- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00866775
Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
Double-Blind, Randomized, Historical Control Study of the Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
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Ontario
-
London, Ontario, Canada, N6A5A5
- London Health Sciences Center
-
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Quebec
-
Greenfield Park, Quebec, Canada, J4V2J2
- Neuro-Epilepsy Clinic
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Sherbrooke, Quebec, Canada, J1H 5N4
- Centre Hospitalier Universitaire de Sherbrooke
-
-
-
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Alabama
-
Birmingham, Alabama, United States, 35234
- Norwood Neurology
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Birmingham, Alabama, United States, 35242
- Greystone Neurology Center
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Mobile, Alabama, United States, 36693
- USA Neurology
-
Northport, Alabama, United States, 35476
- Neurology Clinic, P.C.
-
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Arizona
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Phoenix, Arizona, United States, 85004
- Xenoscience Inc.
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Phoenix, Arizona, United States, 85003
- Clinical Research Consortium
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Phoenix, Arizona, United States, 85004
- Clinical Research Consortium - Arizona
-
Sun City, Arizona, United States, 85351
- Arizona Neurological Institute
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Tucson, Arizona, United States, 85718
- Center for Neurosciences
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Arkansas
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Little Rock, Arkansas, United States, 72201
- K & S Professional Research Services
-
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California
-
Berkley, California, United States, 94705
- Sutter East Bay Medical Foundation
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Escondido, California, United States, 92025
- Synergy Escondido
-
Garden Grove, California, United States, 92845
- Collaborative Neuroscience Network
-
Loma Linda, California, United States, 92354
- Loma Linda University
-
Loma Linda, California, United States, 92354
- Faculty of Physicians & Surgeons of Loma Linda University
-
Los Gatos, California, United States, 95032
- American Institute of Research
-
Northridge, California, United States, 91325
- Northridge Neurological Center
-
Pasadena, California, United States, 91105
- Yafa Minazad, DO
-
Santa Monica, California, United States, 90404
- Neurological Research Institute
-
Whittier, California, United States, 90603
- American Institute of Research
-
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Colorado
-
Aurora, Colorado, United States, 80045
- Anschutz Outpatient Pavilion
-
Denver, Colorado, United States, 80204
- Denver Health Medical Center
-
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Connecticut
-
Danbury, Connecticut, United States, 06810
- Associated Neurologists, PC
-
-
Florida
-
Bradenton, Florida, United States, 34205
- Bradenton Research Center, Inc.
-
Coral Gables, Florida, United States, 33134
- Miami Clinical Research
-
Gulf Breeze, Florida, United States, 32561
- NW FL Clinical Research Group, LLC
-
Hollywood, Florida, United States, 33021
- Infiniti Clinical Research, LLC
-
Jacksonville, Florida, United States, 32209
- University of Florida Health Science Center
-
Maitland, Florida, United States, 32751
- Neurology Associates, PA
-
Melbourne, Florida, United States, 32901
- MIMA Century Research Associates
-
Miami, Florida, United States, 33015
- San Marcus Research Clinic
-
Miami, Florida, United States, 33176
- Neurosciences Consultants, LLC
-
Orlando, Florida, United States, 32806
- Neurological Services Orlando
-
Orlando, Florida, United States, 32819
- Pediatric Neurolog, PA
-
Ormond Beach, Florida, United States, 32174
- Neurology Associates of Ormond Beach
-
Port Charlotte, Florida, United States, 33952
- Medsol Clinical Research Center
-
Tallahassee, Florida, United States, 32308
- Tallahassee Neurological Clinic
-
Tampa, Florida, United States, 33609
- Pediatric Epilepsy & Neurology Specialists, PA
-
Tampa, Florida, United States, 33613
- Florida Comprehensive Epilepsy and Seizure Disorder Center
-
Vero Beach, Florida, United States, 32960
- Vero Neurology
-
Wellington, Florida, United States, 33414
- Palm Beach Clinical Research Network LLC
-
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Georgia
-
Atlanta, Georgia, United States, 30309
- Peachtree Neurological Clinic
-
Atlanta, Georgia, United States, 30328
- PANDA Neurology and Atlanta Headache Specialists
-
Atlanta, Georgia, United States, 30322
- Emory University Department of Neurology
-
Rome, Georgia, United States, 30165
- Harbin Clinic
-
Suwanee, Georgia, United States, 30024
- GA Neurology and Sleep Medicine Associates
-
-
Idaho
-
Boise, Idaho, United States, 83702
- Consultants in Epilepsy and Neurology, PLLC.
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Rush University
-
Chicago, Illinois, United States, 60637
- UCMC
-
Peoria, Illinois, United States, 61637
- OSF Saint Francis Medical Center
-
Springfield, Illinois, United States, 62702
- Southern Illinois University
-
Winfield, Illinois, United States, 60190
- Central DuPage Hospital
-
-
Iowa
-
Ames, Iowa, United States, 50010
- McFarland Clinic, PC
-
-
Kansas
-
Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
-
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Kentucky
-
Lexington, Kentucky, United States, 40504
- Bluegrass Epilepsy Research LLC
-
-
Louisiana
-
Hammond, Louisiana, United States, 70403
- North Oaks Neurology
-
-
Maine
-
Scarborough, Maine, United States, 04074
- MMP Neurology
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- John Hopkins University
-
Bethesda, Maryland, United States, 20817
- Mid-Atlantic Epilepsy and Sleep Center
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital Epilepsy Service - WACC
-
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Mississippi
-
Flowood, Mississippi, United States, 39232
- Precise Research Centers
-
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Missouri
-
Chesterfield, Missouri, United States, 63017
- The Comprehensive Epilepsy Care Center for Children and Adults
-
St. Louis, Missouri, United States, 63128
- PsychCare Consultants Research
-
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New Jersey
-
Camden, New Jersey, United States, 08103
- Cooper University Health System
-
Cherry Hill, New Jersey, United States, 08034
- Cooper University Health System
-
Edison, New Jersey, United States, 08818
- NJ Neuroscience Center
-
Livingston, New Jersey, United States, 07039
- Institute of Neurology and Neurosurgery at St. Bamabas, Suite 101
-
Neptune, New Jersey, United States, 07753
- Jersey Shore University Medical Center
-
New Brunswick, New Jersey, United States, 08901
- University of Medicine and Dentistry of New Jersey
-
Paterson, New Jersey, United States, 07503
- St. Joseph's Regional Medical Center
-
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New York
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Cedarhurst, New York, United States, 11516
- Five Towns Neuroscience Research
-
Mineola, New York, United States, 11501
- Winthrop University Hospital
-
New York, New York, United States, 10003
- Beth Israel Medical Center
-
New York, New York, United States, 10019
- Clinilabs Inc.
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Rochester, New York, United States, 14642
- University of Rochester
-
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North Carolina
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Charlotte, North Carolina, United States, 28204
- The Neurology Institute
-
Hickory, North Carolina, United States, 28602
- PMG Research of Hickory, LLC
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Winstom-Salem, North Carolina, United States, 27157
- Wake Forest University
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Ohio
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Bellevue, Ohio, United States, 44811
- Northern Ohio Neurosciences
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112'
- Lynn Health Science Institute
-
Oklahoma City, Oklahoma, United States, 73112
- 5929 N. May Ave.
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Oregon
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Medford, Oregon, United States, 97504
- Providence Medical Group
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
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Philadelphia, Pennsylvania, United States, 19104
- Children's Hospital Philadelphia
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Pittsburg, Pennsylvania, United States, 15201
- Children's Hospital of Pittsburg of UPMC
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Rhode Island
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Cranston, Rhode Island, United States, 02920
- Gus Stratton / Neurology
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Tennessee
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Germantown, Tennessee, United States, 38138
- Mid-South Physcians Group
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Nashville, Tennessee, United States, 37203
- Access Clinical Trials
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Nashville, Tennessee, United States, 37232
- VU Department of Neurology
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Texas
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Arlington, Texas, United States, 76017
- Neurology Associates of Arlington, PA
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Dallas, Texas, United States, 75214
- Texas Neurology, PA
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Dallas, Texas, United States, 75230
- Neurological Clinic of Texas P.A.
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Houston, Texas, United States, 77030
- Baylor College of Medicine
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Houston, Texas, United States, 77063
- Todd Swick, MD, PA
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Houston, Texas, United States, 77030
- UT Health Science Center at Houston
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Mansfield, Texas, United States, 76063
- Neurology Associates of Arlington, PA
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Temple, Texas, United States, 76508
- Scott and White Memorial Hospital
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Virginia
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Norfolk, Virginia, United States, 23507
- Sentara Neurology Specialists
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Washington
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Bellevue, Washington, United States, 98004
- Neurological Associates of Washington/Clinical Trials of America Inc.
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Renton, Washington, United States, 98057
- Rainier Clinical Research Center, Inc.
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Seattle, Washington, United States, 98144
- Pacific Medical Centers
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West Virginia
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Morgantown, West Virginia, United States, 26506
- West Virginia University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of partial epilepsy as defined in the Classification of Seizures of the International League Against Epilepsy (ILAE) (simple partial seizures with observable motor component, or complex, with or without secondary generalization) a. Medical history of seizures; b. Absence of confounding factors (pseudoseizures, syncope); c. Documented EEG recording (done within 5 years prior to screening) consistent with focal onset epilepsy.
- Documented CT or MRI scan conducted within 10 years prior to screening, showing the absence of a progressive structural abnormality (eg, tumor). Mesial temporal sclerosis is acceptable.
- ≥4 partial onset seizures during the 8 weeks prior screening with no 28-day seizure free period.
- Stable treatment with 1-2 AEDs during the last 4 weeks prior to screening.
- Subjects must have the ability to comprehend the informed consent form and be willing to provide informed consent. For subjects who are unable to comprehend the written consent, a witness/caregiver who is able to describe and provide an understanding of the informed consent to the subject must sign the consent form on behalf of the subject.
- Subjects must give written informed consent prior to participation in the study. For subjects <18 years of age, the informed consent must be signed by the subject's parent or legal guardian, and, when appropriate and/or required by state or local law, minor subjects must give written informed assent prior to participation in the study. Subjects of Asian ancestry are required to give written informed consent for genotyping. All subjects must sign a HIPAA Form. All females of child bearing potential must also sign the "Women of Childbearing Potential" Addendum.
- A female subject is eligible to enter and participate in the study if she is of: a. Non-childbearing potential (ie, physiologically incapable of becoming pregnant, including any female who is pre-menarchal or post-menopausal); b. Child-bearing potential (all females ≤65 years of age), has a negative pregnancy test at screening and agrees to satisfy contraception requirements.
Exclusion Criteria:
- Subjects with only simple partial seizures without a motor component.
- Presence of generalized seizure syndromes (eg, juvenile myoclonic epilepsy or Lennox-Gastaut syndrome).
- History of pseudo-seizures.
- Current seizures related to an acute medical illness.
- Seizures secondary to metabolic, toxic or infectious disorder or drug abuse.
- Status epilepticus within 2 years prior to screening.
- Seizures only occurring in a cluster pattern.
- Subjects taking 2 of the following sodium channel blocking AEDs: phenytoin, carbamazepine, oxcarbazepine, or lamotrigine.
- Subjects taking 2 AEDs with both being in the upper dose range (defined as approximately two-thirds of the defined daily dose).
- Subjects taking more than 2 AEDs.
- Subjects with progressive structural central nervous system lesion or progressive encephalopathy.
- Psychiatric exclusion criteria: subjects with history of suicide attempt in last 2 years; major depressive episode within last 6 months; abuse of alcohol or substance abuse in last 2 years; significant psychiatric disorder or recurrent episodes of severe depression within 2 years prior to screening.
- Medical exclusion criteria: known renal insufficiency or subject with estimated creatinine clearance [CrCL] <60 mL/min based on serum creatinine using the Cockcroft-Gault formula.
- Clinical and laboratory exclusion criteria: Subjects of Asian ancestry who tests positive for the presence of the HLA-B*1502 allele.
- Subjects who have been on benzodiazepines, phenobarbital, or primidone on a regular basis within 3 months prior to screening.
- Subjects taking antipsychotics, tricyclic antidepressants, anxiolytics, sedative hypnotics including non-benzodiazepines, central opioid agonists/antagonists, monoamine oxidase inhibitors (MAOIs) within at least 5 half lives (or for at least 2 weeks whichever is longer) prior to randomization.
- Subjects presently on felbamate or vigabatrin
- Female subjects who are currently breastfeeding or intending to breastfeed during study period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Eslicarbazepine 1600 mg QD
Subjects randomized to 1600 mg QD of eslicarbazepine acetate will titrate from 600 mg QD (Day 0) to 1200 mg QD (Week 1) to 1600 mg QD (Weeks 2-18) Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. |
1600 mg QD
1200 mg QD
|
|
Experimental: Eslicarbazepine 1200 mg QD
Subjects randomized to 1200 mg QD eslicarbazepine acetate will titrate from 400 mg QD (Day 0) to 800 mg QD (week 1) to 1200 mg QD (weeks 2-18) Subjects may continue in an open-label extension study with a starting dose of 1600 mg QD, or taper off study drug at the completion of this study The treatment period for subjects entering the open label extension study is up to 9 study visits over 18 weeks. The treatment period for subjects not entering the open-label extension study is up to 10 study visits over 19 weeks. |
1600 mg QD
1200 mg QD
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cumulative 112-day Exit Rate as Estimated by Kaplan-Meier Method
Time Frame: Week 3 to Week 18
|
Cumulative exit rate was defined as the proportion of subjects meeting at least one of the five exit criteria over a 16-wk study period (start of Antiepilectic Drugs(AED) taper/conv.period
(Wk 3 to end of double blind monotherapy period (Wk 18)):1.One episode of status epilepticus.2.One secondary general partial seizure (in subjects who did not have gen.
seizures during 6 months prior to screening).3.A two fold increase in any consecutive 28 day seizure rate compared to the highest consecutive 28 day seizure rate during the 8 wk baseline period.
4.A two fold increase in any consecutive 2 day seizure rate compared to the highest consecutive 2 day seizure rate during the 8 wk baseline period.
If the highest number of seizures in any consecutive 2 day period during the 8 wk baseline was 1 then 3 seizures in a consecutive 2 day period was required to exit.5.Worsening of seizures or increase in seizure frequency considered serious or requiring intervention as judged by the Investigator.
|
Week 3 to Week 18
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time on Eslicarbazepine Acetate Monotherapy.
Time Frame: Week 8 to Week 18
|
The start of the monotherapy period was defined as the date of termination of all other AEDs while taking study monotherapy medication.
Time on monotherapy was defined from the start of monotherapy period to the last dose of monotherapy treatment.
|
Week 8 to Week 18
|
|
Proportion (%) of Events in Each Classification of the Columbia Suicide Severity Rating Scale (C SSRS).
Time Frame: 18 Week Double-blind treatment period
|
18 Week Double-blind treatment period
|
|
|
Percentage of Subjects That Are Seizure-free During the 10-week Double-blind Monotherapy Treatment Period.
Time Frame: Weeks 9 through 18
|
Seizure-free subjects during the monotherapy period were determined as subjects who had seizure assessments during the monotherapy period, and did not have any seizures in the 10 weeks between Visits 6 and 9 (Weeks 9 through 18).
Subjects who discontinued during this period were considered not seizure-free even if they were seizure-free at the time of discontinuation, i.e., to be considered seizure-free, subjects must complete the 10-week period without any seizures.
|
Weeks 9 through 18
|
|
Percentage of Subjects Seizure-free During the Last 4 Weeks on Eslicarbazepine Acetate Monotherapy.
Time Frame: Weeks 15 through 18
|
Seizure-free subjects during the last four weeks of monotherapy were determined as subjects who had seizure assessments during the 4 weeks between Visits 8 and 9 (Weeks 15 through 18), and did not have any seizures.
|
Weeks 15 through 18
|
|
Completion Rate
Time Frame: Week 1 to Week 18
|
Subjects completing the study were determined as subjects who completed the 18 weeks of double-blind treatment.
|
Week 1 to Week 18
|
|
Completion Rate During the 10 Weeks of Monotherapy
Time Frame: Weeks 8 through 18
|
Monotherapy completion rate was defined as the proportion (%) of subjects entering the monotherapy period who completed the 10 weeks of monotherapy treatment.
|
Weeks 8 through 18
|
|
Change in Seizure Frequency From Baseline.
Time Frame: Week 0 to Week 18, Double-blind: weeks 1to 18; baseline:weeks-8 to -1; Titration: weeks 1 to 2; AED taper/conversion:weeks 3 to 8; monotherapy: weeks 9 to 18
|
The relative (%) change in standardized seizure frequency was evaluated for four periods: titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18).
|
Week 0 to Week 18, Double-blind: weeks 1to 18; baseline:weeks-8 to -1; Titration: weeks 1 to 2; AED taper/conversion:weeks 3 to 8; monotherapy: weeks 9 to 18
|
|
Responder Rate (Proportion [%] of Subjects With a ≥50% Reduction of Seizure Frequency From Baseline).
Time Frame: Week 0 to Week 18, Double blind: weeks to 8; baseline:weeks -8 to -1; titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; monotherapy: weeks 9 to 18
|
Responder rate was defined as the proportion (%) of subjects with a ≥ 50% reduction of seizure frequency from baseline.
This analysis was done for the titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18) periods.
|
Week 0 to Week 18, Double blind: weeks to 8; baseline:weeks -8 to -1; titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; monotherapy: weeks 9 to 18
|
|
Percentage of Subjects Reaching Each of the Exit Events.
Time Frame: Week 1 to Week 18
|
The percentage of subjects reaching each of the 5 exit criteria.
1.One episode of status epilepticus.2.One secondary general partial seizure (in subjects who did not have gen.
seizures during 6 months prior to screening).3.A two fold increase in any consecutive 28 day seizure rate compared to the highest consecutive 28 day seizure rate during the 8 wk baseline period.
4.A two fold increase in any consecutive 2 day seizure rate compared to the highest consecutive 2 day seizure rate during the 8 wk baseline period.
If the highest number of seizures in any consecutive 2 day period during the 8 wk baseline was 1 then 3 seizures in a consecutive 2 day period was required to exit.5.Worsening of seizures or increase in seizure frequency considered serious or requiring intervention as judged by the Investigator.
|
Week 1 to Week 18
|
|
Change in Total Score From Baseline in 31-Item Quality of Life in Epilepsy (QOLIE-31).
Time Frame: Week 0 to Week 18, baseline: day 0: End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
The QOLIE-31 overall score was obtained by using a weighted average of multi-item scale scores.
The recorded responses were converted to 0-100 point scales.
The mean of the individual item scores in each subgroup were calculated, with higher converted scores reflecting better quality of life.
|
Week 0 to Week 18, baseline: day 0: End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
|
Change in Total Score From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS).
Time Frame: Week 0 to Week 18; Baseline: day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
The total score of MADRS is defined as the sum of all individual symptom scores, ranging from 0 to 60, higher score indicates more severe depression.
Each of the 10 symptoms of depression on MADRS was measured on a scale of 0 to 6 with 0 representing the lowest severity of the symptom and 6 representing the highest severity
|
Week 0 to Week 18; Baseline: day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
|
Change in Total Score From Baseline in MADRS in Those Subjects With a MADRS Score of ≥14 at Randomization.
Time Frame: Week 0 to Week 18, Baseline: Day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
The total score of MADRS is defined as the sum of all individual symptom scores, ranging from 0 to 60, higher score indicates more severe depression.
Each of the 10 symptoms of depression on MADRS was measured on a scale of 0 to 6 with 0 representing the lowest severity of the symptom and 6 representing the highest severity
|
Week 0 to Week 18, Baseline: Day 0; End of AED taper/conversion period: end of week 8; End of monotherapy period: end of week 18
|
|
Percentage of Subjects With Increase of Body Weight >= 7%
Time Frame: 18 Week Double-blind treatment period
|
18 Week Double-blind treatment period
|
|
|
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L
Time Frame: 18 Week Double-blind treatment period
|
Proportion (%) of Subjects With Normal Baseline Sodium Reaching Blood Sodium ≤135 mmol/L, ≤130 mmol/L, and ≤125 mmol/L
|
18 Week Double-blind treatment period
|
|
Standardized Seizure Frequency (SSF) by Period
Time Frame: Week 1 to Week 18, Double-blind: weeks 1 to 18; Baseline: weeks -8 to -1; Titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; Monotherapy: weeks 9 to 18
|
Seizure frequency was evaluated by using a standardized frequency per 4 weeks (28 days).
It was evaluated for five periods: baseline (Weeks -8 to -1), titration (Weeks 1 to 2), AED taper/conversion (Weeks 3 to 8), monotherapy (Weeks 9 to 18), and double-blind (Weeks 1 to 18).
|
Week 1 to Week 18, Double-blind: weeks 1 to 18; Baseline: weeks -8 to -1; Titration: weeks 1 to 2; AED taper/conversion: weeks 3 to 8; Monotherapy: weeks 9 to 18
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Epilepsy
- Seizures
- Epilepsies, Partial
- Molecular Mechanisms of Pharmacological Action
- Membrane Transport Modulators
- Anticonvulsants
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Eslicarbazepine acetate
Other Study ID Numbers
- 093-045
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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