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A Safety, Efficacy, and Tolerability Trial of Pregabalin as Add-On Treatment in Pediatric Subjects <4 Years of Age With Partial Onset Seizures.

Phase 3
Completed
Conditions
Partial Onset Seizures
Interventions
Registration Number
NCT02072824
Lead Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Brief Summary

This study is designed to evaluate the effectiveness of 2 doses of pregabalin to reduce seizure frequency as an add on therapy in pediatric subjects 1 month to \<4 years of age with refractory partial onset seizures. It is hypothesized that both doses of pregabalin will demonstrate superior efficacy when compared to placebo by reducing the partial onset seizure frequency and that pregabalin will be safe and well tolerated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
175
Inclusion Criteria
  • Subject must have 3 partial onset seizures in the month prior to screening.
  • Subject must have 2 partial onset seizures during the 48 hour baseline phase.
  • Signed Informed Consent.
  • On 1-3 stable anti-epileptic drugs at screening.
Exclusion Criteria
  • Primary generalized seizures including clonic, tonic, clonic-tonic, absence, febrile seizures, and infantile spasms.
  • Lennox-Gasteau, BECTS, and Dravet's syndrome.
  • Status epliepticus within 1 year of screening.
  • Any change in AED regimen with 7 days of screening.
  • Progressive structural central nervous system (CNS) lesion or a progressive encephalopathy.
  • Progressive 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 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment PhaseDay 1 up to Day 14

All partial onset seizures experienced during treatment phase were recorded by central reader during the 48 to 72 hour video-electroencephalogram (EEG). Double Blind 24 hour EEG seizure rate for all partial onset seizures = (\[Number of seizures in double blind 48 to 72 hour EEG assessment\] divided by \[number of hours of video-EEG monitoring\])\*24. The EEG assessment was done at the end of the fixed dose treatment. For log-transformation, the quantity 1 was added to the double blind 24 hour EEG seizure rate for all participants to account for any possible "0" seizure incidence. This resulted in final calculation as: log transformed (double-blind 24-hour EEG seizure rate + 1).

Secondary Outcome Measures
NameTimeMethod
Responder Rate: Percentage of Participants With at Least 50 Percent (%) or Greater Reduction From Baseline in 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment PhaseDay 1 up to Day 14

Responder Rate was defined as percentage of participants who had a 50% or greater reduction from baseline in 24-hour seizure rate during the double-blind treatment phase. Double Blind 24 hour EEG seizure rate for all partial onset seizures = (\[Number of seizures in double blind 48 to 72 hour EEG assessment\] divided by \[number of hours of video-EEG monitoring\])\*24. The EEG assessment was done at the end of the fixed dose treatment.

Trial Locations

Locations (68)

Road Runner Research, Ltd.

🇺🇸

San Antonio, Texas, United States

Pediatric Neurology, PA

🇺🇸

Orlando, Florida, United States

Universitaetsklinikum Jena

🇩🇪

Jena, Thueringen, Germany

Pediatric Epilepsy Center of Central Florida

🇺🇸

Orlando, Florida, United States

Pediatric Epilepsy & Neurology Specialists, PA

🇺🇸

Tampa, Florida, United States

UZ Brussel

🇧🇪

Brussels, Bruxelles Capitale, Belgium

The First Bethune Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Pharmacy of Tel Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

Szent Margit Kórház

🇭🇺

Budapest, Hungary

Semmelweis Egyetem, I. Sz. Gyermekgyogyaszati Klinika

🇭🇺

Budapest, Hungary

University Clinical Centre of the Republic of Srpska

🇧🇦

Banja Luka, Bosnia and Herzegovina

Beijing Children's Hospital

🇨🇳

Beijing, China

UMHAT "Sveti Georgi" Ltd.

🇧🇬

Plovdiv, Bulgaria

Hopital Raymond Poincare

🇫🇷

Garches, France

UMHAT Dr. Georgi Stranski Ltd.

🇧🇬

Pleven, Bulgaria

St. Luke's Medical Center

🇵🇭

Quezon City, Philippines

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Institute for Child and Youth Healthcare of Vojvodina

🇷🇸

Novi Sad, Vojvodina, Serbia

Hospital Universitario Miguel Servet

🇪🇸

Zaragoza, Spain

St. Petersburg State Pediatric Medical University

🇷🇺

Saint Petersburg, Russian Federation

"Baltiyskaya Medicyna" LLC

🇷🇺

Saint Petersburg, Russian Federation

University General Hospital Attikon

🇬🇷

Athens, Greece

General Hospital of Thessaloniki Ippokratio

🇬🇷

Thessaloniki, Greece

Oblasnyi klinichnyi tsentr neirokhirurhii ta nevrolohii,viddilennia neirokhirurhii #2

🇺🇦

Uzhgorod, Ukraine

Siriraj Hospital, Faculty of Medicine, Mahidol University

🇹🇭

Bangkoknoi, Bangkok, Thailand

Phramongkutklao Hospital

🇹🇭

Ratchathevee, Bangkok, Thailand

Perpetual Succour Hospital

🇵🇭

Cebu City, Cebu, Philippines

GU Republican Scientific and Practical Center Mother and Child

🇧🇾

Minsk, Belarus

Metropolitan Medical Center

🇵🇭

Manila, Philippines

University Children's Hospital Belgrade

🇷🇸

Belgrade, Serbia

Chang Gung Memorial Hospital- Kaohsiung branch

🇨🇳

Kaohsiung, Taiwan

Children's Hospital of Fudan University

🇨🇳

Shanghai, Shanghai, China

FSFEI HE N.I. Pirogov RNRMU of Minzdrav of Russia

🇷🇺

Moscow, Russian Federation

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

Dr. Kenessey Albert Korhaz es Rendelointezet

🇭🇺

Balassagyarmat, Hungary

Szent János Kórház es Észak Budai Egyesitett Kórházak

🇭🇺

Budapest, Hungary

Magyarorszagi Reformatus Egyhaz Bethesda Gyermekkorhaz, Gyermekneurologia

🇭🇺

Budapest, Hungary

Debreceni Egyetem Klinikai Központ

🇭🇺

Debrecen, Hungary

Pharmacy of The E. Wolfson Medical Center

🇮🇱

Holon, Israel

The E. Wolfson Medical Center

🇮🇱

Holon, Israel

Tel Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

American University of Beirut Medical Center

🇱🇧

Beirut, Lebanon

Saint George Hospital - University Medical Center

🇱🇧

Beirut, Lebanon

Hospital Raja Perempuan Zainab II

🇲🇾

Kota Bharu, Kelantan, Malaysia

Cebu Doctors' University Hospital

🇵🇭

Cebu City, Cebu, Philippines

University of Santo Tomas Hospital

🇵🇭

Manila, Philippines

Manila Doctors Hospital

🇵🇭

Manila, Philippines

Philippine Children's Medical Center

🇵🇭

Quezon City, Philippines

Spitalul Clinic de Urgente pentru Copii "Sf. Maria"

🇷🇴

Iasi, Romania

Centrul Medical Unirea

🇷🇴

Bucuresti, Romania

Nizhmedklinika

🇷🇺

Nizhniy Novgorod, Nizhegorodskaya Oblast, Russian Federation

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

🇷🇺

Perm, Russian Federation

RSBHI Smolensk Regional Clinical Hospital

🇷🇺

Smolensk, Russian Federation

LLC Medical Technologies

🇷🇺

Saint-Petersburg, Russian Federation

SHI Ulyanovsk Regional Children's Clinical Hospital n. a. Y.F.Goryachev

🇷🇺

Ulyanovsk, Russian Federation

SHI Central Clinical Medical Unit

🇷🇺

Ulyanovsk, Russian Federation

MAI Children's City Clinical Hospital 9

🇷🇺

Yekaterinburg, Russian Federation

Mother and Child Healthcare Institute Dr Vukan Cupic

🇷🇸

Belgrade, Serbia

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Izmir Tepecik Training and Research Hospital

🇹🇷

Izmir, Konak, Turkey

Eskisehir Osmangazi Universitesi Tip Fakultesi

🇹🇷

Eskisehir, Turkey

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

DZ "Ukrainskyi medychnyi tsentr reabilitatsii ditei z orhanichnym urazhenniam

🇺🇦

Kyiv, Ukraine

Komunalnyi zaklad "Dnipropetrovska dytiacha miska klinichna likarnia #5"

🇺🇦

Dnipro, Ukraine

Komunalnyi zaklad "Dnipropetrovska oblasna dytiacha klinichna likarnia"

🇺🇦

Dnipro, Ukraine

Ivano-Frankivska oblasna dytiacha klinichna likarnia

🇺🇦

Ivano-Frankivsk, Ukraine

Karadeniz Teknik Universitesi Tip Fakultesi Farabi Hastanesi

🇹🇷

Trabzon, Turkey

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