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A Safety, Efficacy and Tolerability Trial of Pregabalin as Add-On Treatment in Pediatric and Adult Subjects With Primary Generalized Tonic-Clonic (i.e., Grand Mal) Seizures.

Phase 3
Completed
Conditions
Generalized Tonic Clonic Seizures
Interventions
Registration Number
NCT01747915
Lead Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Brief Summary

The study is designed to evaluate the safety, tolerability and efficacy of two doses of pregabalin as add-on treatment in pediatric and adult subjects with Primary Generalized Tonic-Clonic (PGTC) seizures as compared to placebo. It is hypothesized that both doses of pregabalin will demonstrated superior efficacy when compared to placebo by reducing PGTC seizure frequency and that pregabalin will be safe and well tolerated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
219
Inclusion Criteria
  • Seizures classified as Primary Generalized Tonic Clonic Seizures
  • Must have at least 1 PGTC seizure in the 8 weeks prior to screening
  • Must have a minimum of 3 PGTC seizures during the 8-week baseline phase and at least 1 PGTC in each 4-week period of the baseline phase
  • Currently receiving adequate and stable dosage of 1 to 3 anti-epileptic treatments (stable within 28 days of screening)
  • Signed informed consent and assent if a minor
  • Ability to comply with daily seizure and dosing diary requirements and all study procedures
Exclusion Criteria
  • A current diagnosis of febrile seizures, or seizures related to an ongoing acute medical illness
  • Focal seizures (simple partial, complex partial, or partial becoming secondarily generalized)
  • Status Epilepticus within 1 year prior to screening
  • Lennox-Gastaut syndrome, infantile spasms, Benign Epilepsy with Centrotemporal Spikes (BECTS) and Dravet syndrome
  • Seizures related to drugs, alcohol, or acute medical illness
  • Any change in anti-epileptic treatment regimen (type of medication or dose; VNS alteration) within 28 days of the screening visit or during the baseline phase
  • Progressive or potentially progressive structural CNS lesion or a progressive encephalopathy.
  • Progressive inborn errors of metabolism.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Study Drug Level 1Pregabalin Dose Level 1-
Study Drug Level 2Pregabalin Dose Level 2-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Log-transformed (Log) 28-day Seizure Rate for All Primary Generalized Tonic-Clonic (PGTC) Seizures During 12-Week Double-Blind Treatment PhaseDay 1 up to Week 12

All PGTC seizures experienced during treatment phase were recorded by the participants or their parents/legal guardian in a daily seizure diary. 28-day seizure rate for all PGTC seizures= (\[number of seizures in the double blind treatment phase\] divided by \[number of days in double blind treatment phase minus {-} number of missing diary days in treatment phase\])\*28. For log-transformation, the quantity 1 was added to the 28-day seizure rate for all participants to account for any possible "0" seizure incidence. This resulted in final calculation as: log transformed (28-day seizure rate +1).

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With at Least 50 Percent (%) or Greater Reduction From Baseline in 28-day Primary Generalized Tonic-clonic (PGTC) Seizure Rate During the 12-Week Double-blind Treatment PhaseDay 1 up to Week 12

Percentage of participants with 50% or greater reduction from baseline in 28-day seizure rate during the 12 week double blind treatment phase were reported. 28-day seizure rate for all PGTC seizures= (\[number of seizures in the double blind treatment phase\] divided by \[number of days in double blind treatment phase minus {-} number of missing diary days in treatment phase\])\*28.

Trial Locations

Locations (122)

University Clinical Center Sarajevo

🇧🇦

Sarajevo, Canton Sarajevo, Bosnia and Herzegovina

University Clinical Hospital Mostar

🇧🇦

Mostar, Herzegovinaneretva Canton, Bosnia and Herzegovina

Military Medical Academy - Multiprofile Hospital for Active Treatment

🇧🇬

Pleven, Bulgaria

MHAT Central Onco Hospital OOD

🇧🇬

Plovdiv, Bulgaria

MHATNP Sveti Naum EAD

🇧🇬

Sofia, Bulgaria

UMHAT Aleksandrovska

🇧🇬

Sofia, Bulgaria

Sahyadri Speciality Hospital

🇮🇳

Pune, Maharashtra, India

Semmelweis Egyetem, I. Sz. Gyermekgyogyaszati Klinika

🇭🇺

Budapest, Hungary

Getwell Hospital and Research Institute

🇮🇳

Nagpur, Maharashtra, India

University Hospital Center Split, Clinic for Neurology

🇭🇷

Split, Croatia

Eginition Hospital

🇬🇷

Athens, Greece

Csongrad Megyei Egeszsegugyi Ellato Kozpont Hodmezovasarhely-Mako

🇭🇺

Hodmezovasarhely, Hungary

St. John's Medical College Hospital

🇮🇳

Bangalore, Karnataka, India

General Children's Hospital Penteli

🇬🇷

Athens, Greece

University General Hospital of Thessaloniki "AHEPA"

🇬🇷

Thessaloniki, Greece

Pest Megyei Flór Ferenc Kórhaz

🇭🇺

Kistarcsa, Hungary

Saint George Hospital - University Medical Center

🇱🇧

Beirut, Lebanon

Ain Wazein Medical Village

🇱🇧

El Chouf, Lebanon

P D Hinduja National Hospital and Medical Research Centre

🇮🇳

Mumbai, Maharashtra, India

Centrul Medical de Diagnostic si Tratament Ambulator Neomed

🇷🇴

Brasov, Romania

COPERNICUS Podmiot Leczniczy Spzoo

🇵🇱

Gdansk, Poland

KEM Hospital Research Centre

🇮🇳

Pune, Maharashtra, India

Lecznica Medyczna ''Zycie"

🇵🇱

Warsaw, Poland

NZOZ IGNIS dr n. med. Alicja Lobinska

🇵🇱

Swidnik, Poland

Spitalul Clinic de Urgenta "Prof. Dr. Nicolae Oblu"

🇷🇴

Iasi, Romania

Perm State Medical University n. a. acad. E.A. Vagner

🇷🇺

Perm, Russian Federation

FSBI V.M. Bekhterev National Research Medical Center for

🇷🇺

Saint Petersburg, Russian Federation

State Budgetary Healthcare Institution of Stavropol region

🇷🇺

Pyatigorsk, Stavropol Region, Russian Federation

TSBHI City Hospital No. 5 of Barnaul

🇷🇺

Barnaul, Russian Federation

MAHI of the Order of the Red Banner of Labor City Clinical Hospital No. 1

🇷🇺

Chelyabinsk, Russian Federation

LLC City Neurological Center "Sibneiromed"

🇷🇺

Novosibirsk, Russian Federation

GBOU VPO Smolensk State Medical University

🇷🇺

Smolensk, Russian Federation

CMI Neurologie, Neurofiziologie (EEG, EMG, PEC) Roceanu Adina Maria

🇷🇴

Bucuresti, Romania

GBOU VPO "Kazan State Medical University" of Roszdrav

🇷🇺

Kazan, Republic OF Tatarstan, Russian Federation

SBHI of Saint Petersburg Psychoneurological Dispensary #5

🇷🇺

Saint Petersburg, Russian Federation

Derzhavna ustanova "Instytut nevrolohii, psykhiatrii ta narkolohii

🇺🇦

Kharkiv, Ukraine

SHI "Central Clinical Medical Unit

🇷🇺

Ulyanovsk, Russian Federation

Institute for Mental Health

🇷🇸

Belgrade, Serbia

Nemocnica s poliklinikou Hlohovec, s.r.o.

🇸🇰

Hlohovec, Slovakia

Komunalne nekomertsiine pidpryiemstvo "Odeskyi oblasnyi

🇺🇦

Odesa, Ukraine

Neurologicka ambulancia MUDr. Eva Gasparova

🇸🇰

Hlohovec, Slovakia

Axcess Medical Research

🇺🇸

Loxahatchee Groves, Florida, United States

Pediatric Neurology, PA

🇺🇸

Orlando, Florida, United States

Alexian Brothers Center for Psychiatric Research

🇺🇸

Hoffman Estates, Illinois, United States

Road Runner Research, Ltd

🇺🇸

San Antonio, Texas, United States

Chinmay K. Patel, D.O.

🇺🇸

Hoffman Estates, Illinois, United States

DCC Sv. Pantaleimon OOD

🇧🇬

Pleven, Bulgaria

Athens Medical Center

🇬🇷

Athens, Greece

Mangala Hospital & Mangala Kidney Foundation

🇮🇳

Mangalore, Karnataka, India

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Konkuk University medical center

🇰🇷

Seoul, Korea, Republic of

St. Luke's Medical Center Cathedral Heights Building

🇵🇭

Quezon City, Philippines

Cebu Doctors' University Hospital

🇵🇭

Cebu City, Cebu, Philippines

Manila Doctors Hospital

🇵🇭

Manila, Philippines

Metropolitan Medical Center

🇵🇭

Manila, Philippines

NZOZ Wielospecjalistyczna Poradnia Lekarska SYNAPSIS

🇵🇱

Katowice, Poland

Republican clinical hospital

🇷🇺

Kazan, Republic OF Tatarstan, Russian Federation

Regional State Budgetary Institution of Ministry of Health

🇷🇺

Smolensk, Russian Federation

RSBHI Smolensk Regional Clinical Hospital

🇷🇺

Smolensk, Russian Federation

The Barberry National Centre for Mental Health

🇬🇧

Birmingham, WEST Midlands, United Kingdom

Komunalna ustanova "Miska klinichna likarnia #2", nevrolohichne viddilennia

🇺🇦

Zaporizhzhia, Ukraine

ABMU Local Health Board, Morriston Hospital

🇬🇧

Swansea, United Kingdom

Hawaii Pacific Neuroscience

🇺🇸

Honolulu, Hawaii, United States

Odense University Hospital

🇩🇰

Odense C, Denmark

DCC Sveta Anna - Sofia

🇧🇬

Sofia, Bulgaria

CHU d'Amiens - Picardie

🇫🇷

Amiens Cedex 1, France

Sapiens Medical Center

🇷🇴

Bucuresti, Romania

UZ Vitebsk Regional Childrens Clinical Centre

🇧🇾

Vitebsk, Belarus

Public Health Institution Hospital Dr Mladen Stojanovic

🇧🇦

Prijedor, Republika Srpska, Bosnia and Herzegovina

Medical Center Teodora

🇧🇬

Ruse, Bulgaria

Medizinische Universitaet Innsbruck

🇦🇹

Innsbruck, Austria

AKH Linz

🇦🇹

Linz, Austria

University Clinical Center Tuzla

🇧🇦

Tuzla, Canton Tuzla, Bosnia and Herzegovina

Rainier Clinical Research Center, Inc.

🇺🇸

Renton, Washington, United States

Multiprofile Hospital for Active Treatment Puls AD

🇧🇬

Blagoevgrad, Bulgaria

The First Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

The First Bethune Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Aarhus University Hospital

🇩🇰

Aarhus C, Denmark

CHRU de Rennes - Hôpital Pontchaillou

🇫🇷

Rennes, France

CHU d'Amiens Hopital Pontchaillou

🇫🇷

Rennes, France

Keimyung University Dongsan Hospital

🇰🇷

Daegu, Korea, Korea, Republic of

Shanghai Huashan Hospital, Neurology Department

🇨🇳

Shanghai, Shanghai, China

Indraprastha Apollo Hospitals

🇮🇳

New Delhi, Delhi, India

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Pzu Neuron

🇲🇪

Bijelo Polje, Montenegro

Cebu Doctors' University Hospital, Rm Ph 7

🇵🇭

Cebu City, Philippines

Hospital Raja Permaisuri Bainun

🇲🇾

Ipoh, Perak, Malaysia

SPHI Leningrad Regional Psychoneurological Dispensary

🇷🇺

Saint-Petersburg, Russian Federation

Nizhmedklinika

🇷🇺

Nizhniy Novgorod, Nizhegorodskaya Oblast, Russian Federation

Non-state Healthcare Institution

🇷🇺

Moscow, Russian Federation

Perpetual Succour Hospital

🇵🇭

Cebu City, Cebu, Philippines

University of Santo Tomas Hospital

🇵🇭

Manila, Philippines

NZOZ Novo Med

🇵🇱

Katowice, Poland

Neuro-Care Gabriela Klodowska

🇵🇱

Katowice, Poland

NZOZ "HIPOKRATES II" Sp. z o.o.

🇵🇱

Krakow, Poland

Instytut Medycyny Wsi im. Witolda Chodzki w Lublinie

🇵🇱

Lublin, Poland

Solumed Centrum Medyczne

🇵🇱

Poznan, Poland

Spitalul Clinic de Urgente pentru Copii "Sf. Maria"

🇷🇴

Iasi, Romania

Spitalul de Psihiatrie "Dr. Gh. Preda"

🇷🇴

Sibiu, Romania

Komunalna ustanova "Odeska oblasna psykhiatrychna likarnia 2"

🇺🇦

S. Oleksandrivka, Komintern. R-N, Odeska OBL., Ukraine

Ivano-Frankivska oblasna dytiacha klinichna likarnia

🇺🇦

Ivano-Frankivsk, Ukraine

Oblasnyi klinichnyi tsentr neirokhirurhii ta nevrolohii,

🇺🇦

Uzhgorod, Ukraine

Institute for Child and Youth Healthcare of Vojvodina

🇷🇸

Novi Sad, Vojvodina, Serbia

Clinical Center Kragujevac

🇷🇸

Kragujevac, Serbia

Hospital Universitari de Bellvitge

🇪🇸

L'Hospitalet de Llobregat, Barcelona, Spain

Dokuz Eylul Ün. Tip Fakültesi İç Hastalıkları

🇹🇷

Izmir, Turkey

Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady "Oblasna klinichna psykhiatrychna li

🇺🇦

Kharkiv, Ukraine

Derzhavnyi zaklad "Ukrainskyi medychnyi tsentr reabilitatsii ditei z

🇺🇦

Kyiv, Ukraine

University Children's Hospital

🇷🇸

Belgrade, Serbia

Marmara University Pendik Training and Research Hospital

🇹🇷

Istanbul, UST Kaynarca/pendik, Turkey

Komunalnyi zaklad "Dnipropetrovska oblasna dytiacha klinichna likarnia"

🇺🇦

Dnipro, Ukraine

Komunalnyi zaklad Lvivskoi oblasnoi rady "Lvivska oblasna klinichna likarnia"

🇺🇦

Lviv, Ukraine

Eskisehir Osmangazi University Medical Faculty Department Of Neurology

🇹🇷

Eskisehir, Turkey

Celal Bayar University School of Medicine, Neurology Department

🇹🇷

Manisa, Turkey

Komunalnyi zaklad "Dnipropetrovska dytiacha miska klinichna likarnia No. 5"

🇺🇦

Dnipro, Ukraine

Barts Health NHS Foundation Trust, The Royal London Hospital

🇬🇧

London, United Kingdom

Salford Royal NHS Foundation Trust

🇬🇧

Salford, United Kingdom

St. Alexius Medical Center

🇺🇸

Hoffman Estates, Illinois, United States

Ohio Clinical Research Partners, LLC

🇺🇸

Canton, Ohio, United States

Scott & White Memorial Hospital and Clinic

🇺🇸

Temple, Texas, United States

Pediatric Epilepsy Center of Central Florida

🇺🇸

Orlando, Florida, United States

Medsol Clinical Research Center

🇺🇸

Port Charlotte, Florida, United States

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