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
About this trial
This is an interventional treatment trial for Epilepsy focused on measuring Epilepsy, Partial, Seizures, Adjunctive
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.
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
NCT ID
NCT01392768
First Posted
July 6, 2011
Last Updated
October 27, 2016
Sponsor
Ache Laboratorios Farmaceuticos S.A.
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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