Open-label, Multi-center Trial of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy
Primary Purpose
Epilepsy
Status
Completed
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
zonisamide
Sponsored by
About this trial
This is an interventional treatment trial for Epilepsy
Eligibility Criteria
Inclusion criteria:
- Epilepsy patient over 15 years old who agrees with Informed Consent Form
- Patient who has classifiable uncontrolled partial epilepsy according to International Classification of Epileptic Seizures.
- Patient who has 3 ~ dozens of partial seizure (average more than once seizure per 4 weeks) last 12 weeks despite taking 1 ~ 3 antiepileptic drug(s).
- Patient who takes 1 ~ 3 marketed antiepileptic drug(s) excluding zonisamide at point of enrollment time.
- Before study visit, patient who takes stable dose of antiepileptic drug more than 4 weeks.
Exclusion criteria:
- Patient who has progressive central nervous system (CNS) disorder and/or degenerative disease of the brain.
- Patient who experiences pseudoseizures and/or who has uncountable clusters.
- Patient who has serious systemic or drug metabolism affecting disorder .
- Upward of doubled normal glutamic oxaloacetic transaminase (GOT), glutamic pyruvic transaminase (GPT), bilirubin, blood urea nitrogen (BUN), creatinine levels.
- Patient who has absolute neutrophil counts <1800/mm3 or platelets <100,000/mm3.
- Patient who has medical history of renal stones.
- Patient who is allergic to sulfonamide.
- Medical history of medicinal poisoning and/or alcoholism and/or serious psychological disorder.
- Pregnant women, lactating women, women of childbearing age who do not use a preventive method of conception.
- A terminal patient and/or a scheduled surgical patient.
- Patient who has medication history of zonisamide.
- Patient who participated other clinical trial within the last 12 weeks at point of enrollment time of this study.
Sites / Locations
- Dong-A University Hospital, Dept. of Neurology
- Inje Univ. Pusan Paik Hospital, Dept. of Neurology
- Keimyung Univ.Dongsan Medical Centre, Dept. of Neurology
- Kyungpook Natl. Univ. Hosp., Dept. of Neurology
- Yeungnam Univ. Medical Center, Dept. of Neurology
- Gachon Medical School Gil Medical Centre, Dept.of Neurology
- Natl. Health Insurance Corporation Ilsan Hosp., Dept. of Neurology
- Bundang CHA Hospital, Dept. of Neurology
- Kangdong Sacred Heart Hosp., Dept. of Neurology
- Severance Hospital, Dept. of Neurology
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1
Arm Description
Outcomes
Primary Outcome Measures
Seizure Reduction Rate
The percentage of the seizure reduction after Zonisamide treatment comparing baseline seizure frequency.
Secondary Outcome Measures
Seizure Free Rate
The percentage of the participants who experienced no seizure during the trial.
Responder Rate
The percentage of participants whose median percentage change in seizure frequency after Zonisamide treatment is reduced over 50%.
QoL-QOLIE31 (Quality of Life in Epilepsy)
Quality of life assessment tool. Overall scores is calculated by summing subsections, and it ranges from 0 to 100. Higher score presents higher quality of life.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01140867
Brief Title
Open-label, Multi-center Trial of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy
Official Title
A Korean Open-label, Multi-center, Community-based Trial Assessing the Efficacy and Safety of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy
Study Type
Interventional
2. Study Status
Record Verification Date
May 2011
Overall Recruitment Status
Completed
Study Start Date
February 29, 2008 (Actual)
Primary Completion Date
August 31, 2010 (Actual)
Study Completion Date
March 31, 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Korea Inc.
4. Oversight
5. Study Description
Brief Summary
The object of this study is to assess the efficacy and safety of zonisamide as adjunctive therapy in patients with uncontrolled partial epilepsy.
Detailed Description
The object of this study is to assess the efficacy and safety of zonisamide as adjunctive therapy in patients with uncontrolled partial epilepsy. Subject takes zonisamide for 16 weeks (4 weeks-titration period, 8 weeks maintenance period). Dose range of zonisamide is 100 ~ 400 mg/day and target dose is 300 mg/day. After 16 weeks, zonisamide efficacy is measured by seizure reduction rate (Each type of seizure: simple partial seizures [SPS], complex partial seizures [CPS], simple partial seizures evolving into generalized tonic-clonic convulsions [SGTC] and total seizure frequency), seizure free rate, responder rate, quality of life in epilepsy (QOLIE-31) and investigator's global evaluation scale. Safety of zonisamide in this study will be estimated by adverse event profile, retention rate and dose of exposure. The duration of this clinical study is 2 years including period of subject enrollment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
121 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
zonisamide
Intervention Description
zonisamide 100 mg tablet
Primary Outcome Measure Information:
Title
Seizure Reduction Rate
Description
The percentage of the seizure reduction after Zonisamide treatment comparing baseline seizure frequency.
Time Frame
Baseline and 16 weeks
Secondary Outcome Measure Information:
Title
Seizure Free Rate
Description
The percentage of the participants who experienced no seizure during the trial.
Time Frame
16 weeks
Title
Responder Rate
Description
The percentage of participants whose median percentage change in seizure frequency after Zonisamide treatment is reduced over 50%.
Time Frame
Baseline and 16 weeks
Title
QoL-QOLIE31 (Quality of Life in Epilepsy)
Description
Quality of life assessment tool. Overall scores is calculated by summing subsections, and it ranges from 0 to 100. Higher score presents higher quality of life.
Time Frame
Baseline and 16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Epilepsy patient over 15 years old who agrees with Informed Consent Form
Patient who has classifiable uncontrolled partial epilepsy according to International Classification of Epileptic Seizures.
Patient who has 3 ~ dozens of partial seizure (average more than once seizure per 4 weeks) last 12 weeks despite taking 1 ~ 3 antiepileptic drug(s).
Patient who takes 1 ~ 3 marketed antiepileptic drug(s) excluding zonisamide at point of enrollment time.
Before study visit, patient who takes stable dose of antiepileptic drug more than 4 weeks.
Exclusion criteria:
Patient who has progressive central nervous system (CNS) disorder and/or degenerative disease of the brain.
Patient who experiences pseudoseizures and/or who has uncountable clusters.
Patient who has serious systemic or drug metabolism affecting disorder .
Upward of doubled normal glutamic oxaloacetic transaminase (GOT), glutamic pyruvic transaminase (GPT), bilirubin, blood urea nitrogen (BUN), creatinine levels.
Patient who has absolute neutrophil counts <1800/mm3 or platelets <100,000/mm3.
Patient who has medical history of renal stones.
Patient who is allergic to sulfonamide.
Medical history of medicinal poisoning and/or alcoholism and/or serious psychological disorder.
Pregnant women, lactating women, women of childbearing age who do not use a preventive method of conception.
A terminal patient and/or a scheduled surgical patient.
Patient who has medication history of zonisamide.
Patient who participated other clinical trial within the last 12 weeks at point of enrollment time of this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jihee Mun
Organizational Affiliation
Medical Department, Eisai Korea Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Dong-A University Hospital, Dept. of Neurology
City
Busan
Country
Korea, Republic of
Facility Name
Inje Univ. Pusan Paik Hospital, Dept. of Neurology
City
Busan
Country
Korea, Republic of
Facility Name
Keimyung Univ.Dongsan Medical Centre, Dept. of Neurology
City
Daegu
Country
Korea, Republic of
Facility Name
Kyungpook Natl. Univ. Hosp., Dept. of Neurology
City
Daegu
Country
Korea, Republic of
Facility Name
Yeungnam Univ. Medical Center, Dept. of Neurology
City
Daegu
Country
Korea, Republic of
Facility Name
Gachon Medical School Gil Medical Centre, Dept.of Neurology
City
Incheon
Country
Korea, Republic of
Facility Name
Natl. Health Insurance Corporation Ilsan Hosp., Dept. of Neurology
City
Koyang
Country
Korea, Republic of
Facility Name
Bundang CHA Hospital, Dept. of Neurology
City
Seongnam
Country
Korea, Republic of
Facility Name
Kangdong Sacred Heart Hosp., Dept. of Neurology
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital, Dept. of Neurology
City
Seoul
Country
Korea, Republic of
12. IPD Sharing Statement
Learn more about this trial
Open-label, Multi-center Trial of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy
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