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HealthyPhase 1NCT01796938

Study to Evaluate the Pharmacokinetics, Safety, Tolerability of Single Dose Lacosamide in Subjects With Renal Impairment Compared to Healthy Subjects

A Phase 1 study testing Lacosamide tablet in people with Healthy and Renal Impairment, run by UCB BIOSCIENCES GmbH at 2 sites in Germany.

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

To investigate the Pharmacokinetics (PK) of oral administered Lacosamide in renal impaired subjects and healthy subjects. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Renal Impairment
What is being tested?
Lacosamide tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
2 sitesGermany
Study dates
Jun 2004to Nov 2004
Phase
Phase 1
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 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject was informed and given ample time and opportunity to think about his/her participation and had given his/her written informed consent
  • Subject was willing and able to comply with all trial requirements
  • Subject was a male or female Caucasian, between 18 and 70 years of age (inclusive)
  • If female, subject was of non-childbearing potential (post-menopausal or hysterectomized) or was using medically adequate contraception
  • If female of childbearing potential, subject had a negative pregnancy test
  • Subject had a Body Mass Index (BMI) between 20 and 34 kg/m2 (inclusive)
Show all 21Show fewer
  • Subject was healthy without clinically relevant cardiovascular, renal, gastrointestinal, hepatic, metabolic, endocrine, neurological, or psychiatric abnormalities detected during Eligibility Assessment (EA)
  • Subjects with renal impairment also had to fulfill the following inclusion criteria:
  • Subject had no clinically relevant cardiovascular or endocrine findings during EA
  • Subject had a renal impairment. The subjects were assigned to 1 of the following treatment groups according to Creatinine Clearance (CLCr) values determined 2 to 7 days prior to dosing:
  • Group 2: 80 mL/min > CLCr ≥ 50 mL/min (subjects with mild renal impairment)
  • Group 3: 50 mL/min > CLCr ≥ 30 mL/min (subjects with moderate renal impairment)
  • Group 4: CLCr < 30 mL/min (subjects with severe renal impairment, not on dialysis between 2 weeks before EA and end of the trial)
  • Subject was informed and given ample time and opportunity to think about his/her participation and had given his/her written informed consent
  • Subject was willing and able to comply with all trial requirements
  • Subject was a male or female Caucasian, between 18 and 70 years of age (inclusive)
  • If female, subject was of non-childbearing potential (post-menopausal or hysterectomized) or was using medically adequate contraception
  • If female of childbearing potential, subject had a negative pregnancy test
  • Subject had a BMI between 20 and 34 kg/m2 (inclusive)
  • Subject had no clinically relevant cardiovascular or endocrine findings during EA
  • Subject had an endstage renal disease (CLCr < 15 mL/min, determined approximately 2 to 7 days before first dosing) treated with extracorporal hemodialysis for at least 4 months

Who cannot join

  • Healthy subjects:
  • Subject had previously participated in this trial
  • Subject had participated in another trial of an investigational product within the last 3 months or was currently participating in another trial of an investigational product
  • Subject had donated blood or had a comparable blood loss (> 500 mL) within the last 3 months prior to EA
  • Subject smoked more than 5 cigarettes per day or had done so within the 6 months prior to commencement of this trial
  • Subject had a history of chronic alcohol or drug abuse within the last 6 months prior to commencement of this trial
Show all 35Show fewer
  • Subject consumed more than 40 g of alcohol/day (amount corresponds to 1 L beer/day or 0.5 L wine/day or 120 mL liquor/day)
  • Subject had positive tests for alcohol (urine or breath test) or drugs (urine test)
  • Subject had clinically relevant changes in the electrocardiogram (ECG), such as second- or third-degree atrioventricular (AV) block, prolongation of the QRS complex over 120 ms or of the corrected QT (QTc) interval > 430 ms (male subjects) or > 450 ms (female subjects)
  • Subject had a history or present condition of clinically relevant respiratory or cardiovascular disorders, eg, cardiac insufficiency, coronary heart disease, hypertension, arrhythmia, tachyarrhythmia, or status after myocardial infarction
  • Subject had a history or present condition of psychic abnormality, psychiatric or neurologic illness, or autonomic neuropathy that, in the opinion of the Investigator, could have jeopardized or would have compromised the subject's ability to participate in the trial
  • Subject had a history or present condition of seizure disorder
  • Subject had a history or present condition of malignancy
  • Subject had a history or present condition of renal disorders (albuminuria, chronic infections) or renal impairment
  • Subject had a history or present condition of Diabetes Mellitus or thyroid dysfunction, especially Hyperthyreosis, or other endocrine disorders
  • Subject had a clinically relevant allergy
  • Subject had a known or suspected drug hypersensitivity, in particular to the trial medication
  • Subject was taking any concomitant medication currently or within 2 weeks prior to the first day of dosing (with the exception of oral contraceptives and Paracetamol [maximum allowed dose: 1000 mg/dose], which were allowed up to 48 hours prior to dosing); further exceptions could be made if the Investigator and the sponsor jointly considered the medication as acceptable
  • Subject was tested positive for human immunodeficiency virus 1/2 antibodies (HIV-1/2-Ab), hepatitis B surface antigen (HBs-Ag), or hepatitis C virus antibody (HCV-Ab)
  • Subject had any clinically relevant abnormality in the physical examination or in vital sign measurements (systolic blood pressure > 150 mmHg or < 100 mmHg, diastolic blood pressure > 95 mmHg or < 60 mmHg, pulse rate > 100 beats per minute (bpm) or < 50 bpm)
  • Subject had a clinically relevant deviation from the norm in the clinical chemistry, hematology, or urinalysis evaluations
  • Exclusion criteria 1 to 12 for healthy subjects also applied to subjects with renal impairment
  • Subject had a clinically relevant allergy
  • Subject had a known or suspected drug hypersensitivity, in particular to the trial medication
  • Subject was taking any concomitant medication currently or within 2 weeks prior to dosing that could have interfered with the investigational product
  • Subject was tested positive for HIV-1/2-Ab, HBs-Ag, or HCV-Ab
  • Subject had any clinically relevant abnormality in the physical examination or in vital sign measurements (systolic blood pressure > 180 mmHg or < 100 mmHg, diastolic blood pressure > 110 mmHg, pulse rate > 100 bpm or < 60 bpm)
  • Subject had a clinically relevant deviation from the norm in the clinical chemistry, hematology or urinalysis evaluations other than expected for a subject with renal impairment, eg, hemoglobin < 8.0 g/dL
  • Exclusion criteria 1 to 12 for healthy subjects also applied to subjects in Group 5
  • Subject had a clinically relevant allergy
  • Subject had a known or suspected drug hypersensitivity, in particular to the trial medication
  • Subject was tested positive for HIV-1/2-Ab, HBs-Ag, or HCV-Ab
  • Subject was taking any concomitant medication that might interfere with the investigational product currently or within 2 weeks prior to dosing
  • Subject had any clinically relevant abnormality in the physical examination or in vital sign measurements (systolic blood pressure > 200 mmHg [predialysis value] or < 100 mmHg, diastolic blood pressure > 110 mmHg, pulse rate > 100 bpm or < 60 bpm)
  • Subject had a clinically relevant deviation from the norm in the clinical chemistry, hematology, or urinalysis evaluations other than expected for a patient with renal impairment, eg, hemoglobin < 8.0 g/dL

Trial locations and contacts

2 sites in 1 country.

Germany2 sites
  • 1

    Cologne

  • 2

    Rendsburg

Other trials in Germany

About this study

Official title: Open, Non-randomized, Sequential Group Comparison to Investigate the Pharmacokinetics, Safety, and Tolerability of 100 mg SPM 927 in Male and Female Subjects With Renal Impairment Including Subjects Requiring Dialysis Compared With Male and Female Healthy Subjects Following Single-dose Administration

To investigate the Pharmacokinetics (PK) of oral administered Lacosamide in renal impaired subjects and healthy subjects.

Being tested
Lacosamide tablet
Keywords
Lacosamide, Vimpat, Single Dose, Pharmacokinetics, Renal Impairment
Medical subject headings
Renal Insufficiency

What participants receive

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

  • Lacosamide tabletDrug

    Also called Vimpat

    Single dose of 100 mg Lacosamide tablet

Study groups in NCT01796938
Study groupRoleWhat they receive
Group 1: Healthy subjectsExperimentalSingle dose of 100 mg Lacosamide
Receives: Drug: Lacosamide tablet
Group 2: Subjects with mild renal insufficiencyExperimentalSingle dose of 100 mg Lacosamide
Receives: Drug: Lacosamide tablet
Group 3: Subjects with moderate renal insufficiencyExperimentalSingle dose of 100 mg Lacosamide
Receives: Drug: Lacosamide tablet
Group 4: Subjects with severe renal insufficiencyExperimentalSingle dose of 100 mg Lacosamide
Receives: Drug: Lacosamide tablet
Group 5: Subjects with end stage renal insufficiencyExperimentalSingle dose of 100 mg Lacosamide
Receives: Drug: Lacosamide tablet

What is being measured

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

  1. Area under the Lacosamide plasma concentration time curve from 0 to the last quantifiable data point (AUC(0-tz))

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  2. Measured maximal concentration (Cmax) of Lacosamide

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  3. Area under the Lacosamide plasma concentration-time curve from 0 to the last quantifiable data point (AUC (0-tz)), normalized by body weight

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  4. Measured maximal concentration (Cmax, norm) of Lacosamide normalized by body weight

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

Secondary outcomes (22)
  1. Time of observed maximum (tmax) of Lacosamide concentration

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  2. Time of observed maximum (tmax) of Lacosamide metabolite (SPM12809) concentration

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  3. Terminal half-life (t1/2) of Lacosamide

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  4. Terminal half-life (t1/2) of Lacosamide metabolite (SPM12809)

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  5. Apparent total clearance (CL/f) of Lacosamide from plasma

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  6. Area under the lacosamide metabolite (SPM12809) plasma concentration-time curve from 0 to the last quantifiable data point (AUC(0-tz))

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  7. Amount of Lacosamide excreted in urine from 0 to defined time point (Ae(0-48)) (t=48 hours)

    Urine sampling predose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours postdose

    Measured: Day 1 to Day 3 of study

  8. Amount of Lacosamide metabolite (SPM12809) excreted in urine from 0 to defined time point (Ae(0-48)) (t=48 hours)

    Urine sampling predose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours postdose

    Measured: Day 1 to Day 3 of study

  9. Measured maximal concentration (Cmax) of Lacosamide metabolite (SPM12809)

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  10. Area under the Lacosamide metabolite (SPM12809) plasma concentration time curve from 0 to the last quantifiable data point (AUC(0-tz)), normalized by body weight

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  11. Measured maximal Lacosamide metabolite (SPM12809) concentration (Cmax,norm), normalized by body weight

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  12. Terminal half-life (t1/2) of Lacosamide in urine

    Urine sampling predose, 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours postdose

    Measured: Day 1 to Day 3 of study

  13. Lacosamide concentration in dialysis inlet line (Cin)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  14. Lacosamide metabolite (SPM12809) concentration in dialysis inlet line (Cin)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  15. Lacosamide concentration in dialysis outlet line (Cout)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  16. Lacosamide metabolite (SPM12809) concentration in dialysis outlet line (Cout)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  17. Extraction rate (E) of Lacosamide

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  18. Extraction rate (E) of Lacosamide metabolite (SPM12809)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  19. Dialysis clearance (CLdial) of Lacosamide

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  20. Dialysis clearance (CLdial) of Lacosamide metabolite (SPM12809)

    Dialysis samples collected 4 hours and 6 hours after administration (1.5 hours and 3.5 hours after start of dialysis)

    Measured: From 4 hours up to 6 hours postdose

  21. Rate constant of Lacosamide elimination

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

  22. Rate constant of Lacosamide metabolite (SPM12809) elimination

    Blood sampling at 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, and 96 hours after single dose administration; > 24 hours excluded for group 5

    Measured: Day 1 to Day 5 of study

Timeline

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

  1. First posted22 Feb 2013 (estimated)
  2. Study startJun 2004
  3. Primary completionNov 2004
  4. Study completionNov 2004

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 1
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01796938
Sponsor's protocol ID
SP0641
Status last verified
Feb 2013
First submitted
19 Feb 2013
Last updated
20 Oct 2014
Results posted
No
Data monitoring committee
No

Publications

  • Cawello W, Fuhr U, Hering U, Maatouk H, Halabi A. Impact of impaired renal function on the pharmacokinetics of the antiepileptic drug lacosamide. Clin Pharmacokinet. 2013 Oct;52(10):897-906. doi: 10.1007/s40262-013-0080-7.

    PubMed 23737404

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Lacosamide tablet in people with Healthy and Renal Impairment, run by UCB BIOSCIENCES GmbH at 2 sites in Germany.

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 21 inclusion and 35 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 20 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Germany. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Area under the Lacosamide plasma concentration time curve from 0 to the last quantifiable data point (AUC(0-tz)) (time frame: Day 1 to Day 5 of study). The study lists 4 primary outcomes in all. 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 NCT01796938, 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 20 Oct 2014.

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