Study of Retigabine Immediate Release as Adjunctive Therapy to Specified Monotherapy Antiepileptic Treatments in Adults With Partial-Onset Seizures (IR)
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Purpose
The purpose of this Phase III study is to evaluate the efficacy, safety and tolerability and health outcomes of retigabine Immediate Release (IR) as adjunctive therapy to each of the following monotherapy Antiepileptic Drug (AED) treatments: carbamazepine/oxcarbazepine, lamotrigine, levetiracetam, or valproic acid in adult subjects with partial-onset seizures (POS) using a flexible dosing regimen.
| Condition | Intervention | Phase |
|---|---|---|
|
Epilepsy |
Drug: Retigabine IR |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label, Flexible-Dose Study of Retigabine Immediate Release (IR) as Adjunctive Therapy to Specified Monotherapy Antiepileptic Treatments in Adults With Partial -Onset Seizures |
- The proportion of subjects experiencing a ≥ 50% reduction in 28-day partial-onset seizure frequency from Baseline, by concurrent AED. [ Time Frame: 20 Weeks ] [ Designated as safety issue: No ]
- The proportion of subjects experiencing a ≥ 50% reduction in 28-day partial-onset seizure frequency from Baseline, by all concurrent AEDs combined. [ Time Frame: 20 Weeks ] [ Designated as safety issue: No ]
- The proportion of subjects with ≥ 25%, ≥ 75%, or 100% reduction from Baseline in 28-day partial-onset seizure frequency, by concurrent AED and all concurrent AEDs combined. [ Time Frame: 20 Weeks ] [ Designated as safety issue: No ]
- Percent change from Baseline in 28-day partial seizure frequency during the combined Titration Phase and Flexible Dose Evaluation Phase by concurrent AED and all AED treatments combined. [ Time Frame: 20 Weeks ] [ Designated as safety issue: No ]
- Percentage change from Baseline in functional status (worry, activity limitations) and productivity (missed work/school) during the combined Titration and Flexible Dose Evaluation Phases by concurrent AED and all AED treatments combined. [ Time Frame: 20 Weeks ] [ Designated as safety issue: No ]
| Enrollment: | 203 |
| Study Start Date: | July 2010 |
| Study Completion Date: | December 2012 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Retigabine IR
Open Label flexible dose between 300 mg/day (minimum) and 1200 mg/day (maximum).
|
Drug: Retigabine IR
Flexible dose between 300 mg/day (minimum) and 1200 mg/day (maximum).
|
Detailed Description:
This is an open-label, multi-centre, flexible dose study of retigabine immediate release (IR). The study will enroll male and female outpatients (≥ 18 years of age) with partial-onset seizures (POS) who are inadequately controlled on their current monotherapy Antiepileptic Drug (AED). Following a Screening Period of up to 2 weeks, subjects will enter an 8-week Baseline Phase to determine baseline seizure frequency. At the end of the Baseline Phase, subjects who meet or exceed the minimum seizure frequency of 4 partial seizures per 56 days, will enter the Treatment Period (4 weeks Titration, 16 weeks Flexible Dose Evaluation Phase). All subjects will receive retigabine IR starting at 150 mg/day and will be titrated to 600 mg/day by Week 4. From Week 5 onwards, subjects' doses will be maintained between 300 to 1200 mg/day using a flexible dosing regimen to optimise response and tolerability. The maximum duration of the study is approximately 33 weeks (inclusive of a 3 week Taper/Follow-up Phase).
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Is 18 years of age (men or women)
- Has a confident diagnosis of epilepsy with partial-onset seizures i.e., simple or complex partial seizures with or without secondary generalization (International League Against Epilepsy (ILAE) classification; 1981) for more than 24 weeks prior to the start of Baseline phase.
- Has experienced at least 4 partial-onset seizures (i.e., simple or complex partial seizures with or without secondary generalization) during an 8-week (i.e., 56 days) prospective Baseline Phase with at least one partial seizure occurring during each 4 week (i.e., 28-day) period.
- Receiving a stable dose of one of the following AEDs: carbamazepine/oxcarbazepine, lamotrigine, levetiracetam or valproic acid. The AED dose must be stable 4 weeks prior to start of collection of baseline seizure data (retrospective or prospective) and during the Baseline period.
- Is able and willing to maintain an accurate and complete daily written seizure calendar and functional status diary or has a caregiver who is able and willing to do so for the entire duration of the study.
- Is able to comply with dosing of study drug, background AED and all study procedures.
- Has given written informed consent, or has a legally authorized representative who has given written informed consent, prior to the performance of any study assessments.
- A female subject is eligible to enter and participate in the study if she is either of non-childbearing potential or child-bearing potential but has a negative pregnancy test at Screening and agrees to satisfy one of the contraception methods as listed in the protocol, and is not pregnant or lactating or planning to become pregnant during the study.
- French subjects only: In France, a subject will be eligbile for inlcusion in this study only if either affiliated to or a beneficiary of a social security category.
Exclusion Criteria:
- Has a history of generalised epilepsy (e.g. Lennox-Gastaut, Juvenile Myoclonic etc.)
- Has had status epilepticus (other than simple partial status epilepticus) within the 24 weeks prior to Baseline Visit.
- Has participated in a previous retigabine study (subjects with documented evidence of having received placebo will be eligible).
- Is currently or has been abusing substance(s) or other medications in the 12 months prior to Baseline visit.
- Has taken an investigational drug, or used an investigational device, within the previous 30 days prior to screening or plans to take an investigational drug anytime during the study.
- Is currently following or planning to follow the ketogenic diet.
- Has been treated with vigabatrin within the past 6 months prior to collection of baseline seizure data.
- Is planning surgery or implantation of a Vagus Nerve Stimulator (VNS) to control seizures during the study.
- Is suffering from acute or progressive neurological disease, severe psychiatric disease, or severe mental abnormalities that are likely to interfere with the objectives of the study.
- Has any medical condition that, in the investigator's judgment, is considered to be clinically significant and could potentially affect subject safety or study outcome.
- Has a QTc ≥450 millisecond (msec) or greater than or equal to 480 msec for subjects with Bundle Branch Block at the time of screening.
- Has active suicidal plan/intent or has had active suicidal thoughts in the past 6 months. Has history of suicide attempt in the last 2 years or more than 1 lifetime suicide attempt.
- French Subjects: the French subject has participated in any study using an investigational drug during the previous 30 days or 5 half-lives (whichever is longer).
Contacts and Locations| France | |
| GSK Investigational Site | |
| Nancy cedex, France, 54035 | |
| GSK Investigational Site | |
| Strasbourg Cedex, France, 67098 | |
| Russian Federation | |
| GSK Investigational Site | |
| Krasnodar, Russian Federation, 350007 | |
| GSK Investigational Site | |
| Moscow, Russian Federation, 117049 | |
| GSK Investigational Site | |
| Smolensk, Russian Federation, 214 019 | |
| GSK Investigational Site | |
| St.-Petersburg, Russian Federation, 193019 | |
| Thailand | |
| GSK Investigational Site | |
| Bangkok, Thailand, 10400 | |
| GSK Investigational Site | |
| Khon Kaen, Thailand, 40002 | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01227902 History of Changes |
| Other Study ID Numbers: | 113905 |
| Study First Received: | July 16, 2010 |
| Last Updated: | May 9, 2013 |
| Health Authority: | Spain: Agencia Espanola de Medicamentos y Productos Sanitarios Spain: Agencia Española del Medicamento y Productos Sanitarios Bulgaria: The Bulgarian Drug Agency Belgium: Agence Fédérale des Médicaments et des Produits de la Santé Denmark: Lægemiddelstyrelsen Germany: Bundesinstitut für Arzneimittel und Medizinprodukte France: Agence Française de Sécurité Sanitaire des Produits de Santé Netherlands: De Centrale Commissie Mensgebonden Onderzoek Sweden: Läkemedelsverket Italy: Comitato Per La Sperimentazione Clinica dei Medicinali Dell'azienda Ospedaliero |
Keywords provided by GlaxoSmithKline:
|
GW582892 Seizures Open label, flexible dose |
Partial-onset seizures Epilepsy retigabine IR |
Additional relevant MeSH terms:
|
Epilepsy Seizures Brain Diseases Central Nervous System Diseases Nervous System Diseases Neurologic Manifestations |
Signs and Symptoms D 23129 Anticonvulsants Central Nervous System Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013