- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT06132893
Eine Studie zur Feststellung, ob BHV-7000 bei Erwachsenen mit refraktärer fokaler Epilepsie wirksam und sicher ist (RISE 2)
Eine multizentrische, randomisierte, doppelblinde, placebokontrollierte Phase-2/3-Studie zur Bewertung der Wirksamkeit, Sicherheit und Verträglichkeit von BHV-7000 bei Patienten mit refraktärer fokaler Epilepsie
The purpose of this study is to determine whether BHV-7000 is effective in the treatment of refractory focal epilepsy.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
This study has two parts, Part A and Part B. Part A is randomized 1:1:1 25 mg of BHV-7000, 50 mg of BHV-7000 or matching placebo. Part B is randomized 1:1 75mg BHV-7000 or matching placebo. Part B will start after Part A.
Studientyp
Einschreibung (Geschätzt)
Phase
- Phase 2
- Phase 3
Kontakte und Standorte
Studienorte
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Buenos Aires, Argentinien, C1181ACH
- Hospital Italiano de Buenos Aires
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Buenos Aires, Argentinien, C1428AQK
- Fundación Para La Lucha Contra Las Enfermedades Neurológicas de La Infancia - FLENI
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Buenos Aires, Argentinien, C1039AAO
- Sanatorio de la Trinidad - Mitre
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Córdoba, Argentinien, X5004AOA
- Instituto Privado Kremer
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Córdoba, Argentinien, X5008HHW
- Conci Carpinella - Santa Rosa N° 748
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Buenos Aires
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Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentinien, C1013AAB
- STAT Research S.A.
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Ciudad Autónoma de BuenosAires
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Balvanera, Ciudad Autónoma de BuenosAires, Argentinien, C1221ADC
- Hospital General de Agudos Dr. José María Ramos Mejia
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Buenos Aires, Ciudad Autónoma de BuenosAires, Argentinien, C1437JCH
- Hospital Británico de Buenos Aires
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Tucumán Province
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San Miguel de Tucumán, Tucumán Province, Argentinien, T4000AXL
- Investigaciones Sanatorio Del Sur
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Antwerpen
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Edegem, Antwerpen, Belgien, 2650
- UZ Antwerpen
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Brussels Capital
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Anderlecht, Brussels Capital, Belgien, 1070
- Hôpital Erasme
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Brussels, Brussels Capital, Belgien, 1200
- Cliniques Universitaires Saint-Luc
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Namur
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Yvoir, Namur, Belgien, 5530
- CHU UCL Namur - Site Godinne
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Oost-Vlaanderen
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Ghent, Oost-Vlaanderen, Belgien, 9000
- UZ Gent
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Araucania
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Temuco, Araucania, Chile, 4780000
- Centro de especialidades médicas Vanguardia
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Región-MetropolitanadeSantiago
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Santiago, Región-MetropolitanadeSantiago, Chile, 8260094
- Hospital Padre Hurtado
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Santiago, Región-MetropolitanadeSantiago, Chile, 8320000
- BIOCINETIC Ltda
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Santiago, Región-MetropolitanadeSantiago, Chile, 8320000
- Centro de Investigacion Clinica UC
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Valparaiso
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Viña del Mar, Valparaiso, Chile, 2520021
- Instituto Neurologico Thalamus
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Rennes, Frankreich, 35033
- Hôpital Pontchaillou
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Bas-Rhin
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Strasbourg, Bas-Rhin, Frankreich, 67000
- CHU de Strasbourg - Hôpital de Hautepierre
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Côte-d'Or
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Dijon, Côte-d'Or, Frankreich, 21000
- CHU Dijon Bourgogne
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Haute-Garonne
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Toulouse, Haute-Garonne, Frankreich, 31059
- CHU de Toulouse-Hôpital Pierre-Paul Riquet-Site de Purpan
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Hérault
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Montpellier, Hérault, Frankreich, 34295
- CHU de Montpellier- Hôpital Gui De Chauliac
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Indre-et-Loire
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Tours, Indre-et-Loire, Frankreich, 37000
- CHRU de Tours - Hôpital Bretonneau
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Meurthe-et-Moselle
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Nancy, Meurthe-et-Moselle, Frankreich, 54000
- CHRU Nancy
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Nord
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Lille, Nord, Frankreich, 59037
- CHU de Lille - Hopital Claude Huriez
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Rhône
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Lyon, Rhône, Frankreich, 69003
- Hospices Civils de Lyon - 59 Bd Pinel
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North Brabant
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Heeze, North Brabant, Niederlande, 5591 VE
- Kempenhaeghe - PPDS
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North Holland
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Heemstede, North Holland, Niederlande, 2103 SW
- Stichting Epilepsie Instellingen Nederland - Heemstede
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Overijssel
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Zwolle, Overijssel, Niederlande, 8025 BV
- Stichting Epilepsie Instellingen Nederland - Dokter Denekampweg 20
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Gdansk, Polen, 80-803
- Copernicus Podmiot Leczniczy Sp. z o.o. - ul. Nowe Ogrody 1-6
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Katowice, Polen, 40-594
- Novo-Med Zielinski i wsp. Sp.J. - ul. Brynowska 44
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Krakow, Polen, 31-156
- LANDA Specjalistyczne Gabinety Lekarskie
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Krakow, Polen, 30-727
- Pratia MCM Kraków
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Polen, 60-702
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Poznaniu
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Lublin Voivodeship
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Lublin, Lublin Voivodeship, Polen, 20-078
- Clinical Best Solutions - Lublin
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Świdnik, Lublin Voivodeship, Polen, 21-040
- NZOZ IGNIS dr med. Alicja Lobinska
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Lubusz Voivodeship
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Nowa Sól, Lubusz Voivodeship, Polen, 67-100
- Twoja Przychodnia Nowosolskie Centrum Medyczne sp. z o.o
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Lódzkie
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Lodz, Lódzkie, Polen, 90-302
- Santa Familia PTG Lodz
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polen, 02-172
- MTZ Clinical Research Powered by PRATIA - PPDS
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Warsaw, Masovian Voivodeship, Polen, 02-829
- Neurosphera SP. Z O.O
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Warsaw, Masovian Voivodeship, Polen, 02-957
- Instytut Psychiatrii i Neurologii
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Polen, 80-546
- Centrum Badan Klinicznych PI-House sp. z o.o.
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Zürich (de)
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Zurich, Zürich (de), Schweiz, 8008
- Klinik Lengg AG
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Maribor, Slowenien, 2000
- University Clinical Centre Maribor
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South Moravian
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Brno, South Moravian, Tschechien, 602 00
- Fakultni nemocnice u sv. Anny v Brne
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Budapest, Ungarn, 1145
- SE INK Juhasz Pal Epilepszia Központ
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Budapest, Ungarn, 1106
- Budapesti Bajcsy-Zsilinszky Korhaz es Rendelointezet
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Baranya
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Pécs, Baranya, Ungarn, 7623
- Pécsi Tudományegyetem Klinikai Kozpont -Ret u.
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Hajdú-Bihar
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Debrecen, Hajdú-Bihar, Ungarn, 4031
- Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus
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Arizona
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Phoenix, Arizona, Vereinigte Staaten, 85013
- Barrow Neurological Institute
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Tucson, Arizona, Vereinigte Staaten, 85718
- Center for Neurosciences
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Arkansas
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Little Rock, Arkansas, Vereinigte Staaten, 72205
- Clinical Trials, Inc.
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California
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La Jolla, California, Vereinigte Staaten, 92041
- University of California San Diego
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Los Angeles, California, Vereinigte Staaten, 90095
- University of California, Los Angeles
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Palo Alto, California, Vereinigte Staaten, 94304
- Stanford Health Care
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Pasadena, California, Vereinigte Staaten, 91105
- Profound Research LLC
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
- University of Colorado Anschultz Medical Campus
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Connecticut
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New Haven, Connecticut, Vereinigte Staaten, 06519
- Yale School of Medicine - Yale-New Haven Hospital
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Florida
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Boca Raton, Florida, Vereinigte Staaten, 33486
- EZR Research LLC
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Bradenton, Florida, Vereinigte Staaten, 34209
- Nova Clinical Research, LLC
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Jacksonville, Florida, Vereinigte Staaten, 32209
- University of Florida (Jacksonville)
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Miami, Florida, Vereinigte Staaten, 33136
- University of Miami
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Port Charlotte, Florida, Vereinigte Staaten, 33952
- Medsol Clinical Research Center
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Tampa, Florida, Vereinigte Staaten, 33615
- Santos Research Center
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Weston, Florida, Vereinigte Staaten, 33331
- Encore Medical Research of Weston LLC.
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Georgia
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Augusta, Georgia, Vereinigte Staaten, 30912
- Augusta University
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Hawaii
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Honolulu, Hawaii, Vereinigte Staaten, 96817
- Hawaii Pacific Neuroscience
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Idaho
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Boise, Idaho, Vereinigte Staaten, 83702
- Consultants in Epilepsy & Neurology, PLLC
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60611
- Northwestern University
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Elgin, Illinois, Vereinigte Staaten, 60123
- Revive Research Institute, Inc.
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Kentucky
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Lexington, Kentucky, Vereinigte Staaten, 40504
- Bluegrass Epilepsy Research
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Maryland
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Bethesda, Maryland, Vereinigte Staaten, 20817
- MAESC
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Silver Spring, Maryland, Vereinigte Staaten, 20901
- Javara
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Minnesota
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Roseville, Minnesota, Vereinigte Staaten, 55113
- Minnesota Epilepsy Group, P.A.
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Missouri
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St Louis, Missouri, Vereinigte Staaten, 63110
- Washington University School of Medicine
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New Jersey
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Hackensack, New Jersey, Vereinigte Staaten, 07601
- NEREG
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Livingston, New Jersey, Vereinigte Staaten, 07039
- Inst of Neurology
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New York
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Amherst, New York, Vereinigte Staaten, 14226
- Dent Neurosciences Research Center
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Hawthorne, New York, Vereinigte Staaten, 10532
- BCHP
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New York, New York, Vereinigte Staaten, 10021
- Northwell Health
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Stony Brook, New York, Vereinigte Staaten, 11794
- Stony Brook Medicine
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Woodmere, New York, Vereinigte Staaten, 11598
- Five Towns Neuroscience Research
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North Carolina
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Winston-Salem, North Carolina, Vereinigte Staaten, 27157
- Wake Forest Baptist
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Ohio
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Canton, Ohio, Vereinigte Staaten, 44718
- NeuroScience Research Center
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Cincinnati, Ohio, Vereinigte Staaten, 45267
- University of Cincinnati
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Columbus, Ohio, Vereinigte Staaten, 43214
- OSU
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- University of Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19107
- Thomas Jefferson University
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15213
- UPMC
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Tennessee
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Nashville, Tennessee, Vereinigte Staaten, 37232
- Vanderbilt University Medical Center
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Texas
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Dallas, Texas, Vereinigte Staaten, 75243
- Neurology Consultants of Dallas, PA
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Fort Worth, Texas, Vereinigte Staaten, 76104
- Tarrant Neurology Consultants
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San Antonio, Texas, Vereinigte Staaten, 78229
- UT Health San Antonio
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San Antonio, Texas, Vereinigte Staaten, 78249
- Road Runner Research, Ltd
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84132
- University of Utah
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22903
- University of Virginia
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Richmond, Virginia, Vereinigte Staaten, 23235
- Henrico Doctors Neurology Associates, LLC
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Roanoke, Virginia, Vereinigte Staaten, 24011
- Carilion Clinic
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Salzburg, Österreich, 5020
- Christian Doppler-Klinik - Universitätsklinikum der PMU
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Sankt Pölten, Österreich, 3100
- Universitätsklinikum St. Pölten
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Vienna, Österreich, 1090
- Medizinische Universitat Wien (Medical University of Vienna)
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Upper Austria
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Linz, Upper Austria, Österreich, 4020
- Kepler Universitätsklinikum Linz - Med Campus III
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Key Inclusion Criteria:
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Male and Female participants 18 to 75 years of age at time of consent.
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Diagnosis of Focal Onset Epilepsy at least 1 year prior to screening visit defined by 2017 International League Against Epilepsy (ILAE) Classification and based on requirements of Epilepsy Adjudication criteria.
a. Focal seizures i. Focal aware seizures with clinically observable signs and/or symptoms ii. Focal impaired awareness seizures iii. Focal to bilateral tonic-clonic seizures
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Subject meets the 2009 ILAE definition of drug resistant epilepsy, failure of adequate trials of two tolerated and appropriately chosen and used anti-seizure medication (ASM) schedules (whether as monotherapies or in combination) to achieve sustained seizure freedom.
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Ability to keep accurate seizure diaries
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Current treatment with at least 1 and up to 3 ASMs and 4 epilepsy treatments in total
Key Exclusion Criteria:
- History of status epilepticus (convulsive status epilepticus for > 5 minutes or focal status epilepticus with impaired consciousness for > 10 minutes) within the last 6 months prior to screening visit that is not consistent with the subject's habitual seizure.
- History of repetitive/cluster seizures (where individual seizures cannot be counted) within the last 6 months prior to screening visit and during observation phase.
- Resection neurosurgery for seizures <4 months prior to the screening visit.
- Radiosurgery performed <2 years prior to the screening visit.
- Subjects with only focal aware nonmotor seizures which involve subjective sensory or psychic phenomena only, without impairment of consciousness or awareness (formally called simple partial seizures), with or without ictal EEG correlation with clinical symptoms.
- Any condition that would interfere with the subject's ability to comply with study instructions, place the subject at unacceptable risk, and/or confound the interpretation of safety or efficacy data from the study, as judged by the Investigator
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Vervierfachen
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: BHV-7000 25 mg Teil A
|
BHV-7000 25 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 50 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 75 mg. Participants willtake blinded investigational product(IP) once daily |
|
Experimental: BHV-7000 50 mg Teil A
|
BHV-7000 25 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 50 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 75 mg. Participants willtake blinded investigational product(IP) once daily |
|
Placebo-Komparator: Placebo Teil A
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Matching placebo taken once daily |
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Experimental: BHV-7000 75 mg Teil B
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BHV-7000 25 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 50 mg. Participants will take blinded investigational product (IP) once daily BHV-7000 75 mg. Participants willtake blinded investigational product(IP) once daily |
|
Placebo-Komparator: Placebo Teil B
|
Matching placebo taken once daily |
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Part B: Change from Baseline in 28-day average seizure frequency
Zeitfenster: Baseline, Week 8 to Week 20 of Part B
|
To compare the efficacy of each of 2 doses of BHV-7000 to placebo as an adjunctive therapy for refractory focal onset epilepsy as measured by the change from OP (observational phase) in 28-day average seizure frequency. The primary objective will be measured by comparing the observation phase (8 weeks) to the 12-week double-blind treatment phase. |
Baseline, Week 8 to Week 20 of Part B
|
|
Part A: Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs
Zeitfenster: Week 8 to Week 20 of Part A
|
To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs. |
Week 8 to Week 20 of Part A
|
|
Part A: Number of Participants With Clinically Significant Laboratory Abnormalities
Zeitfenster: Week 8 to Week 20 of Part A
|
To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 and 4 laboratory abnormalities. |
Week 8 to Week 20 of Part A
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Part B: Percentage of Participants with at at least 50% reduction in seizure frequency per month
Zeitfenster: Baseline, Week 8 to Week 20 of Part B
|
To compare the efficacy of 2 dose strengths of BHV-7000 to placebo as adjunctive therapy for refractory focal onset epilepsy as measured by the proportion of subjects that have at least a 50% reduction in seizures per month (28 days). This objective will be measured by comparing the proportion of subjects with at least a 50% reduction in 28-day average seizure frequency over the course of the 12 week double-blind phase to the observation phase. |
Baseline, Week 8 to Week 20 of Part B
|
|
Part B: Change from Baseline in 28-day average seizure frequency during first month of treatment
Zeitfenster: Baseline, Week 8 to Week 12 of Part B
|
To compare the efficacy of BHV-7000 to placebo during the first month of treatment. This objective will be measured by the change in log-transformed 28-day adjusted seizure frequency from observation phase over the first month of the double blind phase. |
Baseline, Week 8 to Week 12 of Part B
|
|
Part B: Percentage of Participants with at at least 75% reduction in seizure frequency per month
Zeitfenster: Baseline, Week 8 to Week 20 of Part B
|
To compare the efficacy of BHV-7000 to placebo as measured by the proportion of subjects that have at least a 75% reduction in seizures per month (28 days). This objective will be measured by comparing the proportion of subjects with at least a 75% reduction in 28-day average seizure frequency over the course of the double-blind phase compared to the observation phase. |
Baseline, Week 8 to Week 20 of Part B
|
|
Part B: Percentage of Participants with seizure freedom during DB Phase
Zeitfenster: Week 8 to Week 20 of Part B
|
To compare the efficacy of BHV-7000 to placebo on seizure freedom (100% seizure reduction during the DB phase). This objective will be measured by proportion of subjects that are seizure free during the double-blind phase. |
Week 8 to Week 20 of Part B
|
|
Part B: Change from baseline in 7-day adjusted seizure frequency during first week of treatment
Zeitfenster: Baseline, Week 8 to Week 9 of Part B
|
To compare the efficacy of BHV-7000 to placebo during the first week of treatment. This objective will be measured by the change in log-transformed 7-day adjusted seizure frequency from observation phase over the first week of the double-blind phase. |
Baseline, Week 8 to Week 9 of Part B
|
|
Part B: Change from baseline in Patient Global Impression of Change (PGI-C)
Zeitfenster: Baseline, Week 20 of Part B
|
To compare the efficacy of BHV-7000 to placebo on the patient global impression of change (PGI-C). This objective will be measured by proportion of subjects at week 12 of double-blind treatment phase with a PGI-C response of "minimally improved", "much improved" or "very much improved". This scale is a 7-point Likert scale with response options of: (1) "very much improved" , (2) "much improved", (3) "minimally improved", (4) "no change", (5) "minimally worse", (6) "much worse", (7) and "very much worse" |
Baseline, Week 20 of Part B
|
|
Part B: Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs
Zeitfenster: Week 8 to Week 20 of Part B
|
To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs. |
Week 8 to Week 20 of Part B
|
|
Part B: Number of Participants With Clinically Significant Laboratory Abnormalities
Zeitfenster: Week 8 to Week 20 of Part B
|
To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 and 4 laboratory abnormalities. |
Week 8 to Week 20 of Part B
|
Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- BHV7000-302
- 2023-508539-30 (Registrierungskennung: EU CTR)
- 2023 (US NIH Stipendium/Vertrag)
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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