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EpilepsyPhase 3NCT00175903

Levetiracetam Versus Standard Antiepileptic Drugs (Carbamazepine and Valproate) Used as Monotherapy in Patients With Newly Diagnosed Epilepsy

A Phase 3 study testing Levetiracetam and Valproate Extended Release in people with Epilepsy, run by UCB Pharma at 229 sites in 24 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Study N01175 was to compare overall effectiveness (efficacy and safety) of levetiracetam (LEV) versus the 2 older antiepileptic drugs (AEDs), sodium valproate extended release (VPA-ER) and carbamazepine controlled release (CBZ-CR) in the treatment of subjects with newly diagnosed epilepsy. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Epilepsy
What is being tested?
Levetiracetam and Valproate Extended Release
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,701 participants
Where
229 sitesin 24 countries
Study dates
Feb 2005to Oct 2007
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of epilepsy (all types of seizures) was made during the past year
  • Subjects must have had at least two unprovoked seizures in the past 2 years with at least one during the last 6 months
  • Female subjects without childbearing potential are eligible. Female subjects with childbearing potential are eligible if they use a medically accepted contraceptive method

Who cannot join

  • Subjects previously allocated to a trial treatment (CBZ, VPA and LEV) used in this trial
  • Participation in another clinical trial with an investigational drug or device within 12 weeks of the selection visit (V1), or at any time during this trial
  • Pregnant or lactating women
  • Presence of known pseudoseizures within the last year
  • Uncountable seizures (clusters) or history of convulsive status epilepticus
  • Any disorder or condition that may interfere with the absorption, distribution, metabolisation or excretion of drugs
Show all 9Show fewer
  • History of suicide attempt, current suicidal ideation, or other serious psychiatric disorders requiring or having required hospitalization or medication within the previous five years
  • Presence of progressive cerebral disease, any other progressively degenerative neurological disease, or any cerebral tumors
  • Presence of a terminal illness or any medical condition that might interfere with the subject's trial participation

Trial locations and contacts

229 sites in 24 countries.

229 sites in 24 countries

Germany37 sites
  • Study site

    Altenburg

  • Study site

    Arnsdorf

  • Study site

    Aschaffenburg

  • Study site

    Bamberg

  • Study site

    Berlin

  • Study site

    Bernau

  • Study site

    Bernburg

  • Study site

    Bielefeld

  • Study site

    Bonn

  • Study site

    Butzbach

  • Study site

    Celle

  • Study site

    Dillingen

  • Study site

    Dresden

  • Study site

    Düsseldorf

  • Study site

    Erbach im Odenwald

  • Study site

    Essen

  • Study site

    Giessen

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    Göttingen

  • Study site

    Halle

  • Study site

    Hamburg

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    Hohenschönhausen

  • Study site

    Jena

  • Study site

    Königsbrück

  • Study site

    Leipzig

  • Study site

    Lengerich

  • Study site

    Liegau-Augustusbad

  • Study site

    Mittweida

  • Study site

    Münster

  • Study site

    Neukirchen-Vluyn

  • Study site

    Neumünster

  • Study site

    Oldenburg

  • Study site

    Potsdam

  • Study site

    Quickborn

  • Study site

    Regenburg

  • Study site

    Schalmstadt-Treysa

  • Study site

    Siegen

  • Study site

    Wermsdorf

Other trials in Germany

Italy33 sites
  • Study site

    Ancona

  • Study site

    Asti

  • Study site

    Bari

  • Study site

    Busto Arsizio

  • Study site

    Casarano

  • Study site

    Catania

  • Study site

    Cremona

  • Study site

    Eboli

  • Study site

    Faenza

  • Study site

    Ferrara

  • Study site

    Florence

  • Study site

    Foggia

  • Study site

    Forlì

  • Study site

    Garbagnate

  • Study site

    Grosseto

  • Study site

    Milan

  • Study site

    Naples

  • Study site

    Padova

  • Study site

    Perugia

  • Study site

    Pescara

  • Study site

    Pisa

  • Study site

    Potenza

  • Study site

    Prato

  • Study site

    Ragusa

  • Study site

    Reggio Emilia

  • Study site

    Roma

  • Study site

    Siena

  • Study site

    Taranto

  • Study site

    Torino

  • Study site

    Udine

  • Study site

    Verona

  • Study site

    Vimercate

  • Study site

    Vittoria

Other trials in Italy

France25 sites
  • Study site

    Blaye

  • Study site

    Bordeaux

  • Study site

    Brest

  • Study site

    Carcassonne

  • Study site

    Cherbourg

  • Study site

    Colmar

  • Study site

    Creil

  • Study site

    Dijon

  • Study site

    Freyming-Merlebach

  • Study site

    Grenoble

  • Study site

    La Seyne-sur-Mer

  • Study site

    Lille

  • Study site

    Lyon

  • Study site

    Marseille

  • Study site

    Mulhouse

  • Study site

    Nancy

  • Study site

    Nîmes

  • Study site

    Paris

  • Study site

    Rennes

  • Study site

    Roanne

  • Study site

    Saint-Brieuc

  • Study site

    Saint-Quentin

  • Study site

    Toulouse

  • Study site

    Valenciennes

  • Study site

    Vesoul

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Spain15 sites
  • Study site

    Badalona

  • Study site

    Barakaldo Vizcaya

  • Study site

    Barcelona

  • Study site

    Castellon

  • Study site

    Elda

  • Study site

    Girona

  • Study site

    Leganes (Madrid)

  • Study site

    Madrid

  • Study site

    Móstoles

  • Study site

    Murcia

  • Study site

    Santa Cruz de Tenerife

  • Study site

    Seville

  • Study site

    Terrassa

  • Study site

    Valencia

  • Study site

    Vigo

Other trials in Spain

United Kingdom14 sites
  • Study site

    Ashford

  • Study site

    Bangor

  • Study site

    Bristol

  • Study site

    Cardiff

  • Study site

    Dundee

  • Study site

    Leeds

  • Study site

    Liverpool

  • Study site

    London

  • Study site

    Plymouth

  • Study site

    Southampton

  • Study site

    Stoke-on-Trent

  • Study site

    Sunderland

  • Study site

    Swindon

  • Study site

    Truro

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Australia12 sites
  • Study site

    Adelaide

  • Study site

    Bedford Park

  • Study site

    Brisbane

  • Study site

    Cairns

  • Study site

    Camperdown

  • Study site

    Chatswood

  • Study site

    Clayton

  • Study site

    Maroochydore

  • Study site

    Parkville

  • Study site

    Perth

  • Study site

    Randwick

  • Study site

    West Heidelberg

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Poland11 sites
  • Study site

    Bydgoszcz

  • Study site

    Częstochowa

  • Study site

    Gdansk

  • Study site

    Kielce

  • Study site

    Krakow

  • Study site

    Lodz

  • Study site

    Lublin

  • Study site

    Olsztyn

  • Study site

    Poznan

  • Study site

    Warsaw

  • Study site

    Zgierz

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Belgium10 sites
  • Study site

    Bruges

  • Study site

    Dendermonde

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    Edegem

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    Ghent

  • Study site

    Haine-Saint-Paul

  • Study site

    Jette

  • Study site

    Kortrijk

  • Study site

    Leuven

  • Study site

    Ostend

  • Study site

    Ottignies

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Norway10 sites
  • Study site

    Drammen

  • Study site

    Fredrikstad

  • Study site

    Lillehammer

  • Study site

    Molde

  • Study site

    Nordbyhagen

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    Sandvika

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    Stavanger

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    Tønsberg

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    Tromsø

  • Study site

    Trondheim

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Austria6 sites
  • Study site

    Graz

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    Innsbrick

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    Klagenfurt

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    Linz

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    Steyr

  • Study site

    Vienna

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Greece6 sites
  • Study site

    Aklion

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    Alexandroupoli

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    Athens

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    Pátrai

  • Study site

    Thessaloniki

  • Study site

    Thessalonikis

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Netherlands6 sites
  • Study site

    Eindhoven

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    Heerenvegen

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    Leeuwarden

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    Maastricht

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    Nijmegen

  • Study site

    Tilburg

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Switzerland6 sites
  • Study site

    Bern

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    Biel

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    Geneva

  • Study site

    Lausanne

  • Study site

    Sankt Gallen

  • Study site

    Zurich

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Slovakia5 sites
  • Study site

    Bratislava

  • Study site

    Dolný Kubín

  • Study site

    Dubnica nad Váhom

  • Study site

    Martin

  • Study site

    Žilina

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Sweden5 sites
  • Study site

    Karlstad

  • Study site

    Linköping

  • Study site

    Motala

  • Study site

    Stockholm

  • Study site

    Varberg

Other trials in Sweden

Turkey (Türkiye)5 sites
  • Study site

    Adana

  • Study site

    Ankara

  • Study site

    Bursa

  • Study site

    Istanbul

  • Study site

    Izmir

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Denmark4 sites
  • Study site

    Aalborg

  • Study site

    Copenhagen

  • Study site

    Holbæk

  • Study site

    Holstebro

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Bulgaria3 sites
  • Study site

    Plovdiv

  • Study site

    Sofia

  • Study site

    Varna

Other trials in Bulgaria

Czechia3 sites
  • Study site

    Litomyšl

  • Study site

    Ostrava-Poruba

  • Study site

    Zlín

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Finland3 sites
  • Study site

    Hus (Helsinki)

  • Study site

    Kuopio

  • Study site

    Tampere

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Hungary3 sites
  • Study site

    Budapest

  • Study site

    Debrecen

  • Study site

    Pécs

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Romania3 sites
  • Study site

    Bucharest

  • Study site

    Cluj-Napoca

  • Study site

    Craiova

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Russia3 sites
  • Study site

    Krasnoyasrk

  • Study site

    Moscow

  • Study site

    Saint Petersburg

Other trials in Russia

Ireland1 site
  • Study site

    Dublin

Other trials in Ireland

About this study

Official title: A Therapeutic Confirmatory, Open-label, Multi-center, Randomized 2 Parallel Groups, Community-based Trial Studying the Efficacy and Safety of Levetiracetam (1000 to 3000 mg/Day Oral Tablets 250-500 mg b.i.d.) Compared to Sodium Valproate (1000 to 2000 mg/Day Oral ER Tablets 300-500 mg b.i.d.) and Carbamazepine (600 to 1600 mg/Day Oral CR Tablets 200-400 mg b.i.d.) as Monotherapy in Subjects With Newly Diagnosed Epilepsy.

Study N01175 was to compare overall effectiveness (efficacy and safety) of levetiracetam (LEV) versus the 2 older antiepileptic drugs (AEDs), sodium valproate extended release (VPA-ER) and carbamazepine controlled release (CBZ-CR) in the treatment of subjects with newly diagnosed epilepsy.

Conditions
Epilepsy
Being tested
Levetiracetam, Carbamazepine Controlled Release (CBZ-CR), Valproate Extended Release
Keywords
Newly Diagnosed Epilepsy, Levetiracetam, Keppra, Carbamazepine, Valproate
Medical subject headings
Epilepsy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LevetiracetamDrug

    Daily dose of 1000 to 3000 mg film-coated oral tablets, 250-500 mg twice daily.

  • Carbamazepine Controlled Release (CBZ-CR)Drug

    Daily dose of 600-1600 mg CR oral tablets, 200 mg and 400 mg twice daily.

  • Valproate Extended ReleaseDrug

    Daily dose of 1000-2000 mg ER oral tablets, 300 mg and 500 mg twice daily.

Study groups in NCT00175903
Study groupRoleWhat they receive
LevetiracetamExperimentalDaily dose of 1000 to 3000 mg film-coated oral tablets, 250-500 mg twice daily.
Receives: Drug: Levetiracetam
Older Antepileptic DrugsActive comparatorOlder AEDs consist of CBZ-CR 200 mg and 400 mg and VPA-ER 300 mg and 500 mg.
Receives: Drug: Carbamazepine Controlled Release (CBZ-CR); Drug: Valproate Extended Release

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to withdrawal from study medication (starting at V1) as a measure of combined efficacy and safety

    Measured: Visit 1 to End of Study (approximately 52 weeks)

Secondary outcomes (11)
  1. The time to withdrawal comparing Levetiracetam versus the older Antiepileptic Drugs based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to End of Study (approximately 52 weeks)

  2. The retention rate after 6 months comparing Levetiracetam versus the older Antiepileptic Drugs

    Measured: Visit 1 to Visit 4 (approximately 26 weeks)

  3. The retention rate after 12 months comparing Levetiracetam versus the older Antiepileptic Drugs

    Measured: Visit 1 to Visit 5 (approximately 52 weeks)

  4. The retention rate after 6 months comparing Levetiracetam versus older Antiepileptic Drugs based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to Visit 4 (approximately 26 weeks)

  5. The retention rate after 12 months comparing Levetiracetam versus older Antiepileptic Drugs based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to Visit 5 (approximately 52 weeks)

  6. Seizure freedom at 6 months comparing Levetiracetam versus older Antiepileptic Drugs

    Measured: Visit 1 to Visit 4 (approximately 26 weeks)

  7. Seizure freedom at 12 months comparing Levetiracetam versus older Antiepileptic Drugs

    Measured: Visit 1 to Visit 5 (approximately 52 weeks)

  8. Seizure freedom at 6 months comparing Levetiracetam versus older Antiepileptic Drugs based on based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to Visit 4 (approximately 26 weeks)

  9. Seizure freedom at 12 months comparing Levetiracetam versus older Antiepileptic Drugs based on based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to Visit 5 (approximately 52 weeks)

  10. Time to first seizure comparing Levetiracetam versus older Antiepileptic Drugs

    Measured: Visit 1 to End of Study (approximately 52 weeks)

  11. Time to first seizure comparing Levetiracetam versus older Antiepileptic Drugs based on the subset of subjects whose best recommended treatment was Carbamazepine Controlled Release or Sodium Valproate Extended Release

    Measured: Visit 1 to End of Study (approximately 52 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2005 (estimated)
  2. Study startFeb 2005
  3. Primary completionOct 2007
  4. Study completionOct 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,701 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00175903
Sponsor's protocol ID
N01175
Other IDs
2004-001339-41, 2004
Status last verified
Mar 2015
First submitted
9 Sep 2005
Last updated
17 Mar 2015
Results posted
No
Data monitoring committee
No

Publications

  • Pohlmann-Eden B, Marson AG, Noack-Rink M, Ramirez F, Tofighy A, Werhahn KJ, Wild I, Trinka E. Comparative effectiveness of levetiracetam, valproate and carbamazepine among elderly patients with newly diagnosed epilepsy: subgroup analysis of the randomized, unblinded KOMET study. BMC Neurol. 2016 Aug 23;16(1):149. doi: 10.1186/s12883-016-0663-7.

    PubMed 27552848
  • Trinka E, Marson AG, Van Paesschen W, Kalviainen R, Marovac J, Duncan B, Buyle S, Hallstrom Y, Hon P, Muscas GC, Newton M, Meencke HJ, Smith PE, Pohlmann-Eden B; KOMET Study Group. KOMET: an unblinded, randomised, two parallel-group, stratified trial comparing the effectiveness of levetiracetam with controlled-release carbamazepine and extended-release sodium valproate as monotherapy in patients with newly diagnosed epilepsy. J Neurol Neurosurg Psychiatry. 2013 Oct;84(10):1138-47. doi: 10.1136/jnnp-2011-300376. Epub 2012 Aug 29.

    PubMed 22933814

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Levetiracetam and Valproate Extended Release in people with Epilepsy, run by UCB Pharma at 229 sites in 24 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 229 sites in Germany, Italy, France, Spain, United Kingdom and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to withdrawal from study medication (starting at V1) as a measure of combined efficacy and safety (time frame: Visit 1 to End of Study (approximately 52 weeks)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00175903, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2015.

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