Safety and Efficacy of Lacosamide as Additional Therapy in Patients Suffering From Epileptic Tonic-Clonic Seizures

NCT ID: NCT02408549

Last Updated: 2023-12-14

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

239 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-03

Study Completion Date

2023-03-30

Brief Summary

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Assessment of long-term safety and efficacy of oral lacosamide (LCM) as an adjunctive therapy for uncontrolled primary generalized tonic-clonic seizures (PGTCS) in subjects \>= 4 years of age with idiopathic generalized epilepsy (IGE). This study will enroll subjects from the LCM SP0982 \[NCT02408523\] study.

Detailed Description

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Conditions

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Epilepsy

Keywords

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Lacosamide Vimpat Epilepsy Children Primary Generalized Tonic Clonic seizures Idiopathic Generalized Epilepsy Adults

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

Start dose

SP0982 completers at V1:

* LCM 10 mg/kg/day for pediatric subjects weighing \<30 kg
* LCM 8 mg/kg/day for pediatric subjects weighing ≥ 30kg to \<50 kg
* LCM 400 mg/day (200 mg bid) for adult subjects (≥18 years of age) or pediatric subjects weighing ≥50 kg

SP0982 Baseline failures at V1:

* LCM 2 mg/kg/day for pediatric subjects weighing \<50 kg
* LCM 100 mg/day (50 mg bid) for adult subjects (≥18 years of age) or pediatric subjects weighing ≥50 kg

Oral solution (pediatric subjects \<50 kg):

* Minimum LCM dose: 4 mg/kg/day
* Maximum LCM dose: 12 mg/kg/day

Tablets (pediatric subjects ≥50kg):

* Minimum LCM dose: 200 mg/day
* Minimum LCM dose: 600 mg/day

Tablets (adult subjects):

* Minimum LCM dose: 200 mg/day
* Maximum LCM dose: 800 mg/day

Group Type EXPERIMENTAL

Lacosamide Tablet

Intervention Type DRUG

* Active substance: Lacosamide
* Pharmaceutical form: Tablet
* Concentration: 50 mg and 100 mg
* Route of Administration: Oral administration

Lacosamide Oral Solution

Intervention Type DRUG

* Active substance: Lacosamide
* Pharmaceutical form: Oral solution
* Concentration: 10 mg/ml
* Route of Administration: Oral administration

Interventions

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Lacosamide Tablet

* Active substance: Lacosamide
* Pharmaceutical form: Tablet
* Concentration: 50 mg and 100 mg
* Route of Administration: Oral administration

Intervention Type DRUG

Lacosamide Oral Solution

* Active substance: Lacosamide
* Pharmaceutical form: Oral solution
* Concentration: 10 mg/ml
* Route of Administration: Oral administration

Intervention Type DRUG

Other Intervention Names

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Vimpat LCM Vimpat LCM

Eligibility Criteria

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Inclusion Criteria

\- Subject must have completed or be an eligible Baseline failure from the parent study (SP0982 \[NCT02408523\]). Note: Other subjects screened for SP0982 may be considered for roll-over to EP0012 if the investigator considers that the subject could benefit from treatment with open-label lacosamide (LCM) and based on prior discussion with and approval from the UCB Study Physician or representative

Exclusion Criteria

* Subject is receiving any investigational drugs or using any experimental devices in addition to lacosamide (LCM)
* Subject meets the withdrawal criteria for SP0982 or is experiencing an ongoing serious adverse event (SAE)
* Subject has an active suicidal ideation as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the "Since Last Visit" version of the Columbia-Suicide Severity Rating Scale (C-SSRS)
* Subject has \>=2x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or \>ULN total bilirubin (≥1.5xULN total bilirubin if known Gilbert's syndrome). If subject has elevations only in total bilirubin that are \>ULN and \<1.5xULN, fractionate bilirubin to identify possible undiagnosed Gilbert's syndrome (ie, direct bilirubin \<35%). For all subjects who entered EP0012 directly with a Baseline result \>ULN for ALT, AST, ALP, or total bilirubin, a Baseline diagnosis and/or the cause of any clinically meaningful elevation must be understood and recorded in the electronic Case Report form (eCRF). Tests that result in ALT, AST, or ALP up to 25% above the exclusion limit may be repeated once for confirmation.
Minimum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB BIOSCIENCES, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Cares

Role: STUDY_DIRECTOR

001 844 599 2273

Locations

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EP0012 5

Little Rock, Arkansas, United States

Site Status

EP0012 8

Santa Monica, California, United States

Site Status

Ep0012 31

Colorado Springs, Colorado, United States

Site Status

Ep0012 42

Loxahatchee Groves, Florida, United States

Site Status

Ep0012 13

Panama City, Florida, United States

Site Status

EP0012 2

Port Charlotte, Florida, United States

Site Status

Ep0012 15

Boise, Idaho, United States

Site Status

Ep0012 21

Peoria, Illinois, United States

Site Status

Ep0012 25

Golden Valley, Minnesota, United States

Site Status

Ep0012 43

New York, New York, United States

Site Status

Ep0012 53

Austin, Texas, United States

Site Status

Ep0012 50

Greenville, Texas, United States

Site Status

Ep0012 34

Houston, Texas, United States

Site Status

Ep0012 38

San Antonio, Texas, United States

Site Status

Ep0012 27

Renton, Washington, United States

Site Status

Ep0012 23

Madison, Wisconsin, United States

Site Status

Ep0012 980

Chatswood, , Australia

Site Status

Ep0012 985

Heidelberg, , Australia

Site Status

Ep0012 986

Melbourne, , Australia

Site Status

Ep0012 981

Parkville, , Australia

Site Status

Ep0012 181

Curitiba, , Brazil

Site Status

Ep0012 180

Florianópolis, , Brazil

Site Status

Ep0012 186

Passo Fundo, , Brazil

Site Status

Ep0012 185

Porto Alegre, , Brazil

Site Status

Ep0012 188

Rio de Janeiro, , Brazil

Site Status

Ep0012 183

São Paulo, , Brazil

Site Status

Ep0012 500

Blagoevgrad, , Bulgaria

Site Status

Ep0012 501

Sofia, , Bulgaria

Site Status

Ep0012 971

Beijing, , China

Site Status

Ep0012 976

Changchun, , China

Site Status

Ep0012 972

Shanghai, , China

Site Status

Ep0012 550

Ostrava- Poruba, , Czechia

Site Status

Ep0012 553

Prague, , Czechia

Site Status

Ep0012 556

Prague, , Czechia

Site Status

Ep0012 552

Zlín, , Czechia

Site Status

Ep0012 255

Bron, , France

Site Status

Ep0012 252

Lille, , France

Site Status

Ep0012 251

Nancy, , France

Site Status

Ep0012 303

Erlangen, , Germany

Site Status

Ep0012 314

Freiburg im Breisgau, , Germany

Site Status

Ep0012 311

Marburg, , Germany

Site Status

Ep0012 600

Budapest, , Hungary

Site Status

Ep0012 603

Szeged, , Hungary

Site Status

Ep0012 850

Rehovot, , Israel

Site Status

Ep0012 851

Tel Litwinsky, , Israel

Site Status

Ep0012 351

Torino, , Italy

Site Status

Ep0012 906

Fukuoka, , Japan

Site Status

Ep0012 910

Gifu, , Japan

Site Status

Ep0012 903

Hamamatsu, , Japan

Site Status

Ep0012 902

Hiroshima, , Japan

Site Status

Ep0012 912

Kagoshima, , Japan

Site Status

Ep0012 914

Kodaira, , Japan

Site Status

Ep0012 909

Kokubunji-shi, , Japan

Site Status

Ep0012 901

Niigata, , Japan

Site Status

Ep0012 911

Omura-shi, , Japan

Site Status

Ep0012 900

Sapporo, , Japan

Site Status

Ep0012 908

Shinjuku-ku, , Japan

Site Status

Ep0012 161

Guadalajara, , Mexico

Site Status

Ep0012 657

Częstochowa, , Poland

Site Status

Ep0012 655

Gdansk, , Poland

Site Status

Ep0012 652

Gliwice, , Poland

Site Status

Ep0012 651

Katowice, , Poland

Site Status

Ep0012 653

Katowice, , Poland

Site Status

Ep0012 654

Katowice, , Poland

Site Status

Ep0012 656

Tyniec Mały, , Poland

Site Status

Ep0012 650

Warsaw, , Poland

Site Status

Ep0012 659

Warsaw, , Poland

Site Status

Ep0012 451

Lisbon, , Portugal

Site Status

Ep0012 704

Iași, , Romania

Site Status

Ep0012 700

Timișoara, , Romania

Site Status

Ep0012 750

Kazan', , Russia

Site Status

Ep0012 758

Pyatigorsk, , Russia

Site Status

Ep0012 755

Saint Petersburg, , Russia

Site Status

Ep0012 756

Saint Petersburg, , Russia

Site Status

Ep0012 752

Samara, , Russia

Site Status

Ep0012 757

Yekaterinburg, , Russia

Site Status

Ep0012 821

Bardejov, , Slovakia

Site Status

Ep0012 823

Hlohovec, , Slovakia

Site Status

Ep0012 940

Daegu, , South Korea

Site Status

Ep0012 941

Seoul, , South Korea

Site Status

Ep0012 944

Seoul, , South Korea

Site Status

Ep0012 402

Barcelona, , Spain

Site Status

Ep0012 406

Córdoba, , Spain

Site Status

Ep0012 407

Madrid, , Spain

Site Status

Ep0012 403

Seville, , Spain

Site Status

Ep0012 961

Taichung, , Taiwan

Site Status

Ep0012 960

Taipei, , Taiwan

Site Status

Countries

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Belgium Turkey (Türkiye) United States Australia Brazil Bulgaria China Czechia France Germany Hungary Israel Italy Japan Mexico Poland Portugal Romania Russia Slovakia South Korea Spain Taiwan

References

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Vossler DG, Farkas MK, Poverennova I, Watanabe M, Conrath P, Dimova S, McClung C, Roebling R, Williams P, O'Brien TJ; EP0012 Study Group. Long-term safety and efficacy of adjunctive lacosamide in the treatment of generalized onset tonic-clonic seizures: An open-label extension trial. Epilepsia. 2024 Dec;65(12):3488-3500. doi: 10.1111/epi.18158. Epub 2024 Oct 26.

Reference Type DERIVED
PMID: 39460685 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2012-001770-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EP0012

Identifier Type: -

Identifier Source: org_study_id