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A Multicenter, Open-Label Study to Evaluate the Safety and Tolerability of Intravenous Brivaracetam as Replaement for Oral Brivaracetam in Japanese Subjects >=16 Years of Age with Partial Seizures With or Without Secondary Generalizatio

Phase 3
Completed
Conditions
Epilepsy and epilepsy syndrome
Registration Number
JPRN-jRCT2080224076
Lead Sponsor
CB Japan Co., Ltd.
Brief Summary

The results of this open-label study evaluating the safety and tolerability of iv BRV as adjunctive therapy administered as short-term replacement for oral BRV in adult Japanese study participants with POS with or without secondary generalization suggest that at doses ranging from 50 to 200mg/day, iv BRV was safe and generally well tolerated. Results of this study show that iv BRV can be used as a short-term replacement for oral BRV in study participants with POS with or without secondary generalization.

Detailed Description

Not available

Recruitment & Eligibility

Status
completed
Sex
All
Target Recruitment
10
Inclusion Criteria

Subject has, in the opinion of the Investigator, adequate seizure control for participation in the study, and is willing and able to comply with all study requirements including hospitalization, multiple blood draws, and intravenous (iv) injection
- Female subjects without childbearing potential (postmenopausal for at least 2 years, bilateral oophorectomy or tubal ligation, complete hysterectomy) are eligible. Female subjects with childbearing potential are eligible if they use a medically accepted contraceptive method
- Japanese subject is currently enrolled in EP0085 [NCT03250377] receiving oral brivaracetam (BRV) for the treatment of partial seizures and has been enrolled for at least 8 weeks prior to entry into EP0118
- Subject has been on a stable twice daily dosage regimen of BRV 50 mg/day to 200 mg/day for the 4 weeks prior to entry into EP0118
- Subject has been receiving concomitant antiepileptic drug (AED(s)) at doses that have remained stable for the 4 weeks (12 weeks for phenobarbital, phenytoin, and primidone) prior to entry into EP0118
- Subject has been receiving drugs with possible central nervous system (CNS) effects at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable
- Subject has been receiving drugs that significantly influence the metabolism of BRV at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable
- Subject has had stable vagal nerve stimulation (VNS) settings for the 4 weeks prior to entry into EP0118, if applicable

Exclusion Criteria

- Subject is receiving an investigational medicinal product (IMP) or unapproved medication other than oral BRV, or using an experimental medical device
- Subject has previously been treated with intravenous (iv) brivaracetam (BRV)
- Subject has a known hypersensitivity to any components of the investigational medicinal product (IMP) or comparative drugs as stated in this protocol
- Subject has a confirmed clinically relevant abnormality by electrocardiogram (ECG)
- Subject has a severe medical, neurological, or psychiatric disorder, or abnormal laboratory values which may have an impact on the safety of the subject
- Subject has demonstrated poor compliance with the visit schedule or medication intake in previous BRV studies
- Subject has planned participation in any other clinical study of another IMP or device during this study
- Subject is a pregnant or lactating female
- Subject has any medical condition which, in the Investigator's opinion, warrants exclusion
- 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) Since Last Visit at Screening
- Subject has >2x upper limit of normal (ULN) of any of the following prior to Day 1 (from liver function assessment in EP0085): alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (>=1.5x ULN total bilirubin if known Gilbert's syndrome)tion (VNS) settings for the 4 weeks prior to entry into EP0118, if applicable

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
safety<br>- Adverse Events (AEs) as reported spontaneously by the subject or observed by the Investigator<br>- Subject withdrawal due to Adverse Events (AEs) <br>- Occurrence of Serious Adverse Events (SAEs)
Secondary Outcome Measures
NameTimeMethod
efficacy<br>pharmacokinetics<br>- Partial seizure frequency during the Treatment Period <br>- Brivaracetam (BRV) plasma concentration
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