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Dose Response Study of Zonegran in Patients With Newly Diagnosed Epilepsy

Primary Purpose

Epilepsy, Complex Partial

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Zonisamide
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy, Complex Partial focused on measuring Monotherapy, Complex Partial Seizures, Epilepsy, anti-epilepsy drug, AED

Eligibility Criteria

16 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA Patient able and willing to give written informed consent or assent as appropriate in accordance with ICH and GCP guidelines Patient with newly diagnosed epilepsy who has complex partial seizures (with or without secondary generalization) Patient must have at least two well-documented, unprovoked, clinically evaluated and classified complex partial seizures or one well-documented, unprovoked, clinically evaluated and classified complex partial seizure and an abnormal EEG consistent with the diagnosis of epilepsy occurring within one year prior to enrollment Patient must have received less than 2 weeks of prior AED therapy, which will be discontinued at study entry EEG changes consistent with the diagnosis of epilepsy: For patients with two well-documented, unprovoked complex partial seizures within one year prior to enrollment, the EEG results may be normal at the time of testing but, in the opinion of the Investigator, the patient has epilepsy For patients with one well-documented, unprovoked complex partial seizure within one year prior to enrollment, the EEG must be abnormal at the time of testing consistent with the diagnosis of epilepsy Patient age 16 years or greater In the opinion of the Investigator, the patient is in good health Female patients of child-bearing potential must not be pregnant (serum HCG negative) or lactating, and must be using a medically acceptable form of birth control such as abstinence, an adequate barrier method, or hormonal contraceptive; or female patients who are post-menopausal or have had surgical sterilization Patient or caregiver able to follow Investigator instruction, study procedures, maintain diary of concomitant medication use, and report adverse events EXCLUSION CRITERIA History of status epilepticus Patient with simple partial seizures only A history of non-epileptic seizures (e.g. metabolic or pseudo-seizures) Progressive encephalopathy or findings consistent with progressive CNS disease or lesions (e.g. infection, demyelination, tumor) Clinically significant uncontrolled medical disease in the previous two years (including unstable cardiac, hematological, hepatic, or renal disease) History of acute intermittent porphyria, glucose-6-phosphate dehydrogenase deficiency or hemolytic anemia Renal insufficiency (serum creatinine > 2 mg/dL) or impaired liver function (SGPT/ALT > two times upper limit of normal) History of renal calculi Laboratory test results which, in the opinion of the Investigator, are clinically significant abnormalities History of alcohol or drug abuse Psychiatric illness or mood disorders requiring treatment in previous 6 months; history of suicide attempt or psychosis Use of benzodiazepines (intermittent use as a hypnotic or an PRN AED is allowed) Use of other investigational compounds, experimental drugs or devices within 30 days of the screening visit History of hypersensitivity or allergic reaction to sulfonamides Medical disorder, surgery or medication that might interfere with absorption, distribution, metabolism, or excretion of the study drug

Sites / Locations

  • UAB Epilepsy Center
  • North Alabama Neuroscience
  • Neurology Clinic, P.C.
  • Northridge Neurological Center
  • Coordinated Clinical Research
  • Neurology Associates
  • Bay Neurological Institute
  • Suncoast Neuroscience Associates, Inc.
  • AMO Corporation
  • Florida Epilepsy & Seizure Disorder Center, PA
  • Neurology & Headache Specialist of Atlanta, LLC
  • Southern Illinois University School of Medicine Dept. of Neurology
  • Louisville Neuroscience Research Center
  • St. Agnes Health Care, Inc.
  • The Comprehensive Epilepsy Care Center
  • Upstate Clinical Research Center
  • Dent Neurological Institute
  • Epilepsy Institute of North Carolina
  • River Hills Health Care
  • Westmoreland Neurology Associates, Inc.
  • CNS Research, INC
  • Neurology Clinic of San Antonio
  • Blue Ridge Research Center
  • Neurology & Neurosurgery Associates of Tacoma, Inc. P.S.
  • University of Wisconsin
  • Tallinn Children's Hospital
  • Tartu University Hospital
  • Semmelweis University Health Science Faculty
  • National Institute of Neurosurgery Epilepsy Center
  • Kaunas Medical University Clinics
  • Vilnius University Hospital
  • Kharkov State Medical University
  • Institute of Neurology, Psychiatry, and Narcology of AMS Ukraine
  • Epilepsy Center
  • Odessa Medical University

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
March 18, 2003
Last Updated
July 14, 2011
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00056576
Brief Title
Dose Response Study of Zonegran in Patients With Newly Diagnosed Epilepsy
Official Title
A Double-Blind, Randomized, Multicenter, Parallel Group Study to Establish Dose-Response, Safety, and Efficacy of Zonegran (Zonisamide) as Monotherapy in Patients With Newly Diagnosed Epilepsy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
February 2002 (undefined)
Primary Completion Date
October 2004 (Actual)
Study Completion Date
October 2004 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Eisai Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine whether zonisamide alone is effective as a treatment for epilepsy in newly diagnosed cases.
Detailed Description
Epilepsy is characterized by repeated seizures caused by recurrent, abnormal, and excessive synchronous discharges from cerebral neurons. Seizures may be triggered by various causes such as CNS infections, fever, tumors, toxins, vascular disease, degenerative disease, trauma, or may be idiopathic. The type of seizure is usually defined by the initial event, the duration, alterations of consciousness, patterns of motor activity, and post-ictal symptoms. In addition, certain seizure types have characteristic EEG patterns. The International Classification of Epileptic Seizures classifies seizures as partial or generalized. Partial seizures are further classified as simple partial, complex partial (impaired consciousness), or partial seizures secondarily generalized. All partial seizures have onset in a discrete cortical region. Generalized seizures are bilaterally symmetrical and without focal onset and include absence seizures, myoclonic seizures, clonic seizures, tonic seizures, tonic-clonic seizures, and atonic seizures. The goals of treatment include the prevention of seizures, medical management of seizures, and management of the consequences of epilepsy. The study will be conducted with patients who have new onset epilepsy characterized by complex partial seizures and will attempt to characterize the relationship between zonisamide dose and seizure prevention and demonstrate monotherapy efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy, Complex Partial
Keywords
Monotherapy, Complex Partial Seizures, Epilepsy, anti-epilepsy drug, AED

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
Double
Allocation
Randomized
Enrollment
165 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Zonisamide

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA Patient able and willing to give written informed consent or assent as appropriate in accordance with ICH and GCP guidelines Patient with newly diagnosed epilepsy who has complex partial seizures (with or without secondary generalization) Patient must have at least two well-documented, unprovoked, clinically evaluated and classified complex partial seizures or one well-documented, unprovoked, clinically evaluated and classified complex partial seizure and an abnormal EEG consistent with the diagnosis of epilepsy occurring within one year prior to enrollment Patient must have received less than 2 weeks of prior AED therapy, which will be discontinued at study entry EEG changes consistent with the diagnosis of epilepsy: For patients with two well-documented, unprovoked complex partial seizures within one year prior to enrollment, the EEG results may be normal at the time of testing but, in the opinion of the Investigator, the patient has epilepsy For patients with one well-documented, unprovoked complex partial seizure within one year prior to enrollment, the EEG must be abnormal at the time of testing consistent with the diagnosis of epilepsy Patient age 16 years or greater In the opinion of the Investigator, the patient is in good health Female patients of child-bearing potential must not be pregnant (serum HCG negative) or lactating, and must be using a medically acceptable form of birth control such as abstinence, an adequate barrier method, or hormonal contraceptive; or female patients who are post-menopausal or have had surgical sterilization Patient or caregiver able to follow Investigator instruction, study procedures, maintain diary of concomitant medication use, and report adverse events EXCLUSION CRITERIA History of status epilepticus Patient with simple partial seizures only A history of non-epileptic seizures (e.g. metabolic or pseudo-seizures) Progressive encephalopathy or findings consistent with progressive CNS disease or lesions (e.g. infection, demyelination, tumor) Clinically significant uncontrolled medical disease in the previous two years (including unstable cardiac, hematological, hepatic, or renal disease) History of acute intermittent porphyria, glucose-6-phosphate dehydrogenase deficiency or hemolytic anemia Renal insufficiency (serum creatinine > 2 mg/dL) or impaired liver function (SGPT/ALT > two times upper limit of normal) History of renal calculi Laboratory test results which, in the opinion of the Investigator, are clinically significant abnormalities History of alcohol or drug abuse Psychiatric illness or mood disorders requiring treatment in previous 6 months; history of suicide attempt or psychosis Use of benzodiazepines (intermittent use as a hypnotic or an PRN AED is allowed) Use of other investigational compounds, experimental drugs or devices within 30 days of the screening visit History of hypersensitivity or allergic reaction to sulfonamides Medical disorder, surgery or medication that might interfere with absorption, distribution, metabolism, or excretion of the study drug
Facility Information:
Facility Name
UAB Epilepsy Center
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
North Alabama Neuroscience
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Neurology Clinic, P.C.
City
Northport
State/Province
Alabama
ZIP/Postal Code
35476
Country
United States
Facility Name
Northridge Neurological Center
City
Northridge
State/Province
California
ZIP/Postal Code
91325
Country
United States
Facility Name
Coordinated Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
Neurology Associates
City
Maitland
State/Province
Florida
ZIP/Postal Code
32751
Country
United States
Facility Name
Bay Neurological Institute
City
Panama City
State/Province
Florida
ZIP/Postal Code
32405
Country
United States
Facility Name
Suncoast Neuroscience Associates, Inc.
City
St. Petersburg
State/Province
Florida
ZIP/Postal Code
33701
Country
United States
Facility Name
AMO Corporation
City
Tallahassee
State/Province
Florida
ZIP/Postal Code
32308
Country
United States
Facility Name
Florida Epilepsy & Seizure Disorder Center, PA
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Neurology & Headache Specialist of Atlanta, LLC
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
Southern Illinois University School of Medicine Dept. of Neurology
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62707
Country
United States
Facility Name
Louisville Neuroscience Research Center
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40205
Country
United States
Facility Name
St. Agnes Health Care, Inc.
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21229
Country
United States
Facility Name
The Comprehensive Epilepsy Care Center
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Facility Name
Upstate Clinical Research Center
City
Albany
State/Province
New York
ZIP/Postal Code
12205
Country
United States
Facility Name
Dent Neurological Institute
City
Orchard Park
State/Province
New York
ZIP/Postal Code
14127
Country
United States
Facility Name
Epilepsy Institute of North Carolina
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
River Hills Health Care
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Westmoreland Neurology Associates, Inc.
City
Greensburg
State/Province
Pennsylvania
ZIP/Postal Code
15601
Country
United States
Facility Name
CNS Research, INC
City
East Providence
State/Province
Rhode Island
ZIP/Postal Code
02914
Country
United States
Facility Name
Neurology Clinic of San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Blue Ridge Research Center
City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24014
Country
United States
Facility Name
Neurology & Neurosurgery Associates of Tacoma, Inc. P.S.
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Facility Name
University of Wisconsin
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53792
Country
United States
Facility Name
Tallinn Children's Hospital
City
Tallinn
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Tartu University Hospital
City
Tartu
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Semmelweis University Health Science Faculty
City
Budapest
ZIP/Postal Code
116
Country
Hungary
Facility Name
National Institute of Neurosurgery Epilepsy Center
City
Budapest
ZIP/Postal Code
H1145
Country
Hungary
Facility Name
Kaunas Medical University Clinics
City
Kaunas
ZIP/Postal Code
3007
Country
Lithuania
Facility Name
Vilnius University Hospital
City
Vilnius
ZIP/Postal Code
2600
Country
Lithuania
Facility Name
Kharkov State Medical University
City
Kharkov
ZIP/Postal Code
31002
Country
Ukraine
Facility Name
Institute of Neurology, Psychiatry, and Narcology of AMS Ukraine
City
Kharkov
ZIP/Postal Code
31068
Country
Ukraine
Facility Name
Epilepsy Center
City
Kiev
ZIP/Postal Code
254655
Country
Ukraine
Facility Name
Odessa Medical University
City
Odessa
ZIP/Postal Code
9
Country
Ukraine

12. IPD Sharing Statement

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Dose Response Study of Zonegran in Patients With Newly Diagnosed Epilepsy

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