- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01399528
A Pharmacogenomic Exploration of Lacosamide Response
This is an observational study exploring the genetics of lacosamide response. The study will last 3 years and has been divided in to three stages; 1) recruitment, 2) observational phase, 3) genotyping and analysis. Patients initiating lacosamide are recruited and their baseline seizure frequency is assessed retrospectively. Patients are then monitored for 18 months with an assessment (via interview and where possible seizure diaries) of seizure frequency and other treatment related phenotypes every 3 months. The recruitment period will span months 1-12, the observational period will span months 1-30 and analysis of data will be conducted between months 30-36 (see Figure 2 below). Target sample size is 610.
Primary objective: To determine the clinical relevance of genetic variation in predicting lacosamide responsive and non-responsive patients.
Secondary objectives: To determine the clinical relevance of genetic variation in predicting:
- Optimal dose of lacosamide
- Adverse drug reactions to lacosamide
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Forventet)
Kontakter og lokationer
Studiesteder
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Brussels, Belgien
- Rekruttering
- Hospital Erasme
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Kontakt:
- Chantal Depondt
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London, Det Forenede Kongerige
- Rekruttering
- The Institute of Neurology
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Kontakt:
- Sanjay Sisodiya
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North Carolina
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Durham, North Carolina, Forenede Stater
- Rekruttering
- Duke Medical Centre
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Kontakt:
- Saraubh Sinha
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Dublin, Irland, D4
- Rekruttering
- Beaumont Hospital
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Kontakt:
- Gianpiero Cavalleri, PhD
- Telefonnummer: +353 1 4022146
- E-mail: gcavalleri@rcsi.ie
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Ledende efterforsker:
- Norman Delanty
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Dublin, Irland
- Rekruttering
- St.James Hospital
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Kontakt:
- Colin Doherty
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Diagnosed with partial onset seizures (simple and/or complex) with or without secondary generalization (based on 1981 ILAE seizure classification scheme)
- Over 18 and under 65 years of age at date of recruitment in to the study
- Currently undergoing pharmacological treatment for refractory partial epilepsy ('refractory' here refers to patients who continue to have seizures despite treatment (current) with two or more appropriate anti-epileptic drugs at appropriate doses)
- Deemed suitable for treatment with lacosamide (following drug guidelines)
Exclusion Criteria:
- Patients experiencing seizure type other than partial onset seizures (with/without secondary generalisation)
- Patients with a history of chronic alcohol or drug abuse within previous 3 years.
- Non refractory epilepsy patients
- Patients suffering any other clinically significant disease e.g. cancers, progressive neurological disorder, heart failure, respiratory failure etc
- Patients who are pregnant or who are intending on getting pregnant within the period of the trial.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
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Beaumont Hospital, Dublin, Ireland
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St. James' Hospital, Dublin, Ireland
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Hôpital Erasme, Brussels, Belgium
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Duke Medical Centre, North Carolina, USA
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The Institute of Neurology/University College London, UK
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Seizure frequency
Tidsramme: Recorded daily by participant. Passed on to study researchers every 3 months for an 18 month period
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We will record seizure type and frequency.
Seizure types will follow definitions as provided by the International League Against Epilepsy.
Seizure frequency will be as recorded by the participant in a seizure diary.
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Recorded daily by participant. Passed on to study researchers every 3 months for an 18 month period
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Maintenance dose
Tidsramme: Recorded every three months for an 18 month period
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Maintenance dose will be defined as the tolerated daily dose required by the patient for seizure control.
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Recorded every three months for an 18 month period
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Adverse drug reactions
Tidsramme: Recorded as reaction arise during the 18 month study period
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We will record any adverse reactions recorded by the study participant, including for example (but not limited to): dizziness, ataxia, vomiting, diplopia, nausea, vertigo, and vision blurred.
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Recorded as reaction arise during the 18 month study period
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Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Norman Delanty, MB FRCPI, Beaumont Hospital and Royal College of Surgeons in Ireland
- Ledende efterforsker: Gianpiero L Cavalleri, PhD, Royal College of Surgeons in Ireland
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- RCSI_LCM
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Kliniske forsøg med Epilepsi
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Boston Children's HospitalRekrutteringEpilepsi | Bevægelsesforstyrrelser | Dyskinesier | Ataksi | Neurologisk lidelse | Chorea | Myoklonus | Dyskinesi | Dystoni lidelse | Epilepsi hos børn | EDS | Bevægelsesforstyrrelser hos børn | Epilepsy-dyskinesi | Epilepsi-dyskinesi synkdomForenede Stater