A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Lacosamide in Neonates With Repeated Electroencephalographic Neonatal Seizures

NCT ID: NCT04519645

Last Updated: 2025-10-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-31

Study Completion Date

2024-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of the study is to evaluate the efficacy of lacosamide (LCM) versus an Active Comparator chosen based on standard of care (StOC) in severe and nonsevere seizure burden (defined as total minutes of electroencephalographic neonatal seizures (ENS) per hour) in neonates with seizures that are not adequately controlled with previous anti-epileptic drug (AED) treatment.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Electroencephalographic Neonatal Seizures Epilepsy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Lacosamide

Study participants randomized to this arm will receive lacosamide (LCM) as an intravenous infusion in the Treatment Period and may continue to receive lacosamide in the Extension Period. Participants should be switched to oral dosing of LCM as soon as medically possible during the Extension Period.

Group Type EXPERIMENTAL

Lacosamide intravenous

Intervention Type DRUG

Study participants will receive lacosamide (LCM) as an intravenous (iv) infusion during the Treatment Period.

Lacosamide oral

Intervention Type DRUG

Study participants may receive lacosamide (LCM) as an oral solution during the Extension Period.

Active Comparator

Study participants randomized to this arm will receive Active Comparator chosen based on standard of care (StOC) in the Clinical Practice in the Treatment Period and may continue to receive in the Extension Period.

Group Type ACTIVE_COMPARATOR

Active Comparator

Intervention Type OTHER

Active Comparator treatment will be chosen and dosed based on StOC (per local practice and treatment guidelines).

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Active Comparator

Active Comparator treatment will be chosen and dosed based on StOC (per local practice and treatment guidelines).

Intervention Type OTHER

Lacosamide intravenous

Study participants will receive lacosamide (LCM) as an intravenous (iv) infusion during the Treatment Period.

Intervention Type DRUG

Lacosamide oral

Study participants may receive lacosamide (LCM) as an oral solution during the Extension Period.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

LCM LCM

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participant must be ≥34 weeks of corrected gestational age (CGA), \<46 weeks of CGA, and \<28 days of postnatal age (PNA)
* Participants who have confirmation on video-electroencephalogram (EEG) of ≥2 minutes of cumulative electroencephalographic neonatal seizures (ENS) or ≥3 identifiable ENS prior to entering the Treatment Period
* Participants must have received either phenobarbital (PB), levetiracetam (LEV), or midazolam (MDZ) (in any combination) before entering the study
* Participant weighs at least 2.3 kg at the time of enrollment Informed consent
* An Independent Ethics Committee (IEC)-approved written informed consent form (ICF) is signed and dated by the participant's parent(s) or legal representative(s)

Exclusion Criteria

* Participant with seizures responding to correction of metabolic disturbances (hypoglycemia, hypomagnesemia, or hypocalcemia) or with seizures for which a targeted, known treatment is available
* Participant has seizures related to prenatal maternal drug use or drug withdrawal
* Participant has a clinically relevant electrocardiogram (ECG) abnormality, in the opinion of the investigator
* Participant receiving treatment with phenytoin (PHT), lidocaine (LDC), or other sodium channel blockers at any time
Maximum Eligible Age

28 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

UCB Biopharma SRL

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

UCB Cares

Role: STUDY_DIRECTOR

001 844 599 2273

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Sp0968 101

La Jolla, California, United States

Site Status

Sp0968 108

Long Beach, California, United States

Site Status

Sp0968 116

Los Angeles, California, United States

Site Status

Sp0968 190

San Diego, California, United States

Site Status

Sp0968 118

Aurora, Colorado, United States

Site Status

Sp0968 104

Jacksonville, Florida, United States

Site Status

Sp0968 107

Miami, Florida, United States

Site Status

Sp0968 112

Iowa City, Iowa, United States

Site Status

Sp0968 125

Valhalla, New York, United States

Site Status

Sp0968 117

Portland, Oregon, United States

Site Status

Sp0968 109

Austin, Texas, United States

Site Status

Sp0968 192

Salt Lake City, Utah, United States

Site Status

Sp0968 105

Salt Lake City, Utah, United States

Site Status

Sp0968 102

Charlottesville, Virginia, United States

Site Status

Sp0968 122

Seattle, Washington, United States

Site Status

Sp0968 302

Parkville, , Australia

Site Status

Sp0968 301

South Brisbane, , Australia

Site Status

Sp0968 201

Toronto, , Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Australia Canada

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2020-001066-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SP0968

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Pediatric Epilepsy Study
NCT00050934 COMPLETED PHASE3
Pediatric Epilepsy Study
NCT00050947 COMPLETED PHASE3