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Efficacy and Safety of Levetiracetam in Partial Seizures Control, With or Without Secondary Generalization (Mozart)

Primary Purpose

Epilepsy, Partial Seizures

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Levetiracetam
Placebo
Sponsored by
Ache Laboratorios Farmaceuticos S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy focused on measuring Epilepsy, Partial, Seizures, Adjunctive

Eligibility Criteria

4 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients of both sexes, aged between 04 and 65 years, remaining the feasibility of a legal guardian in accordance with need, able to understand and provide written informed consent and able to allow compliance at the treatment and the requirements of the protocol;
  • Patient´s weight ≥ 20kg;
  • Consistent diagnosis of refractory focal epilepsy, with or without secondary generalization;
  • Patient with onset of seizures for at least 02 years preceding the screening visit;
  • Presence at least 12 partial seizures during the 03 months preceding the screening visit (04 seizures per month);

    • Only seizures that generate motor manifestation will be recorded in this study.
  • Absence of brain injury progressive or expansive, previously documented by CT scan, MRI or other imaging test applicable (in the last 05 years;
  • Patient with electroencephalogram performed up to 02 years before this visit;
  • Subject with stable regimen (minimum of 01 month) from one to three antiepileptic drugs.

    • Vagus nerve stimulation for 04 weeks prior to V1, or use of benzodiazepines for more than 07 consecutive days will be considered as concomitant epileptic drugs)

Exclusion Criteria:

  • Patients with:

    • Seizures of non epileptic origin;
    • Pseudoseizures;
    • Seizures occurring in clustered patterns (03 or more seizures in 30 minutes), in the 03 months preceding the screening visit (V1);
    • History of status epilepticus while taking antiepileptic drugs during the 03 months that preceding the screening visit (V1).
  • Epileptic syndromes that occurs with cognitive deficits or secondary epilepsy evolving from some brain disease;
  • History of schizophrenia or suicide attempt;
  • Patients with psychiatric ill ongoing;
  • Presence of severe mental retardation of any etiology;
  • Previous exposure to levetiracetam;
  • Women of childbearing age who had tested positive for pregnancy, or who do not use acceptable contraceptive method, or do not agree to practice reliable contraception during the study;
  • Woman in pregnancy or lactation period;
  • Diagnosis of renal or hepatic failure;
  • Patients with genetic syndromes;
  • Patient that is taking any prohibited medication (Item 9.3);
  • Participation in last one year of clinical protocols, unless it can be direct benefit to subject;
  • Relatives of sponsor´s or study site´s employee;
  • Current evidence of clinically significant diseases: hematopoietic, gastrointestinal, cardiovascular, hepatic, renal, neurological, endocrine, psychiatric, autoimmune, pulmonary, or another disease that block the subject participation;
  • Any finding of clinical observation (anamnesis and physical exam) laboratory abnormality (e.g., blood glucose, blood count), disease (for example, liver, cardiovascular system, lung) or therapy that, in opinion of the investigator, may endanger the subject or interfere with the endpoints of study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Levetiracetam

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Partial onset seizure frequency per week.
    Collection of seizure count throughout the whole study

    Secondary Outcome Measures

    Safety descriptive about occurence of adverse events, evaluation of results of clinical/physical examination and ECG and laboratory tests results.
    Collection of safety data throughout the whole study period
    Proportions of response between the groups of treatment. (Responders defined as number of patients with at least 50% reduction in the number of weekly partial seizures)
    Comparative between baseline and treatment periods
    Percentage reduction from baseline in partial seizure frequency of days a week.
    Comparative between baseline and treatment periods
    Proportion of response between the groups of treatment. (Responders defined as number of subjects with at least 50% reduction in the number of days per week with partial seizures)
    Comparative between baseline and treatment periods
    Proportion between the groups of treatment without any kind of seizures. (seizure free)
    During the evaluation period of treatment, without the titration period

    Full Information

    First Posted
    July 6, 2011
    Last Updated
    October 27, 2016
    Sponsor
    Ache Laboratorios Farmaceuticos S.A.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01392768
    Brief Title
    Efficacy and Safety of Levetiracetam in Partial Seizures Control, With or Without Secondary Generalization
    Acronym
    Mozart
    Official Title
    A Double-blind, Phase III, Multicenter, Randomized, Placebo-controlled Study to Evaluate the Efficacy and Safety of Levetiracetam as Adjunctive Therapy, in Partial Seizures Control Associated With Refractory Focal Epilepsy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2013 (undefined)
    Primary Completion Date
    July 2015 (Actual)
    Study Completion Date
    August 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Ache Laboratorios Farmaceuticos S.A.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to determine whether levetiracetam as adjunctive therapy is effective in the treatment of partial seizures, with or without secondary generalization, associated with refractory focal epilepsy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Epilepsy, Partial Seizures
    Keywords
    Epilepsy, Partial, Seizures, Adjunctive

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    126 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Levetiracetam
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Levetiracetam
    Intervention Description
    Oral solution (Each mL contains 100mg of levetiracetam) or immediate-release tablets (Tablets containing 500mg or 1000mg of levetiracetam)
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo, properly standardized to suit the characteristics of each dosage form (oral solution and tablets) of levetiracetam
    Primary Outcome Measure Information:
    Title
    Partial onset seizure frequency per week.
    Description
    Collection of seizure count throughout the whole study
    Time Frame
    From baseline to week 24
    Secondary Outcome Measure Information:
    Title
    Safety descriptive about occurence of adverse events, evaluation of results of clinical/physical examination and ECG and laboratory tests results.
    Description
    Collection of safety data throughout the whole study period
    Time Frame
    From baseline to week 30
    Title
    Proportions of response between the groups of treatment. (Responders defined as number of patients with at least 50% reduction in the number of weekly partial seizures)
    Description
    Comparative between baseline and treatment periods
    Time Frame
    From baseline to week 24
    Title
    Percentage reduction from baseline in partial seizure frequency of days a week.
    Description
    Comparative between baseline and treatment periods
    Time Frame
    From baseline to week 24
    Title
    Proportion of response between the groups of treatment. (Responders defined as number of subjects with at least 50% reduction in the number of days per week with partial seizures)
    Description
    Comparative between baseline and treatment periods
    Time Frame
    From baseline to week 24
    Title
    Proportion between the groups of treatment without any kind of seizures. (seizure free)
    Description
    During the evaluation period of treatment, without the titration period
    Time Frame
    12 weeks after the titration period (period with stable regimen of the drug)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    4 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients of both sexes, aged between 04 and 65 years, remaining the feasibility of a legal guardian in accordance with need, able to understand and provide written informed consent and able to allow compliance at the treatment and the requirements of the protocol; Patient´s weight ≥ 20kg; Consistent diagnosis of refractory focal epilepsy, with or without secondary generalization; Patient with onset of seizures for at least 02 years preceding the screening visit; Presence at least 12 partial seizures during the 03 months preceding the screening visit (04 seizures per month); Only seizures that generate motor manifestation will be recorded in this study. Absence of brain injury progressive or expansive, previously documented by CT scan, MRI or other imaging test applicable (in the last 05 years; Patient with electroencephalogram performed up to 02 years before this visit; Subject with stable regimen (minimum of 01 month) from one to three antiepileptic drugs. Vagus nerve stimulation for 04 weeks prior to V1, or use of benzodiazepines for more than 07 consecutive days will be considered as concomitant epileptic drugs) Exclusion Criteria: Patients with: Seizures of non epileptic origin; Pseudoseizures; Seizures occurring in clustered patterns (03 or more seizures in 30 minutes), in the 03 months preceding the screening visit (V1); History of status epilepticus while taking antiepileptic drugs during the 03 months that preceding the screening visit (V1). Epileptic syndromes that occurs with cognitive deficits or secondary epilepsy evolving from some brain disease; History of schizophrenia or suicide attempt; Patients with psychiatric ill ongoing; Presence of severe mental retardation of any etiology; Previous exposure to levetiracetam; Women of childbearing age who had tested positive for pregnancy, or who do not use acceptable contraceptive method, or do not agree to practice reliable contraception during the study; Woman in pregnancy or lactation period; Diagnosis of renal or hepatic failure; Patients with genetic syndromes; Patient that is taking any prohibited medication (Item 9.3); Participation in last one year of clinical protocols, unless it can be direct benefit to subject; Relatives of sponsor´s or study site´s employee; Current evidence of clinically significant diseases: hematopoietic, gastrointestinal, cardiovascular, hepatic, renal, neurological, endocrine, psychiatric, autoimmune, pulmonary, or another disease that block the subject participation; Any finding of clinical observation (anamnesis and physical exam) laboratory abnormality (e.g., blood glucose, blood count), disease (for example, liver, cardiovascular system, lung) or therapy that, in opinion of the investigator, may endanger the subject or interfere with the endpoints of study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Elza M Yacubian
    Organizational Affiliation
    Federal University of São Paulo
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Levetiracetam in Partial Seizures Control, With or Without Secondary Generalization

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