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PF-06372865 in Subjects With Photosensitive Epilepsy

Phase 2
Completed
Conditions
Reflex Epilepsy, Photosensitive
Interventions
Registration Number
NCT02564029
Lead Sponsor
Pfizer
Brief Summary

PF-06372865 in subjects with photosensitive epilepsy

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7
Inclusion Criteria
  • A diagnosis and history of photoparoxysmal response on electroencephalogram (EEG) with or without a diagnosis of epilepsy for which subjects are taking up to 0 - 2 concomitant antiepileptic drugs.
  • Subjects currently taking antiepileptic drug(s) to be on a stable dose for 4 weeks prior to Screening Visit.
  • A minimum average standardized photosensitive range (SPR) across all screening timepoints of 4 in the most sensitive eye condition and a non-zero average in at least one other eye condition.
Exclusion Criteria
  • Subjects with a history of status epilepticus.
  • Subjects who have experienced a generalized tonic-clonic convulsion in the past 6 months, at the time of the initial screening visit.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
PF-06372865 dose level 2PF-0637286552.5 mg single dose
PlaceboPlaceboSingle dose
PF-06372865 dose level 1PF-0637286517.5 milligram (mg) single dose
LorazepamLorazepam2mg single dose
Primary Outcome Measures
NameTimeMethod
The Standardized Photosensitivity Range (SPR) in the Subject's Most Sensitive Eye ConditionPre-dose, 1, 2, 4 and 6 hours post-dose

The SPR was defined as the number of frequency steps between and including the lower and upper bound at which a generalized electroencephalogram (EEG) epileptiform activity had occurred, whereby subjects were exposed to 14 different frequencies ranging from 2 to 60 flashes per second. The SPR is then an integer score that ranges from 0 to 14 with lower scores representing better outcomes. The primary outcome measure was based on the average Least Squares Mean (LSmean) effect over the first 6 hours postdose.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Clinically Significant Change From Baseline in Blood Pressure and Pulse Rate17 weeks
Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Findings17 weeks
Plasma Concentration of Lorazepam1, 2, 3, 4 and 6 hours post-dose
The SPR in the Eye Closure, Eyes Closed, and Eyes Open ConditionPre-dose, 1, 2, 4 and 6 hours post-dose

The SPR was defined as the number of frequency steps between and including the lower and upper bound at which a generalized electroencephalogram (EEG) epileptiform activity had occurred, whereby subjects were exposed to 14 different frequencies ranging from 2 to 60 flashes per second. The SPR is then an integer score that ranges from 0 to 14 with lower scores representing better outcomes. The outcome measure was based on the average Least Squares Mean (LSmean) effect over the first 6 hours postdose.

Maximum Plasma Concentration (Cmax) of PF-063728651, 2, 4 and 6 hours post-dose
The Percentage of Participants With Complete Suppression, Partial Response, and no Response to Intermittent Photic Stimulation (IPS)Pre-dose, 1, 2, 4 and 6 hours post-dose

Complete suppression: SPR = 0 in all three eye conditions at the same time point. Partial response: A reduction in SPR of at least 3 units from baseline for at least 3 time points, and no time points with at least 3 units of increase, in the most sensitive eye condition; without meeting the complete suppression definition. No response: Did not meet complete suppression or partial response definitions.

Number of Participants With Clinically Significant Laboratory Test Abnormalities17 weeks

Safety laboratory tests included hematological, clinical chemistry (serum) and urinalysis safety tests.

Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of PF-06372865Pre-dose, 1, 2, 3, 4 and 6 hours post-dose
Time for Cmax (Tmax) of PF-063728651, 2, 4 and 6 hours post-dose
Number of Participants With Treatment-emergent Adverse Events (AEs)19 weeks

The all causalities treatment-emergent AEs by System Organ Class and Preferred Term in \>5% of subjects. AEs included serious AEs and non-serious AEs.

Trial Locations

Locations (16)

Consultants in Epilepsy & Neurology, PLLC

🇺🇸

Boise, Idaho, United States

Hospital of the Univ of PA Pharmacy Service

🇺🇸

Philadelphia, Pennsylvania, United States

Thomas Jefferson University Hospital EEG lab

🇺🇸

Philadelphia, Pennsylvania, United States

VU Department of Neurology

🇺🇸

Nashville, Tennessee, United States

Vanderbilt University Epilepsy Clinic

🇺🇸

Nashville, Tennessee, United States

Center for Advanced Medicine

🇺🇸

Saint Louis, Missouri, United States

New York University Comprehensive Epilepsy Center

🇺🇸

New York, New York, United States

Johns Hopkins University Department of Neurology

🇺🇸

Baltimore, Maryland, United States

Barnes Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

Clinical and Translational Research Center

🇺🇸

Philadelphia, Pennsylvania, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Thomas Jefferson University Investigational Drug Service

🇺🇸

Philadelphia, Pennsylvania, United States

Thomas Jefferson University Comprehensive Epilepsy Center

🇺🇸

Philadelphia, Pennsylvania, United States

General Clinical Research Center (GCRC)

🇺🇸

Nashville, Tennessee, United States

Vanderbilt University Hospital Pharmacy

🇺🇸

Nashville, Tennessee, United States

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