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A Multi-center RWS of Perampanel as an add-on Treatment for Epileptic Seizures in Chinese Children

Conditions
Epilepsy
Interventions
Registration Number
NCT05274035
Lead Sponsor
Beijing Children's Hospital
Brief Summary

This study is a multi-center, real-word clinical trial. The purpose of this study is to evaluate the safety and effectiveness of perampanel as an add-on treatment for epileptic seizure, and to find the effective maintenance and maximum dose in Chinese children. The enrolled subjects were epilepsy patients between 2 and 12 years of age who had failed clinical treatment with 1-3 anti-epileptic drugs (AEDs) with the optimal dose and course of treatment and needed additional treatment. The study was a real-world prospective clinical study, and the initial and maximum doses of perampanel were individualized by neurologists according to the patient's clinical situation.

Detailed Description

This is a multi-center, prospective, observational study. Subjects who meet all of the inclusion and none of the exclusion criteria will be received perampanel. Baseline seizure counts (frequency) data is collected by subjects or guardian/legally authorized representative, retrospectively.

It is expected to enroll 1000 patients with epilepsy who are eligible for inclusion enrollment and receiving Perampenal from July 2021 to November 2021. The initial and maximum doses of perampanel were individualized by neurologists according to the patient's clinical situation. The patients were followed up for 6 months and recorded the frequency of seizures and self-assessment of improvement. Safety will be assessed by monitoring and recording of all of AEs and serious adverse events (SAEs), discontinuation during 6 months treatment (patient spontaneous reporting).

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1000
Inclusion Criteria
  • Age ≥2y, ≤12y;
  • Within 3 months before taking perampanel, the frequency of epileptic seizures was ≥1 time/month on average;
  • 1-3 kinds of AEDs have been used, and the optimal dose and course of treatment have been reached, but the effect is not good. Perampanel is used as an additional treatment.
Exclusion Criteria
  • Patients who have participated in other researches on antiepileptic drugs or medical devices;
  • Inaccurate or unreliable clinical records according to the judgment of participating doctors;
  • When the database is closed, the expected follow-up time is less than 6 months.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
PerampanelPerampanelEpilepsy patients who had failed clinical treatment with 1-3 anti-epileptic drugs (AEDs) with the optimal dose and course of treatment and needed perampanel additional treatment.
Primary Outcome Measures
NameTimeMethod
50% response rate of Perampanel6 months

Proportion of subjects who have at least 50% reduction in total seizure frequency during the Maintenance Period relative to the Baseline

Secondary Outcome Measures
NameTimeMethod
Seizure-free rate of Perampanel6 months

Proportion of subjects who achieve seizure-free status for total seizure during the Maintenance Period

Incidence of AEs and discontinuation [Safety and Tolerability]6 months

Incidence of all of adverse events (AEs), serious adverse events (SAEs) and discontinuation from treatment

Retention rate of Perampanel6 months

Percentage of subjects still using perampanel after the Maintenance Period

Trial Locations

Locations (5)

Beijing Children's Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Jinan Children's Hospital

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Jinan, Shandong, China

Wuhan Children's Hospital, Tongji Medical College of Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

Tianjin Children's Hospital

🇨🇳

Tianjin, Tianjin, China

XuZhou Children's Hospital

🇨🇳

XuZhou, Jiangsu, China

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