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EpilepsyPhase 3VALORNCT02408523

A Study to Assess the Safety and Efficacy of Lacosamide Versus Placebo (a Pill Without Active Medication) in Patients With Idiopathic Generalised Epilepsy Who Are Already Taking Anti-epileptic Medications

A Phase 3 study testing Lacosamide Tablet and Lasosamide Oral Solution in people with Epilepsy, run by UCB BIOSCIENCES, Inc. at 115 sites in 22 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

Evaluating efficacy \& safety of lacosamide versus Placebo in a blinded fashion as add-on Therapy for Primary Generalized Tonic-clonic (PGTC) seizures in subject 4 years of age or greater with idiopathic generalized epilepsy currently taking 1 to 3 antiepileptic drugs. Read more about this study

Who is it for?
Ages 4 years and older
Conditions the study is for
Epilepsy
What is being tested?
Lacosamide Tablet and Lasosamide Oral Solution
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
242 participants
Where
115 sitesin 22 countries
Study dates
Apr 2015to Jun 2019
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 4 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subject with a confirmed diagnosis at least 24 weeks prior to Visit 1 and a disease onset prior to 30 years of age, consistent with idiopathic generalized epilepsy (IGE) experiencing primary generalized tonic-clonic (PGTC) seizures (Type IIE) that are classifiable according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures (ILAE, 1981)
  • Subject has >=3 PGTC seizures during the 16-week Combined Baseline (12-week Historical Baseline plus 4-week Prospective Baseline)
  • If a brain magnetic resonance imaging (MRI)/computed tomography (CT) scan has been performed, there must be no evidence of any progressive abnormality or any lesion likely to be associated with partial-onset seizures
  • Subject has been maintained on a stable dose regimen of 1 to 2 non-benzodiazepine marketed antiepileptic drugs (AEDs) with no benzodiazepine AEDs OR 1 benzodiazepine marketed AED with 1 to 2 non benzodiazepine marketed AEDs for at least 28 days prior to Visit 1 with or without additional concurrent stable vagus nerve stimulation (VNS)
  • Subjects are required to have had an electroencephalogram (EEG) report consistent with idiopathic generalized epilepsy (eg, generalized 3Hz epileptiform discharges and a normal EEG background) confirmed by a Central Reviewer

Who cannot join

  • Subject is receiving any investigational drugs or using any experimental devices in addition to Lacosamide (LCM)
  • Subject meets the withdrawal criteria for SP0982 or is experiencing an ongoing serious adverse event (SAE)
  • Subject has an active suicidal ideation as indicated by a positive response ('Yes') to either Question 4 or Question 5 of the 'Since Last Visit' version of the Columbia-Suicide Severity Rating Scale (C-SSRS)
  • Subject has >=2x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (>=1.5xULN total bilirubin if known Gilbert's syndrome). If subject has elevations only in total bilirubin that are >ULN and <1.5xULN, fractionate bilirubin to identify possible undiagnosed Gilbert's syndrome (ie, direct bilirubin <35%)
  • For randomized subjects with a Baseline result >ULN for ALT, AST, ALP, or total bilirubin, a Baseline diagnosis and/or the cause of any clinically meaningful elevation must be understood and recorded in the electronic case report form (eCRF).
  • If subject has >ULN ALT, AST, or ALP that does not meet the exclusion limit at screening, repeat the tests, if possible, prior to dosing to ensure there is no further ongoing clinically relevant increase. In case of a clinically relevant increase, inclusion of the subject must be discussed with the Medical Monitor.
  • Tests that result in ALT, AST, or ALP up to 25% above the exclusion limit may be repeated once for confirmation. This includes re-screening.

Trial locations and contacts

115 sites in 22 countries.

115 sites in 22 countries

United States27 sites
  • Sp0982 028

    Alabaster, Alabama, 35007

  • Sp0982 053

    Austin, Texas, 78758

  • Sp0982 007

    Bethesda, Maryland, 20817

  • Sp0982 015

    Boise, Idaho, 83702

  • Sp0982 031

    Colorado Springs, Colorado, 80910

  • Sp0982 036

    Danbury, Connecticut, 06810

  • Sp0982 035

    Denver, Colorado, 80202

  • Sp0982 025

    Golden Valley, Minnesota, 55422

  • Sp0982 050

    Greenville, Texas, 75401

  • Sp0982 034

    Houston, Texas, 77025

  • Sp0982 018

    Irvine, California, 92868

  • Sp0982 011

    Jacksonville, Florida, 32224

  • Sp0982 005

    Little Rock, Arkansas, 72205

  • Sp0982 023

    Madison, Wisconsin, 53715

  • Sp0982 009

    New Orleans, Louisiana, 70121

  • Sp0982 043

    New York, New York, 10016

  • Sp0982 013

    Panama City, Florida, 32405

  • Sp0982 021

    Peoria, Illinois, 61637

  • Sp0982 002

    Port Charlotte, Florida, 33952

  • Sp0982 027

    Renton, Washington, 98057

  • Sp0982 047

    San Antonio, Texas, 78207

  • Sp0982 038

    San Antonio, Texas, 78229

  • Sp0982 008

    Santa Monica, California, 90404

  • Sp0982 045

    Springfield, Illinois, 62702

  • Sp0982 029

    St Louis, Missouri, 63131

  • Sp0982 010

    Waldorf, Maryland, 20603

  • Sp0982 042

    Wellington, Florida, 33470

Other trials in United States

Japan14 sites
  • Sp0982 907

    Asaka

  • Sp0982 906

    Fukuoka

  • Sp0982 910

    Gifu

  • Sp0982 903

    Hamamatsu

  • Sp0982 902

    Hiroshima

  • Sp0982 913

    Itami

  • Sp0982 912

    Kagoshima

  • Sp0982 914

    Kodaira

  • Sp0982 909

    Kokubunji

  • Sp0982 901

    Niigata

  • Sp0982 911

    Ōmura

  • Sp0982 900

    Sapporo

  • Sp0982 908

    Shinjuku-Ku

  • Sp0982 904

    Shizuoka

Other trials in Japan

Poland10 sites
  • Sp0982 657

    Częstochowa

  • Sp0982 655

    Gdansk

  • Sp0982 658

    Gdynia

  • Sp0982 652

    Gliwice

  • Sp0982 651

    Katowice

  • Sp0982 653

    Katowice

  • Sp0982 654

    Katowice

  • Sp0982 656

    Tyniec Mały

  • Sp0982 650

    Warsaw

  • Sp0982 659

    Warsaw

Other trials in Poland

Brazil7 sites
  • Sp0982 181

    Curitiba

  • Sp0982 180

    Florianópolis

  • Sp0982 186

    Passo Fundo

  • Sp0982 185

    Porto Alegre

  • Sp0982 188

    Rio de Janeiro

  • Sp0982 183

    São Paulo

  • Sp0982 184

    São Paulo

Other trials in Brazil

Russia7 sites
  • Sp0982 750

    Kazan'

  • Sp0982 758

    Pyatigorsk

  • Sp0982 755

    Saint Petersburg

  • Sp0982 756

    Saint Petersburg

  • Sp0982 752

    Samara

  • Sp0982 753

    Smolensk

  • Sp0982 757

    Yekaterinburg

Other trials in Russia

China6 sites
  • Sp0982 971

    Beijing

  • Sp0982 976

    Changchun

  • Sp0982 975

    Chongqing

  • Sp0982 097

    Fuzhou

  • Sp0982 973

    Hangzhou

  • Sp0982 972

    Shanghai

Other trials in China

Germany5 sites
  • Sp0982 305

    Berlin

  • Sp0982 303

    Erlangen

  • Sp0982 314

    Freiburg im Breisgau

  • Sp0982 311

    Marburg

  • Sp0982 302

    München

Other trials in Germany

Spain5 sites
  • Sp0982 402

    Barcelona

  • Sp0982 406

    Córdoba

  • Sp0982 407

    Madrid

  • Sp0982 404

    Málaga

  • Sp0982 403

    Seville

Other trials in Spain

Australia4 sites
  • Sp0982 980

    Chatswood

  • Sp0982 985

    Heidelberg

  • Sp0982 981

    Parkville, Victoria

  • Sp0982 986

    Parkville

Other trials in Australia

Czechia4 sites
  • Sp0982 550

    Ostrava Poruba

  • Sp0982 553

    Prague

  • Sp0982 556

    Prague

  • Sp0982 552

    Zlín

Other trials in Czechia

France4 sites
  • Sp0982 255

    Bron

  • Sp0982 252

    Lille

  • Sp0982 251

    Nancy

  • Sp0982 250

    Rennes

Other trials in France

Belgium3 sites
  • Sp0982 201

    Brussels

  • Sp0982 202

    Ghent

  • Sp0982 200

    Leuven

Other trials in Belgium

Romania3 sites
  • Sp0982 704

    Iași

  • Sp0982 707

    Iași

  • Sp0982 700

    Timișoara

Other trials in Romania

South Korea3 sites
  • Sp0982 940

    Daegu

  • Sp0982 941

    Seoul

  • Sp0982 944

    Seoul

Other trials in South Korea

Bulgaria2 sites
  • Sp0982 500

    Blagoevgrad

  • Sp0982 501

    Sofia

Other trials in Bulgaria

Hungary2 sites
  • Sp0982 600

    Budapest

  • Sp0982 603

    Szeged

Other trials in Hungary

Israel2 sites
  • Sp0982 850

    Rehovot

  • Sp0982 851

    Tel HaShomer

Other trials in Israel

Slovakia2 sites
  • Sp0982 821

    Bardejov

  • Sp0982 823

    Hlohovec

Other trials in Slovakia

Taiwan2 sites
  • Sp0982 961

    Taichung

  • Sp0982 960

    Taipei

Other trials in Taiwan

Italy1 site
  • Sp0982 351

    Torino

Other trials in Italy

Mexico1 site
  • Sp0982 161

    Guadalajara

Other trials in Mexico

Portugal1 site
  • Sp0982 451

    Lisbon

Other trials in Portugal

About this study

Official title: A Double-blind, Randomized, Placebo-controlled, Parallel-Group, Multicenter Study to Evaluate the Efficacy and Safety of Lacosamide as Adjunctive Therapy for Uncontrolled Primary Generalized Tonic-Clonic Seizures in Subjects With Idiopathic Generalized Epilepsy

Evaluating efficacy \& safety of lacosamide versus Placebo in a blinded fashion as add-on Therapy for Primary Generalized Tonic-clonic (PGTC) seizures in subject 4 years of age or greater with idiopathic generalized epilepsy currently taking 1 to 3 antiepileptic drugs. Maximum duration of study drug administration is 28 weeks. Eligible subjects may choose to enter the open-label extension study after completion.

Conditions
Epilepsy
Being tested
Lacosamide Tablet, Lasosamide Oral Solution, Placebo Tablet, Placebo Oral Solution
Keywords
Lacosamide, Vimpat, Epilepsy, Children, Primary Generalized Tonic Clonic seizures, Idiopathic Generalized Epilepsy, Adults
Medical subject headings
Epilepsy, Epilepsy, Idiopathic Generalized

What participants receive

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

  • Lacosamide TabletDrug

    Also called Vimpat

    • Active Substance: Lacosamide
    • Pharmaceutical Form: Film-coated Tablet
    • Concentration: 50 mg
    • Route of Administration: Oral use
  • Lasosamide Oral SolutionDrug

    Also called Vimpat

    • Active Substance: Lacosamide
    • Pharmaceutical Form: Oral Solution
    • Concentration: 10 mg/ml
    • Route of Administration: Oral use
  • Placebo TabletOther

    • Active Substance: Placebo
    • Pharmaceutical Form: Film-coated Tablet
    • Concentration: 50 mg
    • Route of Administration: Oral use
  • Placebo Oral SolutionOther

    • Active Substance: Placebo
    • Pharmaceutical Form: Oral Solution
    • Concentration: 10 mg/ml
    • Route of Administration: Oral use
Study groups in NCT02408523
Study groupRoleWhat they receive
LacosamideExperimentalLacosamide 50 mg tablets: starting with 100 mg/day at Week 1. Weekly increase in steps of 50 mg or 100 mg/day are allowed. Maximal dose 400 mg/day for adult subjects and pediatric subjects >= 50 kg. Lacosamide oral solution 10 mg/ml: starting with 2 mg/kg/day, titrations steps (1 mg/kg/day to 2 mg/kg/day; maximal dose 12 mg/kg/day for pediatric subjects < 30 kg.) Lasosamide oral solution 10 mg/ml: starting with 2 mg/kg/day, titrations steps (1 mg/kg/day to 2 mg/kg/day; maximal dose 8 mg/kg/day for pediatric subjects 30 kg to < 50 kg.)
Receives: Drug: Lacosamide Tablet; Drug: Lasosamide Oral Solution
PlaceboPlacebo comparatorPlacebo 50 mg tablets: starting with 100 mg/day at Week 1. Weekly increase in steps of 50 mg or 100 mg/day are allowed. Maximal dose 400mg/day for adult subjects and pediatric subjects >= 50kg. Placebo oral solution 10 mg/ml: starting with 2 mg/kg/day, titrations steps (1 mg/kg/day to 2 mg/kg/day; maximal dose 12 mg/kg/day for pediatric subjects < 30kg.) Placebo oral solution 10 mg/ml: starting with 2 mg/kg/day, titrations steps (1 mg/kg/day to 2 mg/kg/day; maximal dose 8 mg/kg/day for pediatric subjects 30kg to < 50kg.)
Receives: Other: Placebo Tablet; Other: Placebo Oral Solution

What is being measured

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

  1. Time to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)

    The primary efficacy variable was the time to the second primary generalized tonic clonic seizure (PGTCS) during the 24-week Treatment Period. Relative difference between groups (Lacosamide vs Placebo) was expressed as Hazard Ratio.

    The indicated measured values are the observed number of events of second PGTCS in the treatment period which form the basis of the statistical analysis of the time to event analysis.

    The hazard ratio compares 2 treatment groups for the times to a specified number of events (125) for the combined treatment groups, and so both the number of events and the times until those events pertain to the computation of the hazard ratio.

    A Hazard Ratio below 1 indicates time to second PGTCS was improved for LCM compared to Placebo.

    Measured: During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)

Secondary outcomes (4)
  1. Percentage of Participants With Seizure Freedom for Primary Generalized Tonic Clonic (PGTC) Seizures During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)

    A seizure-free day from primary generalized tonic clonic seizures (PGTCS) was defined as a day where no PGTCS were reported in the seizure diary and PGTCS were assessed, which was estimated using Kaplan-Meier (KM) methods.

    Measured: During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)

  2. Time to the First Primary Generalized Tonic Clonic (PGTC) Seizure During the Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)

    The secondary efficacy variable was the time to the first primary generalized tonic clonic seizure (PGTCS) during the 24-week Treatment Period. Relative difference between groups (Lacosamide vs Placebo) was expressed as Hazard Ratio.

    The indicated measured values are the observed number of events of first PGTCS in the treatment period which form the basis of the statistical analysis of the time to event analysis.

    The hazard ratio compares 2 treatment groups for the times to the number of events for the combined treatment groups, and so both the number of events and the times until those events pertain to the computation of the hazard ratio.

    A Hazard Ratio below 1 indicates time to second PGTCS was improved for LCM compared to Placebo.

    Measured: During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)

  3. Percentage of Participants With at Least One Adverse Event (AE) as Reported Spontaneously by the Subject and/or Caregiver or Observed by the Investigator

    An AE was any untoward medical occurrence in a patient or clinical investigation study participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational medicinal product (IMP), whether or not related to the IMP.

    Measured: From Visit 1 (Week -4) to End of Study Period (up to Week 36)

  4. Plasma Concentrations of Lacosamide

    Lacosamide plasma concentration was expressed in micrograms per milliliter (μg/mL).

    Means and standard deviation (SD) were only calculated if at least 2/3 of the concentrations were quantified at the respective timepoint. Values Below Limit of Quantification (BLQ) were replaced by value of 0 in calculations of means and SDs.

    Measured: During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)

Timeline

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

  1. First posted3 Apr 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionApr 2019
  4. Study completionJun 2019

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02408523
Sponsor's protocol ID
SP0982
Other IDs
2011-003100-21
Acronym
VALOR
Status last verified
Nov 2020
First submitted
31 Mar 2015
Last updated
17 Dec 2020
Data monitoring committee
Yes
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lacosamide Tablet and Lasosamide Oral Solution in people with Epilepsy, run by UCB BIOSCIENCES, Inc. at 115 sites in 22 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 5 inclusion and 7 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 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 115 sites in United States, Japan, Poland, Brazil, Russia and 17 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 16 Apr 2020). 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?

Time to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24) (time frame: During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)). 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 17 Dec 2020.

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