A Single-blind, Placebo-controlled, Outpatient Trial to Assess the Effects of Single Oral Tablet Dose of OPC-214870
Primary Purpose
Epilepsy
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
OPC-214870
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Epilepsy
Eligibility Criteria
Inclusion Criteria:
- Male and female subjects between 18 and 64 years of age, inclusive.
- Body mass index (BMI) between 18 and 40 kg/m^2, inclusive.
- Subjects with a diagnosis and history of photoparoxysmal response on EEG.
- Subjects must be stable for 1 month prior to screening. Stable is defined as having no change in concomitant therapy and no worsening in the opinion of the investigator.
- Subjects may be treatment-naïve to AEDs or currently treated with up to 3 AEDs.
- Subjects must have a reproducible standardized photosensitivity range on EEG of at least 3 points in at least 1 eye condition.
- Subjects who agree to remain abstinent, or practice double-barrier forms of birth control, from trial to screening through 90 days after the last dose of IMP, OR males and females of non-childbearing potential who are documented as sterile (i.e. male subjects who have undergone bilateral orchidectomy and female subjects who have undergone bilateral oophorectomy, bilateral salpingectomy, or hysterectomy, or who have been postmenopausal for at least 12 months.
Exclusion Criteria:
- History of non-epileptic seizures
- History of status epilepticus in the past 5 years
- An active central nervous system (CNS) infection, demyelinating disease, degenerative neurological disease, or any CNS disease deemed to be progressive during the course of the trial that may confound the interpretation of the trial results.
- Positive urine drug screen for substance of abuse or upon check in to the trial site. Benzodiazepines are excluded as a drug of abuse, but are allowed as rescue medication or when part of subject's stable concomitant medication at enrollment.
- History of drug and/or alcohol abuse within 24 months prior to screening.
- Consumption of grapefruit, grapefruit juice, Seville oranges, or Seville orange juice within 7 days prior to dosing.
- Consumption of more than 1 alcoholic drink within 24 hours prior to dosing. Food and beverages containing methylxanthines (caffeinated coffee, caffeinated tea, caffeinated soda, and chocolate) must remain stable throughout the trial.
- Extreme physical activity within 24 hours before screening and visit
- Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving IMP
- Subject having taken an investigational drug within 30 days preceding screening.
- Use of over-the-counter drugs, herbal medicines, or vitamin supplements within 14 days or 5 half-lives, whichever is longer, prior to dosing and antibiotics within 30 days prior to dosing.
- Subjects who had neurosurgery in last 6 months.
- Subjects on a ketogenic diet.
- History of significant sleep disorders, or any disorder or activity that causes sleep deprivation.
- Subjects who work "night shifts"
- Subjects with uncontrolled sleep disorders; subjects should be on a stable dose of sleep medications.
- History of, or current hepatitis or acquired immunodeficiency syndrome or carriers of hepatitis B surface antigen (HBsAg), hepatitis C antibodies (anti-HCV), and/or HIV antibodies.
Sites / Locations
- For additional information regarding sites, contact 844-687-8522
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Intervention 1
Placebo
Arm Description
Single dose; up to 400 mg capsule; adaptive dosage determined by initial dosing from cohort 1.Potential for a matching placebo dose to be administered.
Single dose; potential for a matching OPC-214870 dose to be administered.
Outcomes
Primary Outcome Measures
Change in Standardized Photosensitivity Range (SPR)
OPC-214870 in comparison to placebo
Secondary Outcome Measures
Onset and duration of SPR
OPC-214870 in comparison to placebo
Full Information
NCT ID
NCT04241965
First Posted
January 23, 2020
Last Updated
August 19, 2022
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT04241965
Brief Title
A Single-blind, Placebo-controlled, Outpatient Trial to Assess the Effects of Single Oral Tablet Dose of OPC-214870
Official Title
A Phase 1b, Single-blind, Placebo-controlled, Adaptive Design, Outpatient Trial to Assess the Effects of Single Oral Tablet Doses of OPC-214870 on Photic-induced Paroxysmal Electroencephalogram Responses in Subjects Who Have Demonstrated Photoepileptiform Discharges on Electroencephalogram With or Without Seizures
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
February 18, 2020 (Actual)
Primary Completion Date
October 11, 2021 (Actual)
Study Completion Date
October 28, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Despite availability of several antiepileptic drugs (AEDs), in one-third of patients, epilepsy remains uncontrolled with AEDs. There is a need to develop new approaches to improve the existing medications to relieve patients' epilepsy, and OPC-214870 is being studied for this purpose.
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 1
Interventional Study Model
Sequential Assignment
Masking
Participant
Allocation
Non-Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention 1
Arm Type
Experimental
Arm Description
Single dose; up to 400 mg capsule; adaptive dosage determined by initial dosing from cohort 1.Potential for a matching placebo dose to be administered.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose; potential for a matching OPC-214870 dose to be administered.
Intervention Type
Drug
Intervention Name(s)
OPC-214870
Intervention Description
Tablet(s)
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Tablet(s)
Primary Outcome Measure Information:
Title
Change in Standardized Photosensitivity Range (SPR)
Description
OPC-214870 in comparison to placebo
Time Frame
Up to 3 days
Secondary Outcome Measure Information:
Title
Onset and duration of SPR
Description
OPC-214870 in comparison to placebo
Time Frame
Up to 3 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female subjects between 18 and 64 years of age, inclusive.
Body mass index (BMI) between 18 and 40 kg/m^2, inclusive.
Subjects with a diagnosis and history of photoparoxysmal response on EEG.
Subjects must be stable for 1 month prior to screening. Stable is defined as having no change in concomitant therapy and no worsening in the opinion of the investigator.
Subjects may be treatment-naïve to AEDs or currently treated with up to 3 AEDs.
Subjects must have a reproducible standardized photosensitivity range on EEG of at least 3 points in at least 1 eye condition.
Subjects who agree to remain abstinent, or practice double-barrier forms of birth control, from trial to screening through 90 days after the last dose of IMP, OR males and females of non-childbearing potential who are documented as sterile (i.e. male subjects who have undergone bilateral orchidectomy and female subjects who have undergone bilateral oophorectomy, bilateral salpingectomy, or hysterectomy, or who have been postmenopausal for at least 12 months.
Exclusion Criteria:
History of non-epileptic seizures
History of status epilepticus in the past 5 years
An active central nervous system (CNS) infection, demyelinating disease, degenerative neurological disease, or any CNS disease deemed to be progressive during the course of the trial that may confound the interpretation of the trial results.
Positive urine drug screen for substance of abuse or upon check in to the trial site. Benzodiazepines are excluded as a drug of abuse, but are allowed as rescue medication or when part of subject's stable concomitant medication at enrollment.
History of drug and/or alcohol abuse within 24 months prior to screening.
Consumption of grapefruit, grapefruit juice, Seville oranges, or Seville orange juice within 7 days prior to dosing.
Consumption of more than 1 alcoholic drink within 24 hours prior to dosing. Food and beverages containing methylxanthines (caffeinated coffee, caffeinated tea, caffeinated soda, and chocolate) must remain stable throughout the trial.
Extreme physical activity within 24 hours before screening and visit
Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving IMP
Subject having taken an investigational drug within 30 days preceding screening.
Use of over-the-counter drugs, herbal medicines, or vitamin supplements within 14 days or 5 half-lives, whichever is longer, prior to dosing and antibiotics within 30 days prior to dosing.
Subjects who had neurosurgery in last 6 months.
Subjects on a ketogenic diet.
History of significant sleep disorders, or any disorder or activity that causes sleep deprivation.
Subjects who work "night shifts"
Subjects with uncontrolled sleep disorders; subjects should be on a stable dose of sleep medications.
History of, or current hepatitis or acquired immunodeficiency syndrome or carriers of hepatitis B surface antigen (HBsAg), hepatitis C antibodies (anti-HCV), and/or HIV antibodies.
Facility Information:
Facility Name
For additional information regarding sites, contact 844-687-8522
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
34174
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.
IPD Sharing Time Frame
Data will be available after marketing approval in global markets, or beginning 1-3 years following article publication. There is no end date to the availability of the data.
IPD Sharing Access Criteria
Otsuka will share data on the Vivli data sharing platform which can be found here: https://vivli.org/ourmember/Otsuka/
IPD Sharing URL
https://clinical-trials.otsuka.com
Learn more about this trial
A Single-blind, Placebo-controlled, Outpatient Trial to Assess the Effects of Single Oral Tablet Dose of OPC-214870
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