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A Study to Evaluate the Safety and Tolerability of Intravenous Brivaracetam (BRV) as Replacement for Oral Brivaracetam in Japanese Subjects >=16 Years of Age With Partial Seizures With or Without Secondary Generalization

Primary Purpose

Partial Seizures With or Without Secondary Generalization, Epilepsy

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
Brivaracetam
Sponsored by
UCB Biopharma S.P.R.L.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Partial Seizures With or Without Secondary Generalization focused on measuring Brivaracetam, Epilepsy, Partial seizures with or without secondary generalization, Japanese subjects

Eligibility Criteria

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

Inclusion Criteria:

  • Subject has, in the opinion of the Investigator, adequate seizure control for participation in the study, and is willing and able to comply with all study requirements including hospitalization, multiple blood draws, and intravenous (iv) injection
  • Female subjects without childbearing potential (postmenopausal for at least 2 years, bilateral oophorectomy or tubal ligation, complete hysterectomy) are eligible. Female subjects with childbearing potential are eligible if they use a medically accepted contraceptive method
  • Japanese subject is currently enrolled in EP0085 [NCT03250377] receiving oral brivaracetam (BRV) for the treatment of partial seizures and has been enrolled for at least 8 weeks prior to entry into EP0118
  • Subject has been on a stable twice daily dosage regimen of BRV 50 mg/day to 200 mg/day for the 4 weeks prior to entry into EP0118
  • Subject has been receiving concomitant antiepileptic drug (AED(s)) at doses that have remained stable for the 4 weeks (12 weeks for phenobarbital, phenytoin, and primidone) prior to entry into EP0118
  • Subject has been receiving drugs with possible central nervous system (CNS) effects at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable
  • Subject has been receiving drugs that significantly influence the metabolism of BRV at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable
  • Subject has had stable vagal nerve stimulation (VNS) settings for the 4 weeks prior to entry into EP0118, if applicable

Exclusion Criteria:

  • Subject is receiving an investigational medicinal product (IMP) or unapproved medication other than oral BRV, or using an experimental medical device
  • Subject has previously been treated with intravenous (iv) brivaracetam (BRV)
  • Subject has a known hypersensitivity to any components of the investigational medicinal product (IMP) or comparative drugs as stated in this protocol
  • Subject has a confirmed clinically relevant abnormality by electrocardiogram (ECG)
  • Subject has a severe medical, neurological, or psychiatric disorder, or abnormal laboratory values which may have an impact on the safety of the subject
  • Subject has demonstrated poor compliance with the visit schedule or medication intake in previous BRV studies
  • Subject has planned participation in any other clinical study of another IMP or device during this study
  • Subject is a pregnant or lactating female
  • Subject has any medical condition which, in the Investigator's opinion, warrants exclusion
  • Subject has a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) "Since Last Visit" at Screening
  • Subject has >2x upper limit of normal (ULN) of any of the following prior to Day 1 (from liver function assessment in EP0085): alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (>=1.5x ULN total bilirubin if known Gilbert's syndrome)

Sites / Locations

  • Ep0118 116
  • Ep0118 126
  • Ep0118 111
  • Ep0118 121
  • Ep0118 142
  • Ep0118 112
  • Ep0118 104
  • Ep0118 138
  • Ep0118 109

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Brivaracetam

Arm Description

Subjects in this arm will receive open-label Brivaracetam.

Outcomes

Primary Outcome Measures

Adverse Events (AEs) as reported spontaneously by the subject or observed by the Investigator
An AE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
Subject withdrawal due to Adverse Events (AEs)
An AE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
Occurrence of Serious Adverse Events (SAEs)
A SAE must meet 1 or more of the following criteria: Death Life-threatening Significant or persistent disability/incapacity Congenital anomaly/birth defect Initial inpatient hospitalization or prolongation of hospitalization Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious

Secondary Outcome Measures

Partial seizure frequency during the Treatment Period
Partial Seizures can be classified into one of the following three groups: Simple Partial Seizures, Complex Partial Seizures, Partial Seizures evolving to Secondarily Generalized Seizures. The partial seizure frequency will be assessed using the seizure count information recorded on the daily record card (DRC). The written information will be discussed with the subject in order to ensure completeness and accuracy. As a result of the discussion, the Investigator will assess the seizures according to the International League Against Epilepsy (ILAE) codes and record the seizure types and frequency on the DRC.
Brivaracetam (BRV) plasma concentration (at Day 1)
The plasma concentration level of brivaracetam 5 minutes postdose on Day 1.
Brivaracetam (BRV) plasma concentration (at Day 2)
The plasma concentration level of brivaracetam 5 minutes postdose on Day 2.
Brivaracetam (BRV) plasma concentration (at Day 5)
The plasma concentration level of brivaracetam 5 minutes postdose on Day 5.

Full Information

First Posted
September 20, 2018
Last Updated
April 12, 2021
Sponsor
UCB Biopharma S.P.R.L.
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1. Study Identification

Unique Protocol Identification Number
NCT03685630
Brief Title
A Study to Evaluate the Safety and Tolerability of Intravenous Brivaracetam (BRV) as Replacement for Oral Brivaracetam in Japanese Subjects >=16 Years of Age With Partial Seizures With or Without Secondary Generalization
Official Title
A Multicenter, Open-Label Study to Evaluate the Safety and Tolerability of Intravenous Brivaracetam as Replacement for Oral Brivaracetam in Japanese Subjects >=16 Years of Age With Partial Seizures With or Without Secondary Generalization
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
January 4, 2019 (Actual)
Primary Completion Date
March 27, 2021 (Actual)
Study Completion Date
March 27, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UCB Biopharma S.P.R.L.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the safety and tolerability of intravenous (iv) brivaracetam (BRV) as adjunctive therapy administered as a replacement for oral BRV at doses ranging from BRV 50 mg/day to 200 mg/day in Japanese subjects >=16 years of age with partial seizures with or without secondary generalization and to evaluate the partial seizure frequency after switching from oral administration to iv BRV.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Partial Seizures With or Without Secondary Generalization, Epilepsy
Keywords
Brivaracetam, Epilepsy, Partial seizures with or without secondary generalization, Japanese subjects

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Brivaracetam
Arm Type
Experimental
Arm Description
Subjects in this arm will receive open-label Brivaracetam.
Intervention Type
Drug
Intervention Name(s)
Brivaracetam
Other Intervention Name(s)
Briviact
Intervention Description
Pharmaceutical form: Solution for injection Concentration: 10 mg/ml Route of administration: Intravenous injection
Primary Outcome Measure Information:
Title
Adverse Events (AEs) as reported spontaneously by the subject or observed by the Investigator
Description
An AE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
Time Frame
From study entry until Final Visit (up to 7 days)
Title
Subject withdrawal due to Adverse Events (AEs)
Description
An AE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
Time Frame
From study entry until Final Visit (up to 7 days)
Title
Occurrence of Serious Adverse Events (SAEs)
Description
A SAE must meet 1 or more of the following criteria: Death Life-threatening Significant or persistent disability/incapacity Congenital anomaly/birth defect Initial inpatient hospitalization or prolongation of hospitalization Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious
Time Frame
From study entry until Final Visit (up to 7 days)
Secondary Outcome Measure Information:
Title
Partial seizure frequency during the Treatment Period
Description
Partial Seizures can be classified into one of the following three groups: Simple Partial Seizures, Complex Partial Seizures, Partial Seizures evolving to Secondarily Generalized Seizures. The partial seizure frequency will be assessed using the seizure count information recorded on the daily record card (DRC). The written information will be discussed with the subject in order to ensure completeness and accuracy. As a result of the discussion, the Investigator will assess the seizures according to the International League Against Epilepsy (ILAE) codes and record the seizure types and frequency on the DRC.
Time Frame
During the Treatment Period (from Day 1 to Day 5)
Title
Brivaracetam (BRV) plasma concentration (at Day 1)
Description
The plasma concentration level of brivaracetam 5 minutes postdose on Day 1.
Time Frame
Day 1
Title
Brivaracetam (BRV) plasma concentration (at Day 2)
Description
The plasma concentration level of brivaracetam 5 minutes postdose on Day 2.
Time Frame
Day 2
Title
Brivaracetam (BRV) plasma concentration (at Day 5)
Description
The plasma concentration level of brivaracetam 5 minutes postdose on Day 5.
Time Frame
Day 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has, in the opinion of the Investigator, adequate seizure control for participation in the study, and is willing and able to comply with all study requirements including hospitalization, multiple blood draws, and intravenous (iv) injection Female subjects without childbearing potential (postmenopausal for at least 2 years, bilateral oophorectomy or tubal ligation, complete hysterectomy) are eligible. Female subjects with childbearing potential are eligible if they use a medically accepted contraceptive method Japanese subject is currently enrolled in EP0085 [NCT03250377] receiving oral brivaracetam (BRV) for the treatment of partial seizures and has been enrolled for at least 8 weeks prior to entry into EP0118 Subject has been on a stable twice daily dosage regimen of BRV 50 mg/day to 200 mg/day for the 4 weeks prior to entry into EP0118 Subject has been receiving concomitant antiepileptic drug (AED(s)) at doses that have remained stable for the 4 weeks (12 weeks for phenobarbital, phenytoin, and primidone) prior to entry into EP0118 Subject has been receiving drugs with possible central nervous system (CNS) effects at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable Subject has been receiving drugs that significantly influence the metabolism of BRV at doses that have remained stable for the 4 weeks prior to entry into EP0118, if applicable Subject has had stable vagal nerve stimulation (VNS) settings for the 4 weeks prior to entry into EP0118, if applicable Exclusion Criteria: Subject is receiving an investigational medicinal product (IMP) or unapproved medication other than oral BRV, or using an experimental medical device Subject has previously been treated with intravenous (iv) brivaracetam (BRV) Subject has a known hypersensitivity to any components of the investigational medicinal product (IMP) or comparative drugs as stated in this protocol Subject has a confirmed clinically relevant abnormality by electrocardiogram (ECG) Subject has a severe medical, neurological, or psychiatric disorder, or abnormal laboratory values which may have an impact on the safety of the subject Subject has demonstrated poor compliance with the visit schedule or medication intake in previous BRV studies Subject has planned participation in any other clinical study of another IMP or device during this study Subject is a pregnant or lactating female Subject has any medical condition which, in the Investigator's opinion, warrants exclusion Subject has a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) "Since Last Visit" at Screening Subject has >2x upper limit of normal (ULN) of any of the following prior to Day 1 (from liver function assessment in EP0085): alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (>=1.5x ULN total bilirubin if known Gilbert's syndrome)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
UCB Cares
Organizational Affiliation
001 844 599 2273 (UCB)
Official's Role
Study Director
Facility Information:
Facility Name
Ep0118 116
City
Asaka
Country
Japan
Facility Name
Ep0118 126
City
Bunkyo
Country
Japan
Facility Name
Ep0118 111
City
Hamamatsu
Country
Japan
Facility Name
Ep0118 121
City
Itami
Country
Japan
Facility Name
Ep0118 142
City
Kamakura
Country
Japan
Facility Name
Ep0118 112
City
Koshi
Country
Japan
Facility Name
Ep0118 104
City
Shizuoka
Country
Japan
Facility Name
Ep0118 138
City
Tsukuba
Country
Japan
Facility Name
Ep0118 109
City
Yamagata
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Safety and Tolerability of Intravenous Brivaracetam (BRV) as Replacement for Oral Brivaracetam in Japanese Subjects >=16 Years of Age With Partial Seizures With or Without Secondary Generalization

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