BHV-7000が難治性局所発症てんかんの成人に対して有効かつ安全であるかどうかを判断する研究 (RISE 2)
難治性局所発症てんかん患者における BHV-7000 の有効性、安全性、忍容性を評価するための第 2/3 相多施設共同無作為化二重盲検プラセボ対照試験
The purpose of this study is to determine whether BHV-7000 is effective in the treatment of refractory focal epilepsy.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
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.
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- フェーズ2
- フェーズ 3
連絡先と場所
研究場所
-
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Arizona
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Phoenix、Arizona、アメリカ、85013
- Barrow Neurological Institute
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Tucson、Arizona、アメリカ、85718
- Center for Neurosciences
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Arkansas
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Little Rock、Arkansas、アメリカ、72205
- Clinical Trials, Inc.
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California
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La Jolla、California、アメリカ、92041
- University of California San Diego
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Los Angeles、California、アメリカ、90095
- University of California, Los Angeles
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Palo Alto、California、アメリカ、94304
- Stanford Health Care
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Pasadena、California、アメリカ、91105
- Profound Research LLC
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Colorado
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Aurora、Colorado、アメリカ、80045
- University of Colorado Anschultz Medical Campus
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Connecticut
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New Haven、Connecticut、アメリカ、06519
- Yale School of Medicine - Yale-New Haven Hospital
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Florida
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Boca Raton、Florida、アメリカ、33486
- EZR Research LLC
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Bradenton、Florida、アメリカ、34209
- Nova Clinical Research, LLC
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Jacksonville、Florida、アメリカ、32209
- University of Florida (Jacksonville)
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Miami、Florida、アメリカ、33136
- University of Miami
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Port Charlotte、Florida、アメリカ、33952
- Medsol Clinical Research Center
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Tampa、Florida、アメリカ、33615
- Santos Research Center
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Weston、Florida、アメリカ、33331
- Encore Medical Research of Weston LLC.
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Georgia
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Augusta、Georgia、アメリカ、30912
- Augusta University
-
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Hawaii
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Honolulu、Hawaii、アメリカ、96817
- Hawaii Pacific Neuroscience
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Idaho
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Boise、Idaho、アメリカ、83702
- Consultants in Epilepsy & Neurology, PLLC
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Illinois
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Chicago、Illinois、アメリカ、60611
- Northwestern University
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Elgin、Illinois、アメリカ、60123
- Revive Research Institute, Inc.
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Kentucky
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Lexington、Kentucky、アメリカ、40504
- Bluegrass Epilepsy Research
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Maryland
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Bethesda、Maryland、アメリカ、20817
- MAESC
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Silver Spring、Maryland、アメリカ、20901
- Javara
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Minnesota
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Roseville、Minnesota、アメリカ、55113
- Minnesota Epilepsy Group, P.A.
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Missouri
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St Louis、Missouri、アメリカ、63110
- Washington University School of Medicine
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New Jersey
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Hackensack、New Jersey、アメリカ、07601
- NEREG
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Livingston、New Jersey、アメリカ、07039
- Inst of Neurology
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New York
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Amherst、New York、アメリカ、14226
- Dent Neurosciences Research Center
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Hawthorne、New York、アメリカ、10532
- BCHP
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New York、New York、アメリカ、10021
- Northwell Health
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Stony Brook、New York、アメリカ、11794
- Stony Brook Medicine
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Woodmere、New York、アメリカ、11598
- Five Towns Neuroscience Research
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North Carolina
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Winston-Salem、North Carolina、アメリカ、27157
- Wake Forest Baptist
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Ohio
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Canton、Ohio、アメリカ、44718
- NeuroScience Research Center
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Cincinnati、Ohio、アメリカ、45267
- University of Cincinnati
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Columbus、Ohio、アメリカ、43214
- OSU
-
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Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19104
- University of Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19107
- Thomas Jefferson University
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Pittsburgh、Pennsylvania、アメリカ、15213
- UPMC
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Tennessee
-
Nashville、Tennessee、アメリカ、37232
- Vanderbilt University Medical Center
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Texas
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Dallas、Texas、アメリカ、75243
- Neurology Consultants of Dallas, PA
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Fort Worth、Texas、アメリカ、76104
- Tarrant Neurology Consultants
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San Antonio、Texas、アメリカ、78229
- UT Health San Antonio
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San Antonio、Texas、アメリカ、78249
- Road Runner Research, Ltd
-
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Utah
-
Salt Lake City、Utah、アメリカ、84132
- University of Utah
-
-
Virginia
-
Charlottesville、Virginia、アメリカ、22903
- University of Virginia
-
Richmond、Virginia、アメリカ、23235
- Henrico Doctors Neurology Associates, LLC
-
Roanoke、Virginia、アメリカ、24011
- Carilion Clinic
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-
-
-
-
Buenos Aires、アルゼンチン、C1181ACH
- Hospital Italiano de Buenos Aires
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Buenos Aires、アルゼンチン、C1428AQK
- Fundación Para La Lucha Contra Las Enfermedades Neurológicas de La Infancia - FLENI
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Buenos Aires、アルゼンチン、C1039AAO
- Sanatorio de la Trinidad - Mitre
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Córdoba、アルゼンチン、X5004AOA
- Instituto Privado Kremer
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Córdoba、アルゼンチン、X5008HHW
- Conci Carpinella - Santa Rosa N° 748
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Buenos Aires
-
Ciudad Autónoma de Buenos Aires、Buenos Aires、アルゼンチン、C1013AAB
- STAT Research S.A.
-
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Ciudad Autónoma de BuenosAires
-
Balvanera、Ciudad Autónoma de BuenosAires、アルゼンチン、C1221ADC
- Hospital General de Agudos Dr. José María Ramos Mejia
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Buenos Aires、Ciudad Autónoma de BuenosAires、アルゼンチン、C1437JCH
- Hospital Británico de Buenos Aires
-
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Tucumán Province
-
San Miguel de Tucumán、Tucumán Province、アルゼンチン、T4000AXL
- Investigaciones Sanatorio Del Sur
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-
-
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North Brabant
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Heeze、North Brabant、オランダ、5591 VE
- Kempenhaeghe - PPDS
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North Holland
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Heemstede、North Holland、オランダ、2103 SW
- Stichting Epilepsie Instellingen Nederland - Heemstede
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Overijssel
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Zwolle、Overijssel、オランダ、8025 BV
- Stichting Epilepsie Instellingen Nederland - Dokter Denekampweg 20
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-
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Salzburg、オーストリア、5020
- Christian Doppler-Klinik - Universitätsklinikum der PMU
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Sankt Pölten、オーストリア、3100
- Universitätsklinikum St. Pölten
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Vienna、オーストリア、1090
- Medizinische Universitat Wien (Medical University of Vienna)
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Upper Austria
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Linz、Upper Austria、オーストリア、4020
- Kepler Universitätsklinikum Linz - Med Campus III
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-
-
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Zürich (de)
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Zurich、Zürich (de)、スイス、8008
- Klinik Lengg AG
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-
-
-
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Maribor、スロベニア、2000
- University Clinical Centre Maribor
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-
-
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South Moravian
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Brno、South Moravian、チェコ、602 00
- Fakultni nemocnice u sv. Anny v Brne
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-
-
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Araucania
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Temuco、Araucania、チリ、4780000
- Centro de especialidades médicas Vanguardia
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Región-MetropolitanadeSantiago
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Santiago、Región-MetropolitanadeSantiago、チリ、8260094
- Hospital Padre Hurtado
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Santiago、Región-MetropolitanadeSantiago、チリ、8320000
- BIOCINETIC Ltda
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Santiago、Región-MetropolitanadeSantiago、チリ、8320000
- Centro de Investigacion Clinica UC
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Valparaiso
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Viña del Mar、Valparaiso、チリ、2520021
- Instituto Neurologico Thalamus
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-
-
-
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Budapest、ハンガリー、1145
- SE INK Juhasz Pal Epilepszia Központ
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Budapest、ハンガリー、1106
- Budapesti Bajcsy-Zsilinszky Korhaz es Rendelointezet
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Baranya
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Pécs、Baranya、ハンガリー、7623
- Pécsi Tudományegyetem Klinikai Kozpont -Ret u.
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Hajdú-Bihar
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Debrecen、Hajdú-Bihar、ハンガリー、4031
- Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus
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-
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Rennes、フランス、35033
- Hôpital Pontchaillou
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Bas-Rhin
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Strasbourg、Bas-Rhin、フランス、67000
- CHU de Strasbourg - Hôpital de Hautepierre
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Côte-d'Or
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Dijon、Côte-d'Or、フランス、21000
- CHU Dijon Bourgogne
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Haute-Garonne
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Toulouse、Haute-Garonne、フランス、31059
- CHU de Toulouse-Hôpital Pierre-Paul Riquet-Site de Purpan
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Hérault
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Montpellier、Hérault、フランス、34295
- CHU de Montpellier- Hôpital Gui De Chauliac
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Indre-et-Loire
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Tours、Indre-et-Loire、フランス、37000
- CHRU de Tours - Hôpital Bretonneau
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Meurthe-et-Moselle
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Nancy、Meurthe-et-Moselle、フランス、54000
- CHRU Nancy
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Nord
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Lille、Nord、フランス、59037
- CHU de Lille - Hopital Claude Huriez
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Rhône
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Lyon、Rhône、フランス、69003
- Hospices Civils de Lyon - 59 Bd Pinel
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-
-
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Antwerpen
-
Edegem、Antwerpen、ベルギー、2650
- UZ Antwerpen
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Brussels Capital
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Anderlecht、Brussels Capital、ベルギー、1070
- Hôpital Erasme
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Brussels、Brussels Capital、ベルギー、1200
- Cliniques Universitaires Saint-Luc
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Namur
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Yvoir、Namur、ベルギー、5530
- CHU UCL Namur - Site Godinne
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Oost-Vlaanderen
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Ghent、Oost-Vlaanderen、ベルギー、9000
- UZ Gent
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-
-
-
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Gdansk、ポーランド、80-803
- Copernicus Podmiot Leczniczy Sp. z o.o. - ul. Nowe Ogrody 1-6
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Katowice、ポーランド、40-594
- Novo-Med Zielinski i wsp. Sp.J. - ul. Brynowska 44
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Krakow、ポーランド、31-156
- LANDA Specjalistyczne Gabinety Lekarskie
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Krakow、ポーランド、30-727
- Pratia MCM Kraków
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Greater Poland Voivodeship
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Poznan、Greater Poland Voivodeship、ポーランド、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、ポーランド、20-078
- Clinical Best Solutions - Lublin
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Świdnik、Lublin Voivodeship、ポーランド、21-040
- NZOZ IGNIS dr med. Alicja Lobinska
-
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Lubusz Voivodeship
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Nowa Sól、Lubusz Voivodeship、ポーランド、67-100
- Twoja Przychodnia Nowosolskie Centrum Medyczne sp. z o.o
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Lódzkie
-
Lodz、Lódzkie、ポーランド、90-302
- Santa Familia PTG Lodz
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Masovian Voivodeship
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Warsaw、Masovian Voivodeship、ポーランド、02-172
- MTZ Clinical Research Powered by PRATIA - PPDS
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Warsaw、Masovian Voivodeship、ポーランド、02-829
- Neurosphera SP. Z O.O
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Warsaw、Masovian Voivodeship、ポーランド、02-957
- Instytut Psychiatrii i Neurologii
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Pomeranian Voivodeship
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Gdansk、Pomeranian Voivodeship、ポーランド、80-546
- Centrum Badan Klinicznych PI-House sp. z o.o.
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Key Inclusion Criteria:
-
Male and Female participants 18 to 75 years of age at time of consent.
-
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
-
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.
-
Ability to keep accurate seizure diaries
-
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:順次割り当て
- マスキング:4倍
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:BHV-7000 25 mg Part 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 |
|
実験的:BHV-7000 50 mg Part 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 |
|
プラセボコンパレーター:プラセボ パートA
|
Matching placebo taken once daily |
|
実験的:BHV-7000 75 mg パートB
|
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 |
|
プラセボコンパレーター:プラセボ パートB
|
Matching placebo taken once daily |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Part B: Change from Baseline in 28-day average seizure frequency
時間枠: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
時間枠: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
時間枠: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
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Part B: Percentage of Participants with at at least 50% reduction in seizure frequency per month
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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)
時間枠: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
時間枠: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
時間枠: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
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- BHV7000-302
- 2023-508539-30 (レジストリ識別子:EU CTR)
- 2023 (米国 NIH グラント/契約)
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。