eValuation of the Efficacy and toleRability of Vimpat When Added to lEvetiracetam

NCT ID: NCT01484977

Last Updated: 2018-07-18

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

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2013-12-31

Brief Summary

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The main purpose of this study is to evaluate the effectiveness of the study drug lacosamide (200-600 mg/day) when added to a stable dose of levetiracetam (1000-3000 mg/day) with withdrawal of the concomitant sodium channel blocking-antiepileptic drug (AEDs) in subjects not well controlled on their current regimen.

Detailed Description

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Conditions

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Epilepsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lacosamide

Lacosamide will be added to levetiracetam while withdrawing the sodium channel blocking antiepileptic drug (AED)

Group Type EXPERIMENTAL

Lacosamide

Intervention Type DRUG

50 mg and 100 mg lacosamide tablets will be combined and taken in two equal doses per day to provide the required total daily dosage of 100 - 600 mg/day. Subjects were titrated to a minimum of 200 mg/ day during the Treatment Period.

Maximum duration of study drug administration is approximately 23 weeks.

Interventions

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Lacosamide

50 mg and 100 mg lacosamide tablets will be combined and taken in two equal doses per day to provide the required total daily dosage of 100 - 600 mg/day. Subjects were titrated to a minimum of 200 mg/ day during the Treatment Period.

Maximum duration of study drug administration is approximately 23 weeks.

Intervention Type DRUG

Other Intervention Names

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VIMPAT® SPM927 Harkoseride

Eligibility Criteria

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Inclusion Criteria

* Subject is male or female, at least 18 years of age
* Subject has a diagnosis of epilepsy with partial-onset seizures according to the International Classification of Epileptic Seizures (1981)
* Subject is taking levetiracetam (LEV) in combination with 1 sodium channel blocking antiepileptic drug (defined as carbamazepine, lamotrigine, oxcarbazepine, phenytoin, or eslicarbazepine) as adjunctive treatment for epilepsy
* The minimum required seizure frequency during the 8-week Retrospective Seizure Baseline is on average ≥ 2 partial-onset seizures per 28 days with at least 1 seizure per 4 week period within the 8-week Retrospective Seizure Baseline. Additionally, subjects must experience at least 1 seizure during the 4-week Prospective Seizure Baseline
* Subject has been maintained on a stable dose of LEV and a sodium channel blocking antiepileptic drug (SCB-AED) for at least 4 weeks prior to the Screening Visit (Visit 1) and during the 4-week Prospective Seizure Baseline
* The minimum required seizure frequency during the 8-week Retrospective Seizure Baseline is on average ≥ 2 partial-onset seizures per 28 days (based on investigator assessment of subject report) with at least 1 seizure per 4 week period within the 8-week Retrospective Seizure Baseline
* Subject has been maintained on a stable dose of levetiracetam (LEV) and a sodium channel blocking antiepileptic drug (SCB-AED) for at least 4 weeks prior to the Screening Visit (Visit 1) and during the 4-week Prospective Seizure Baseline, with or without additional concurrent stable vagal nerve stimulation (VNS). The VNS must have been in place for at least 6 months prior to the Screening Visit (Visit 1) with constant settings for at least 4-weeks prior to the Screening Visit (Visit 1) and throughout the duration of the study

Exclusion Criteria

* Previous use of lacosamide
* History of alcohol or drug abuse
* History of seizure disorder characterized primarily by isolated auras
* History of primary generalized seizures
* History of status epilepticus within the 12-months
* History of clustering seizures
* Nonepileptic events, including pseudoseizures that could be confused with seizures
* History of any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize the subject's health or would compromise the subject's ability to participate in this study
* Lifetime history of suicide attempt, or suicidal ideation in the past 6 months
* Hypersensitivity to any component of lacosamide (LCM)
* History of acute or sub-acute progressive central nervous system disease
* History of severe anaphylactic reaction or serious blood dyscrasias
* Impaired renal function (ie, Creatinine Clearance (CLcr) is lower than 30 mL/min) at Visit 1
* History of sick sinus syndrome without a pacemaker, or atrioventricular (AV) block, or subject has any other clinically significant electrocardiogram (ECG) abnormalities
* History sodium channelopathy, such as Brugada syndrome
* History of myocardial infarction in the last 3 months
Minimum Eligible Age

18 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

877-822-9493

Locations

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110

Huntsville, Alabama, United States

Site Status

004

Phoenix, Arizona, United States

Site Status

001

Fresno, California, United States

Site Status

008

Orange, California, United States

Site Status

030

Oxnard, California, United States

Site Status

108

Sacramento, California, United States

Site Status

025

Bradenton, Florida, United States

Site Status

015

Ocala, Florida, United States

Site Status

049

Panama City, Florida, United States

Site Status

114

Port Charlotte, Florida, United States

Site Status

012

Sarasota, Florida, United States

Site Status

014

Tampa, Florida, United States

Site Status

003

Wellington, Florida, United States

Site Status

123

Louisville, Kentucky, United States

Site Status

006

Hammond, Louisiana, United States

Site Status

112

Waldorf, Maryland, United States

Site Status

129

Golden Valley, Minnesota, United States

Site Status

023

Springfield, Missouri, United States

Site Status

088

Missoula, Montana, United States

Site Status

020

Camden, New Jersey, United States

Site Status

131

Greensboro, North Carolina, United States

Site Status

002

Akron, Ohio, United States

Site Status

027

Canton, Ohio, United States

Site Status

022

Columbus, Ohio, United States

Site Status

005

Dayton, Ohio, United States

Site Status

013

Oklahoma City, Oklahoma, United States

Site Status

028

Lubbock, Texas, United States

Site Status

017

Salt Lake City, Utah, United States

Site Status

139

Madison, Wisconsin, United States

Site Status

024

Milwaukee, Wisconsin, United States

Site Status

075

Chatswood, , Australia

Site Status

079

Parkville, , Australia

Site Status

036

Rousse, , Bulgaria

Site Status

037

Sofia, , Bulgaria

Site Status

080

Sofia, , Bulgaria

Site Status

081

Sofia, , Bulgaria

Site Status

082

Sofia, , Bulgaria

Site Status

059

Aarhus, , Denmark

Site Status

087

Copenhagen, , Denmark

Site Status

042

Angers, , France

Site Status

040

Limoges, , France

Site Status

046

Paris, , France

Site Status

065

Bielefeld, , Germany

Site Status

066

Hamburg, , Germany

Site Status

068

Tübingen, , Germany

Site Status

096

Bucharest, , Romania

Site Status

099

Bucharest, , Romania

Site Status

097

Lasi, , Romania

Site Status

038

Târgu Mureş, , Romania

Site Status

095

Târgu Mureş, , Romania

Site Status

051

Manresa, , Spain

Site Status

053

Oviedo, , Spain

Site Status

050

Seville, , Spain

Site Status

102

Gothenburg, , Sweden

Site Status

Countries

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United States Australia Bulgaria Denmark France Germany Romania Spain Sweden

References

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Baulac M, Byrnes W, Williams P, Borghs S, Webster E, De Backer M, Dedeken P. Lacosamide and sodium channel-blocking antiepileptic drug cross-titration against levetiracetam background therapy. Acta Neurol Scand. 2017 Apr;135(4):434-441. doi: 10.1111/ane.12691. Epub 2016 Oct 6.

Reference Type RESULT
PMID: 27714769 (View on PubMed)

Related Links

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Other Identifiers

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2011-002461-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SP0980

Identifier Type: -

Identifier Source: org_study_id

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