Partial Onset SeizuresPhase 3NCT02072824
A Safety, Efficacy, and Tolerability Trial of Pregabalin as Add-On Treatment in Pediatric Subjects <4 Years of Age With Partial Onset Seizures.
A Phase 3 study testing Pregabalin Dose Level 1 and Pregabalin Dose Level 2 in people with Partial Onset Seizures, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 72 sites in 23 countries.
Trial summary
This study is designed to evaluate the effectiveness of 2 doses of pregabalin to reduce seizure frequency as an add on therapy in pediatric subjects 1 month to <4 years of age with refractory partial onset seizures. Read more about this study
- Who is it for?
- Ages 1 month to 3 years
- Conditions the study is for
- Partial Onset Seizures
- What is being tested?
- Pregabalin Dose Level 1 and Pregabalin Dose Level 2
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 175 participants
- Where
- 72 sitesin 23 countries
- Study dates
- 16 Sep 2014to 13 Mar 2018
- 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 1 month to 3 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Subject must have 3 partial onset seizures in the month prior to screening.
- Subject must have 2 partial onset seizures during the 48 hour baseline phase.
- Signed Informed Consent.
- On 1-3 stable anti-epileptic drugs at screening.
Who cannot join
- Primary generalized seizures including clonic, tonic, clonic-tonic, absence, febrile seizures, and infantile spasms.
- Lennox-Gasteau, BECTS, and Dravet's syndrome.
- Status epliepticus within 1 year of screening.
- Any change in AED regimen with 7 days of screening.
- Progressive structural central nervous system (CNS) lesion or a progressive encephalopathy.
- Progressive errors of metabolism.
Trial locations and contacts
72 sites in 23 countries.
72 sites in 23 countries
Russia14 sites
FSFEI HE N.I. Pirogov RNRMU of Minzdrav of Russia
Moscow, 117997
FSFEI HE N.I. Pirogov RNRMU of Minzdrav of Russia
Moscow, 125412
Nizhmedklinika
Nizhny Novgorod, Nizhny Novgorod Oblast, 603159
Perm State Medical University n. a. acad. E.A. Vagner
Perm, Permskiy KRAY, 614000
Perm State Medical University n. a. acad. E.A. Vagner
Perm, 614990
LLC Medical Technologies
Saint Petersburg, 191025
LLC Medical Technologies
Saint Petersburg, 192148
St. Petersburg State Pediatric Medical University
Saint Petersburg, 194100
"Baltiyskaya Medicyna" LLC
Saint Petersburg, 194356
RSBHI Smolensk Regional Clinical Hospital
Smolensk, 214018
SHI Ulyanovsk Regional Children's Clinical Hospital n. a. Y.F.Goryachev
Ulyanovsk, 432011
SHI Central Clinical Medical Unit
Ulyanovsk, 432026
SHI Central Clinical Medical Unit
Ulyanovsk, 432045
MAI Children's City Clinical Hospital 9
Yekaterinburg, 620134
Philippines7 sites
Cebu Doctors' University Hospital
Cebu City, CEBU, 6000
Perpetual Succour Hospital
Cebu City, CEBU, 6000
Manila Doctors Hospital
Manila, 1000
Metropolitan Medical Center
Manila, 1003
University of Santo Tomas Hospital
Manila, 1008
St. Luke's Medical Center
Quezon City, 1102
Philippine Children's Medical Center
Quezon City, 1105
Hungary6 sites
Dr. Kenessey Albert Korhaz es Rendelointezet
Balassagyarmat, H-2660
Szent János Kórház es Észak Budai Egyesitett Kórházak
Budapest, H-1023
Szent Margit Kórház
Budapest, H-1032
Semmelweis Egyetem, I. Sz. Gyermekgyogyaszati Klinika
Budapest, H-1083
Magyarorszagi Reformatus Egyhaz Bethesda Gyermekkorhaz, Gyermekneurologia
Budapest, H-1146
Debreceni Egyetem Klinikai Központ
Debrecen, H-4032
United States5 sites
The University of Texas Health Science Center at Houston
Houston, Texas, 77030
Pediatric Epilepsy Center of Central Florida
Orlando, Florida, 32819
Pediatric Neurology, PA
Orlando, Florida, 32819
Road Runner Research, Ltd.
San Antonio, Texas, 78249
Pediatric Epilepsy & Neurology Specialists, PA
Tampa, Florida, 33609
Ukraine5 sites
Komunalnyi zaklad "Dnipropetrovska dytiacha miska klinichna likarnia #5"
Dnipro, 49027
Komunalnyi zaklad "Dnipropetrovska oblasna dytiacha klinichna likarnia"
Dnipro, 49100
Ivano-Frankivska oblasna dytiacha klinichna likarnia
Ivano-Frankivsk, 76018
DZ "Ukrainskyi medychnyi tsentr reabilitatsii ditei z orhanichnym urazhenniam
Kyiv, 04209
Oblasnyi klinichnyi tsentr neirokhirurhii ta nevrolohii,viddilennia neirokhirurhii #2
Uzhhorod, 88018
Israel4 sites
Pharmacy of The E. Wolfson Medical Center
Holon, 5810001
The E. Wolfson Medical Center
Holon, 5810001
Pharmacy of Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
China3 sites
Beijing Children's Hospital
Beijing, 100045
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, 201102
Serbia3 sites
Mother and Child Healthcare Institute Dr Vukan Cupic
Belgrade, 11000
University Children's Hospital Belgrade
Belgrade, 11000
Institute for Child and Youth Healthcare of Vojvodina
Novi Sad, Vojvodina, 21000
Taiwan3 sites
Chang Gung Memorial Hospital- Kaohsiung branch
Kaohsiung City, 833
China Medical University Hospital
Taichung, 40447
National Taiwan University Hospital
Taipei, 100
Turkey (Türkiye)3 sites
Eskisehir Osmangazi Universitesi Tip Fakultesi
Eskişehir, 26480
Izmir Tepecik Training and Research Hospital
Izmir, Konak, 35120
Karadeniz Teknik Universitesi Tip Fakultesi Farabi Hastanesi
Trabzon, 61080
Bulgaria2 sites
UMHAT Dr. Georgi Stranski Ltd.
Pleven, 5800
UMHAT "Sveti Georgi" Ltd.
Plovdiv, 4002
Greece2 sites
University General Hospital Attikon
Athens, 12462
General Hospital of Thessaloniki Ippokratio
Thessaloniki, 54642
Lebanon2 sites
American University of Beirut Medical Center
Beirut
Saint George Hospital - University Medical Center
Beirut
Romania2 sites
Centrul Medical Unirea
Bucharest, 013766
Spitalul Clinic de Urgente pentru Copii "Sf. Maria"
Iași, 700309
South Korea2 sites
Seoul National University Hospital
Seoul, 03080
Samsung Medical Center
Seoul, 06351
Thailand2 sites
Siriraj Hospital, Faculty of Medicine, Mahidol University
Bangkoknoi, Bangkok, 10700
Phramongkutklao Hospital
Ratchathevee, Bangkok, 10400
Belarus1 site
GU Republican Scientific and Practical Center Mother and Child
Minsk, 220053
Bosnia and Herzegovina1 site
University Clinical Centre of the Republic of Srpska
Banja Luka, 78000
About this study
Official title: A Double-blind, Placebo-controlled, Parallel-group, Multicenter Study Of The Efficacy And Safety Of Pregabalin As Adjunctive Therapy In Children 1 Month Through <4 Years Of Age With Partial Onset Seizures
This study is designed to evaluate the effectiveness of 2 doses of pregabalin to reduce seizure frequency as an add on therapy in pediatric subjects 1 month to <4 years of age with refractory partial onset seizures. It is hypothesized that both doses of pregabalin will demonstrate superior efficacy when compared to placebo by reducing the partial onset seizure frequency and that pregabalin will be safe and well tolerated.
- Conditions
- Partial Onset Seizures
- Being tested
- Pregabalin Dose Level 1, Pregabalin Dose Level 2, Placebo
- Keywords
- Partial Onset Seizures, Epilepsy, Safety, Efficacy, Tolerability, Pregabalin, Lyrica, Adjunctive treatment, Placebo controlled, blinded, Eligibility Criteria
- Medical subject headings
- Epilepsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pregabalin Dose Level 1Drug
Pregabalin liquid dosed daily three times a day in equally divided doses escalated to 7.0 mg/kg/day beginning at Randomization through Taper Phase then tapered to 3.5 mg/kg/day during 1 week Taper Phase
Pregabalin Dose Level 2Drug
Pregabalin liquid dosed daily three times a day in equally divided doses escalated to 14.0 mg/kg/day beginning at Randomization through Taper Phase then tapered to 3.5 mg/kg/day during 1 week Taper Phase
PlaceboDrug
Placebo Liquid dosed three times daily beginning at Randomization through Taper Phase
| Study group | Role | What they receive |
|---|---|---|
| Study Drug Level 1 | Experimental | Not described Receives: Drug: Pregabalin Dose Level 1 |
| Study Drug Level 2 | Experimental | Not described Receives: Drug: Pregabalin Dose Level 2 |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Log Transformed 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment Phase
All partial onset seizures experienced during treatment phase were recorded by central reader during the 48 to 72 hour video-electroencephalogram (EEG). Double Blind 24 hour EEG seizure rate for all partial onset seizures = ([Number of seizures in double blind 48 to 72 hour EEG assessment] divided by [number of hours of video-EEG monitoring])*24. The EEG assessment was done at the end of the fixed dose treatment. For log-transformation, the quantity 1 was added to the double blind 24 hour EEG seizure rate for all participants to account for any possible "0" seizure incidence. This resulted in final calculation as: log transformed (double-blind 24-hour EEG seizure rate + 1).
Measured: Day 1 up to Day 14
Secondary outcomes (1)
Responder Rate: Percentage of Participants With at Least 50 Percent (%) or Greater Reduction From Baseline in 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment Phase
Responder Rate was defined as percentage of participants who had a 50% or greater reduction from baseline in 24-hour seizure rate during the double-blind treatment phase. Double Blind 24 hour EEG seizure rate for all partial onset seizures = ([Number of seizures in double blind 48 to 72 hour EEG assessment] divided by [number of hours of video-EEG monitoring])*24. The EEG assessment was done at the end of the fixed dose treatment.
Measured: Day 1 up to Day 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2014 (estimated)
- Study start16 Sep 2014
- Primary completion13 Mar 2018
- Study completion13 Mar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Partial Onset SeizuresStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 175 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02072824
- Sponsor's protocol ID
- A0081042
- Other IDs
- 2013-003420-37
- Status last verified
- Sep 2018
- First submitted
- 25 Feb 2014
- Last updated
- 20 Jan 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Mann D, Antinew J, Knapp L, Almas M, Liu J, Scavone J, Yang R, Modequillo M, Makedonska I, Ortiz M, Kyrychenko A, Nordli D, Farkas V, Farkas MK; A0081042 study group. Pregabalin adjunctive therapy for focal onset seizures in children 1 month to <4 years of age: A double-blind, placebo-controlled, video-electroencephalographic trial. Epilepsia. 2020 Apr;61(4):617-626. doi: 10.1111/epi.16466. Epub 2020 Mar 18.
PubMed 32189338
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind, Placebo-controlled, Parallel-group, Multicenter Study Of The Efficacy And Safety Of Pregabalin As Adjunctive Therapy In Children 1 Month Through <4 Years Of Age With Partial Onset Seizures
- ClinicalTrials.gov ID
- NCT02072824
- Acronym / sponsor ID
- A0081042
- Conditions
- Partial Onset Seizures
- Keywords
- Partial Onset Seizures, Epilepsy, Safety, Efficacy, Tolerability, Pregabalin, Lyrica, Adjunctive treatment
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 175 participants (actual)
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.Industry (pharma, biotech, devices)
- Study start
- 16 Sep 2014 (actual)
- Primary completion
- 13 Mar 2018 (actual)
- Study completion
- 13 Mar 2018 (actual)
- First posted
- 27 Feb 2014 (estimated)
- Results
- Posted 9 Oct 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to evaluate the effectiveness of 2 doses of pregabalin to reduce seizure frequency as an add on therapy in pediatric subjects 1 month to <4 years of age with refractory partial onset seizures. It is hypothesized that both doses of pregabalin will demonstrate superior efficacy when compared to placebo by reducing the partial onset seizure frequency and that pregabalin will be safe and well tolerated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Study Drug Level 1 | Experimental | Drug: Pregabalin Dose Level 1 |
| Study Drug Level 2 | Experimental | Drug: Pregabalin Dose Level 2 |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 1 month to 3 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Subject must have 3 partial onset seizures in the month prior to screening.
- Subject must have 2 partial onset seizures during the 48 hour baseline phase.
- Signed Informed Consent.
- On 1-3 stable anti-epileptic drugs at screening.
Key exclusion criteria (6 listed)
- Primary generalized seizures including clonic, tonic, clonic-tonic, absence, febrile seizures, and infantile spasms.
- Lennox-Gasteau, BECTS, and Dravet's syndrome.
- Status epliepticus within 1 year of screening.
- Any change in AED regimen with 7 days of screening.
- Progressive structural central nervous system (CNS) lesion or a progressive encephalopathy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pregabalin Dose Level 1Pregabalin liquid dosed daily three times a day in equally divided doses escalated to 7.0 mg/kg/day beginning at Randomization through Taper Phase then tapered to 3.5 mg/kg/day during 1 week Taper Phase | Drug | Study Drug Level 1 |
| Pregabalin Dose Level 2Pregabalin liquid dosed daily three times a day in equally divided doses escalated to 14.0 mg/kg/day beginning at Randomization through Taper Phase then tapered to 3.5 mg/kg/day during 1 week Taper Phase | Drug | Study Drug Level 2 |
| PlaceboPlacebo Liquid dosed three times daily beginning at Randomization through Taper Phase | Drug | Placebo |
Primary outcome
Log Transformed 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment Phase
Time frame: Day 1 up to Day 14
All partial onset seizures experienced during treatment phase were recorded by central reader during the 48 to 72 hour video-electroencephalogram (EEG). Double Blind 24 hour EEG seizure rate for all partial onset seizures = ([Number of seizures in double blind 48 to 72 hour EEG assessment] divided by [number of hours of video-EEG monitoring])*24. The EEG assessment was done at the end of the fixed dose treatment. For log-transformation, the quantity 1 was added to the double blind 24 hour EEG seizure rate for all participants to account for any possible "0" seizure incidence. This resulted in final calculation as: log transformed (double-blind 24-hour EEG seizure rate + 1).
1 secondary outcome
Responder Rate: Percentage of Participants With at Least 50 Percent (%) or Greater Reduction From Baseline in 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment Phase
Time frame: Day 1 up to Day 14
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32189338Mann D, Antinew J, Knapp L, Almas M, Liu J, Scavone J, Yang R, Modequillo M, Makedonska I, Ortiz M, Kyrychenko A, Nordli D, Farkas V, Farkas MK; A0081042 study group. Pregabalin adjunctive therapy for focal onset seizures in children 1 month to <4 years of age: A double-blind, placebo-controlled, video-electroencephalographic trial. Epilepsia. 2020 Apr;61(4):617-626. doi: 10.1111/epi.16466. Epub 2020 Mar 18.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
Related trials for Partial Onset Seizures
Enrolling by invitationPhase 2
SPN-817 Open-Label Extension Study in Adults With Focal Onset Seizures
Focal Onset Seizures
Active, not recruitingPhase 4
Open-label Study of Cenobamate Monotherapy in Adult Subjects With Newly Diagnosed or Recurrent Partial-Onset Epilepsy
Focal Onset Seizure
RecruitingPhase 3
A Study to Evaluate the Safety, Efficacy, and PK of ONO-2017 in Japanese Patients With POS 2 to 17 Year Olds
Partial Epilepsy
Active, not recruiting
A Pilot Study: Focused Ultrasound Thalamotomy for the Prevention of Secondary Generalization in Focal Onset Epilepsy
Partial Seizures With Secondary Generalization, Focal Epilepsy With Secondary Generalization
RecruitingPhase 2
RENAISSANCE 2: SPN-817 Phase 2, Double-Blind, Placebo-Controlled Study in Adults With Focal Onset Seizures
Focal Onset Seizures
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
72 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pregabalin Dose Level 1 and Pregabalin Dose Level 2 in people with Partial Onset Seizures, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 72 sites in 23 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 4 inclusion and 6 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 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in Russia, Philippines, Hungary, United States, Ukraine and 18 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 9 Oct 2018). 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?
Log Transformed 24-Hour Seizure Rate for All Partial Onset Seizures During the Double-Blind Treatment Phase (time frame: Day 1 up to Day 14). 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 NCT02072824, 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 Jan 2021.