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EpilepsyPhase 3VERVENCT01484977

eValuation of the Efficacy and toleRability of Vimpat When Added to lEvetiracetam

A Phase 3 study testing Lacosamide in people with Epilepsy, run by UCB Pharma at 54 sites in 9 countries.

Completed

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

Official record
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Trial summary

The main purpose of this study is to evaluate the effectiveness of the study drug lacosamide (200-600 mg/day) when added to a stable dose of levetiracetam (1000-3000 mg/day) with withdrawal of the concomitant sodium channel blocking-antiepileptic drug (AEDs) in subjects not well controlled on their current regimen. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Epilepsy
What is being tested?
Lacosamide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
54 sitesin 9 countries
Study dates
Dec 2011to Dec 2013
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is male or female, at least 18 years of age
  • Subject has a diagnosis of epilepsy with partial-onset seizures according to the International Classification of Epileptic Seizures (1981)
  • Subject is taking levetiracetam (LEV) in combination with 1 sodium channel blocking antiepileptic drug (defined as carbamazepine, lamotrigine, oxcarbazepine, phenytoin, or eslicarbazepine) as adjunctive treatment for epilepsy
  • The minimum required seizure frequency during the 8-week Retrospective Seizure Baseline is on average ≥ 2 partial-onset seizures per 28 days with at least 1 seizure per 4 week period within the 8-week Retrospective Seizure Baseline. Additionally, subjects must experience at least 1 seizure during the 4-week Prospective Seizure Baseline
  • Subject has been maintained on a stable dose of LEV and a sodium channel blocking antiepileptic drug (SCB-AED) for at least 4 weeks prior to the Screening Visit (Visit 1) and during the 4-week Prospective Seizure Baseline
  • The minimum required seizure frequency during the 8-week Retrospective Seizure Baseline is on average ≥ 2 partial-onset seizures per 28 days (based on investigator assessment of subject report) with at least 1 seizure per 4 week period within the 8-week Retrospective Seizure Baseline
  • Subject has been maintained on a stable dose of levetiracetam (LEV) and a sodium channel blocking antiepileptic drug (SCB-AED) for at least 4 weeks prior to the Screening Visit (Visit 1) and during the 4-week Prospective Seizure Baseline, with or without additional concurrent stable vagal nerve stimulation (VNS). The VNS must have been in place for at least 6 months prior to the Screening Visit (Visit 1) with constant settings for at least 4-weeks prior to the Screening Visit (Visit 1) and throughout the duration of the study

Who cannot join

  • Previous use of lacosamide
  • History of alcohol or drug abuse
  • History of seizure disorder characterized primarily by isolated auras
  • History of primary generalized seizures
  • History of status epilepticus within the 12-months
  • History of clustering seizures
Show all 16Show fewer
  • Nonepileptic events, including pseudoseizures that could be confused with seizures
  • History of any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize the subject's health or would compromise the subject's ability to participate in this study
  • Lifetime history of suicide attempt, or suicidal ideation in the past 6 months
  • Hypersensitivity to any component of lacosamide (LCM)
  • History of acute or sub-acute progressive central nervous system disease
  • History of severe anaphylactic reaction or serious blood dyscrasias
  • Impaired renal function (ie, Creatinine Clearance (CLcr) is lower than 30 mL/min) at Visit 1
  • History of sick sinus syndrome without a pacemaker, or atrioventricular (AV) block, or subject has any other clinically significant electrocardiogram (ECG) abnormalities
  • History sodium channelopathy, such as Brugada syndrome
  • History of myocardial infarction in the last 3 months

Trial locations and contacts

54 sites in 9 countries.

54 sites in 9 countries

United States30 sites
  • 002

    Akron, Ohio

  • 025

    Bradenton, Florida

  • 020

    Camden, New Jersey

  • 027

    Canton, Ohio

  • 022

    Columbus, Ohio

  • 005

    Dayton, Ohio

  • 001

    Fresno, California

  • 129

    Golden Valley, Minnesota

  • 131

    Greensboro, North Carolina

  • 006

    Hammond, Louisiana

  • 110

    Huntsville, Alabama

  • 123

    Louisville, Kentucky

  • 028

    Lubbock, Texas

  • 139

    Madison, Wisconsin

  • 024

    Milwaukee, Wisconsin

  • 088

    Missoula, Montana

  • 015

    Ocala, Florida

  • 013

    Oklahoma City, Oklahoma

  • 008

    Orange, California

  • 030

    Oxnard, California

  • 049

    Panama City, Florida

  • 004

    Phoenix, Arizona

  • 114

    Port Charlotte, Florida

  • 108

    Sacramento, California

  • 017

    Salt Lake City, Utah

  • 012

    Sarasota, Florida

  • 023

    Springfield, Missouri

  • 014

    Tampa, Florida

  • 112

    Waldorf, Maryland

  • 003

    Wellington, Florida

Other trials in United States

Bulgaria5 sites
  • 036

    Rousse

  • 037

    Sofia

  • 080

    Sofia

  • 081

    Sofia

  • 082

    Sofia

Other trials in Bulgaria

Romania5 sites
  • 096

    Bucharest

  • 099

    Bucharest

  • 097

    Lasi

  • 038

    Târgu Mureş

  • 095

    Târgu Mureş

Other trials in Romania

France3 sites
  • 042

    Angers

  • 040

    Limoges

  • 046

    Paris

Other trials in France

Germany3 sites
  • 065

    Bielefeld

  • 066

    Hamburg

  • 068

    Tübingen

Other trials in Germany

Spain3 sites
  • 051

    Manresa

  • 053

    Oviedo

  • 050

    Seville

Other trials in Spain

Australia2 sites
  • 075

    Chatswood

  • 079

    Parkville

Other trials in Australia

Denmark2 sites
  • 059

    Aarhus

  • 087

    Copenhagen

Other trials in Denmark

Sweden1 site
  • 102

    Gothenburg

Other trials in Sweden

About this study

Official title: Open-label, Single Arm, Study Evaluating Tolerability and Efficacy of Lacosamide When Added to Levetiracetam With Withdrawal of Concomitant Sodium Channel Blocking Antiepileptic Drug in Subjects With Uncontrolled Partial-onset Seizures

The main purpose of this study is to evaluate the effectiveness of the study drug lacosamide (200-600 mg/day) when added to a stable dose of levetiracetam (1000-3000 mg/day) with withdrawal of the concomitant sodium channel blocking-antiepileptic drug (AEDs) in subjects not well controlled on their current regimen.

Conditions
Epilepsy
Being tested
Lacosamide
Keywords
Lacosamide, Epilepsy, Levetiracetam, Sodium Channel Blockers
Medical subject headings
Epilepsy

What participants receive

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

  • LacosamideDrug

    Also called VIMPAT®, SPM927, Harkoseride

    50 mg and 100 mg lacosamide tablets will be combined and taken in two equal doses per day to provide the required total daily dosage of 100 - 600 mg/day. Subjects were titrated to a minimum of 200 mg/ day during the Treatment Period.

    Maximum duration of study drug administration is approximately 23 weeks.

Study groups in NCT01484977
Study groupRoleWhat they receive
LacosamideExperimentalLacosamide will be added to levetiracetam while withdrawing the sodium channel blocking antiepileptic drug (AED)
Receives: Drug: Lacosamide

What is being measured

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

  1. Retention at the End of the 21-week Treatment Period

    Retention is a summary measure that integrates both the patient's and clinician's assessment of efficacy and tolerability in epilepsy clinical studies to provide a measure of effectiveness.

    Measured: Duration of the Treatment Period (21 Weeks)

Timeline

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

  1. First posted5 Dec 2011 (estimated)
  2. Study startDec 2011
  3. Primary completionDec 2013
  4. Study completionDec 2013

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01484977
Sponsor's protocol ID
SP0980
Other IDs
2011-002461-37
Acronym
VERVE
Status last verified
Jul 2017
First submitted
1 Dec 2011
Last updated
18 Jul 2018
Data monitoring committee
No
Expanded access
Available

Publications

  • Baulac M, Byrnes W, Williams P, Borghs S, Webster E, De Backer M, Dedeken P. Lacosamide and sodium channel-blocking antiepileptic drug cross-titration against levetiracetam background therapy. Acta Neurol Scand. 2017 Apr;135(4):434-441. doi: 10.1111/ane.12691. Epub 2016 Oct 6.

    PubMed 27714769

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lacosamide in people with Epilepsy, run by UCB Pharma at 54 sites in 9 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 7 inclusion and 16 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 18 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Bulgaria, Romania, France, Germany and 4 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?

Yes. Results are posted in the registry (first posted 26 Nov 2014). 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?

Retention at the End of the 21-week Treatment Period (time frame: Duration of the Treatment Period (21 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 NCT01484977, which also lists 1 linked publication.

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 18 Jul 2018; AzTrials last refreshed its copy on 7 Nov 2026.

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