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Evaluating Long Term Safety of Lacosamide (LCM) to Carbamazepine Controlled-release (CBZ-CR); Initial Monotherapy in Epilepsy Subjects 16 Years and Older

Phase 3
Completed
Conditions
Epilepsy
Monotherapy
Interventions
Drug: Carbamazepine-Controlled Release (CBZ-CR)
Registration Number
NCT01465997
Lead Sponsor
UCB BIOSCIENCES GmbH
Brief Summary

Compare safety of Lacosamide (LCM) to Carbamazepine Controlled-Release (CBZ-CR) as monotherapy in newly or recently newly diagnosed subjects with primary safety variables including spontaneous reports of Adverse Events (AEs), withdrawal of subjects due to AEs, reporting of Serious AEs (SAEs).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
551
Inclusion Criteria
  • Subject/legal representative is considered reliable and capable of adhering to the protocol
  • Subject has remained seizure free and completed the Maintenance Phase of the SP0993; or subject has experienced 1 or more seizures on the first or second target dose during the SP0993 Maintenance Phase
  • Subject is expected to benefit from participation in SP0994 in the opinion of the investigator
Exclusion Criteria
  • Subject is receiving any investigational drugs or using any experimental devices in addition to LCM or CBZ-CR
  • Subject experienced a seizure at the third target dose during the Evaluation Phase or Maintenance Phase of the SP0993 study
  • Subject is taking benzodiazepines for a non-epilepsy indication
  • Subject meets a withdrawal criterion from the previous study SP0993
  • Subject is experiencing an ongoing SAE from the previous study SP0993
  • Subject has a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response (Yes) to either Question 4 or Question 5 of the Columbia Suicide Severity Rating Scale (C-SSRS) at Screening. Or subject has a positive response (Yes) to either Question 4 or Question 5 of the C-SSRS at Screening in the "Since Last Visit" version

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Carbamazepine-Controlled Release (CBZ-CR)Carbamazepine-Controlled Release (CBZ-CR)200 mg tablets of Carbamazepine-CR given as 200 mg/day, 400 mg/day, 600 mg/day, 800 mg/day, 1000 mg/day or 1200 mg/day throughout the Treatment Period (Maximum of 3.5 Years)
LacosamideLacosamide50 and 100 mg tablets of Lacosamide given as 100 mg/day, 200 mg/day, 300 mg/day, 400 mg/day, 500 mg/day or 600 mg/day throughout the Treatment Period (Maximum 3.5 Years)
Primary Outcome Measures
NameTimeMethod
Number of Subjects With at Least One Treatment-emergent Adverse Event (AE) During the Treatment Phase (Maximum of 3.5 Years)Up to 3.5 Years (Duration of the Treatment Phase)

Treatment-emergent AEs were defined as those events which started on or after the date of first dose of SP0994 study medication, or events in which severity worsened on or after the date of first dose of SP0994 study medication. AEs which occurred within 30 days after last dose of study medication were considered treatment emergent.

Number of Subjects Who Withdrew From the Study Due to a Treatment-emergent Adverse Event (AE) During the Treatment Phase (Maximum 3.5 Years)Up to 3.5 Years (Duration of the Treatment Phase)

Treatment-emergent AEs were defined as those events which started on or after the date of first dose of SP0994 study medication, or events in which severity worsened on or after the date of first dose of SP0994 study medication. AEs which occurred within 30 days after last dose of study medication were considered treatment emergent.

Number of Subjects With at Least One Treatment-emergent Serious Adverse Event (SAE) During the Treatment Phase (Maximum of 3.5 Years)Up to 3.5 Years (Duration of the Treatment Phase)

A Serious Adverse Event is any untoward medical occurrence that at any dose results in death, is life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity is a congenital anomaly/birth defect.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (150)

205

🇫🇮

Helsinki, Finland

105

🇦🇺

Clayton, Australia

794

🇺🇸

Oklahoma City, Oklahoma, United States

106

🇦🇺

East Gosford, Australia

101

🇦🇺

Fitzroy, Australia

265

🇩🇪

BAD Neustadt, Germany

259

🇩🇪

Osnabrück, Germany

289

🇭🇺

Balassagyarmat, Hungary

128

🇧🇪

Hasselt, Belgium

314

🇮🇹

Prato, Italy

158

🇨🇦

Halifax Nova Scotia, Canada

811

🇧🇬

Sofia, Bulgaria

833

🇯🇵

Hamamatsu-shi, Japan

283

🇭🇺

Budapest, Hungary

805

🇧🇬

Blagoevgrad, Bulgaria

834

🇯🇵

Kagoshima-shi, Japan

256

🇩🇪

Marburg, Germany

269

🇩🇪

Leipzig, Germany

286

🇭🇺

Debrecen, Hungary

189

🇨🇿

Praha 6, Czechia

291

🇭🇺

Szombathely, Hungary

285

🇭🇺

Szeged, Hungary

134

🇧🇪

Brugge, Belgium

126

🇧🇪

Leuven, Belgium

310

🇮🇹

Bari, Italy

152

🇨🇦

Greenfield Park, Canada

153

🇨🇦

St. John's, Canada

284

🇭🇺

Budapest, Hungary

282

🇭🇺

Gyor, Hungary

190

🇨🇿

Ostrava - Vitkovice, Czechia

751

🇱🇻

Riga, Latvia

185

🇨🇿

Brno, Czechia

184

🇨🇿

Praha 5, Czechia

521

🇰🇷

Daegu, Korea, Republic of

728

🇱🇹

Vilnius, Lithuania

844

🇯🇵

Kamakura-shi, Japan

810

🇧🇬

Russe, Bulgaria

493

🇬🇷

Thessalonikis, Greece

311

🇮🇹

Roma, Italy

309

🇮🇹

Modena, Italy

413

🇪🇸

Barcelona, Spain

699

🇹🇭

Bangkok, Thailand

626

🇺🇦

Kharkov, Ukraine

418

🇪🇸

San Sebastián, Spain

835

🇯🇵

Nagoya-shi, Japan

525

🇰🇷

Busan, Korea, Republic of

847

🇯🇵

Sapporo, Japan

601

🇸🇰

Zilina, Slovakia

425

🇪🇸

Madrid, Spain

422

🇪🇸

Badalona, Spain

828

🇯🇵

Saitama-shi, Japan

414

🇪🇸

Santiago de Compostela, Spain

417

🇪🇸

Girona, Spain

673

🇵🇭

Manila, Philippines

336

🇵🇱

Gdansk, Poland

517

🇰🇷

Seoul, Korea, Republic of

724

🇱🇹

Kaunas, Lithuania

440

🇸🇪

Göteborg, Sweden

523

🇰🇷

Seoul, Korea, Republic of

424

🇪🇸

Sevilla, Spain

419

🇪🇸

La Laguna, Spain

577

🇷🇴

Sibiu, Romania

599

🇸🇰

Tornala, Slovakia

653

🇨🇭

Lugano, Switzerland

471

🇬🇧

Stoke-on-Trent, United Kingdom

472

🇬🇧

Glasgow, United Kingdom

595

🇸🇰

Levoca, Slovakia

495

🇬🇷

Ioannina, Greece

490

🇬🇷

Thessalonikis, Greece

622

🇺🇦

Chernihiv, Ukraine

571

🇷🇴

Sibiu, Romania

180

🇨🇿

Zlin, Czechia

156

🇨🇦

Hamilton, Canada

837

🇯🇵

Okayama-shi, Japan

519

🇰🇷

Seoul, Korea, Republic of

520

🇰🇷

Seoul, Korea, Republic of

290

🇭🇺

Szekszárd, Hungary

270

🇩🇪

Berlin, Germany

600

🇸🇰

Krompachy, Slovakia

777

🇺🇸

Little Rock, Arkansas, United States

786

🇺🇸

Alabaster, Alabama, United States

799

🇺🇸

Huntsville, Alabama, United States

776

🇺🇸

Port Charlotte, Florida, United States

881

🇺🇸

Mansfield, Texas, United States

789

🇺🇸

Panama City, Florida, United States

873

🇺🇸

Raleigh, North Carolina, United States

790

🇺🇸

Madison, Wisconsin, United States

104

🇦🇺

Chatswood, Australia

109

🇦🇺

Randwick, Australia

103

🇦🇺

Herston, Australia

108

🇦🇺

Heidelberg, Australia

807

🇧🇬

Panagyurishte, Bulgaria

809

🇧🇬

Veliko Tarnovo, Bulgaria

803

🇧🇬

Pleven, Bulgaria

236

🇫🇷

Nancy, France

257

🇩🇪

Berlin, Germany

262

🇩🇪

Berlin, Germany

260

🇩🇪

Goettingen, Germany

263

🇩🇪

Altenburg, Germany

308

🇮🇹

Padova, Italy

831

🇯🇵

Asaka-shi, Japan

843

🇯🇵

Miyazaki-shi, Japan

832

🇯🇵

Shizuoka-shi, Japan

518

🇰🇷

Daejeon, Korea, Republic of

524

🇰🇷

Seoul, Korea, Republic of

727

🇱🇹

Alytus, Lithuania

672

🇵🇭

Pasig City, Philippines

342

🇵🇱

Lublin, Poland

547

🇲🇽

San Luis Potosi, Mexico

676

🇵🇭

Quezon City, Philippines

341

🇵🇱

Poznan, Poland

361

🇵🇹

Santa Maria da Feira, Portugal

576

🇷🇴

Bucuresti, Romania

569

🇷🇴

Cluj-napoca, Romania

579

🇷🇴

Iasi, Romania

387

🇷🇺

Kazan, Russian Federation

572

🇷🇴

Targu Mures, Romania

394

🇷🇺

Moscow, Russian Federation

401

🇷🇺

Moscow, Russian Federation

389

🇷🇺

Kazan, Russian Federation

396

🇷🇺

Kirov, Russian Federation

392

🇷🇺

Novosibirsk, Russian Federation

390

🇷🇺

Nizhny Novgorod, Russian Federation

400

🇷🇺

Saint-Petersburg, Russian Federation

386

🇷🇺

Smolensk, Russian Federation

397

🇷🇺

Saint-Petersburg, Russian Federation

594

🇸🇰

Dolni Kubin, Slovakia

596

🇸🇰

Hlohovec, Slovakia

598

🇸🇰

Dubnica Nad Vahom, Slovakia

399

🇷🇺

Yaroslavl, Russian Federation

625

🇺🇦

Odesa, Ukraine

416

🇪🇸

Madrid, Spain

438

🇸🇪

Stockholm, Sweden

651

🇨🇭

Aarau, Switzerland

442

🇸🇪

Linköping, Sweden

702

🇹🇭

Bangkok, Thailand

621

🇺🇦

Luhansk, Ukraine

654

🇨🇭

Biel, Switzerland

698

🇹🇭

Khon Kaen, Thailand

632

🇺🇦

Simferopol, Ukraine

207

🇫🇮

Kuopio, Finland

360

🇵🇹

Coimbra, Portugal

362

🇵🇹

Lisboa, Portugal

340

🇵🇱

Katowice, Poland

343

🇵🇱

Warszawa, Poland

366

🇵🇹

Porto, Portugal

338

🇵🇱

Szczecin, Poland

570

🇷🇴

Iasi, Romania

365

🇵🇹

Lisboa, Portugal

127

🇧🇪

Brugge, Belgium

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