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BIS-001-ER for the Treatment of Adult Focal Impaired Awareness Seizures (FIAS)

Primary Purpose

Focal Impaired Awareness Seizures

Status
Active
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
BIS-001ER
Sponsored by
Supernus Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Focal Impaired Awareness Seizures

Eligibility Criteria

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

Inclusion Criteria:

  • Speak English with sufficient proficiency to read and comprehend the Informed Consent document, and to communicate with study staff.
  • Be able to consent to participate by signing the Informed Consent document after a full explanation of the nature and purpose of this study.
  • Have signed the Informed Consent before any study-specific procedures are performed.
  • Be males or females between 18 - 65 years of age.
  • Have a diagnosis of FIAS type epilepsy with or without additional focal aware or non-aware seizures with generalization.
  • Have a current minimum average of 5 countable seizures / week to enroll in study.
  • Have at least 5 focal impaired awareness seizures during the 96-hour baseline VEM period.
  • Be receiving stable doses (for at least 4 weeks) of one to four currently marketed anti-epileptic drugs (AEDs), with or without vagus nerve stimulation (in which case the patient should be on the same stimulation parameters for at least 4 weeks).
  • Have a negative urinary pregnancy test upon admission to the site on Day 1.
  • Be in good general health in the judgment of the Principal Investigator based upon medical history, physical examination, standard 12-lead ECG, and clinical laboratory evaluations obtained within the two weeks prior to enrollment.
  • Be able to comply with all study-specified procedures.
  • Weight between 40 and 120 kg.

Exclusion Criteria:

  • Has taken Huperzine A within the past year.
  • Is planning to become pregnant or impregnate spouse, not using an acceptable method of birth control (defined as use of double-barrier birth control methods, use of oral contraceptives, or surgical sterilization), pregnant or nursing.
  • Have non-epileptic events that could be confused by the patient and/or study staff as epileptic seizures.
  • Has seizures that are difficult to count; for example, seizure clusters defined as multiple seizures with at least one seizure within 30 minutes of the previous seizure.
  • Have less than the 5 minimum accepted seizures required during baseline evaluation period screen.
  • Have a history of only seizure clusters, for example, seizure clusters defined as multiple seizures with at least one seizure within 30 minutes of the previous seizure.
  • Has attempted suicide within the past 2 years.
  • Has a history of status epilepticus in the 6 months previous to enrollment.
  • Has a pre-existing medical condition (including an existing progressive or degenerative neurological disorder including brain tumor, active encephalitis, active meningitis or abscess) or takes medications that, in the Principal Investigator's opinion, could interfere with the participant's suitability for participation in the study.
  • Has a history or evidence of significant psychiatric disturbance or illness, including alcohol or drug abuse within the past 2 years, or symptoms of psychosis (hallucinations, delusions) in the last 5 years.
  • Has had any clinical laboratory abnormalities within the past two months, prior to screening, considered of clinical significance by the Principal Investigator.
  • Is on concomitant therapy with non-AEDs that are cholinergic.
  • Has participated in any clinical investigational drug or device study within four weeks prior to study entry.
  • Inability to complete seizure diary.
  • Is currently taking or has taken Epigallocatechin gallate (EGCG) within the past 14 days, or consume foods or drinks containing EGCG; including green, white, oolong teas and certain black teas, or food containing >100grams of carob powder within the past 14 days.

Sites / Locations

  • The Alfred Hospital
  • The Royal Melbourne Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BIS-001ER

Arm Description

Dose administration for each participant will begin at 0.25mg b.i.d. escalating sequentially every 4 days to a maximum tolerated dose or target dose of 1.75mg b.i.d. Upon reaching the target dose or maximum tolerated dose, participants will maintain that dose for the balance of the 1 month out-patient titration period, after which they will begin a 96-hour in-patient video EEG monitoring treatment period.

Outcomes

Primary Outcome Measures

Effect of BIS-001ER on Seizure Count
Reduction in average daily seizure count between baseline (pre-treatment) and evaluation (on treatment) video EEG monitoring periods.

Secondary Outcome Measures

Effect of BIS-001ER on Percent Reduction in Daily Seizure Count
Percent reduction in average daily seizure count from the baseline VEM period compared to the evaluation video EEG monitoring period (on treatment).
Effect of BIS-001ER on Seizure Count vs Titration Period (Diary)
Percent reduction in average number of seizures from the baseline period. (screening/retrospective diary) compared to the last week of the titration treatment period.
Percent of Treatment Responders
Percent of participants considered treatment responders defined as those with a ≥25%, ≥50%, ≥75% reduction in seizures from the baseline VEM period compared to the VEM treatment evaluation period.
Effect of BIS-001ER on Seizure Count During Extension Phase
Percent reduction of average number of seizures vs. baseline/retrospective diary at 1, 3, 6, 12 months during the extension period.
Complete Seizure Protection
Proportion of subjects with 100% seizure reduction.
Need for Rescue Medication
Proportion of subjects requiring rescue medication at different dosages.

Full Information

First Posted
March 12, 2018
Last Updated
August 29, 2022
Sponsor
Supernus Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03474770
Brief Title
BIS-001-ER for the Treatment of Adult Focal Impaired Awareness Seizures
Acronym
FIAS
Official Title
Evaluation of Safety and Efficacy of BIS-001-ER for the Treatment of Adult Focal Impaired Awareness Seizures
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 10, 2018 (Actual)
Primary Completion Date
December 30, 2026 (Anticipated)
Study Completion Date
December 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Supernus Pharmaceuticals, Inc.

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 this study is to examine safety signals and demonstrate seizure reduction in adults with FIAS treated with BIS-001ER as an add-on therapy in an in-patient and out-patient study design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Focal Impaired Awareness Seizures

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BIS-001ER
Arm Type
Experimental
Arm Description
Dose administration for each participant will begin at 0.25mg b.i.d. escalating sequentially every 4 days to a maximum tolerated dose or target dose of 1.75mg b.i.d. Upon reaching the target dose or maximum tolerated dose, participants will maintain that dose for the balance of the 1 month out-patient titration period, after which they will begin a 96-hour in-patient video EEG monitoring treatment period.
Intervention Type
Drug
Intervention Name(s)
BIS-001ER
Other Intervention Name(s)
Huperzine A ER
Intervention Description
BIS-001 ER is an extended release formulation of the nutritional supplement Huperzine A.
Primary Outcome Measure Information:
Title
Effect of BIS-001ER on Seizure Count
Description
Reduction in average daily seizure count between baseline (pre-treatment) and evaluation (on treatment) video EEG monitoring periods.
Time Frame
6 Weeks
Secondary Outcome Measure Information:
Title
Effect of BIS-001ER on Percent Reduction in Daily Seizure Count
Description
Percent reduction in average daily seizure count from the baseline VEM period compared to the evaluation video EEG monitoring period (on treatment).
Time Frame
6 Weeks
Title
Effect of BIS-001ER on Seizure Count vs Titration Period (Diary)
Description
Percent reduction in average number of seizures from the baseline period. (screening/retrospective diary) compared to the last week of the titration treatment period.
Time Frame
6 Weeks
Title
Percent of Treatment Responders
Description
Percent of participants considered treatment responders defined as those with a ≥25%, ≥50%, ≥75% reduction in seizures from the baseline VEM period compared to the VEM treatment evaluation period.
Time Frame
6 Weeks
Title
Effect of BIS-001ER on Seizure Count During Extension Phase
Description
Percent reduction of average number of seizures vs. baseline/retrospective diary at 1, 3, 6, 12 months during the extension period.
Time Frame
12 Months
Title
Complete Seizure Protection
Description
Proportion of subjects with 100% seizure reduction.
Time Frame
6 Weeks
Title
Need for Rescue Medication
Description
Proportion of subjects requiring rescue medication at different dosages.
Time Frame
6 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Speak English with sufficient proficiency to read and comprehend the Informed Consent document, and to communicate with study staff. Be able to consent to participate by signing the Informed Consent document after a full explanation of the nature and purpose of this study. Have signed the Informed Consent before any study-specific procedures are performed. Be males or females between 18 - 65 years of age. Have a diagnosis of FIAS type epilepsy with or without additional focal aware or non-aware seizures with generalization. Have a current minimum average of 5 countable seizures / week to enroll in study. Have at least 5 focal impaired awareness seizures during the 96-hour baseline VEM period. Be receiving stable doses (for at least 4 weeks) of one to four currently marketed anti-epileptic drugs (AEDs), with or without vagus nerve stimulation (in which case the patient should be on the same stimulation parameters for at least 4 weeks). Have a negative urinary pregnancy test upon admission to the site on Day 1. Be in good general health in the judgment of the Principal Investigator based upon medical history, physical examination, standard 12-lead ECG, and clinical laboratory evaluations obtained within the two weeks prior to enrollment. Be able to comply with all study-specified procedures. Weight between 40 and 120 kg. Exclusion Criteria: Has taken Huperzine A within the past year. Is planning to become pregnant or impregnate spouse, not using an acceptable method of birth control (defined as use of double-barrier birth control methods, use of oral contraceptives, or surgical sterilization), pregnant or nursing. Have non-epileptic events that could be confused by the patient and/or study staff as epileptic seizures. Has seizures that are difficult to count; for example, seizure clusters defined as multiple seizures with at least one seizure within 30 minutes of the previous seizure. Have less than the 5 minimum accepted seizures required during baseline evaluation period screen. Have a history of only seizure clusters, for example, seizure clusters defined as multiple seizures with at least one seizure within 30 minutes of the previous seizure. Has attempted suicide within the past 2 years. Has a history of status epilepticus in the 6 months previous to enrollment. Has a pre-existing medical condition (including an existing progressive or degenerative neurological disorder including brain tumor, active encephalitis, active meningitis or abscess) or takes medications that, in the Principal Investigator's opinion, could interfere with the participant's suitability for participation in the study. Has a history or evidence of significant psychiatric disturbance or illness, including alcohol or drug abuse within the past 2 years, or symptoms of psychosis (hallucinations, delusions) in the last 5 years. Has had any clinical laboratory abnormalities within the past two months, prior to screening, considered of clinical significance by the Principal Investigator. Is on concomitant therapy with non-AEDs that are cholinergic. Has participated in any clinical investigational drug or device study within four weeks prior to study entry. Inability to complete seizure diary. Is currently taking or has taken Epigallocatechin gallate (EGCG) within the past 14 days, or consume foods or drinks containing EGCG; including green, white, oolong teas and certain black teas, or food containing >100grams of carob powder within the past 14 days.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Azmi Nasser, PhD
Organizational Affiliation
Supernus Pharmaceuticals, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
The Alfred Hospital
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia
Facility Name
The Royal Melbourne Hospital
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia

12. IPD Sharing Statement

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BIS-001-ER for the Treatment of Adult Focal Impaired Awareness Seizures

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