A Study to Assess the Efficacy and Safety of Brivaracetam as Treatment for Increased Seizure Activity in an Epilepsy Monitoring Unit Setting

NCT ID: NCT03021018

Last Updated: 2020-12-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-06

Study Completion Date

2018-04-27

Brief Summary

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The purpose of this study is to assess the efficacy of intravenous brivaracetam (BRV) compared to intravenous lorazepam (LZP) in subjects with epilepsy undergoing Epilepsy Monitoring Unit (EMU) evaluation who experience seizures that require prompt treatment.

Detailed Description

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Conditions

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Epilepsy

Keywords

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Epilepsy Brivaracetam Epilepsy Monitoring Unit Increased seizure activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Brivaracetam (BRV) 100 mg

Two 5 ml vials of brivaracetam administered intravenously over a 2-minute period

Group Type EXPERIMENTAL

Brivaracetam

Intervention Type DRUG

* Pharmaceutical Form: Solution for infusion
* Concentration: 10 mg/ml
* Route of Administration: intravenous

Brivaracetam (BRV) 200 mg

Four 5 ml vials of brivaracetam administered intravenously over a 4-minute period

Group Type EXPERIMENTAL

Brivaracetam

Intervention Type DRUG

* Pharmaceutical Form: Solution for infusion
* Concentration: 10 mg/ml
* Route of Administration: intravenous

Lorazepam (LZP)

Lorazepam bolus is to be injected based on information from the patient leaflet/package insert. The rate of injection should not exceed 2.0 mg/min. The LZP dose will be determined according to the Investigator's clinical judgment.

Group Type ACTIVE_COMPARATOR

Lorazepam

Intervention Type DRUG

* Pharmaceutical Form: Solution for injection
* Route of Administration: intravenous

Interventions

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Brivaracetam

* Pharmaceutical Form: Solution for infusion
* Concentration: 10 mg/ml
* Route of Administration: intravenous

Intervention Type DRUG

Lorazepam

* Pharmaceutical Form: Solution for injection
* Route of Administration: intravenous

Intervention Type DRUG

Other Intervention Names

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Briviact

Eligibility Criteria

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Inclusion Criteria

* Subject is male or female, 18 to 70 years of age, inclusive
* Subject has an established diagnosis of epilepsy
* Subject has been admitted to the institution's Epilepsy Monitoring Unit (EMU) for seizure characterization or noninvasive presurgical evaluation or such admission is planned within 21 days of Screening

Exclusion Criteria

* Subject has previously participated in this study and was treated with study drug. Re-screen is permitted
* Subject has participated in another study of an investigational medicinal product (IMP) or a medical device within the previous 30 days of Epilepsy Monitoring Unit (EMU) admission or is currently participating in another study of an IMP or a medical device
* Subject has taken brivaracetam (BRV) in the 21 days prior to EMU admission
* History or presence of status epilepticus during the 6 months prior to EMU admission
* Subject has a medical or psychiatric condition that in the opinion of the Investigator could jeopardize or would compromise the subject's ability to participate in this study
* Subject has \> 2x upper limit of normal (ULN) of any of the following: alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, or \> ULN total bilirubin
* Subject has chronic liver disease
* Subject has hypersensitivity to BRV or any of its excipients
* Subject has a history of alcohol or drug abuse during the 6 months prior to EMU admission
* Subject with a history of psychogenic seizures
* Subject is a pregnant or lactating female
* Subject has a history of a significant Adverse Event (AE) due to a benzodiazepine in the opinion of the Investigator
* Subject has respiratory failure (or is at risk for respiratory failure), untreated sleep apnea, or other severe cardiorespiratory disease with New York Heart Association Class III or IV functional status, or requires supplemental oxygen
* Subject has acute narrow-angle glaucoma or myasthenia gravis
* Subject is receiving benzodiazepine treatment (defined as an average of \>=4 administrations per week) that started less than 28 days prior to EMU admission
* Subject has a known allergic reaction or intolerance to benzodiazepines or benzodiazepine excipients
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Biopharma S.P.R.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Cares

Role: STUDY_DIRECTOR

UCB (+1 844 599 2273)

Locations

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Ep0087 108

Birmingham, Alabama, United States

Site Status

Ep0087 117

Tucson, Arizona, United States

Site Status

Ep0087 112

Orlando, Florida, United States

Site Status

Ep0087 115

Chicago, Illinois, United States

Site Status

Ep0087 113

Chicago, Illinois, United States

Site Status

Ep0087 119

Wichita, Kansas, United States

Site Status

Ep0087 116

Belmont, Massachusetts, United States

Site Status

Ep0087 106

Boston, Massachusetts, United States

Site Status

Ep0087 107

Detroit, Michigan, United States

Site Status

Ep0087 125

Lebanon, New Hampshire, United States

Site Status

Ep0087 120

Rochester, New York, United States

Site Status

Ep0087 121

Chapel Hill, North Carolina, United States

Site Status

Ep0087 105

Charlotte, North Carolina, United States

Site Status

Ep0087 123

Hershey, Pennsylvania, United States

Site Status

Countries

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United Kingdom United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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EP0087

Identifier Type: -

Identifier Source: org_study_id