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Study to Evaluate the Safety and Effectiveness of USL255 in Patients With Refractory Partial-onset Seizures

Primary Purpose

Epilepsy

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
USL255
Placebo
Sponsored by
Upsher-Smith Laboratories
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy focused on measuring Epilepsy, partial onset seizure, adjunctive therapy

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has a confirmed diagnosis of partial-onset seizures with or without secondary generalization for at least 12 months prior to Visit 1.
  • Currently on a stable dosing regimen of 1 to 3 AEDs for at least 4-weeks prior to Visit 1 (12 weeks for phenobarbital and primidone).
  • Have a minimum of 8 partial-onset seizures and no more than 21 consecutive seizure free days, during the 8-week baseline.

Exclusion Criteria:

  • Have a history of seizure episodes 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, within 3 months prior to Visit 1.
  • Have a history of pseudoseizures, or status epilepticus, within 3 months prior to Visit 1.
  • Have a history of metabolic acidosis, nephrolithiasis, ureterolithiasis, or narrow angle glaucoma.
  • Have a history of suicidal attempts, suicidal ideation, or uncontrolled psychiatric illness within 2 years of Visit 1.
  • Currently taking, or have taken felbamate within the past 18 months, or have taken vigabatrin in the past.
  • Have taken topiramate within the past 6 months.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

USL255

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Percent Reduction From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.

Secondary Outcome Measures

Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Percent Reductions From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Percent Reduction From Baseline in Weekly (7 Day) All Seizure Frequency During the Titration Plus Maintenance Phase.
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phases Compared to Baseline.
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Percent Reduction From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Proportion of Subjects ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.

Full Information

First Posted
June 9, 2010
Last Updated
May 19, 2014
Sponsor
Upsher-Smith Laboratories
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1. Study Identification

Unique Protocol Identification Number
NCT01142193
Brief Title
Study to Evaluate the Safety and Effectiveness of USL255 in Patients With Refractory Partial-onset Seizures
Official Title
A Randomized, Multicenter, Double-blind, Placebo-controlled, Parallel-group Phase 3 Study to Evaluate the Efficacy and Safety of USL255 as Adjunctive Therapy in Patients With Refractory Partial-Onset Seizures
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Upsher-Smith Laboratories

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to examine the safety and effectiveness of USL255 as adjunctive therapy in patients with refractory partial onset-seizures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
Keywords
Epilepsy, partial onset seizure, adjunctive therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
249 (Actual)

8. Arms, Groups, and Interventions

Arm Title
USL255
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
USL255
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Percent Reduction From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame
11 weeks
Secondary Outcome Measure Information:
Title
Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame
11 weeks
Title
Proportion of Subjects With ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Time Frame
3 weeks (weeks 1-3)
Title
Percent Reductions From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phase Compared to Baseline.
Time Frame
3 weeks (weeks 1-3)
Title
Percent Reduction From Baseline in Weekly (7 Day) All Seizure Frequency During the Titration Plus Maintenance Phase.
Time Frame
11 weeks
Title
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Phases Compared to Baseline.
Time Frame
3 weeks (weeks 1-3)
Title
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Titration Plus Maintenance Phase Compared to Baseline.
Time Frame
11 weeks
Title
Proportion of Subjects With ≥25%, ≥75%, and 100% Reduction in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame
8 weeks (weeks 4-11)
Title
Percent Reduction From Baseline in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame
8 weeks (weeks 4-11)
Title
Proportion of Subjects ≥50% Reduction (Responder Rate) in Weekly (7 Day) Partial-onset Seizure Frequency During the Maintenance Phase Compared to Baseline.
Time Frame
8 weeks (weeks 4-11)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has a confirmed diagnosis of partial-onset seizures with or without secondary generalization for at least 12 months prior to Visit 1. Currently on a stable dosing regimen of 1 to 3 AEDs for at least 4-weeks prior to Visit 1 (12 weeks for phenobarbital and primidone). Have a minimum of 8 partial-onset seizures and no more than 21 consecutive seizure free days, during the 8-week baseline. Exclusion Criteria: Have a history of seizure episodes 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, within 3 months prior to Visit 1. Have a history of pseudoseizures, or status epilepticus, within 3 months prior to Visit 1. Have a history of metabolic acidosis, nephrolithiasis, ureterolithiasis, or narrow angle glaucoma. Have a history of suicidal attempts, suicidal ideation, or uncontrolled psychiatric illness within 2 years of Visit 1. Currently taking, or have taken felbamate within the past 18 months, or have taken vigabatrin in the past. Have taken topiramate within the past 6 months.
Facility Information:
City
Phoenix
State/Province
Arizona
Country
United States
City
Ventura
State/Province
California
Country
United States
City
Gainesville
State/Province
Florida
Country
United States
City
Gulf Breeze
State/Province
Florida
Country
United States
City
Jacksonville
State/Province
Florida
Country
United States
City
Pensacola
State/Province
Florida
Country
United States
City
Port Charlotte
State/Province
Florida
Country
United States
City
Boise
State/Province
Idaho
Country
United States
City
Lexington
State/Province
Kentucky
Country
United States
City
Waldorf
State/Province
Maryland
Country
United States
City
Chesterfield
State/Province
Missouri
Country
United States
City
St. Louis
State/Province
Missouri
Country
United States
City
New Brunswick
State/Province
New Jersey
Country
United States
City
New York
State/Province
New York
Country
United States
City
Charlotte
State/Province
North Carolina
Country
United States
City
Toledo
State/Province
Ohio
Country
United States
City
Dallas
State/Province
Texas
Country
United States
City
Temple
State/Province
Texas
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United States
City
Milwaukee
State/Province
Wisconsin
Country
United States
City
Buenos Aires
Country
Argentina
City
Cordoba
Country
Argentina
City
Guaymallen
Country
Argentina
City
Salta
Country
Argentina
City
Bedford Park
Country
Australia
City
Clayton
Country
Australia
City
Fitzory
Country
Australia
City
Heidelberg West
Country
Australia
City
Parkville
Country
Australia
City
Randwick
Country
Australia
City
Woodville
Country
Australia
City
Brugge
Country
Belgium
City
Duffel
Country
Belgium
City
Leuven
Country
Belgium
City
Greenfield Park
Country
Canada
City
Santiago
Country
Chile
City
Valdivia
Country
Chile
City
Bonn
Country
Germany
City
Munchen
Country
Germany
City
Athens
Country
Greece
City
Thessaloniki
Country
Greece
City
Budapest
Country
Hungary
City
Bangalore
Country
India
City
Dehradun
Country
India
City
Hyderabad
Country
India
City
Mangalore
Country
India
City
New Delhi
Country
India
City
Ashkelon
Country
Israel
City
Haifa
Country
Israel
City
Holon
Country
Israel
City
Nahariya
Country
Israel
City
Petach Tikva
Country
Israel
City
Ramat Gan
Country
Israel
City
Auckland
Country
New Zealand
City
Gdansk
Country
Poland
City
Krakow
Country
Poland
City
Lodz
Country
Poland
City
Lublin
Country
Poland
City
Warszawa
Country
Poland
City
Kazan
Country
Russian Federation
City
Moscow
Country
Russian Federation
City
Samara
Country
Russian Federation
City
St. Petersburg
Country
Russian Federation
City
Tyumen
Country
Russian Federation
City
Yaroslavi
Country
Russian Federation
City
Cape Town
Country
South Africa
City
Badalona
Country
Spain
City
Baracaldo
Country
Spain
City
Granada
Country
Spain
City
Madrid
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
25461205
Citation
Hogan RE, Blatt I, Lawson B, Nagaraddi V, Fakhoury TA, Anders B, Clark AM, Laine D, Halvorsen MB, Chung SS. Efficacy of once-daily extended-release topiramate (USL255): a subgroup analysis based on the level of treatment resistance. Epilepsy Behav. 2014 Dec;41:136-9. doi: 10.1016/j.yebeh.2014.09.061. Epub 2014 Oct 21.
Results Reference
derived
PubMed Identifier
24902983
Citation
Chung SS, Fakhoury TA, Hogan RE, Nagaraddi VN, Blatt I, Lawson B, Arnold S, Anders B, Clark AM, Laine D, Meadows RS, Halvorsen MB; PREVAIL Study Group. Once-daily USL255 as adjunctive treatment of partial-onset seizures: randomized phase III study. Epilepsia. 2014 Jul;55(7):1077-87. doi: 10.1111/epi.12660. Epub 2014 Jun 5.
Results Reference
derived

Learn more about this trial

Study to Evaluate the Safety and Effectiveness of USL255 in Patients With Refractory Partial-onset Seizures

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