Levetiracetam Versus Oxcarbazepine as Monotherapy to Evaluate Efficacy and Safety in Subject With Partial Epilepsy
This study is currently recruiting participants.
Verified February 2013 by UCB, Inc.
Sponsor:
UCB, Inc.
Information provided by (Responsible Party):
UCB, Inc.
ClinicalTrials.gov Identifier:
NCT01498822
First received: December 21, 2011
Last updated: February 25, 2013
Last verified: February 2013
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Purpose
To evaluate the long term effectiveness of Levetiracetam (LEV) monotherapy on Treatment Failure Rate in subjects with newly diagnosed partial onset seizures with or without secondary generalized seizures, compared to Oxcarbazepine (OXC) monotherapy over 50 weeks from the first dose
| Condition | Intervention | Phase |
|---|---|---|
|
Epilepsy |
Drug: Levetiracetam Drug: Oxcarbazepine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multi-Center, Open-label, Randomized Study to Evaluate the Long Term Effectiveness of Levetiracetam as Monotherapy in Comparison With Oxcarbazepine in Subjects With Newly or Recently Diagnosed Partial Epilepsy. |
Resource links provided by NLM:
Genetics Home Reference related topics:
autosomal dominant partial epilepsy with auditory features
pyridoxal 5'-phosphate-dependent epilepsy
U.S. FDA Resources
Further study details as provided by UCB, Inc.:
Primary Outcome Measures:
- Percentage of subjects who dropped out due to Treatment Failure after 50 weeks from the first dose of study medication [ Time Frame: Week 0 (First Dose) to Week 50 ] [ Designated as safety issue: No ]
Treatment Failure Rate defined as the percentage of subjects who dropped out due to treatment failure at the maximum tolerated dose, after 50 weeks from the first dose of study medication.
Treatment failure is defined as meeting at least 1 of the following treatment failure criteria:
- Lack of efficacy; the occurrence of a seizure at the maximum tolerated dose
- Need for the addition of another Antiepileptic Drug (AED)
- The occurrence of an intolerable adverse event related to study medication
Secondary Outcome Measures:
- Time to the first seizure defined as the time from the first dose of medication to the occurrence of the first seizure during the 48 weeks Treatment Period [ Time Frame: From Week 2 to Week 50 (During Treatment Period ) ] [ Designated as safety issue: No ]
- Percentage of subjects who achieved seizure freedom for 24 consecutive weeks during the 48 weeks Treatment Period at any time [ Time Frame: From Week 2 to Week 50 (During Treatment Period ) ] [ Designated as safety issue: No ]24-week Seizure Freedom (rate) defined as the number and percentage of subjects who achieved seizure freedom for 24 consecutive weeks during the Treatment Period at any time
- Percentage of subjects who achieved seizure freedom during the 48 weeks Treatment Period [ Time Frame: From Week 2 to Week 50 (During Treatment Period ) ] [ Designated as safety issue: No ]48-week Seizure Freedom (rate) defined as the number and percentage of subjects who achieved seizure freedom during the Treatment Period
| Estimated Enrollment: | 352 |
| Study Start Date: | June 2011 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | May 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Levetiracetam
Levetiracetam twice a day treatment group
|
Drug: Levetiracetam
250 mg and 500 mg Levetiracetam tablet, 1000 mg-3000 mg/day, maximum 50 weeks including initial up titration of 500 mg/day for 2 weeks
|
|
Active Comparator: Oxcarbazepine
Oxcarbazepine twice a day treatment group
|
Drug: Oxcarbazepine
150 mg and 300 mg Oxcarbazepine tablet, 900 mg-2400 mg/day, maximum 50 weeks including 2 weeks of up titration (300 mg/day 1week then 600 mg/day 1 week)
|
Detailed Description:
The study duration consists of the following periods:
- Baseline period of one week: Week -1
- Titration period of two weeks: Week 0 to Week 1
- Treatment period of 48 weeks: Week 2 to Week 50
Eligibility| Ages Eligible for Study: | 16 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male or female subjects from 16 to 80 years, inclusive. Vulnerable subjects (e.g., under 20 years or subject with learning disability but judged to be capable to understand) may only be included where legally permitted and ethically accepted
- Subjects with newly or recently diagnosed epilepsy having experienced unprovoked partial seizures (IA, IB, IC with clear focal origin), that are classifiable according to the International Classification of Epileptic seizure (1981). Undiscriminated subjects between IC and IIE could be included
- Subjects with at least 2 unprovoked seizures separated by a minimum of 48 hours in the year preceding randomization out of which at least 1 unprovoked seizure in the 6 months preceding randomization
- Subjects with documented evidence of EEG and brain MRI or CT scan in medical records which were performed within 1 year prior to Visit 1 (V1)
- Subjects have no treatment with anti-epileptic drugs in the 6 months preceding this study. The treatment for acute seizure control is acceptable with a maximum of 2 weeks duration and if the treatment was stopped at least 1 week before V1. For Phenobarbital and Phenobarbital derivatives, a minimum of 4 weeks wash-out is requested before V1
Exclusion Criteria:
- Subject has a current or previous diagnosis of pseudoseizures, conversion disorders, or other non-epileptic ictal events which could be confused with seizures
- Subject taking 1 or more of the following medications on a regular basis within 28 days prior to Visit 1: neuroleptics, monoamine oxidase (MAO) inhibitors and narcotic analgesics
- Subject taking any immunosuppressant within 28 days prior to Visit 1
- Subject has a history of suicide attempt, has received professional counseling for suicidal ideation, or is currently experiencing active suicidal ideation
- Subject has a seizure disorder characterized primarily by isolated auras (ie, simple partial seizures without observable motor signs)
- Subject suffering from seizures other than partial (IA, IB, IC, with clear focal origin) seizures
- Subject has a history of status epilepticus within last 3-month period prior to Visit 1
- Subject has seizures that are uncountable due to clustering (ie, an episode lasting less than 30 minutes in which several seizures occur with such frequency that the initiation and completion of each individual seizure cannot be distinguished) during the 12-week period prior to Visit 1 and/or during the Screening Period
- Body weight is lower than 40 kg (< 40kg)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01498822
Contacts
| Contact: UCB Clinical Trial Call Center | +1 877 822 9493 |
Locations
| Korea, Republic of | |
| 05 | Recruiting |
| Busan, Korea, Republic of | |
| 10 | Recruiting |
| Busan, Korea, Republic of | |
| 16 | Recruiting |
| Busan, Korea, Republic of | |
| 06 | Recruiting |
| Daejeon, Korea, Republic of | |
| 18 | Recruiting |
| Daejeon, Korea, Republic of | |
| 09 | Recruiting |
| Goyang-si, Korea, Republic of | |
| 08 | Recruiting |
| Goyang-si, Korea, Republic of | |
| 07 | Recruiting |
| Gwangju, Korea, Republic of | |
| 14 | Recruiting |
| Seongnam-si, Korea, Republic of | |
| 01 | Recruiting |
| Seoul, Korea, Republic of | |
| 02 | Recruiting |
| Seoul, Korea, Republic of | |
| 03 | Recruiting |
| Seoul, Korea, Republic of | |
| 04 | Recruiting |
| Seoul, Korea, Republic of | |
| 17 | Recruiting |
| Seoul, Korea, Republic of | |
| 12 | Recruiting |
| Seoul, Korea, Republic of | |
| 13 | Recruiting |
| Seoul, Korea, Republic of | |
| 15 | Recruiting |
| Seoul, Korea, Republic of | |
| 11 | Recruiting |
| Seoul, Korea, Republic of | |
| 19 | Recruiting |
| Ulsan, Korea, Republic of | |
Sponsors and Collaborators
UCB, Inc.
Investigators
| Study Director: | UCB Clinical Trial Call Center | +1 877 822 9493 (UCB) |
More Information
No publications provided
| Responsible Party: | UCB, Inc. |
| ClinicalTrials.gov Identifier: | NCT01498822 History of Changes |
| Other Study ID Numbers: | N01367 |
| Study First Received: | December 21, 2011 |
| Last Updated: | February 25, 2013 |
| Health Authority: | South Korea: Korea Food and Drug Administration (KFDA) |
Keywords provided by UCB, Inc.:
|
Levetiracetam Oxcarbazepine treatment failure partial epilepsy |
Additional relevant MeSH terms:
|
Epilepsy Epilepsies, Partial Brain Diseases Central Nervous System Diseases Nervous System Diseases Etiracetam Oxcarbazepine Carbamazepine Piracetam Anticonvulsants Central Nervous System Agents Therapeutic Uses Pharmacologic Actions |
Nootropic Agents Neuroprotective Agents Protective Agents Physiological Effects of Drugs Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Antimanic Agents Tranquilizing Agents Central Nervous System Depressants Psychotropic Drugs |
ClinicalTrials.gov processed this record on May 21, 2013