Trial Outcomes & Findings for Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine (NCT NCT02284854)

NCT ID: NCT02284854

Last Updated: 2015-01-08

Results Overview

Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

43 participants

Primary outcome timeframe

Day 7 to 35

Results posted on

2015-01-08

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Group B
Day 1 to Day 8 - CBZ 200 mg Day 9 to Day 14 - CBZ 400 mg Day 15 to Day 29 - CBZ 400 mg twice-daily Day 30 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Overall Study
STARTED
23
20
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
5
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=23 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Group B
n=20 Participants
Day 1 to Day 8 - CBZ 200 mg Day 9 to Day 14 - CBZ 400 mg Day 15 to Day 29 - CBZ 400 mg twice-daily Day 30 to Day 35 - BIA 2-093 800 mg + 400 mg twice-daily
Total
n=43 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
20 Participants
n=7 Participants
43 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
7 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 7 to 35

Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

Outcome measures

Outcome measures
Measure
Group A
n=18 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Cmax (BIA 2-093) - the Maximum Plasma Concentration
Cmax ESL (D7 ESL 800mg)
18601 ng/mL
Standard Deviation 3164
Cmax (BIA 2-093) - the Maximum Plasma Concentration
Cmax ESL (D35 ESL 800mg)
14591 ng/mL
Standard Deviation 1800

PRIMARY outcome

Timeframe: Day 28 to 35

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

Outcome measures

Outcome measures
Measure
Group A
n=20 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Cmax (CBZ) - the Maximum Plasma Concentration
Cmax CBZ (D28 CBZ 400 mg twice-daily)
10414 ng/mL
Standard Deviation 1896
Cmax (CBZ) - the Maximum Plasma Concentration
Cmax CBZ (D35 CBZ 400 mg twice-daily)
9719 ng/mL
Standard Deviation 2019

PRIMARY outcome

Timeframe: Day 28 to 35

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg twice-daily Test - Day 35 following twice-daily oral administration of CBZ 400 mg twice-daily CBZE - carbamazepine-epoxide is the active metabolite of CBZ

Outcome measures

Outcome measures
Measure
Group A
n=20 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Cmax (CBZE) - the Maximum Plasma Concentration
Cmax CBZE (D28 CBZ 400 mg twice-daily)
1562 ng/mL
Standard Deviation 429
Cmax (CBZE) - the Maximum Plasma Concentration
Cmax CBZE (D35 CBZ 400 mg twice-daily)
1560 ng/mL
Standard Deviation 332

PRIMARY outcome

Timeframe: Day 7 to 35

Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

Outcome measures

Outcome measures
Measure
Group A
n=18 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093
AUC0-t ESL (D7 ESL 800mg)
276836 ng*h/mL
Standard Deviation 43062
AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093
AUC0-t ESL (D35 ESL 800mg)
188648 ng*h/mL
Standard Deviation 23897

PRIMARY outcome

Timeframe: Day 28 to 35

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

Outcome measures

Outcome measures
Measure
Group A
n=20 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ
AUC0-t CBZ (D28 CBZ 400 mg twice-daily)
104494 ng*h/mL
Standard Deviation 16344
AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ
AUC0-t CBZ (D35 CBZ 400 mg twice-daily)
94394 ng*h/mL
Standard Deviation 17230

PRIMARY outcome

Timeframe: Day 28 to 35

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg CBZE - carbamazepine-epoxide is the active metabolite of CBZ

Outcome measures

Outcome measures
Measure
Group A
n=20 Participants
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE
AUC0-t CBZE (D28 CBZ 400 mg twice-daily)
15322 ng*h/mL
Standard Deviation 3857
AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE
AUC0-t CBZE (D35 CBZ 400 mg twice-daily)
14953 ng*h/mL
Standard Deviation 3121

Adverse Events

CBZ 200 mg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

CBZ 400 mg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

CBZ 400 mg Twice-daily

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

ESL 800 mg + CBZ 400 mg Twice-daily

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

ESL 800 mg

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

ESL 800 mg + CBZ 200 mg

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

ESL 800 mg + CBZ 400 mg

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Before Treatment

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

After Treatment

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CBZ 200 mg
n=20 participants at risk
Group B CBZ 200 mg
CBZ 400 mg
n=20 participants at risk
Group B CBZ 400 mg
CBZ 400 mg Twice-daily
n=20 participants at risk
Group B CBZ 400 mg twice-daily
ESL 800 mg + CBZ 400 mg Twice-daily
n=39 participants at risk
Group A + B ESL 800 mg + CBZ 400 mg twice-daily
ESL 800 mg
n=23 participants at risk
Group A ESL 800 mg
ESL 800 mg + CBZ 200 mg
n=21 participants at risk
Group A ESL 800 mg + CBZ 200 mg
ESL 800 mg + CBZ 400 mg
n=19 participants at risk
Group A ESL 800 mg + CBZ 400 mg
Before Treatment
n=43 participants at risk
Group A and B Before treatment
After Treatment
n=38 participants at risk
Group A and B After treatment
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/20
5.0%
1/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
15.8%
3/19
0.00%
0/43
0.00%
0/38
Cardiac disorders
Palpitations
0.00%
0/20
5.0%
1/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Ear and labyrinth disorders
Tinnitus
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Eye disorders
Vision blurred
0.00%
0/20
0.00%
0/20
0.00%
0/20
7.7%
3/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/20
0.00%
0/20
5.0%
1/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Abdominal pain
5.0%
1/20
0.00%
0/20
5.0%
1/20
5.1%
2/39
0.00%
0/23
0.00%
0/21
10.5%
2/19
0.00%
0/43
2.6%
1/38
Gastrointestinal disorders
Constipation
0.00%
0/20
0.00%
0/20
5.0%
1/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Diarrhoea
0.00%
0/20
5.0%
1/20
0.00%
0/20
5.1%
2/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Dry mouth
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
4.3%
1/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Dyspepsia
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Flatulence
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Hypoaesthesia oral
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
4.8%
1/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Nausea
5.0%
1/20
5.0%
1/20
5.0%
1/20
7.7%
3/39
8.7%
2/23
0.00%
0/21
10.5%
2/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Toothache
0.00%
0/20
0.00%
0/20
5.0%
1/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Gastrointestinal disorders
Vomiting
0.00%
0/20
0.00%
0/20
0.00%
0/20
5.1%
2/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
General disorders
Asthenia
15.0%
3/20
20.0%
4/20
35.0%
7/20
12.8%
5/39
30.4%
7/23
14.3%
3/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
General disorders
Feeling drunk
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
General disorders
Malaise
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
2.6%
1/38
General disorders
Oedema peripheral
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
General disorders
Pyrexia
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Infections and infestations
Nasopharyngitis
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Infections and infestations
Rhinitis
0.00%
0/20
5.0%
1/20
10.0%
2/20
2.6%
1/39
0.00%
0/23
4.8%
1/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Investigations
Alanine aminotransferase increased
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Investigations
Gamma-glutamyltransferase increased
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Investigations
Inspiratory capacity abnormal
0.00%
0/20
0.00%
0/20
5.0%
1/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Musculoskeletal and connective tissue disorders
Back pain
5.0%
1/20
0.00%
0/20
5.0%
1/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Musculoskeletal and connective tissue disorders
Myalgia
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Musculoskeletal and connective tissue disorders
Sensation of heaviness
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
2.6%
1/38
Musculoskeletal and connective tissue disorders
Torticollis
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Disturbance in attention
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Dizziness
15.0%
3/20
0.00%
0/20
20.0%
4/20
20.5%
8/39
0.00%
0/23
19.0%
4/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Dysgeusia
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Dystonia
0.00%
0/20
0.00%
0/20
5.0%
1/20
12.8%
5/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Headache
25.0%
5/20
10.0%
2/20
15.0%
3/20
23.1%
9/39
17.4%
4/23
4.8%
1/21
10.5%
2/19
0.00%
0/43
5.3%
2/38
Nervous system disorders
Paraesthesia
5.0%
1/20
0.00%
0/20
10.0%
2/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Presyncope
0.00%
0/20
0.00%
0/20
5.0%
1/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Sciatica
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
2.6%
1/38
Nervous system disorders
Somnolence
20.0%
4/20
5.0%
1/20
25.0%
5/20
12.8%
5/39
17.4%
4/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Speech disorder
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Psychiatric disorders
Insomnia
5.0%
1/20
5.0%
1/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
2.6%
1/38
Reproductive system and breast disorders
Dysmenorrhoea
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Reproductive system and breast disorders
Menstrual discomfort
5.0%
1/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/20
0.00%
0/20
5.0%
1/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/20
0.00%
0/20
5.0%
1/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/20
5.0%
1/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Skin and subcutaneous tissue disorders
Rash erythematous
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
4.8%
1/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Skin and subcutaneous tissue disorders
Sweat gland disorder
0.00%
0/20
0.00%
0/20
0.00%
0/20
5.1%
2/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Vascular disorders
Hot flush
0.00%
0/20
0.00%
0/20
0.00%
0/20
5.1%
2/39
0.00%
0/23
4.8%
1/21
0.00%
0/19
0.00%
0/43
0.00%
0/38
Vascular disorders
Orthostatic hypotension
0.00%
0/20
0.00%
0/20
0.00%
0/20
2.6%
1/39
0.00%
0/23
0.00%
0/21
5.3%
1/19
0.00%
0/43
0.00%
0/38
Nervous system disorders
Tremor
0.00%
0/20
0.00%
0/20
0.00%
0/20
0.00%
0/39
0.00%
0/23
0.00%
0/21
0.00%
0/19
0.00%
0/43
0.00%
0/38

Additional Information

Head of Clinical Research

Bial - Portela & CÂȘ, S.A.

Phone: +351 229 866 100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER