An Open-label Eslicarbazepine Acetate Long-term Safety and Tolerability Study in Children and Adolescents (4 - 17 Years)
Overview
- Phase
- Phase 3
- Intervention
- Eslicarbazepine acetate
- Conditions
- Epilepsy
- Sponsor
- Sumitomo Pharma America, Inc.
- Locations
- 1
- Primary Endpoint
- Number of subjects with adverse events (AEs).
- Status
- Withdrawn
- Last Updated
- 8 years ago
Overview
Brief Summary
A pediatric drug study to determine the long-term safety and tolerability in children and adolescents (4-17 years in age) taking the drug (elsicarbazepine acetate)
Detailed Description
This is a long-term, multicenter, open-label, safety, tolerability, and maintenance of effect study of flexible daily dosing with Eslicarbazepine acetate (ESL) in subjects 4 to 17 years of age with partial onset seizures (POS). The study is designed to enroll subjects to receive ESL as adjunctive treatment with the option to convert to ESL monotherapy after 6 months of ESL adjunctive treatment. Approximately 150 subjects will be enrolled to obtain approximately 75 subjects completing 1 year of treatment. At least 25% of subjects will be enrolled in each age group (4 - 6, 7 - 11, and 12 - 17 years of age). An attempt will be made to enroll no fewer than 30% of subjects in each gender. It is anticipated that approximately 50 subjects will convert to monotherapy during the study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject is male or female, 4 to \< 18 y at enrollment, and weighs at least 11 kg at Screening and on the first day of ESL dosing.
- •The informed consent must be signed by the 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. All subjects in the United States (US) must have a parent or legal guardian, sign a Health Insurance Portability and Accountability Act (HIPAA) form.
- •Confirmed diagnosis of epilepsy with partial onset seizures as defined in the Classification of Seizures of the International League Against Epilepsy:
- •Epilepsy with partial onset seizures with observable motor component, or complex partial seizures, with or without secondary generalization
- •Documented EEG recording without generalized epileptiform abnormalities and with demonstrated focal abnormalities (done within 5 years prior to screening)
- •Documented magnetic resonance imaging (MRI) scan conducted within 5 years (older scans may be acceptable with consent of Medical Monitor) prior to screening, showing either normal results or static focal abnormalities.
- •Documented seizure frequency of at least 6 seizures per month prior to screening as reported by a caregiver and documented in subject's seizure history. Note: Retrospective reporting of seizure frequency does not require diary documentation.
- •Stable treatment with 1 to 3 AEDs (excluding carbamazepine and oxcarbazepine) for ≥ 2 weeks prior to screening and at least 4 weeks prior to the first ESL dose. Vagal nerve stimulation (if present) does not count as an AED.
- •Subject and/or caregiver are willing and able to complete a daily seizure diary for the duration of the study and comply with study procedures.
- •A female subject is eligible to enter and participate in the study if she is of:
Exclusion Criteria
- •Subject has had prior exposure to or previously participated in a clinical study with ESL.
- •Subject has a history of allergic reaction to oxcarbazepine or carbamazepine, or a history of serious allergic reaction (Stevens Johnson syndrome, Drug Reaction with Eosinophilia and Systemic Symptoms \[DRESS\] or similar) to any AED, or a history of serious allergic reactions to other medications.
- •Subject has had an EEG showing generalized discharges.
- •Subject has had any of the following seizure types at any time: myoclonic, absence, or atonic.
- •Subject has Lennox-Gastaut Syndrome or other secondary generalized epilepsy (including inborn errors of metabolism), or Benign Rolandic Epilepsy.
- •Subject has a current diagnosis or a history of psychogenic seizures.
- •Subject has current seizures related to an acute medical illness.
- •Subject has purely subjective seizures.
- •Subject has had status epilepticus while taking any seizure medicine in the 3 years prior to screening.
- •Subject should not have had febrile illness ≤ 2 weeks prior to screening.
Arms & Interventions
eslicarbazepine acetate
elicarbazepine acetate, once daily flexible dosing
Intervention: Eslicarbazepine acetate
Outcomes
Primary Outcomes
Number of subjects with adverse events (AEs).
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Number of subjects with adverse events (AEs).
Percentage of subjects with adverse events (AEs).
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Percentage of subjects with adverse events (AEs).
Number of subjects with serious adverse events (SAEs).
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Number of subjects with serious adverse events (SAEs).
Percentage of subjects with serious adverse events (SAEs).
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Percentage of subjects with serious adverse events (SAEs).
Number of subjects with adverse events (AEs) leading to discontinuation.
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Number of subjects with adverse events (AEs) leading to discontinuation.
Percentage of subjects with adverse events (AEs) leading to discontinuation.
Time Frame: From the time the informed consent is signed to the end of the study, assessed up to 2 years
Percentage of subjects with adverse events (AEs) leading to discontinuation.