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A Double-Blind, Randomized, Placebo-Controlled, Phase 2 Trial of YKP3089 as Adjunctive Therapy in Subjects With Partial Onset Seizures

Phase 2
Completed
Conditions
Partial Epilepsy
Interventions
Drug: Placebo
Registration Number
NCT01866111
Lead Sponsor
SK Life Science, Inc.
Brief Summary

This is a multicenter, double-blind, randomized, placebo-controlled dose response study, with an 8-week prospective baseline and an 18 week double-blind treatment period (including a 6-week titration phase and 12 week maintenance phase), followed by a 3-week blinded study drug taper period (for subjects leaving the study) or a 2-week blinded conversion period (for subjects who will participate in the open-label extension).

The primary objective of this study is to determine the effective dose range of YKP3089 as adjunctive therapy for the treatment of partial seizures.

The trial will also evaluate the safety and tolerability of YKP3089 in the partial epilepsy population.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
437
Inclusion Criteria
  • Weight at least 40 kg
  • A diagnosis of partial epilepsy according to the International League Against Epilepsy's Classification of Epileptic Seizures. Diagnosis should have been established by clinical history and an electroencephalogram (EEG) that is consistent with localization related epilepsy; normal interictal EEGs will be allowed provided that the subject meets the other diagnosis criterion (ie, clinical history)
  • Have uncontrolled partial seizures despite having been treated with at least 1 AED within approximately the last 2 years
  • During the 8-week baseline period, subjects must have at least 8 partial seizures including only simple partial seizures with motor component, complex partial seizures, or secondarily generalized seizures without a seizure-free interval of greater than 25 days any time during the 8 weeks baseline. Subjects must have at least 3 of these partial seizures during each of the two consecutive 4-week segments of the baseline period
  • Currently on stable antiepileptic treatment regimen.
Exclusion Criteria
  • A history of nonepileptic or psychogenic seizures
  • Presence of only nonmotor simple partial seizures or primary generalized epilepsies
  • Presence or previous history of Lennox-Gastaut syndrome
  • An active CNS infection, demyelinating disease, degenerative neurologic disease, or any CNS disease deemed to be progressive during the course of the study that may confound the interpretation of the study results
  • Any clinically significant psychiatric illness, psychological, or behavioral problems that, in the opinion of the Investigator, would interfere with the subject's ability to participate in the study
  • History of alcoholism, drug abuse, or drug addiction within the past 2 years
  • History of status epilepticus within 3 months of Visit 1
  • A "yes" answer to Question 1 or 2 of the C-SSRS (Baseline/Screening version) Ideation Section in the past 6 months or a "yes" answer to any of the Suicidal Behavior Questions in the past 2 years
  • More than 1 lifetime suicide attempt
  • Participation in any other trials involving an investigational product or device within 30 days of screening (or longer, as required by local regulations)
  • A history of any previous exposure to YKP3089

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo
YKP3089 High DoseYKP3089YKP3089 High Dose
YKP3089 Low DoseYKP3089YKP3089 Low Dose
YKP3089 Medium DoseYKP3089YKP3089 Medium Dose
Primary Outcome Measures
NameTimeMethod
Percent Change From Baseline in Partial-onset Seizure Frequency Per 28 Daysbaseline and 18 weeks

Percent change in complex partial and/or secondarily generalized and/or simple partial motor seizure frequency per 28 days (average 28-day seizure rate) in each treatment group during the double-blind period relative to the pretreatment baseline.

Secondary Outcome Measures
NameTimeMethod
50% Responder Rate18 weeks

Percentage of patients achieving a 50% or more reduction from baseline in partial seizure frequency during the double-blind treatment period

Trial Locations

Locations (67)

Clinical Trials, Inc.

🇺🇸

Little Rock, Arkansas, United States

Bradenton Research Center, Inc.

🇺🇸

Bradenton, Florida, United States

Lovelace Scientific Resources, Inc.

🇺🇸

Sarasota, Florida, United States

Consultants in Epilepsy & Neurology, PLLC

🇺🇸

Boise, Idaho, United States

Neurology Clinic PC

🇺🇸

Waldorf, Maryland, United States

The Neurological Institute, PA

🇺🇸

Charlotte, North Carolina, United States

Thomas Jefferson Comprehensive Epilepsy Center

🇺🇸

Philadelphia, Pennsylvania, United States

Austin Epilepsy Care Center

🇺🇸

Austin, Texas, United States

Institute of Neurological Sciences, Prince of Wales Hospital

🇦🇺

Randwick, New South Wales, Australia

Monash Medical Centre

🇦🇺

Clayton, Victoria, Australia

Epilepsy Research Centre, Melbourne Brain Centre

🇦🇺

Heidelberg, Victoria, Australia

"First Multiprofile Hospital for Active Treatment - Sofia" EAD, Neurology Clinic

🇧🇬

Sofia, Bulgaria

Fakultní nemocnice Ostrava, Neurologická klinika

🇨🇿

Ostrava, Czechia

Mediscan Group, s.r.o

🇨🇿

Praha 4, Czechia

Fakultni nemocnice v Motole, Neurologická klinika

🇨🇿

Praha 5, Czechia

Epilepsiezentrum Berlin- Bradenburg, Epilepsieklinik "Tabor"

🇩🇪

Bernau bei Berlin, Germany

Krankenhaus Mara gGmbH, Epilepsiezentrum Bethel

🇩🇪

Bielefeld, Germany

Hôpital Central - CHU de Nancy - Service de Neurologie

🇫🇷

Nancy, France

Department of Neurology, Hadassah University Hospital Ein Kerem, Kiryat Hadassah

🇮🇱

Jerusalem, Israel

Epilepsiezentrum Kork

🇩🇪

Kehl, Germany

The Chaim Sheba Medical Center, Department of Neurology

🇮🇱

Ramat-Gan, Israel

Western Galilee Hospital, Department of Neurology

🇮🇱

Nahariya, Israel

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Konkuk University Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

NOVO-MED Zielinski I Wspolnicy Spolka Jawna

🇵🇱

Katowice, Poland

M.A. - LEK A.M. Maciejowscy S.C. Centrum Terapii SM

🇵🇱

Katowice, Poland

Instytut Psychaitrii I Neurologii, II Klinika Neurologiczna

🇵🇱

Warszawa, Poland

Sapiens Medical Center SRL

🇷🇴

Bucharest, Romania

Roceanu Adina Maria Neurology Individual Medical Center

🇷🇴

Bucharest, Romania

Clinical of Neurology, Clinical Center of Serbia

🇷🇸

Belgrade, Serbia

Institute of Mental Health

🇷🇸

Belgrade, Serbia

Clinical Hospital Center Kragujevac

🇷🇸

Kragujevac, Serbia

Hospital Universitario San Cecilio - Servicio de Neurologia

🇪🇸

Granada, Spain

Hospital Ruber Internacional - Programa Epilepsia

🇪🇸

Madrid, Spain

Fundación Jiminez Diaz-Servicio de Neurologia

🇪🇸

Madrid, Spain

Hospital Clinico Universitario San Carlos, Serv. Neurologia

🇪🇸

Madrid, Spain

Neurology of Kharkiv Medical Academy of Postgraduate Education based on Department of Neurology #3 of State Treatment and Prevention Institution "Central Clinical Hospital of Ukrzaliznytsya"

🇺🇦

Kharkiv, Ukraine

TDC "Epilepsy" based on Department #19 of Kiev Territorial Medical Association "Psychiatry"

🇺🇦

Kyiv, Ukraine

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

St. Vincent's Hospital (Melbourne)

🇦🇺

Fitzroy, Victoria, Australia

Lviv Regional Antiepileptic Center based on Department of Neurology of Lviv Regional Clinical Hospital and Chair of Neurology of Lviv National Medical University n.a. Danylo Galytskyy

🇺🇦

Lviv, Ukraine

Department #2 of Regional Clinical Center of Neurosurgery and Neurology

🇺🇦

Uzhgorod, Ukraine

Kaiser Permanente, Department of Neurology

🇺🇸

Anaheim, California, United States

Neuro-Pain Medical Center

🇺🇸

Fresno, California, United States

West Los Angeles VA Medical Center, Clinical Research Center

🇺🇸

Los Angeles, California, United States

Neuroresearch, Inc. - Torrance

🇺🇸

Torrance, California, United States

Neuroresearch II, Inc.

🇺🇸

Ventura, California, United States

The Comprehensive Epilepsy Care Center for Children and Adults

🇺🇸

Saint Louis, Missouri, United States

NYU Comprehensive Epilepsy Center

🇺🇸

New York, New York, United States

University of Virginia Comprehensive Epilepsy Program

🇺🇸

Charlottesville, Virginia, United States

Srinagarind Hospital

🇹🇭

Na Muang, Khon Kaen, Thailand

St. Joseph's Hospital and Medical Center - Barrow Neurology Clinics

🇺🇸

Phoenix, Arizona, United States

Vanderbilt Epilepsy Clinic

🇺🇸

Nashville, Tennessee, United States

Fundacja Epileptologii profesora Jerzego Majkowskiego

🇵🇱

Warsaw, Poland

MI "Odessa Regional Clinical Hospital," Neurological and Neurosurgical Center based on Neurosurgery Department

🇺🇦

Odessa, Ukraine

Northeast Regional Epilepsy Group

🇺🇸

Hackensack, New Jersey, United States

University Multiprofile Hpspital for Active Treatment "Sveti Georgi" EAD, Clinic of Neurological Diseases

🇧🇬

Plovdiv, Bulgaria

The Royal Melbourne Hospital

🇦🇺

Melbourne, Victoria, Australia

NZOZ Centrum Medyczne "Dendryt"

🇵🇱

Katowice, Poland

Országos Klinikai Idegtudományi Intézet

🇭🇺

Budapest, Hungary

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

University of Multiprofile Hospital for Active Treatment "Aleksandrovska" EAD, Clinic of Neurological Diseases

🇧🇬

Sofia, Bulgaria

Hospital Universitario y Politecnico La Fe - Servicio Neurologia

🇪🇸

Valencia, Spain

Mid-Atlantic Epilepsy and Sleep Center

🇺🇸

Bethesda, Maryland, United States

CHU - Service Neurophysiologie Clinique

🇫🇷

Dijon Cedex, France

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

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