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临床试验/NCT06425159
NCT06425159终止2 期

A Phase 2/3 Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of BHV-7000 as Adjunctive Therapy in Subjects With Idiopathic Generalized Epilepsy With Generalized Tonic-clonic Seizures, With Open-label Extension

Biohaven Therapeutics Ltd.221 个研究点 分布在 2 个国家目标入组 27 人开始时间: 2024年6月20日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
终止
入组人数
27
试验地点
221
主要终点
Time to the Second Day with a Generalized Tonic Clonic (GTC) Seizure During the 24- week Double-blind Treatment Period

研究概览

简要总结

The purpose of this study is to determine whether BHV-7000 is effective in the treatment of idiopathic generalized epilepsy with generalized tonic-clonic seizures and includes an additional open-label extension (OLE) phase.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and Female participants 18 to 75 years of age at time of consent.
  • Diagnosis of Idiopathic Generalized Epilepsy at least 6 months prior to the screening visit, defined by 2017 International League Against Epilepsy (ILAE) Classification and based on requirements of Epilepsy Adjudication criteria.
  • Subject has probable GTC seizures in the setting of IGE, meaning GTC seizures and either classic 3-4 Hz generalized spike-wave (GSW) or 4-6 Hz polyspike-wave on EEG and no focal abnormality (asymmetric spike-wave fragment is allowed) AND/OR a clear history of absence seizures or myoclonic jerks
  • Subjects with possible GTC seizures in the setting of IGE, meaning GTC and either Normal EEG OR Generalized epileptiform EEG abnormality with atypical spike-wave and no focal abnormality (asymmetric spike-wave fragment is allowed).
  • Subject meets the 2009 ILAE definition of drug resistant epilepsy, failure of adequate trials of two tolerated and appropriately chosen and used ASM schedules (whether as monotherapies or in combination) to achieve sustained seizure freedom.
  • Ability of subject or caregiver to keep accurate seizure diaries
  • Current treatment with at least 1 to 3 ASMs as part of no more than 4 epilepsy treatments in total (e.g., each ASM is considered 1 treatment. Other epilepsy therapies including devices and diet therapy are allowed; together these other therapies count as 1 treatment).
  • Accurate history of having at least 3 days with a GTC seizure evenly spread throughout the 16 weeks prior to the screening visit, such that a subject had at least 1 day with a GTC seizure during the first 8 weeks and at least 1 day with a GTC seizure during the second 8 weeks.

排除标准

  • History of status epilepticus (convulsive status epilepticus for > 5 minutes or focal status epilepticus with impaired conscious for > 10 minutes) within the last 6 months prior to screening visit that is not consistent with the subject's habitual seizure.
  • History of repetitive/cluster GTC seizures (where individual seizures cannot be counted) within the last 6 months prior to screening visit, or having repetitive/cluster GTC seizures count during the screening phase.
  • Any condition that would interfere with and/or confound the interpretation of safety or efficacy data from the study, as judged by the Investigator

研究组 & 干预措施

BHV-7000 75 mg

Active Comparator

干预措施: BHV-7000 (Drug)

Placebo

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Time to the Second Day with a Generalized Tonic Clonic (GTC) Seizure During the 24- week Double-blind Treatment Period

时间窗: Baseline to Week 24 of Double-Blind Treatment Period

To compare the efficacy of BHV-7000 to placebo as adjunctive therapy for subjects with idiopathic generalized epilepsy with generalized tonic-clonic (GTC) seizures as measured by the time to the second day with a GTC seizure during the double-blind phase

次要结局

  • Percentage of Participants with freedom of GTC seizures during DBT Phase(Baseline to Week 24 of Double-Blind Treatment Period)
  • Number of Participants With Clinically Significant Laboratory Abnormalities(Baseline to Week 24 of Double-Blind Treatment Period)
  • Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs(Baseline to Week 24 of Double-Blind Treatment Period)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (221)

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Biohaven's Opakalim Shows Promise in Epilepsy Trials with Superior Tolerability Profile- Biohaven's selective Kv7.2/7.3 channel activator opakalim demonstrated a 3-fold prolongation in time to second generalized tonic-clonic seizure compared to placebo in idiopathic generalized epilepsy patients. - In focal epilepsy studies, 54% of patients achieved at least 50% reduction in seizure frequency over six months, with remarkably low rates of central nervous system adverse events. - The drug showed zero cases of somnolence, dizziness, fatigue, or memory impairment in the IGE study, contrasting sharply with double-digit adverse event rates reported for other investigational Kv7 activators. - Biohaven is on track to receive top-line results from pivotal Phase 2/3 studies in refractory focal epilepsy in the second half of 2026 to support registration.3 months agoBiohaven's BHV-7000 Shows Promising Safety and Efficacy Profile for Epilepsy Treatment- Biohaven's BHV-7000 demonstrates excellent tolerability in Phase 1 trials, with no CNS adverse effects typically associated with anti-seizure medications. - Social media assessment reveals unmet needs of epilepsy patients, highlighting the negative impact of medication side effects on quality of life. - Nonclinical data shows BHV-7000's beneficial effects on KCNQ2 variants associated with developmental epileptic encephalopathy. - SHINE study utilizes a patient-centric design with a time-to-event endpoint to reduce placebo exposure in idiopathic generalized epilepsy patients.last year