A Study to Investigate the Safety and Efficacy of Lacosamide Added to the Patients Current Therapy in Patients Aged 1 Month to Less Than 18 Years Old With Epilepsy Syndromes Associated With Generalized Seizures.

Sponsor
UCB Pharma (Industry)
Overall Status
Completed
CT.gov ID
NCT01969851
Collaborator
(none)
55
18
1
49.8
3.1
0.1

Study Details

Study Description

Brief Summary

SP0966 is an exploratory study to investigate safety and efficacy of Lacosamide (LCM) in children with epilepsy syndromes associated with generalized seizures. LCM will be added to current antiepileptic treatment.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

SP0966 is a Phase 2, multicenter, open-label exploratory study designed to assess the safety and preliminary efficacy of oral lacosamide as adjunctive therapy for epilepsy syndromes associated with generalized seizures in pediatric subjects ≥1 month to <18 years of age.

Study Design

Study Type:
Interventional
Actual Enrollment :
55 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A MULTI-CENTER, OPEN-LABEL, EXPLORATORY STUDY TO INVESTIGATE THE SAFETY AND EFFICACY OF LACOSAMIDE AS ADJUNCTIVE THERAPY IN SUBJECTS ≥1 MONTH TO <18 YEARS WITH EPILEPSY SYNDROMES ASSOCIATED WITH GENERALIZED SEIZURES.
Actual Study Start Date :
Feb 13, 2014
Actual Primary Completion Date :
Apr 10, 2018
Actual Study Completion Date :
Apr 10, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Lacosamide

Drug: Lacosamide
Oral intake twice daily of tablet (100 mg or 50 mg) or syrup formulation (10 mg/ml). Total daily dose will be titrated over a period of 6 weeks with starting dose of 100 mg/day or 2 mg/kg/day up to doses not exceeding 600 mg/day or 12 mg/kg/day tablet or syrup, respectively. Followed by a 12 week maintenance period with stable dosing of at least 200 mg/day or 4 mg/kg/day tablet or syrup, respectively.
Other Names:
  • Vimpat
  • Outcome Measures

    Primary Outcome Measures

    1. Mean Changes in Count of Generalized Spike-wave Discharges on 24-hour Ambulatory Electroencephalogram (EEG) From Visit 2 to Visit 6 [From Baseline (Day 1) to Visit 6 (Week 6)]

      The mean change in the count of generalized spike-wave discharges was presented. Visit 6 (Week 6) was the End of the Titration Period.

    2. Mean Change in Days With Any Generalized Seizures (Absence, Myoclonic, Clonic, Tonic, Tonic-clonic, Atonic, Partial Evolving to Secondarily Generalized) Per 28 Days From the Baseline Period to the Maintenance Period (Approximately 24 Weeks) [Baseline Period to the Maintenance Period (approximately 24 weeks)]

      The mean change in the count of days with generalized seizures was presented.

    Secondary Outcome Measures

    1. Mean Changes in Count of 3 Hz Spike-wave Discharges (During Waking Hours) on 24-hour Ambulatory EEG From Visit 2 to Visit 6 [From Baseline (Day 1) to Visit 6 (Week 6)]

      The mean change in the count of 3 Hertz (Hz) spike-wave discharges was presented. Visit 6 (Week 6) was the End of the Titration Period.

    2. Number of Subject Withdrawals Due to Adverse Events From Baseline to End of Study (Approximately 32 Weeks) [From Baseline to End of Study (approximately 32 weeks)]

      An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.

    3. Number of Subjects Experiencing at Least 1 Treatment-emergent Adverse Event From Baseline to End of Study (Approximately 32 Weeks) [From Baseline to End of Study (approximately 32 weeks)]

      An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    1 Month to 18 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • A signed informed consent has been obtained from the parent/legal representative and assent has been obtained from the subject (when possible)

    • Subject and caregiver are willing and able to comply with all study requirements including maintaining a daily seizure diary

    • Subject is male or female, ≥1 month to <18 years of age

    • Subject has a diagnosis of uncontrolled epilepsy with generalized seizures (Type II) according to the International Classification of Epileptic Seizures (1981). The underlying epilepsy syndrome should be documented. Diagnosis should have been established by clinical history and an Electroencephalogram (EEG) with generalized spike-wave discharges. Documentation of the EEG finding of generalized spike waves (EEG recording or a report) is required. The EEG should have been performed no more than 18 months prior to Visit 1 (with no change to diagnosis or seizure types during this time)

    • Subject must have experienced 2 or more events (typical generalized seizures associated with diagnosed epilepsy syndrome) within the 6-week prospective Baseline Period

    • Subject is on a stable dosage regimen of 1 to 3 antiepileptic drugs (AEDs). The daily dosage regimen of concomitant AED therapy must be kept constant for a period of at least 4 weeks prior to the Baseline Period

    • Vagal nerve stimulation is allowed and will not be counted as a concomitant AED. The vagus nerve stimulation (VNS) device must be implanted for at least 6 months before Visit 1, and the device settings must be stable for at least 4 weeks before Visit 1 and be kept stable during the Baseline Period and the Treatment Period. Use of the VNS device magnet is allowed

    • Body weight at Visit 1 is at least 4 kg for infants.

    • Females of childbearing potential must have a negative pregnancy test at Visit 1

    • Subjects with West Syndrome are eligible if Baseline EEG demonstrates hypsarrhythmia despite treatment with at least 2 AEDs appropriate for the treatment of this syndrome

    Exclusion Criteria:
    • Subject has previously participated in this study, subject has been assigned to Lacosamide (LCM) in a previous LCM study, or subject has ever received LCM

    • Subject is currently participating or has participated within the last 2 months in any study of an investigational drug or experimental device

    • Subject has a history of convulsive status epilepticus within 1 month prior to Visit 1

    • Subject has a current or previous diagnosis of pseudoseizures, conversion disorders, or other nonepileptic ictal events that could be confused with seizures

    • Subject has exclusively typical absence (Type IIA1) or atypical absence (Type IIA2) seizures (no other generalized seizure types are reported), or has only partial-onset seizures (Type I)

    • Subject has 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

    • Subject ≥6 years of age has a lifetime history of suicide attempt (including an actual attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia Suicide Severity Rating Scale (C-SSRS) at Screening

    • Subject has a known hypersensitivity to any components of the investigational medicinal product (IMP)

    • Subject has a medical condition that could reasonably be expected to interfere with drug absorption, distribution, metabolism, or excretion

    • Subject has a known history of severe anaphylactic reaction or serious blood dyscrasias

    • Subject has any history of alcohol or drug abuse within the previous 2 years

    • Subject has an acute or sub-acutely progressive central nervous system disease. Subject has epilepsy secondary to a progressing cerebral disease or any other progressively neurodegenerative disease (malignant brain tumor or Rasmussen Syndrome)

    • Subject has alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin levels ≥2x the upper limit of normal (ULN) or has alkaline phosphatase levels ≥3x ULN

    • Subject has impaired renal function (ie, creatinine clearance is lower than 30 mL/min) at Visit 1

    • Subject has sick sinus syndrome without a pacemaker, or second or third degree atrioventricular (AV) block

    • Subjects with second- or third-degree heart block are excluded from SP0966 (NCT01969851), without the requirement of being at rest

    • Subject has hemodynamically significant heart disease (eg, heart failure)

    • Subject has an arrhythmic heart condition requiring medical therapy

    • Subject has a known cardiac sodium channelopathy, such as Brugada syndrome

    • Female subject who is pregnant or nursing, and/or a female subject of childbearing potential who is not surgically sterile or does not practice 1 highly effective method of contraception (according to International Conference on Harmonisation [ICH] guidance. Female subject of childbearing potential taking enzyme inducing antiepileptic drugs(EI AEDs) (carbamazepine, phenytoin, barbiturates, primidone, topiramate, oxcarbazepine) who is not surgically sterile or does not practice 1 highly effective method of contraception according to the World Health Organization recommendation (ie, depot medroxyprogesterone acetate, norethisterone enantate, intrauterine devices, combined injectables, and progestogen implants) with administration of enzyme inducing antiepileptic drugs (EI-AEDs) or does not practice 2 combined methods of contraception (ie, combined hormonal contraception plus barrier method with spermicidal agent), unless sexually abstinent, for the duration of the study

    • Subject has been treated with vigabatrin and experienced any vision loss. Subjects who have received vigabatrin in the past must have documentation of an assessment for vision loss prior to study entry or documentation of why visual field testing cannot be performed

    • Subject has been treated with felbamate and has experienced any serious toxicity issues (defined as liver failure, aplastic anemia) with this treatment. Subjects treated with felbamate for less than 12 months are excluded. Note: any subject who has been treated with felbamate for at least 12 months and has not experienced serious toxicity issues is eligible

    • Subject is taking monoamine oxidase (MAO) inhibitors or narcotic analgesics.

    • Subject is on a ketogenic or other specialized diet. If he/she was on a specialized diet in the past, he/she must be off the diet for at least 2 months prior to the Screening Visit (Visit 1)

    • Subject has primary generalized tonic-clonic seizures with a diagnosis of idiopathic generalized epilepsy

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 103 Los Angeles California United States
    2 101 Orlando Florida United States
    3 104 Henderson Nevada United States
    4 112 Hackensack New Jersey United States
    5 108 New Brunswick New Jersey United States
    6 107 Akron Ohio United States
    7 309 Ile-De-France France
    8 303 Lyon Cedex France
    9 701 Budapest Hungary
    10 702 Budapest Hungary
    11 703 Budapest Hungary
    12 704 Budapest Hungary
    13 705 Debrecen Hungary
    14 154 Guadalajara Mexico
    15 807 Katowice Poland
    16 801 Krakow Poland
    17 805 Lublin Poland
    18 802 Szczecin Poland

    Sponsors and Collaborators

    • UCB Pharma

    Investigators

    • Study Director: UCB Cares, +1 844 599 2273

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    UCB Pharma
    ClinicalTrials.gov Identifier:
    NCT01969851
    Other Study ID Numbers:
    • SP0966
    • 2012-001446-18
    First Posted:
    Oct 25, 2013
    Last Update Posted:
    May 7, 2019
    Last Verified:
    May 1, 2019
    Keywords provided by UCB Pharma
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details The study started to enroll patients in February 2014 and concluded in April 2018.
    Pre-assignment Detail The Participant Flow refers to the Safety Set which consisted of all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Period Title: Overall Study
    STARTED 10 24 21
    COMPLETED 9 21 14
    NOT COMPLETED 1 3 7

    Baseline Characteristics

    Arm/Group Title Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years Total Title
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Overall Participants 10 24 21 55
    Age (Count of Participants)
    <=18 years
    10
    100%
    24
    100%
    21
    100%
    55
    100%
    Between 18 and 65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    2.716
    (0.765)
    6.969
    (1.998)
    14.753
    (1.766)
    9.168
    (4.994)
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    9
    37.5%
    15
    71.4%
    24
    43.6%
    Male
    10
    100%
    15
    62.5%
    6
    28.6%
    31
    56.4%
    Race/Ethnicity, Customized (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    1
    4.2%
    1
    4.8%
    2
    3.6%
    Black or African American
    0
    0%
    2
    8.3%
    1
    4.8%
    3
    5.5%
    White
    7
    70%
    18
    75%
    11
    52.4%
    36
    65.5%
    More than one race
    3
    30%
    3
    12.5%
    7
    33.3%
    13
    23.6%
    Unknown or Not Reported
    0
    0%
    0
    0%
    1
    4.8%
    1
    1.8%

    Outcome Measures

    1. Primary Outcome
    Title Mean Changes in Count of Generalized Spike-wave Discharges on 24-hour Ambulatory Electroencephalogram (EEG) From Visit 2 to Visit 6
    Description The mean change in the count of generalized spike-wave discharges was presented. Visit 6 (Week 6) was the End of the Titration Period.
    Time Frame From Baseline (Day 1) to Visit 6 (Week 6)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set (SS) included all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years SS Lacosamide 4 Years - <2 Years SS Lacosamide 12 Years - <18 Years SS
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Measure Participants 9 22 14
    Mean (Standard Deviation) [discharges]
    -4.55
    (257.32)
    -166.22
    (447.80)
    -203.12
    (432.42)
    2. Primary Outcome
    Title Mean Change in Days With Any Generalized Seizures (Absence, Myoclonic, Clonic, Tonic, Tonic-clonic, Atonic, Partial Evolving to Secondarily Generalized) Per 28 Days From the Baseline Period to the Maintenance Period (Approximately 24 Weeks)
    Description The mean change in the count of days with generalized seizures was presented.
    Time Frame Baseline Period to the Maintenance Period (approximately 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set (SS) included all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years SS Lacosamide 4 Years - <2 Years SS Lacosamide 12 Years - <18 Years SS
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Measure Participants 10 23 20
    Mean (Standard Deviation) [days]
    0.50
    (6.63)
    -1.90
    (3.76)
    -3.38
    (6.42)
    3. Secondary Outcome
    Title Mean Changes in Count of 3 Hz Spike-wave Discharges (During Waking Hours) on 24-hour Ambulatory EEG From Visit 2 to Visit 6
    Description The mean change in the count of 3 Hertz (Hz) spike-wave discharges was presented. Visit 6 (Week 6) was the End of the Titration Period.
    Time Frame From Baseline (Day 1) to Visit 6 (Week 6)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set (SS) included all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years SS Lacosamide 4 Years - <2 Years SS Lacosamide 12 Years - <18 Years SS
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Measure Participants 9 22 14
    Mean (Standard Deviation) [count of discharges]
    -0.14
    (0.42)
    -1.60
    (9.92)
    0.00
    (0.00)
    4. Secondary Outcome
    Title Number of Subject Withdrawals Due to Adverse Events From Baseline to End of Study (Approximately 32 Weeks)
    Description An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
    Time Frame From Baseline to End of Study (approximately 32 weeks)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set (SS) included all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years SS Lacosamide 4 Years - <2 Years SS Lacosamide 12 Years - <18 Years SS
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Measure Participants 10 24 21
    Count of Participants [Participants]
    0
    0%
    0
    0%
    3
    14.3%
    5. Secondary Outcome
    Title Number of Subjects Experiencing at Least 1 Treatment-emergent Adverse Event From Baseline to End of Study (Approximately 32 Weeks)
    Description An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment.
    Time Frame From Baseline to End of Study (approximately 32 weeks)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set (SS) included all enrolled subjects who took at least 1 dose of lacosamide (LCM).
    Arm/Group Title Lacosamide 1 Month - <4 Years SS Lacosamide 4 Years - <2 Years SS Lacosamide 12 Years - <18 Years SS
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    Measure Participants 10 24 21
    Count of Participants [Participants]
    10
    100%
    21
    87.5%
    18
    85.7%

    Adverse Events

    Time Frame Adverse events were collected throughout the study (up to week 26)
    Adverse Event Reporting Description An Adverse Event (AE) was any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment.
    Arm/Group Title Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years
    Arm/Group Description Subjects, aged 1 month to <4 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50 kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 4 years to <12 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg. Subjects, aged 12 years to <18 years, who were administered Lacosamide oral solution (for subjects weighing <50 kg) or tablet (for subjects weighing >=50 kg). The initial dose of 2 mg/kg/day (for subjects weighing <50 kg), or 100 mg/day (for subjects weighing >=50 kg) was titrated to optimize tolerability and seizure control to at least 4 mg/kg/day for subjects weighing <50kg, or 200 mg/day for subjects weighing >=50 kg; not to exceed 12 mg/kg/day for subjects weighing <50 kg, or 600 mg/day in subjects weighing >=50 kg.
    All Cause Mortality
    Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/10 (0%) 0/24 (0%) 0/21 (0%)
    Serious Adverse Events
    Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/10 (0%) 0/24 (0%) 1/21 (4.8%)
    Infections and infestations
    Oral herpes 0/10 (0%) 0 0/24 (0%) 0 1/21 (4.8%) 1
    Other (Not Including Serious) Adverse Events
    Lacosamide 1 Month - <4 Years Lacosamide 4 Years - <12 Years Lacosamide 12 Years - <18 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 10/10 (100%) 19/24 (79.2%) 15/21 (71.4%)
    Gastrointestinal disorders
    Vomiting 0/10 (0%) 0 4/24 (16.7%) 5 1/21 (4.8%) 1
    Diarrhoea 1/10 (10%) 1 0/24 (0%) 0 2/21 (9.5%) 2
    General disorders
    Pyrexia 4/10 (40%) 5 6/24 (25%) 7 3/21 (14.3%) 3
    Irritability 1/10 (10%) 1 1/24 (4.2%) 2 1/21 (4.8%) 1
    Infections and infestations
    Nasopharyngitis 5/10 (50%) 7 1/24 (4.2%) 1 3/21 (14.3%) 3
    Pharyngotonsillitis 2/10 (20%) 2 1/24 (4.2%) 2 3/21 (14.3%) 3
    Upper respiratory tract infection 0/10 (0%) 0 4/24 (16.7%) 4 2/21 (9.5%) 2
    Bronchitis 1/10 (10%) 1 2/24 (8.3%) 2 2/21 (9.5%) 3
    Pharyngitis 0/10 (0%) 0 3/24 (12.5%) 3 1/21 (4.8%) 1
    Ear infection 1/10 (10%) 3 2/24 (8.3%) 2 0/21 (0%) 0
    Metabolism and nutrition disorders
    Decreased appetite 2/10 (20%) 2 0/24 (0%) 0 2/21 (9.5%) 2
    Nervous system disorders
    Somnolence 4/10 (40%) 4 2/24 (8.3%) 2 2/21 (9.5%) 3
    Headache 1/10 (10%) 6 0/24 (0%) 0 4/21 (19%) 7
    Tremor 0/10 (0%) 0 2/24 (8.3%) 2 2/21 (9.5%) 2
    Convulsion 0/10 (0%) 0 1/24 (4.2%) 1 2/21 (9.5%) 2
    Dizziness 0/10 (0%) 0 1/24 (4.2%) 1 2/21 (9.5%) 2
    Respiratory, thoracic and mediastinal disorders
    Cough 1/10 (10%) 1 4/24 (16.7%) 4 1/21 (4.8%) 1
    Skin and subcutaneous tissue disorders
    Rash 2/10 (20%) 2 2/24 (8.3%) 2 0/21 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title UCB
    Organization Cares
    Phone +1844 599 ext 2273
    Email UCBCares@ucb.com
    Responsible Party:
    UCB Pharma
    ClinicalTrials.gov Identifier:
    NCT01969851
    Other Study ID Numbers:
    • SP0966
    • 2012-001446-18
    First Posted:
    Oct 25, 2013
    Last Update Posted:
    May 7, 2019
    Last Verified:
    May 1, 2019