Brivaracetam as add-on Treatment of Unverricht-Lundborg Disease in Adolescents and Adults
A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel Study to Evaluate the Efficacy and Safety of Brivaracetam Used as Adjunctive Treatment for 12 Weeks in Adolescent and Adult Patients (≥16 Years) With Genetically Ascertained Unverricht-Lundborg Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Kuopio, Finland
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Tampere, Finland
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Marseille, France
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Montpellier Cedex 5, France
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Bologna, Italy
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Messina, Italy
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Milano, Italy
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Napoli, Italy
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Heemstede, Netherlands
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Heeze, Netherlands
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St Pierre Cedex, Réunion
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Goteborg, Sweden
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Tunis, Tunisia
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects with diagnosed Unverricht-Lundborg disease (ULD) ascertained by appropriate genetic testing for a homozygous or compound heterozygous mutation in the Cystatin B (CSTB) gene
- Subjects with moderate to severe myoclonus documented by an Action Myoclonus sum score of ≥ 30 (evaluation by investigator)
- Subjects currently being or having been treated with clonazepam up to the maximum recommended daily dose of 20 mg or up to their individual optimal dose as assessed by the investigator
- Subjects currently being or having been treated with valproate up to the maximum recommended daily dose 60 mg/kg or serum levels of 100 mcg/ml or up to their individual optimal dose as specified by the investigator
Exclusion Criteria:
- Subjects currently on felbamate or having been on felbamate within less than 18 months prior to Visit 1
- Subjects currently treated with phenytoin or having been on phenytoin in the last month prior to Visit 1
- Subjects currently on vigabatrine. Subjects having been on vigabatrine if no visual fields examination report available including standard static (Humphrey or Octopus) or cinetic perimetry (Goldman)
- Subject taking any drug with possible central nervous system (CNS) effects
- Subjects taking any drug that may significantly influence the metabolism of BRV (CYP2C or CYP3A potent inducers/inhibitors)
- Known clinically significant acute or chronic illness or illness which may impair reliable participation in the trial, necessitate the use of medication not allowed by protocol or represent a safety risk in the Investigator's opinion
- Subjects with history of severe adverse hematological reaction to any drug
- Impaired hepatic function: ALAT/SGPT, ASAT/SGOT, alkaline phosphatase, GGT value of more than three times the upper limit of the reference range
- History of suicide attempt during the last 5 years
- Subject with suicidal ideations within the last year or at risk of suicide attempt unless cleared by written confirmation from a psychiatrist and approved by the UCB physician
- Ongoing psychiatric disorder other than mild controlled disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
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Experimental: Brivaracetam 50 mg/day
BRV 50 mg/day
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Other Names:
Other Names:
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Experimental: Brivaracetam 150 mg/day
BRV 150 mg/day
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Other Names:
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Percent reduction from baseline on the Action Myoclonus score (Unified Myoclonus Rating Scale (UMRS) Section 4) at the end of the Treatment Period
Time Frame: End of treatment period (Week 14 or early discontinuation visit)
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End of treatment period (Week 14 or early discontinuation visit)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Percent reduction from baseline on the functional disability score (UMRS Section 5) at the end of the Treatment Period
Time Frame: End of treatment period (week 14 or early discontinuation visit)
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End of treatment period (week 14 or early discontinuation visit)
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Percent reduction from baseline on the stimulus sensitivity score (UMRS Section 3) at the end of the Treatment Period
Time Frame: End of treatment period (week 14 or early discontinuation visit)
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End of treatment period (week 14 or early discontinuation visit)
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Percent reduction from baseline on the myoclonus patient questionnaire (UMRS Section 1) at the end of the Treatment Period
Time Frame: End of treatment period (week 14 or early discontinuation visit)
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End of treatment period (week 14 or early discontinuation visit)
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Global Evaluation Scale by Investigator (I-GES) at the end of the Treatment Period
Time Frame: End of treatment period (week 14 or early discontinuation visit)
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End of treatment period (week 14 or early discontinuation visit)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Ben-Menachem E, Baulac M, Hong SB, Cleveland JM, Reichel C, Schulz AL, Wagener G, Brandt C. Safety, tolerability, and efficacy of brivaracetam as adjunctive therapy in patients with focal seizures, generalized onset seizures, or Unverricht-Lundborg disease: An open-label, long-term follow-up trial. Epilepsy Res. 2021 Feb;170:106526. doi: 10.1016/j.eplepsyres.2020.106526. Epub 2020 Dec 4.
- Kalviainen R, Genton P, Andermann E, Andermann F, Magaudda A, Frucht SJ, Schlit AF, Gerard D, de la Loge C, von Rosenstiel P. Brivaracetam in Unverricht-Lundborg disease (EPM1): Results from two randomized, double-blind, placebo-controlled studies. Epilepsia. 2016 Feb;57(2):210-21. doi: 10.1111/epi.13275. Epub 2015 Dec 15.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Epilepsy, Generalized
- Epileptic Syndromes
- Genetic Diseases, Inborn
- Neurodegenerative Diseases
- Heredodegenerative Disorders, Nervous System
- Epilepsy
- Myoclonic Epilepsies, Progressive
- Epilepsies, Myoclonic
- Unverricht-Lundborg Syndrome
- Anticonvulsants
- Brivaracetam
Other Study ID Numbers
Other Study ID Numbers
- N01187
- 2006-000169-12 (EudraCT Number)
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