site Status

892

Lausanne, , Switzerland

Site Status

713

Adana, , Turkey (Türkiye)

Site Status

714

Ankara, , Turkey (Türkiye)

Site Status

710

Eskişehir, , Turkey (Türkiye)

Site Status

711

Istanbul, , Turkey (Türkiye)

Site Status

719

Istanbul, , Turkey (Türkiye)

Site Status

717

Izmir, , Turkey (Türkiye)

Site Status

718

Trabzon, , Turkey (Türkiye)

Site Status

Countries

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United States Austria Bulgaria Czechia Denmark Finland France Greece Italy Mexico Romania Russia Spain Switzerland Turkey (Türkiye)

Related Links

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Other Identifiers

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2009-011181-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SP0954

Identifier Type: -

Identifier Source: org_study_id

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