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Dose Response Study of Zonegran in Patients With Newly Diagnosed Epilepsy
This study is ongoing, but not recruiting participants.
First Received: March 18, 2003   Last Updated: June 23, 2005   History of Changes
Sponsor: Elan Pharmaceuticals
Information provided by: Elan Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00056576
  Purpose

The purpose of this study is to determine whether zonisamide alone is effective as a treatment for epilepsy in newly diagnosed cases.


Condition Intervention Phase
Epilepsy, Complex Partial
Drug: Zonisamide
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Dose Comparison, Single Group Assignment, Efficacy Study
Official Title: A Double-Blind, Randomized, Multicenter, Parallel Group Study to Establish Dose-Response, Safety, and Efficacy of Zonegran (Zonisamide) as Monotherapy in Patients With Newly Diagnosed Epilepsy

Resource links provided by NLM:


Further study details as provided by Elan Pharmaceuticals:

Estimated Enrollment: 165
Study Start Date: February 2002
Detailed Description:

Epilepsy is characterized by repeated seizures caused by recurrent, abnormal, and excessive synchronous discharges from cerebral neurons. Seizures may be triggered by various causes such as CNS infections, fever, tumors, toxins, vascular disease, degenerative disease, trauma, or may be idiopathic. The type of seizure is usually defined by the initial event, the duration, alterations of consciousness, patterns of motor activity, and post-ictal symptoms. In addition, certain seizure types have characteristic EEG patterns. The International Classification of Epileptic Seizures classifies seizures as partial or generalized. Partial seizures are further classified as simple partial, complex partial (impaired consciousness), or partial seizures secondarily generalized. All partial seizures have onset in a discrete cortical region. Generalized seizures are bilaterally symmetrical and without focal onset and include absence seizures, myoclonic seizures, clonic seizures, tonic seizures, tonic-clonic seizures, and atonic seizures. The goals of treatment include the prevention of seizures, medical management of seizures, and management of the consequences of epilepsy. The study will be conducted with patients who have new onset epilepsy characterized by complex partial seizures and will attempt to characterize the relationship between zonisamide dose and seizure prevention and demonstrate monotherapy efficacy.

  Eligibility

Ages Eligible for Study:   16 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

INCLUSION CRITERIA

  • Patient able and willing to give written informed consent or assent as appropriate in accordance with ICH and GCP guidelines
  • Patient with newly diagnosed epilepsy who has complex partial seizures (with or without secondary generalization)
  • Patient must have at least two well-documented, unprovoked, clinically evaluated and classified complex partial seizures or one well-documented, unprovoked, clinically evaluated and classified complex partial seizure and an abnormal EEG consistent with the diagnosis of epilepsy occurring within one year prior to enrollment
  • Patient must have received less than 2 weeks of prior AED therapy, which will be discontinued at study entry
  • EEG changes consistent with the diagnosis of epilepsy:

    • For patients with two well-documented, unprovoked complex partial seizures within one year prior to enrollment, the EEG results may be normal at the time of testing but, in the opinion of the Investigator, the patient has epilepsy
    • For patients with one well-documented, unprovoked complex partial seizure within one year prior to enrollment, the EEG must be abnormal at the time of testing consistent with the diagnosis of epilepsy
  • Patient age 16 years or greater
  • In the opinion of the Investigator, the patient is in good health
  • Female patients of child-bearing potential must not be pregnant (serum HCG negative) or lactating, and must be using a medically acceptable form of birth control such as abstinence, an adequate barrier method, or hormonal contraceptive; or female patients who are post-menopausal or have had surgical sterilization
  • Patient or caregiver able to follow Investigator instruction, study procedures, maintain diary of concomitant medication use, and report adverse events

EXCLUSION CRITERIA

  • History of status epilepticus
  • Patient with simple partial seizures only
  • A history of non-epileptic seizures (e.g. metabolic or pseudo-seizures)
  • Progressive encephalopathy or findings consistent with progressive CNS disease or lesions (e.g. infection, demyelination, tumor)
  • Clinically significant uncontrolled medical disease in the previous two years (including unstable cardiac, hematological, hepatic, or renal disease)
  • History of acute intermittent porphyria, glucose-6-phosphate dehydrogenase deficiency or hemolytic anemia
  • Renal insufficiency (serum creatinine > 2 mg/dL) or impaired liver function (SGPT/ALT > two times upper limit of normal)
  • History of renal calculi
  • Laboratory test results which, in the opinion of the Investigator, are clinically significant abnormalities
  • History of alcohol or drug abuse
  • Psychiatric illness or mood disorders requiring treatment in previous 6 months; history of suicide attempt or psychosis
  • Use of benzodiazepines (intermittent use as a hypnotic or an PRN AED is allowed)
  • Use of other investigational compounds, experimental drugs or devices within 30 days of the screening visit
  • History of hypersensitivity or allergic reaction to sulfonamides
  • Medical disorder, surgery or medication that might interfere with absorption, distribution, metabolism, or excretion of the study drug
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00056576

  Hide Study Locations
Locations
United States, Alabama
North Alabama Neuroscience
Huntsville, Alabama, United States, 35801
UAB Epilepsy Center
Birmingham, Alabama, United States, 35294
Neurology Clinic, P.C.
Northport, Alabama, United States, 35476
United States, California
Coordinated Clinical Research
San Diego, California, United States, 92037
Northridge Neurological Center
Northridge, California, United States, 91325
United States, Florida
AMO Corporation
Tallahassee, Florida, United States, 32308
Neurology Associates
Maitland, Florida, United States, 32751
Suncoast Neuroscience Associates, Inc.
St. Petersburg, Florida, United States, 33701
Florida Epilepsy & Seizure Disorder Center, PA
Tampa, Florida, United States, 33613
Bay Neurological Institute
Panama City, Florida, United States, 32405
United States, Georgia
Neurology & Headache Specialist of Atlanta, LLC
Decatur, Georgia, United States, 30033
United States, Illinois
Southern Illinois University School of Medicine Dept. of Neurology
Springfield, Illinois, United States, 62707
United States, Kentucky
Louisville Neuroscience Research Center
Louisville, Kentucky, United States, 40205
United States, Maryland
St. Agnes Health Care, Inc.
Baltimore, Maryland, United States, 21229
United States, Missouri
The Comprehensive Epilepsy Care Center
Chesterfield, Missouri, United States, 63017
United States, New York
Dent Neurological Institute
Orchard Park, New York, United States, 14127
Upstate Clinical Research Center
Albany, New York, United States, 12205
United States, North Carolina
Epilepsy Institute of North Carolina
Winston Salem, North Carolina, United States, 27103
United States, Ohio
River Hills Health Care
Cincinnati, Ohio, United States, 45219
United States, Pennsylvania
Westmoreland Neurology Associates, Inc.
Greensburg, Pennsylvania, United States, 15601
United States, Rhode Island
CNS Research, INC
East Providence, Rhode Island, United States, 02914
United States, Texas
Neurology Clinic of San Antonio
San Antonio, Texas, United States, 78229
United States, Virginia
Blue Ridge Research Center
Roanoke, Virginia, United States, 24014
United States, Washington
Neurology & Neurosurgery Associates of Tacoma, Inc. P.S.
Tacoma, Washington, United States, 98405
United States, Wisconsin
University of Wisconsin
Madison, Wisconsin, United States, 53792
Estonia
Tartu University Hospital
Tartu, Estonia, 13419
Tallinn Children's Hospital
Tallinn, Estonia, 13419
Hungary
Semmelweis University Health Science Faculty
Budapest, Hungary, 116
National Institute of Neurosurgery Epilepsy Center
Budapest, Hungary, H1145
Lithuania
Kaunas Medical University Clinics
Kaunas, Lithuania, 3007
Vilnius University Hospital
Vilnius, Lithuania, 2600
Ukraine
Odessa Medical University
Odessa, Ukraine, 9
Kharkov State Medical University
Kharkov, Ukraine, 31002
Institute of Neurology, Psychiatry, and Narcology of AMS Ukraine
Kharkov, Ukraine, 31068
Epilepsy Center
Kiev, Ukraine, 254655
Sponsors and Collaborators
Elan Pharmaceuticals
  More Information

No publications provided

Study ID Numbers: AN46046-304
Study First Received: March 18, 2003
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00056576     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Elan Pharmaceuticals:
Monotherapy
Complex Partial Seizures
Epilepsy
anti-epilepsy drug
AED

Additional relevant MeSH terms:
Epilepsies, Partial
Antioxidants
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Zonisamide
Physiological Effects of Drugs
Central Nervous System Diseases
Brain Diseases
Protective Agents
Pharmacologic Actions
Epilepsy, Complex Partial
Epilepsy
Therapeutic Uses
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on November 27, 2009