Study to Evaluate the Safety and Effectiveness of USL255 in Patients With Refractory Partial-onset Seizures
A Randomized, Multicenter, Double-blind, Placebo-controlled, Parallel-group Phase 3 Study to Evaluate the Efficacy and Safety of USL255 as Adjunctive Therapy in Patients With Refractory Partial-Onset Seizures
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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Buenos Aires, Argentina
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Cordoba, Argentina
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Guaymallen, Argentina
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Salta, Argentina
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Bedford Park, Australia
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Clayton, Australia
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Fitzory, Australia
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Heidelberg West, Australia
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Parkville, Australia
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Randwick, Australia
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Woodville, Australia
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Brugge, Belgium
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Duffel, Belgium
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Leuven, Belgium
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Greenfield Park, Canada
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Santiago, Chile
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Valdivia, Chile
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Bonn, Germany
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Munchen, Germany
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Athens, Greece
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Thessaloniki, Greece
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Budapest, Hungary
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Bangalore, India
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Dehradun, India
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Hyderabad, India
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Mangalore, India
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New Delhi, India
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Ashkelon, Israel
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Haifa, Israel
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Holon, Israel
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Nahariya, Israel
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Petach Tikva, Israel
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Ramat Gan, Israel
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Auckland, New Zealand
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Gdansk, Poland
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Krakow, Poland
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Lodz, Poland
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Lublin, Poland
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Warszawa, Poland
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Kazan, Russian Federation
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Moscow, Russian Federation
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Samara, Russian Federation
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St. Petersburg, Russian Federation
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Tyumen, Russian Federation
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Yaroslavi, Russian Federation
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Cape Town, South Africa
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Badalona, Spain
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Baracaldo, Spain
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Granada, Spain
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Madrid, Spain
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Arizona
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Phoenix, Arizona, United States
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California
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Ventura, California, United States
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Florida
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Gainesville, Florida, United States
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Gulf Breeze, Florida, United States
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Jacksonville, Florida, United States
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Pensacola, Florida, United States
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Port Charlotte, Florida, United States
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Idaho
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Boise, Idaho, United States
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Kentucky
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Lexington, Kentucky, United States
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Maryland
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Waldorf, Maryland, United States
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Missouri
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Chesterfield, Missouri, United States
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St. Louis, Missouri, United States
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New Jersey
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New Brunswick, New Jersey, United States
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New York
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New York, New York, United States
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North Carolina
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Charlotte, North Carolina, United States
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Ohio
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Toledo, Ohio, United States
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Texas
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Dallas, Texas, United States
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Temple, Texas, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject has a confirmed diagnosis of partial-onset seizures with or without secondary generalization for at least 12 months prior to Visit 1.
- Currently on a stable dosing regimen of 1 to 3 AEDs for at least 4-weeks prior to Visit 1 (12 weeks for phenobarbital and primidone).
- Have a minimum of 8 partial-onset seizures and no more than 21 consecutive seizure free days, during the 8-week baseline.
Exclusion Criteria:
- Have a history of seizure episodes lasting less than 30 minutes in which several seizures occur with such frequency that the initiation and completion of each individual seizure cannot be distinguished, within 3 months prior to Visit 1.
- Have a history of pseudoseizures, or status epilepticus, within 3 months prior to Visit 1.
- Have a history of metabolic acidosis, nephrolithiasis, ureterolithiasis, or narrow angle glaucoma.
- Have a history of suicidal attempts, suicidal ideation, or uncontrolled psychiatric illness within 2 years of Visit 1.
- Currently taking, or have taken felbamate within the past 18 months, or have taken vigabatrin in the past.
- Have taken topiramate within the past 6 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
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: USL255
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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 in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame: 11 weeks
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11 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame: 11 weeks
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11 weeks
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Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Time Frame: 3 weeks (weeks 1-3)
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3 weeks (weeks 1-3)
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Percent Reductions From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Time Frame: 3 weeks (weeks 1-3)
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3 weeks (weeks 1-3)
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Percent Reduction From Baseline in Weekly (7 Day) All Seizure Frequency During the Titration Plus Maintenance Phase.
Time Frame: 11 weeks
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11 weeks
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Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phases Compared to Baseline.
Time Frame: 3 weeks (weeks 1-3)
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3 weeks (weeks 1-3)
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Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame: 11 weeks
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11 weeks
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Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame: 8 weeks (weeks 4-11)
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8 weeks (weeks 4-11)
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Percent Reduction From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame: 8 weeks (weeks 4-11)
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8 weeks (weeks 4-11)
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Proportion of Subjects ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame: 8 weeks (weeks 4-11)
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8 weeks (weeks 4-11)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Hogan RE, Blatt I, Lawson B, Nagaraddi V, Fakhoury TA, Anders B, Clark AM, Laine D, Halvorsen MB, Chung SS. Efficacy of once-daily extended-release topiramate (USL255): a subgroup analysis based on the level of treatment resistance. Epilepsy Behav. 2014 Dec;41:136-9. doi: 10.1016/j.yebeh.2014.09.061. Epub 2014 Oct 21.
- Chung SS, Fakhoury TA, Hogan RE, Nagaraddi VN, Blatt I, Lawson B, Arnold S, Anders B, Clark AM, Laine D, Meadows RS, Halvorsen MB; PREVAIL Study Group. Once-daily USL255 as adjunctive treatment of partial-onset seizures: randomized phase III study. Epilepsia. 2014 Jul;55(7):1077-87. doi: 10.1111/epi.12660. Epub 2014 Jun 5.
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- P09-004
- 2009-016996-31 (EudraCT Number)
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