MedPath

Rufinamide Given as Adjunctive Therapy in Participants With Refractory Partial Seizures

Phase 3
Completed
Conditions
Epilepsy
Interventions
Drug: Placebo
Registration Number
NCT00334958
Lead Sponsor
Eisai Inc.
Brief Summary

To evaluate the effect of rufinamide on total partial seizure frequency in adolescent and adult participants (12 to 80 years, inclusive) with refractory partial onset seizures maintained on a maximum of 3 stable antiepileptic drugs (AEDs).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
356
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboFor 12-day Titration Phase and 12 week Maintenance Phase, placebo tablets matching to rufinamide 400 mg oral tablets will be administered according to the same regimen scheme as described for rufinamide. For 12-day Titration Phase, 1 matching placebo tablet will be administered twice daily and increased by 1 tablet every 3 days up to maximum of 4 matching placebo tablets twice daily (placebo tablet matched to rufinamide total daily dose of 3200 mg). For the 12 week maintenance phase, 4 placebo tablets matching to rufinamide maintenance doses of 1600 mg twice daily (3200 mg total daily dose) will be administered. Similar to the dose reduction permitted in the rufinamide group, participants in placebo group will be allowed only during the Titration Phase to have the dose reduced to 3 tablets twice daily.
RufinamideRufinamideFor the 12-day Titration Phase, rufinamide will be administered orally in doses starting with 400 milligram (mg) twice daily and increased every 3 days in 400 mg twice daily increments up to 1600 mg twice daily (total daily dose 3200 mg). For the 12 week Maintenance Phase, maintenance doses of 1600 mg twice daily (3200 mg total daily dose) will be administered. Participants unable to tolerate the target dose (3200 mg/day) will be allowed only during the Titration Phase to have the dose reduced to 3 tablets twice daily (corresponding to a dose of 2400 mg/day in the rufinamide group).
Primary Outcome Measures
NameTimeMethod
Percentage Change in Total Partial Seizure Frequency Per 28 Days During Maintenance Phase Relative to the Baseline PhaseBaseline, Days 13 to 96

Seizure data was collected via patient diary, which was used to record daily seizure count and type. Intent-to-treat (ITT) population: All randomized participants who had baseline Patient Seizure Diary data and had at least completed the titration period.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With 50% or Greater Reduction in Total Partial Seizure Frequency Per 28 Days During the Maintenance Phase Relative to the Baseline PhaseBaseline, Days 13 to 96

Seizure data was collected via patient diary, which was used to record daily seizure count and type.

Log10 Transformed Total Partial Seizure Frequency Per 28 Days During the Baseline Phase and Maintenance PhaseDays 13 to 96

Total partial seizure frequencies per 28 days during the double-blind Maintenance and Baseline Phases were transformed using logarithms to the base 10 (log10), because it was expected from previous studies that the results would not be normally distributed.

Reduction From Baseline in Total Partial Seizure Frequency Rate (RRATIO) During Maintenance PhaseBaseline, Days 13 to 96

RRATIO= 100\*(T-B)/(T+B) where T= total seizure frequency per 28 days during the Maintenance Phase, and B=total seizure frequency per 28 days during the Baseline Phase.

Trial Locations

Locations (77)

University of South Alabama Medical Center

🇺🇸

Mobile, Alabama, United States

Bradenton Research Center

🇺🇸

Bradenton, Florida, United States

Advocate Hope Children's Hospital

🇺🇸

Oak Lawn, Illinois, United States

John Hopkins Hospital, Dept. of Neurology

🇺🇸

Baltimore, Maryland, United States

The Comprehensive Epilepsy Care Center for Children and Adults

🇺🇸

Chesterfield, Missouri, United States

Asheville Neurology Specialists, PA

🇺🇸

Asheville, North Carolina, United States

Hospital of the University of Pennsylvania, Dept. of Neurology

🇺🇸

Philadelphia, Pennsylvania, United States

University of Texas Southwestern Medical Center at Dallas

🇺🇸

Dallas, Texas, United States

University of Vermont, College of Medicine, Clinical Neurophysiology Lab

🇺🇸

Burlington, Vermont, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

Children's Hospital of Pittsburgh - Dept of Pediatrics

🇺🇸

Pittsburgh, Pennsylvania, United States

Children's Memorial Hospital, Northwest University

🇺🇸

Chicago, Illinois, United States

Cleveland Clinic Foundation, Dept. of Neurology

🇺🇸

Cleveland, Ohio, United States

University of Texas - Dept of Neurology

🇺🇸

Houston, Texas, United States

University of Washington, Harborview Medical Center, Regional Epilepsy Center

🇺🇸

Seattle, Washington, United States

Medical College of Georgia, Dept. of Neurology

🇺🇸

Augusta, Georgia, United States

Clinical Trials, Inc

🇺🇸

Little Rock, Arkansas, United States

Neuro-Pain Medical Center, Inc.

🇺🇸

Fresno, California, United States

Neurology Center

🇺🇸

Oceanside, California, United States

Medical Associates of North Georgia

🇺🇸

Canton, Georgia, United States

Saint Louis University

🇺🇸

Saint Louis, Missouri, United States

New York University Medical Centre, Comprehensive Epilepsy Center

🇺🇸

New York, New York, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

Weill Cornell Medical Center, Comprehensive Epilepsy Center

🇺🇸

New York, New York, United States

University of Arizona, Dept. of Neurology

🇺🇸

Tucson, Arizona, United States

Bay Medical Center

🇺🇸

Panama City, Florida, United States

University of Tennessee Health Sciences Center, Dept. of Neurology

🇺🇸

Memphis, Tennessee, United States

Five Towns Neuroscience Research

🇺🇸

Lawrence, New York, United States

Baylor Medical Center of Irving

🇺🇸

Irving, Texas, United States

Blair Medical Associates, Inc.

🇺🇸

Altoona, Pennsylvania, United States

Neurological Clinic of Texas, PA

🇺🇸

Dallas, Texas, United States

Fletcher Allen Healthcare

🇺🇸

Burlington, Vermont, United States

Via Christi Comprehensive Epilepsy Center

🇺🇸

Wichita, Kansas, United States

University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

University of Minnesota, Dept. of Neurology

🇺🇸

Minneapolis, Minnesota, United States

California Pacific Epilepsy

🇺🇸

San Francisco, California, United States

Duke Health Center at Morreene Road

🇺🇸

Durham, North Carolina, United States

Access Clinical Trials, Inc

🇺🇸

Nashville, Tennessee, United States

Mayo Clinic Epilepsy and Neurology

🇺🇸

Phoenix, Arizona, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

Neurology Clinic PC

🇺🇸

Northport, Alabama, United States

Georgetown University Hospital, Dept. of Neurology

🇺🇸

Washington, District of Columbia, United States

Pediatric Neurologists of Palm Beach

🇺🇸

Loxahatchee Groves, Florida, United States

University of Florida, The Neuroscience Institute at Shands

🇺🇸

Jacksonville, Florida, United States

Boston University Medical Center, Dept. of Neurology

🇺🇸

Boston, Massachusetts, United States

Hattiesburg Clinic

🇺🇸

Hattiesburg, Mississippi, United States

Dartmouth Medical School Neuroscience Center

🇺🇸

Lebanon, New Hampshire, United States

The Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Mid-South Physicians Group, PLLC

🇺🇸

Germantown, Tennessee, United States

UT Medical Group

🇺🇸

Memphis, Tennessee, United States

Epilepsy and Neurodevelopment, Inc.

🇺🇸

West Jordan, Utah, United States

Texas Tech University Health Sciences Center, Dept. of Neuropsychiatry

🇺🇸

El Paso, Texas, United States

Minnesota Epilepsy Group, PC

🇺🇸

Saint Paul, Minnesota, United States

Children's National Medical Center

🇺🇸

Washington, District of Columbia, United States

Child Neurology Associates, PC

🇺🇸

Atlanta, Georgia, United States

Saint John's Medical Research

🇺🇸

Springfield, Missouri, United States

University of Massachusetts, Neurology Associates

🇺🇸

Hopedale, Massachusetts, United States

Advocate Lutheran General Children's Hospital

🇺🇸

Park Ridge, Illinois, United States

Mcfarland Clinic

🇺🇸

Ames, Iowa, United States

Southern Illinois University Neurology and Pharmacology

🇺🇸

Springfield, Illinois, United States

Children's Hospital Boston

🇺🇸

Boston, Massachusetts, United States

Ronald Schwartz, M.D.

🇺🇸

Hattiesburg, Mississippi, United States

Hospital of The University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Washington University

🇺🇸

Saint Louis, Missouri, United States

Medical University of Ohio at Toledo, Dept. of Neurology

🇺🇸

Toledo, Ohio, United States

Nemours Children's Clinic

🇺🇸

Orlando, Florida, United States

Pediatric Neurology - PA

🇺🇸

Orlando, Florida, United States

University of Southern Florida, Dept. of Neurology

🇺🇸

Tampa, Florida, United States

University of North Carolina at Chapel Hill, Dept. of Neurology

🇺🇸

Chapel Hill, North Carolina, United States

University of Florida, Dept. of Neurology

🇺🇸

Gainesville, Florida, United States

Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

The Queen's Medical Center

🇺🇸

Honolulu, Hawaii, United States

University of Kentucky, Dept. of Neurology

🇺🇸

Lexington, Kentucky, United States

Montefiore Medical Center, Albert Einstein College of Medicine

🇺🇸

Bronx, New York, United States

University of Wisconsin, Dept. of Neurology

🇺🇸

Madison, Wisconsin, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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