Long-term, Open-label Safety Extension Study of Retigabine/Ezogabine in Pediatric Subjects (>= 12 Years Old) With POS or LGS
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Purpose
The purpose of this study is to evaluate the long-term safety and tolerability of retigabine/ezogabine as an adjunctive treatment in subjects with either partial onset seizures (12 to < 18 years old) or Lennox-Gastaut Syndrome (12 to <30 years old) who have participated in a previous ("parent") study.
| Condition | Intervention | Phase |
|---|---|---|
|
Epilepsy |
Drug: retigabine/ezogabine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | RTG113388, a Long-term, Open-label Safety Extension Study of Retigabine/Ezogabine in Pediatric Subjects With Partial Onset Seizures (>= 12 Years Old) and Subjects With Lennox-Gastaut Syndrome (>=12 Years Old) |
- Incidence of adverse events [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects with at least one
- Incidence of serious adverse events (SAEs) [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects with at least one
- Incidence of AEs leading to withdrawal [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects with at least one
- Incidence of vital signs outside normal ranges and pre-determined clinically important findings [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects with at least one
- Summary and change from baseline in vital signs, height, weight, and body mass index [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance
- Summary and change from baseline of ECG parameters [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance
- Summary of ECG assessment and interpretation of clinical significance based on investigator judgment [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects by category (not abnormal; abnormal, not clinically significant; abnormal, clinically significant
- Changes from baseline in hematology, chemistry, and urinalysis parameters [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance
- Incidence of hematology, chemistry and urinalysis parameters outside normal ranges and pre-determined clinically important ranges [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects with at least one
- Changes from baseline in bladder volume as assessed by the post-void residual ultrasound [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance
- Changes from baseline in cognition, behavior and learning, as measured by the Leiter-R, Child Behavior Checklist, and Wide Range Assessment of Memory and Learning 2nd Edition, respectively [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance by domain
- Summary of sexual maturation over time based on the Tanner Stages of Puberty in subjects <= 18 years old [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]number and percent of subjects by stage
- Time to withdrawal [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximum, estimations of variance
- percent change from baseline in seizure frequency [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]baseline from the "parent" study; means, medians, minimum, maximum, estimations of variance
- percentage of responders [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]>=50% reduction from baseline ("parent" study) in seizure frequency
- clinical global impression of severity (CGI-S) [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximimum, estimations of variance
- clinical global impression of improvement (CGI-I) [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximimum, estimations of variance
- summary of change from baseline in child health status (Child Health Questionnaire in subjects < 18 years old) [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximimum, estimations of variance
- summary of pharmacokinetic AUC [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximimum, estimations of variance
- summary of pharmacokinetic Cl/F [ Time Frame: up to 6 years ] [ Designated as safety issue: No ]means, medians, minimum, maximimum
| Estimated Enrollment: | 500 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | July 2021 |
| Estimated Primary Completion Date: | July 2021 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: retigabine/ezogabine
retigabine/ezogabine will be administered three times a day (TID) as add-on therapy based on weight
|
Drug: retigabine/ezogabine
retigabine/ezogabine will be administered three times a day (TID) as add-on therapy based on weight
|
Detailed Description:
Epilepsy is among the most common serious neurologic disorders in childhood. Medicines with novel actions of mechanisms of action are needed to try to address the unmet clinical need for seizure control in patients with treatment-resistant epilepsy. The purpose of this study is to evaluate the long-term safety and tolerability of retigabine/ezogabine as an adjunctive treatment in subjects with either partial onset seizures (12 to < 18 years old) or Lennox-Gastaut Syndrome (12 to <30 years old) who have participated in a previous ("parent") study.
Eligibility| Ages Eligible for Study: | 12 Years to 29 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Has participated in either a Phase II or Phase III retigabine/ezogabine clinical trial evaluating partial onset seizures or seizures comprising Lennox-Gastaut syndrome and met the requirements defined in the parent study to transition into the open-label extension study
- Investigator and caregiver consider it beneficial for the patient to continue treatment with retigabine/ezogabine
- Female subjects of child-bearing potential (after menarche) must either not be sexually active or must be practicing an acceptable method of contraception (documented in the medical chart) from two weeks prior to administration of study medication and for 28 days after completion or premature discontinuation from the study
- Subject is living with his/her custodial parent(s) or legal guardian(s) and has contact with them on a daily basis
- Written informed consent is obtained from the subjects parent/guardian and accompanying assent from subject. The subject, and/or his/her custodial parents(s) or legal guardian(s) have the ability to comprehend the key components of the informed consent form
Exclusion Criteria:
- Has insufficient ability to articulate the presence or absence of urinary tract symptoms
- Has experienced an adverse event, clinically significant laboratory abnormality or was discontinued from the parent study due to a reason that in the investigator's judgment would preclude enrollment to the study
- Has a urine sample with: Urine specific gravity >1.035, Urine pH <4.6 or >8.0, ≥2+ proteinuria, Casts or crystals (any type), >5 RBC/HPF, unrelated to menses
- Has a blood sample with: BUN >21 mg/dl for 12 year old, or >25 mg/dl for >12 year old, Creatinine >1.03 mg/dl (F), or >1.3 mg/dl (M), Uric acid >7.5 mg/dl (F), or >8.5 mg/dl (M), Chloride >108 mEq/L, parameters for calcium, inorganic phosphorous or CO2 that are clinically significant as judged by the investigator
- Has presence of clinically significant hepatic laboratory values: aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >2x upper limit of normal (ULN); alkaline phosphatase and bilirubin ≥1.5xULN (isolated bilirubin >1.5ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%
- Has presence of clinically significant cardiac arrhythmias
- Has any abnormality on 12-lead ECG which is clinically significant in the opinion of the investigator, or has a corrected QT interval (using either Bazett's or Fridericia's) >500msec ( >530 msec for subjects with Bundle Branch Block), uncorrected QT interval >600msec, or change from baseline QTc >60msec
- Has a history of one or more renal calculi
- Has disturbances of micturition or known urinary obstructions, including renal calculi
- Has a documented anatomical stricture or other anatomical abnormality of the urinary tract system that has the potential to interfere with urinary flow
- Has experienced clinically significant urinary retention and/or required urinary catheterization in the preceding 6 months
- Has experienced 2 or more objectively documented urinary tract infections in the preceding 12 months
- Has a history of inadequate fluid intake and clinically significant dehydration in the preceding 6 months
- Within the preceding month, has taken anti-cholinergic medication on an ongoing basis
- Has active suicidal plan/intent or has had active suicidal thoughts in the past 6 months or has history of suicide attempt in the last 2 years or more than one lifetime suicide attempt
- Is planning surgery or implantation of a vagus nerve stimulator to control seizures during the study
- Is currently or has been abusing substance(s) or any medications in the 12 months prior to study entry
- Has taken an investigational drug (exception retigabine/ezogabine), or used an investigational device, within the previous 30 days prior, or plans to take an investigational drug anytime during the study
- Females who are lactating or are pregnant
- Unwillingness or inability to follow the procedures outlined in the protocol
- The subject is felt, by the investigator, to be unsuitable for inclusion in the study
- Children in care
Contacts and Locations| Contact: US GSK Clinical Trials Call Center | 877-379-3718 | GSKClinicalSupportHD@gsk.com |
| United States, California | |
| GSK Investigational Site | Recruiting |
| Los Angeles, California, United States, 90027 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United States, Florida | |
| GSK Investigational Site | Not yet recruiting |
| Gulf Breeze, Florida, United States, 32561 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Not yet recruiting |
| Port Charlotte, Florida, United States, 33952 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Wellington, Florida, United States, 33414 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United States, Minnesota | |
| GSK Investigational Site | Not yet recruiting |
| St. Paul, Minnesota, United States, 55102-2534 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United States, North Carolina | |
| GSK Investigational Site | Not yet recruiting |
| Durham, North Carolina, United States, 27710 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United States, Tennessee | |
| GSK Investigational Site | Recruiting |
| Memphis, Tennessee, United States, 38105 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United States, Texas | |
| GSK Investigational Site | Not yet recruiting |
| Austin, Texas, United States, 78723 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Dallas, Texas, United States, 75230-2507 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01668654 History of Changes |
| Other Study ID Numbers: | 113388 |
| Study First Received: | May 17, 2012 |
| Last Updated: | February 28, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by GlaxoSmithKline:
|
Epilepsy Partial Onset epilepsy Lennox-Gastaut Syndrome Open-label extension study |
Additional relevant MeSH terms:
|
Epilepsy Brain Diseases Central Nervous System Diseases Nervous System Diseases D 23129 |
Anticonvulsants Central Nervous System Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013