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A Study of Intravenous Perampanel in Japanese Participants With Epilepsy

Primary Purpose

Epilepsy, Seizures

Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
Perampanel
Perampanel
Sponsored by
Eisai Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy focused on measuring Partial Onset Seizures, Secondarily Generalized Seizures, Primary Generalized Tonic-Clonic Seizures

Eligibility Criteria

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

Inclusion Criteria:

  1. A diagnosis of epilepsy with POS (including secondarily generalized seizures) or PGTC seizures according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures (1981).
  2. Receiving a stable dose regimen of oral perampanel.
  3. Receiving a concomitant stable dose regimen of marketed AEDs. No change of dosing regimen for concomitant AEDs is planned during the intravenous Treatment and Follow-up Phases.
  4. Considered reliable and willing to be available for the study period by the investigator, and are able to record seizures and report AEs by themselves or have a caregiver who can record seizures and report AEs for them.

Exclusion Criteria:

  1. A history of drug or alcohol dependency or abuse.
  2. A history of status epilepticus.
  3. Unsuitable for venipuncture and intravenous administration.
  4. Requires medical intervention due to safety issues related to concomitant administration of AEDs.
  5. A history of suicidal ideation/attempt.
  6. Clinical symptoms or imaging suggest progressive central nervous system (CNS) abnormality, disorder, or brain tumor.
  7. Current evidence of clinically significant disease (example, cardiac, respiratory, gastrointestinal, renal disease) that in the opinion of the investigators could affect the participant's safety, interfere with the study assessments or need prohibited medications as specified in the study protocol.
  8. Clinically significant abnormal laboratory values.
  9. Females of childbearing potential who:

    • In the Pretreatment Phase, are breastfeeding or pregnant (as documented by a positive beta-human chorionic gonadotropin [β-hCG] test).
    • Within 28 days before Visit 1, did not use a highly effective method of contraception, which includes any of the following:

      • total abstinence (if it is their preferred and usual lifestyle).
      • an intrauterine device (IUD) or intrauterine hormone-releasing system (IUS).
      • a contraceptive implant.
      • an oral contraceptive (with additional barrier method). (Participant must be on a stable dose of the same oral contraceptive product for at least 28 days before Day 1 of the Treatment Phase and throughout the entire study period, and for 28 days after the last dose of study drug).
      • have a vasectomized partner with confirmed azoospermia.
      • Do not agree to use a highly effective method of contraception (as described above) throughout the entire study period and for 28 days after the last dose of study drug.
  10. Participation in a study involving administration of an investigational drug or device within 28 days before Visit 1, or within approximately 5 half-lives of the previous investigational compound, whichever is longer.
  11. A prolonged QT interval corrected using Fridericia's formula (QTcF) interval (greater than [>] 450 millisecond [ms]) as demonstrated by a repeated ECG.
  12. A vagus nerve stimulation (VNS) implanted.

Sites / Locations

  • Eisai trial site 5
  • Eisai trial site 12
  • Eisai trial site 9
  • Eisai trial site 7
  • Eisai trial site 2
  • Eisai trial site 13
  • Eisai trial site 8
  • Eisai trial site 10
  • Eisai trial site 6
  • Eisai trial site 1
  • Eisai trial site 11
  • Eisai trial site 3
  • Eisai trial site 4

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Perampanel

Arm Description

Participants with POS with or without secondarily generalized seizures or PGTC seizures will receive perampanel 8 to 12 milligram (mg), tablets, orally, once daily for 28 days (Day -28 to Day -1) in Pretreatment Phase and followed by 8 to 12 mg dose of perampanel as intravenous infusion for 30 minutes, once daily from Day 1 to Day 4 in Treatment Phase, and then again 8 to 12 mg, tablets, orally, once daily from Day 5 to Day 11 in Follow-up Phase as an adjunctive therapy, along with 1 to a maximum of 3 marketed concomitant antiepileptic drugs (AEDs).

Outcomes

Primary Outcome Measures

Number of Participants With Serious Adverse Events (SAEs)
A SAE was defined as any untoward medical occurrence that at any dose: Resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect.
Number of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product, any new disease or exacerbation of an existing disease, any deterioration in nonprotocol-required measurements of a laboratory value or other clinical test that resulted in symptoms, a change in treatment, or discontinuation of study drug, recurrence of an intermittent medical condition not present pretreatment, an abnormal laboratory test result was considered an AE if the identified laboratory abnormality led to any type of intervention, withdrawal of study drug, or withholding of study drug, whether prescribed in the protocol or not.
Number of Participants With Markedly Abnormal Clinical Laboratory Parameter Values During Treatment and Follow-up Phase
Number of Participants With Abnormal Vital Sign Values During Treatment and Follow-up Phase
Number of Participants With Abnormal Body Weight During Treatment and Follow-up Phase
Number of Participants With Clinically Significant Markedly Abnormal Electrocardiogram (ECG) Value During Treatment and Follow-up Phase

Secondary Outcome Measures

Mean Seizure Frequency Per Day in Pretreatment Phase, Treatment Phase and Follow-up Phase
Seizure frequency was based on number of seizures per day, calculated as the number of seizures over the entire time interval divided by the number of days in the interval.
Plasma Concentration of Perampanel Before and After Switching From Oral Perampanel to 30-minute Intravenous Infusions of Perampanel

Full Information

First Posted
November 15, 2018
Last Updated
December 9, 2020
Sponsor
Eisai Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03754582
Brief Title
A Study of Intravenous Perampanel in Japanese Participants With Epilepsy
Official Title
A Multicenter, Uncontrolled, Open-label Study to Evaluate the Safety and Tolerability of Intravenous Perampanel as Substitute for Oral Tablet in Subjects With Partial Onset Seizures (Including Secondarily Generalized Seizures) or Primary Generalized Tonic-clonic Seizures
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
November 27, 2018 (Actual)
Primary Completion Date
December 10, 2019 (Actual)
Study Completion Date
December 10, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Co., Ltd.

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 perampanel administered as a 30-minute intravenous infusion after switching from oral tablets (8 to 12 milligrams per day [mg/day]) as an adjunctive therapy in participants with epilepsy with partial onset seizures (POS) (including secondarily generalized seizures) or primary generalized tonic-clonic (PGTC) seizures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy, Seizures
Keywords
Partial Onset Seizures, Secondarily Generalized Seizures, Primary Generalized Tonic-Clonic Seizures

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Perampanel
Arm Type
Experimental
Arm Description
Participants with POS with or without secondarily generalized seizures or PGTC seizures will receive perampanel 8 to 12 milligram (mg), tablets, orally, once daily for 28 days (Day -28 to Day -1) in Pretreatment Phase and followed by 8 to 12 mg dose of perampanel as intravenous infusion for 30 minutes, once daily from Day 1 to Day 4 in Treatment Phase, and then again 8 to 12 mg, tablets, orally, once daily from Day 5 to Day 11 in Follow-up Phase as an adjunctive therapy, along with 1 to a maximum of 3 marketed concomitant antiepileptic drugs (AEDs).
Intervention Type
Drug
Intervention Name(s)
Perampanel
Other Intervention Name(s)
E2007
Intervention Description
Oral tablets.
Intervention Type
Drug
Intervention Name(s)
Perampanel
Other Intervention Name(s)
E2007
Intervention Description
Intravenous infusion.
Primary Outcome Measure Information:
Title
Number of Participants With Serious Adverse Events (SAEs)
Description
A SAE was defined as any untoward medical occurrence that at any dose: Resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect.
Time Frame
Up to 60 days (Pretreatment Phase: up to 28 days, Treatment Phase: up to 4 days, Follow-up Phase: up to 28 days after last dose)
Title
Number of Participants With Adverse Events (AEs)
Description
An AE was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product, any new disease or exacerbation of an existing disease, any deterioration in nonprotocol-required measurements of a laboratory value or other clinical test that resulted in symptoms, a change in treatment, or discontinuation of study drug, recurrence of an intermittent medical condition not present pretreatment, an abnormal laboratory test result was considered an AE if the identified laboratory abnormality led to any type of intervention, withdrawal of study drug, or withholding of study drug, whether prescribed in the protocol or not.
Time Frame
Up to 60 days (Pretreatment Phase: up to 28 days, Treatment Phase: up to 4 days, Follow-up Phase: up to 28 days after last dose)
Title
Number of Participants With Markedly Abnormal Clinical Laboratory Parameter Values During Treatment and Follow-up Phase
Time Frame
Up to Day 11 (Treatment Phase: at Day 4, Follow-up Phase: up to 7 days after last dose)
Title
Number of Participants With Abnormal Vital Sign Values During Treatment and Follow-up Phase
Time Frame
Up to 11 days (Treatment Phase: up to 4 days, Follow-up Phase: up to 7 days after the last dose)
Title
Number of Participants With Abnormal Body Weight During Treatment and Follow-up Phase
Time Frame
Up to 11 days (Treatment Phase: up to 4 days, Follow-up Phase: up to 7 days after the last dose)
Title
Number of Participants With Clinically Significant Markedly Abnormal Electrocardiogram (ECG) Value During Treatment and Follow-up Phase
Time Frame
Up to Day 11 (Treatment Phase: at Day 4, Follow-up Phase: up to 7 days after the last dose)
Secondary Outcome Measure Information:
Title
Mean Seizure Frequency Per Day in Pretreatment Phase, Treatment Phase and Follow-up Phase
Description
Seizure frequency was based on number of seizures per day, calculated as the number of seizures over the entire time interval divided by the number of days in the interval.
Time Frame
Up to 39 days (Pretreatment Phase: up to 28 days; Treatment Phase: up to 4 days; Follow-up Phase: up to 7 days after the last dose)
Title
Plasma Concentration of Perampanel Before and After Switching From Oral Perampanel to 30-minute Intravenous Infusions of Perampanel
Time Frame
Pretreatment Phase-Day -1: Pre-dose, 0.5 hours, 1 hours and 1.5 hours post-dose; Treatment Phase-Day 1, Day 2, Day 3 and Day 4: Pre-dose and 0.5 hours after start of intravenous infusions

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A diagnosis of epilepsy with POS (including secondarily generalized seizures) or PGTC seizures according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures (1981). Receiving a stable dose regimen of oral perampanel. Receiving a concomitant stable dose regimen of marketed AEDs. No change of dosing regimen for concomitant AEDs is planned during the intravenous Treatment and Follow-up Phases. Considered reliable and willing to be available for the study period by the investigator, and are able to record seizures and report AEs by themselves or have a caregiver who can record seizures and report AEs for them. Exclusion Criteria: A history of drug or alcohol dependency or abuse. A history of status epilepticus. Unsuitable for venipuncture and intravenous administration. Requires medical intervention due to safety issues related to concomitant administration of AEDs. A history of suicidal ideation/attempt. Clinical symptoms or imaging suggest progressive central nervous system (CNS) abnormality, disorder, or brain tumor. Current evidence of clinically significant disease (example, cardiac, respiratory, gastrointestinal, renal disease) that in the opinion of the investigators could affect the participant's safety, interfere with the study assessments or need prohibited medications as specified in the study protocol. Clinically significant abnormal laboratory values. Females of childbearing potential who: In the Pretreatment Phase, are breastfeeding or pregnant (as documented by a positive beta-human chorionic gonadotropin [β-hCG] test). Within 28 days before Visit 1, did not use a highly effective method of contraception, which includes any of the following: total abstinence (if it is their preferred and usual lifestyle). an intrauterine device (IUD) or intrauterine hormone-releasing system (IUS). a contraceptive implant. an oral contraceptive (with additional barrier method). (Participant must be on a stable dose of the same oral contraceptive product for at least 28 days before Day 1 of the Treatment Phase and throughout the entire study period, and for 28 days after the last dose of study drug). have a vasectomized partner with confirmed azoospermia. Do not agree to use a highly effective method of contraception (as described above) throughout the entire study period and for 28 days after the last dose of study drug. Participation in a study involving administration of an investigational drug or device within 28 days before Visit 1, or within approximately 5 half-lives of the previous investigational compound, whichever is longer. A prolonged QT interval corrected using Fridericia's formula (QTcF) interval (greater than [>] 450 millisecond [ms]) as demonstrated by a repeated ECG. A vagus nerve stimulation (VNS) implanted.
Facility Information:
Facility Name
Eisai trial site 5
City
Kurume
State/Province
Fukuoka
Country
Japan
Facility Name
Eisai trial site 12
City
Sapporo
State/Province
Hokkaido
Country
Japan
Facility Name
Eisai trial site 9
City
Omura
State/Province
Nagasaki
Country
Japan
Facility Name
Eisai trial site 7
City
Osakasayama
State/Province
Osaka
Country
Japan
Facility Name
Eisai trial site 2
City
Asaka
State/Province
Saitama
Country
Japan
Facility Name
Eisai trial site 13
City
Hamamatsu
State/Province
Shizuoka
Country
Japan
Facility Name
Eisai trial site 8
City
Kodaira
State/Province
Tokyo
Country
Japan
Facility Name
Eisai trial site 10
City
Hiroshima
Country
Japan
Facility Name
Eisai trial site 6
City
Kagoshima
Country
Japan
Facility Name
Eisai trial site 1
City
Niigata
Country
Japan
Facility Name
Eisai trial site 11
City
Okayama
Country
Japan
Facility Name
Eisai trial site 3
City
Shizuoka
Country
Japan
Facility Name
Eisai trial site 4
City
Yamagata
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.

Learn more about this trial

A Study of Intravenous Perampanel in Japanese Participants With Epilepsy

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