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EpilepsyPhase 3NCT00692003

Adjunctive Zonisamide in Primary Generalised Tonic Clonic Seizures

A Phase 3 study testing Zonisamide in people with Epilepsy, run by Eisai Limited at 73 sites in 13 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Zonisamide is already marketed for the treatment of partial seizures in epilepsy. This study is intended to provide evidence that zonisamide is safe and effective in the treatment of primary generalised tonic-clonic seizures. The total trial duration will be 5.5-6.5 months. Read more about this study

Who is it for?
Ages 6 to 65 years
Conditions the study is for
Epilepsy
What is being tested?
Zonisamide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
21 participants
Where
73 sitesin 13 countries
Study dates
1 Aug 2008to 9 Jan 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 6 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subject is male or female and aged 6-65 years.
  • Subject has ≥ 3 PGTCS over the two months before screening and during the eight weeks Baseline Period with at least one seizure in each one month period. PGTCS must occur in the context of Idiopathic Generalized Epilepsy (IGE) and may be accompanied by other primary generalized seizures, provided these are also consistent with a diagnosis of IGE.
  • Subject (or parent/caregiver, for subjects below the age of consent) is willing to sign an informed consent form. For subjects below the age of consent in their country, where appropriate they must be willing to give informed (written or verbal) assent. Subjects from the age specified in local regulations will be required to sign an appropriate informed consent form.
  • Subject is taking a stable regimen of one or two other Antiepileptic Drugs (AEDs) for at least two weeks prior to Visit 1 (start of the Baseline Period).
  • Subject has a clinical diagnosis of any type of idiopathic generalized epilepsy which has PGTCS (and which may be accompanied by other generalized seizure types), according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures (1981) and the ILAE Classification of Epilepsies and Epileptic Syndromes (1989). Diagnosis should have been established by clinical history, electroencephalogram (EEG) and computed tomography/magnetic resonance imaging (CT/MRI) of the brain consistent with idiopathic generalized epilepsy. CT/MRI scan should have been performed within five years of the screening visit or, if not available from this period, should be performed in the Baseline Period.
  • EEG should have been performed within one year of the screening visit or, if not available from this period, should be performed in the Baseline Period.
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  • Female subjects are pre-menarchal, or if of childbearing potential, are not pregnant or lactating or are post-menopausal.
  • Female subjects of childbearing potential must abide by the one of the following medically acceptable contraceptive measures: oral contraception pill, contraceptive injections, implants or patches, intrauterine device in place for at least three months or vasectomised partner or abstinence throughout the study.
  • Subject has a body weight ≥ 20 kg.

Who cannot join

  • Subject has progressive or focal neurological disease (as determined by pre-existing brain imaging such as CT or MRI performed maximally five years before the screening visit), or clinically significant organic disease.
  • Subject has a history of, or results of clinical investigations (including EEG data) that are suggestive of, partial seizures as defined by the ILAE, including generalized tonic clonic seizures which are suspected to be secondarily generalized.
  • Subjects with cryptogenic or symptomatic generalized epilepsy.
  • Subjects with psychogenic seizures.
  • Subject has a history of status epilepticus within a year of screening while complying with AEDs.
  • Subject has seizures that only occur in clustered patterns.
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  • Subject has a history of renal calculi or renal insufficiency (above the upper normal limits of creatinine).
  • Subject has a known diagnosis of human immunodeficiency virus (HIV) or hepatitis B or C.
  • Subject had a predisposing condition that might interfere with absorption, distribution, or excretion of zonisamide.
  • Subject has a history of sensitivity to sulfonamide drugs or zonisamide and its excipients.
  • Subject has a recent history of excessive alcohol use or drug abuse.
  • Subject has a history of suicide attempt in the five years before the screening visit..
  • Subject has abnormal screening laboratory values that were clinically significant.
  • Subject has a history of demonstrated non-compliance with treatment or the subject or parent/caregiver can be reasonably expected not to be compliant with study procedures or to complete the study.
  • Subject has participated in a study of an investigational drug or device within 30 days prior to screening.
  • Subject has received previous treatment with zonisamide.
  • Subject is treated with ketogenic diet or vagus nerve stimulator.
  • Subject has a history of necessary treatment with rescue benzodiazepines which is foreseen to continue during the study. Rescue benzodiazepines will not be allowed in this study (stable dosing with a benzodiazepine as (one of the) baseline anti-epileptic drug(s) is allowed).
  • Current psychosis or moderate to severe depression, or use of anti-psychotic drugs, MAOIs, tricyclic antidepressants, benzodiazepine or barbiturate treatment for disorders other than epilepsy, and stimulants (amphetamine derivatives) within 28 days before the screening visit.
  • Concomitant use of acetazolamide, carbonic anhydrase inhibitors such as topiramate and drugs with anticholinergic activity.
  • Concomitant use of felbamate or use of felbamate within two months prior to Visit 1.
  • Subject is not able to swallow capsules.
  • Subject is not in general good health as determined by medical history, physical exam and screening laboratory results.

Trial locations and contacts

73 sites in 13 countries.

73 sites in 13 countries

Russia12 sites
  • GOU VPO Krasnoyarskaya State Medical Academy of Roszdrav

    Krasnoyarsk, 660022

  • FGU Moscow Research Institute of Psychiatry of Roszdrav

    Moscow, 107076

  • GOU VPO Russian State Medical University of Roszdrav

    Moscow, 117997/119034

  • GOU VPO Smolensk State Medical Academy of Roszdrav

    Moscow, 119049

  • GOU VPO Moscow State University of Medicine and Dentistry of Roszdrav

    Moscow, 127473 / 107006

  • GOU VPO Novosibirsk State Medical University of Roszdrav

    Novosibirsk, 630091

  • GU St. Petersburg Research Institute of Psychoneurology

    Saint Petersburg, 192019

  • St. Petersburg State Medical Pediatric Academy

    Saint Petersburg, 194100

  • GOU VPO St. Petersburg State Medical University

    Saint Petersburg, 197022

  • GOU VPO Smolensk State Medical Academy of Roszdrav

    Smolensk, 214018

  • GOU VPO Smolensk State Medical Academy of Roszdrav

    Smolensk, 214019

  • Yaroslavskaya State Medical Academy

    Yaroslavl, 150000

Other trials in Russia

Hungary9 sites
  • National Institute of Psychiatry and Neurology

    Budapest, 1021

  • Heim Pal Hospital

    Budapest, 1089

  • Szent Istvan Hospital

    Budapest, 1091

  • Orszagos Idegsebeszeti Tudomanyos Intezet

    Budapest, 1145

  • Bethesda Hospital for Children

    Budapest, 1146

  • Bekes County Pandy Kalman Hospital

    Gyula, 5703

  • Bacs-Kiskun County ONK Hospital

    Kecskemét, 6000

  • Vas County Markusovszky Hospital

    Szombathely, 9400

  • Veszpem County Csolnoky F. Hospital

    Veszpem, 8200

Other trials in Hungary

Czechia7 sites
  • Neurologicke oddeleni

    Hradec Králové, 500 03

  • Private Neurologi Office

    Kroměříž, 767 01

  • Fakultni nemocnice Olomouc

    Olomouc, 775 20

  • Fakultni nemocnice s poliklinikou Ostrava

    Ostrava, 708 52

  • Fakultni nemocnice Plzen

    Pilsen, 305 99

  • Nemocnice Na Homolce

    Prague, 150 30

  • Centrum neurologicke pece

    Rychnov nad Kněžnou, 516 01

Other trials in Czechia

Romania7 sites
  • Spitalul Clinic de Psihiatrie

    Bucharest, 041914

  • Spitalul Universitar de Urgenta Bucuresti

    Bucharest, 050098

  • Centrul Medical Sana

    Bucharest, 11025

  • Spitalul Clinic Judetean de Urgenta Cluj

    Cluj-Napoca, 400006

  • Spitalul Clinic Judetean de Urgenta Sf Spiridon Iasi

    Iași, 700111

  • Spitalul Clinic de Urgenta Sfanta Treime

    Iași, 700309

  • Spitalul Clinic Judetean de Urgenta Tg Mures

    Tg Mures, 540136

Other trials in Romania

Ukraine7 sites
  • Tsentr Psihosomatychnoyi Patologiyi Dnipropetrovskoyi oblasnoyi klinichnoyi likarni imeni Mechnikova

    Dniepropetrovsk, 49005

  • Derzhavna Ustanova Institut Nevrologiy

    Kharkiv, 61068

  • Kyiv City Psychiatric Hospital #2, Poliklinichne Viddilenya

    Kyiv, 2660

  • Miska Klinichna psihonevrologichna Tsentr Epilepsiyi

    Kyiv, 3080

  • Lvivskyiy oblasnyi Protyepileptuchnyy tsentr

    Lviv, 7910

  • Odesskyy Derzhavnyy Medychnyy Universitet

    Odesa, 65006

  • Vinnitskyy Natsionalnyy Medychnyy Universitet

    Vinnitsa, 21005

Other trials in Ukraine

Poland6 sites
  • Niepubliczny ZOZ KENDRON

    Bialystok, 15-420

  • Wojewodzki Szpital Specjalistyczny im. M. Kopernika

    Gdansk, 80-803

  • Specjalistyczny Szpital Wieloprofilowy

    Katowice, 40-635

  • Centrum Neurologii Klinicznej

    Krakow, 31-530

  • Szpital im. M. Kopernika

    Lodz, 93-513

  • Uniwersytet Medyczny

    Poznan, 60-355

Other trials in Poland

Australia5 sites
  • Strategic Health Evaluators Pty Ltd

    Chatswood, New South Wales, 2067

  • Austin Health

    Heidelburg, Victoria, 3084

  • The Royal Melbourne Hospital

    Melbourne, Victoria, 3050

  • St. Vincents Hospital

    Melbourne

  • The Prince of Wales Hospital

    Randwick, New South Wales, 2031

Other trials in Australia

Germany5 sites
  • Institut fur Diagnostik der Epilepsien

    Berlin, 10365

  • Neurochirurgische Klinik der Universitat Freiburg

    Freiburg im Breisgau, 79106

  • Interdisziplinares Epilepsiezentrum am Klinikum der Philipps-Universitat Marburg

    Marburg, 35039

  • Neurologische Gemeinschaftspraxis

    München, 80333

  • Universitatsklinikum Ulm

    Ulm, 89081

Other trials in Germany

Serbia4 sites
  • Clinical Center of Serbia

    Belgrade, 11000

  • University Medical Center Zvezdara

    Belgrade, 11000

  • Clinical Center Kragujevac

    Kragujevac, 34000

  • Clinical Center of Nis

    Niš, 18000

Other trials in Serbia

Croatia3 sites
  • CH Split

    Split, HR, 10000

  • CH Sestre Milosrdnice University Hospital

    Zagreb, HR, 10000

  • UHC Zagreb

    Zagreb, HR, 10000

Other trials in Croatia

Estonia3 sites
  • West-Tallinn Central Hospital

    Tallinn, 10611

  • Neurodiagnostica AP OY

    Tallinn, 11312

  • Tartu University Hospital

    Tartu, 51014

Other trials in Estonia

Lithuania3 sites
  • Kaunas Medical University Hospital

    Kaunas, 50009

  • Neuromeda

    Kaunas, 50185

  • Vilnius University Hospital Santariskiu klinikos

    Vilnius, 8661

Other trials in Lithuania

Finland2 sites
  • Kuopio Epilepsy Center

    Kuopio, SF, 70211

  • Oulu University Central Hospital

    Oulu, 90220

Other trials in Finland

About this study

Official title: A Double-blind, Randomised, Placebo-controlled Multi-centre Study to Assess the Efficacy and Safety of Adjunctive Zonisamide in Primary Generalised Tonic Clonic Seizures

Zonisamide is already marketed for the treatment of partial seizures in epilepsy. This study is intended to provide evidence that zonisamide is safe and effective in the treatment of primary generalised tonic-clonic seizures. The total trial duration will be 5.5-6.5 months. After that subjects who have completed the study will be eligible to enrol in an open-label extension study until zonisamide is marketed for this indication or further development in this indication stops. This extension study will be described in a separate protocol (E2090-E044-316).

Conditions
Epilepsy
Being tested
Zonisamide, Placebo
Medical subject headings
Epilepsy

What participants receive

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

  • ZonisamideDrug

    Also called Zonegran

    25-400 mg capsules orally once daily in the evening.

    Maximum study duration of 28 weeks comprising:

    Baseline Period (Week-8/-4 to Week 0) no treatment

    Titration Period (Week 0 to Week 4) <12 years old: 1 mg/kg; >= 12 years old: 50 mg daily titrated weekly until a dose of 5 mg/kg or 300 mg was reached by Week 4

    Maintenance Period (Week 4 to Week 16) dose from Week 4 to be maintained (4 mg/kg or 200 mg in the event of dose limiting adverse events)

    Down Titration Period (4 weeks)

  • PlaceboDrug

    25-400 mg Zonisamide Placebo capsules orally once daily in the evening.

    Maximum study duration of 28 weeks comprising:

    Baseline Period (Week-8/-4 to Week 0) no treatment

    Titration Period (Week 0 to Week 4) <12 years old: 1 mg/kg Zonisamide Placebo; >= 12 years old: 50 mg Zonisamide Placebo capsules daily titrated weekly until a dose of 5 mg/kg or 300 mg was reached by Week 4

    Maintenance Period (Week 4 to Week 16) dose from Week 4 to be maintained (4 mg/kg or 200 mg in the event of dose limiting adverse events)

    Down Titration Period (4 weeks)

Study groups in NCT00692003
Study groupRoleWhat they receive
ZonisamideActive comparatorNot described
Receives: Drug: Zonisamide
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants Considered Responders as Assessed During the Maintenance Period

    The number of participants who were considered responders during the 12 week Maintenance Period (Week 4 to Week 16). A responder was defined as a participant with a decrease from baseline in Primary Generalised Tonic-Clonic Seizures (PGTCS) frequency of >= 50% (i.e. 28-day PGTC seizure frequency in the period from Week 4 to the Week 16 visit compared to Week -8/-4 to randomization at Week 0). Each participant's response to treatment was assessed on the basis of their seizure diaries. The diary was dispensed at the Screening Visit and maintained by the participant (parent/caregiver) through out the titration and maintenance treatment periods until the Early termination Visit at Week 16. Due to early termination of the study by the Sponsor, no formal analyses were conducted.

    Measured: Baseline (Week -8/-4 to Week 0) and Maintenance Phase (Week 4 to Week 16)

Secondary outcomes (1)
  1. Absolute Change From Baseline in 28-day PGTC Seizure Frequency

    Absolute Change from Baseline in 28-day PGTC Seizure Frequency was assessed both for the Maintenance Period alone (Week 4 to Week 16) and for the entire double-blind treatment period (Week 0 to Week 16). Due to early termination of the study by the Sponsor, no formal analyses were conducted.

    Measured: Baseline and up to 16 weeks

Timeline

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

  1. First posted6 Jun 2008 (estimated)
  2. Study start1 Aug 2008
  3. Primary completionNov 2008
  4. Study completion9 Jan 2009

Why it stopped: Sponsor's decision

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
Double blind
Who is masked
Participant, Investigator
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00692003
Sponsor's protocol ID
E2090-E044-315
Other IDs
Eudra ID #2007-003557-91.
Status last verified
Feb 2017
First submitted
3 Jun 2008
Last updated
14 Mar 2017

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Zonisamide in people with Epilepsy, run by Eisai Limited at 73 sites in 13 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 9 inclusion and 23 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: stopped early, as of the sponsor's last update on 14 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in Russia, Hungary, Czechia, Romania, Ukraine and 8 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 12 Oct 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants Considered Responders as Assessed During the Maintenance Period (time frame: Baseline (Week -8/-4 to Week 0) and Maintenance Phase (Week 4 to Week 16)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 14 Mar 2017.

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Clinical Trial NCT00692003 | AzTrials