Eslicarbazepine Acetate (BIA 2 093) as Therapy for Refractory Partial Seizures in Children
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Purpose
The purpose of this study is to examine the efficacy and safety of Eslicarbazepine acetate (BIA 2-093) when given with other anti-epileptic drugs to treat children with partial seizures whose condition has not been controlled by other drug treatments.
| Condition | Intervention | Phase |
|---|---|---|
|
Partial Epilepsy in Children and Adolescents |
Drug: Eslicarbazepine acetate (BIA 2-093) Drug: Eslicarbazepine acetate |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Efficacy and Safety Study of Eslicarbazepine Acetate (BIA 2 093) as Adjunctive Therapy for Refractory Partial Seizures in Children |
- To assess the efficacy of Eslicarbazepine acetate as adjunctive therapy in children and adolescents with refractory partial seizures [ Time Frame: 34 weeks ] [ Designated as safety issue: No ]
- To assess the safety and tolerability of Eslicarbazepine acetate as adjunctive therapy in children and adolescents with refractory partial seizures [ Time Frame: 34 weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 252 |
| Study Start Date: | December 2007 |
| Estimated Study Completion Date: | October 2013 |
| Primary Completion Date: | August 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Eslicarbazepine acetate
To receive Eslicarbazepine acetate in addition to concomitant therapy
|
Drug: Eslicarbazepine acetate (BIA 2-093)
Part I - 8-week observational baseline period followed by a 6-week double-blind titration period, a 12-week double-blind maintenance period, a double-blind tapering-off period, and a 4-week observational period. The recommended target dose of double-blind study treatment will be 20mg/kg/day. Part II: At the end of part I, there is an option to enter a long-term open-label extension period to receive Eslicarbazepine acetate for 1 year. Other Name: BIA 2093
|
|
Placebo Comparator: Placebo
To receive placebo in addition to concomitant therapy
|
Drug: Eslicarbazepine acetate
Part I: 8-week observational baseline period followed by a 6-week double-blind titration period, a 12-week double-blind maintenance period, a double-blind tapering-off period, and a 4-week observational period. Part II: At the end of part I, there is an option to enter a long-term open-label extension period to receive Eslicarbazepine acetate for 1 year. Other Name: BIA 2093
|
Detailed Description:
Partial epilepsy, the commonest form of epilepsy, is a difficult condition to treat with many patients continuing to have symptoms despite trying several medications. Lack of efficacy and adverse effects are commonly associated with current anti-epileptic drugs.
This study will examine the efficacy in addition to safety and tolerability of a new anti-epileptic drug, Eslicarbazepine acetate (BIA 2-093), as an adjunctive therapy for refractory partial seizures in children.
The primary analysis variables are:
- The responder rate (the proportion of patients with at least a 50% reduction in standardised seizure frequency)
- The relative reduction in standardised seizure frequency
Eligibility| Ages Eligible for Study: | 2 Years to 16 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- girls of child-bearing potential have to follow reliable and medically acceptable contraceptive method throughout the study
- diagnosis of epilepsy for at least 6 months prior to enrolment
- at least 4 partial-onset seizures in the last month prior to enrolment despite stable therapy with adequate dosage of 1 or 2 AEDs
- at least 4 partial-onset seizures during each 4-week interval of the 8-week baseline period
- previous treatment with three or more AEDs, in their maximum tolerated doses, for at least one month, without seizure control
- current treatment with 1 or 2 AEDs (any except oxcarbazepine); if present, vagus nerve stimulation is considered an AED
- stable dose regimen of AEDs during the 8-week baseline period
- cooperation and willingness to complete all aspects of the study, including hospitalisation if required
- written informed consent to participate in the study in accordance with local legislation
Exclusion Criteria:
- primarily generalised seizures
- baseline seizure frequency substantially different from usual seizure frequency
- known progressive neurological disorders
- history of status epilepticus within the 3 months prior to enrolment
- seizures of non-epileptic origin
- Lennon-Gastaut
- West syndrome
- Major psychiatric disorders
- Previous treatment any study with Eslicarbazepine acetate
Contacts and Locations
Hide Study Locations| Austria | |
| Ambulanz für Neuropädiatrie und Entwicklungsdiagnostik, Med. Univ. Graz | |
| Graz, Austria, 8036 | |
| Universitätsklinik für Kinder- und Jugendheilkunde, Klinische Abteilung für allg. Pädiatrie, AKH Wien | |
| Vienna, Austria, 1090 | |
| Bosnia and Herzegovina | |
| Clinical Centre Banja Luka Pediatric Clinic Department of Neurology | |
| Banja Luka, Bosnia and Herzegovina, 78000 | |
| Clinical Center University of Sarajevo Pediatric Clinic Neuropediatrics Department | |
| Sarajevo, Bosnia and Herzegovina, 71000 | |
| Croatia | |
| Clinical hospital Osjek Pediatric clinic, neuropediatric department | |
| Osijek, Croatia, 31 000 | |
| Clinic for Children Diseases Zagreb | |
| Zagreb, Croatia, 10 000 | |
| Clinic for Sick Children "Dr. Sabol" | |
| Zagreb, Croatia, 10 000 | |
| Czech Republic | |
| Clinic of the Child Neurology, FN Brno | |
| Brno, Czech Republic, 613 00 | |
| Neurology Policlinic | |
| Hradec Králové, Czech Republic, 500 03 | |
| Child Neurology Clinic of the DNsP Ostrava | |
| Ostrava, Czech Republic, 708 52 | |
| Department of the Child Neurology FTN | |
| Praha 4, Czech Republic, 140 59 | |
| Children Neurology Clinic, University Hospital Motol | |
| Praha 5, Czech Republic, 150 00 | |
| France | |
| CHU Hopital Nord | |
| Amiens, France, 80054 Cedex | |
| Hopital Pédiatrique Enfants | |
| Bordeaux, France, 33000 | |
| Hopital Enfants de la Timone | |
| Marseille, France, 13385 Cedex 5 | |
| Université Paris Descartes, Hopital Necker-Enfants Malades, Département de Neuropédiatrie | |
| Paris, France, 75015 | |
| Hopital des Enfants | |
| Toulouse, France, 31026 Cedex | |
| Germany | |
| Epilepsiezentrum Kehl-Kork Kinderklinik Anfallsambulanz für Kinder und jugendliche | |
| Kehl-Kork, Germany, 77694 | |
| Familienpraxis Oggersheim | |
| Ludwigshafen, Germany, 67071 | |
| Hungary | |
| Budai Gyermekkórház, Buda Children's Hospital and Outpatient Clinic | |
| Budapest, Hungary, 1023 | |
| Children Neurology Dept., Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház | |
| Miskolc, Hungary, 3526 | |
| Pécsi Tudományegyetem AOK Gyermekklinika | |
| Pécs, Hungary, 7623 | |
| Italy | |
| A.O.U. di Cagliari Clinica di neurologia infantile | |
| Cagliari, Italy, 09124 | |
| Ospedale Petiatrico IRCCS | |
| Genova, Italy, 16147 | |
| A. O. C. "Poma" | |
| Mantova, Italy, 46100 | |
| Fondazione Istituto Neurologico Casimiro Mondino | |
| Pavia, Italy, 27100 | |
| Dipartimento di Neuroscienze, Unità Operativa di Neurologia Ospedale Bambin Gesù | |
| Rome, Italy, 00165 | |
| Azienda Ospedaliera Universitaria Senese Ospedale Santa Maria alle Scotte Dipartimento materno infantile Struttura Complessa di Pediatria | |
| Siena, Italy, 53100 | |
| Servizio di Neuropsichiatria Infantile Policlinico "G.B. Rossi" Borgo Roma | |
| Verona, Italy, 37126 | |
| Malaysia | |
| Hospital Raja Perempuan Zainab II - Jabatan Paediatrik | |
| Kelantan, Malaysia, 15586 | |
| University Putra Malaysia/Hospital Serdang - Department of Paediatrics, Faculty of Medicine and Health Sciences | |
| Selangor, Malaysia, 43400 | |
| Moldova, Republic of | |
| IMSP Centrul National Stiintifico-Practic Medicina de Urgenta | |
| Chishinau, Moldova, Republic of, 2004 | |
| Philippines | |
| Cebu Davao Doctors Hospital | |
| Cebu City, Cebu, Philippines, 6000 | |
| Perpetual Succour Hospital - Neuroscience Center, 7/F SPC Medical Specialty Center | |
| Cebu City, Cebu, Philippines, 6000 | |
| Davao Doctor's Hospital | |
| Davao City, Davao Del Sur, Philippines, 8000 | |
| Manila Doctors Hospital - Child Nueroscience Center | |
| Ermita, Manila, Philippines, 1000 | |
| Jose R. Reyes Memorial Medical Center - 5th Floor, Training and Research Office, Jose Reyes Memorial Hospital | |
| Santa Cruz, Manila, Philippines, 1003 | |
| Poland | |
| SAMODZIELNY PUBLICZNY SZPITAL KLINICZNY NR 6 ŚLĄSKIEJ AKADEMII MEDYCZNEJ W KATOWICACH GÓRNOŚLĄSKIE CENTRUM ZDROWIA DZIECKA I MATKI IM. JANA PAWŁA II Klinika Pediatrii i Neurologii Wieku Rozwojowego | |
| Katowice, Poland, 40-752 | |
| Krakowski Szpital, Specjalistyczny Im. Jana Pawła Ii W Krakowie | |
| Krakow, Poland, 31-202 | |
| Instytut Neuromedica | |
| Kraków, Poland, 30-418 | |
| WOJEWÓDZKI SPECJALISTYCZNY SZPITAL DZIECIĘCY im. ŚW. LUDWIKA W KRAKOWIE | |
| Kraków, Poland, 31-503 | |
| AKADEMIA MEDYCZNA im. Karola Marcinkowskiego w Poznaniu Katedra I Klinika Neurologii Wieku Rozwojowego | |
| Poznan, Poland, 60-355 | |
| Przychodnia NEUROSPHERA | |
| Warszawa, Poland, 02-942 | |
| Instytut "Centrum Zdrowia Matki Polki" Klinika Neurologii | |
| Łódź, Poland, 93-338 | |
| Portugal | |
| Hospital Pediátrico de Coimbra | |
| Coimbra, Portugal, 3000-076 | |
| Hospital Francisco Xavier | |
| Lisboa, Portugal, 1495-005 | |
| Hospital Dona Estefânia | |
| Lisboa, Portugal, 1169-045 | |
| Hospital Santa Maria | |
| Lisboa, Portugal, 1649-035 | |
| Hospital Pedro Hispano | |
| Matosinhos, Portugal, 4454-509 | |
| Hospital Maria Pia | |
| Porto, Portugal, 4050-111 | |
| Hospital Geral de Santo António | |
| Porto, Portugal, 4050-060 | |
| Romania | |
| Clinica de Neurologie Peciatrica, Spitalul "Alexandru Obregia" | |
| Bucharest, Romania, 041914 | |
| Clinical Hospital for children, Paediatric Neurology clinic | |
| Cluj Napoca, Romania, 400084 | |
| Spitalul Clinic de Urgenta pentru copii Luis Turcanu, Clinica de Psihiatrie si Neurologie pentru copii si adolescenti | |
| Timisoara, Romania, 300011 | |
| Russian Federation | |
| Department of Neurolog, Regional Pediatric Clinical Hospital No. 1 Ekaterinburg | |
| Ekaterinburg, Russian Federation, 620149 | |
| Moscow Research Institute of Pediatrics and Pediatric Surgery of Rosmedtechnology | |
| Moscow, Russian Federation, 127412 | |
| Research Center of Children Health of RAMS | |
| Moscow, Russian Federation, 119991 | |
| Pediatric Scientific-practical Center of cranio-facial surgery and neurology | |
| Moscow, Russian Federation, 119620 | |
| Nizhny Novgorod State Medical Academy Pediatric City Clinical Hospital No. 1 | |
| Nizhny Novgorod, Russian Federation, 603081 | |
| Neurological Department, Voronezh Regional Pediatric Clinical Hospital No. 1 | |
| Voronezh, Russian Federation, 394024 | |
| Serbia | |
| Clinic of Neurology and Psychiatry for Children and Youth | |
| Belgrade, Serbia, 11000 | |
| Child Neurology Service, Institute of Mother and Child Healthcare of Serbia "Dr. Vukan Cupic" | |
| Belgrade, Serbia, 11000 | |
| Clinical Centre Nis, Clinic of Children Internal Diseases, Child Neurology Department | |
| Nis, Serbia, 18000 | |
| Children Neurology Dept., Institute of Child- and Adolescent Health Care of Vojvodina | |
| Novi Sad, Serbia, 21000 | |
| Slovakia | |
| Child Epileptology Out-patient | |
| Dolny Kubin, Slovakia, 026 01 | |
| Neurologická ambulancia | |
| Dubnica nad Váhom, Slovakia, 018 41 | |
| Neurologická ambulancia | |
| Hlohovec, Slovakia, 92001 | |
| Tempus, s.r.o.Child Epileptology Ambulance | |
| Liptovský Mikuláš, Slovakia, 031 04 | |
| Spain | |
| Hospital Vall Hebron | |
| Barcelona, Spain, 8035 | |
| IMAS Hospital del Mar - Servicio de Pediatria | |
| Barcelona, Spain, 08003 | |
| Hospital Sant Joan de Déu, Dep. Neuropediatría | |
| Esplugues de Llobregat, Spain, 8950 | |
| Hospital Materno Infantil Virgen de las Nieves | |
| Granada, Spain, 18012 | |
| Hospital Clínico San Carlos, Servicio de Neurología Pediátrica | |
| Madrid, Spain, 28040 | |
| Hospital Son Dureta, Dep. Neuropediatría | |
| Palma de Mallorca, Spain | |
| Hospital Son Dureta Dep. Neuropediatría | |
| Palma de Mallorca, Spain, 07014 | |
| Hospital Universitario Miguel Servet | |
| Zaragoza, Spain, 50009 | |
| Taiwan | |
| Taipei Veterans General Hospital - Department of Paediatrics | |
| Taipei City, Taiwan, 112 | |
| National Taiwan University Hospital - Department of Paediatrics | |
| Taipei City, Taiwan, 100 | |
| Ukraine | |
| Pediatric Clinical Hospital No. 5, Department of Pediatric Neurology | |
| Dnepropetrovsk, Ukraine, 49027 | |
| Institute of Neurology, Psychiatry and Narcology, AMS of Ukraine Acad. | |
| Kharkiv, Ukraine, 61068 | |
| Ukrainian Medical Rehabilitation Centre for Children with Organic Disorders of Nervous System | |
| Kiev, Ukraine, 04209 | |
| Hospital pediatrics of Odessa State Medical University Odessa | |
| Odessa, Ukraine, 65031 | |
| United Kingdom | |
| Birmingham Children's Hospital | |
| Birmingham, United Kingdom, B4 6NH | |
| Crawley Hospital | |
| Crawley, United Kingdom, RH11 7DH | |
| Department of Paediatric, Clarendon Wing, Leeds General Infirmary | |
| Leeds, United Kingdom, LS2 9NS | |
| St Georges Hospital, Child Development | |
| London, United Kingdom, SW17 OQT | |
| The Royal London Hospital | |
| London, United Kingdom, E1 1BB | |
| Great Ormond Street Hospital | |
| London, United Kingdom, WC1N 3JH | |
| Royal Victoria Infirmary Newcastle upon Tyne Hospitals NHS Foundation Trust | |
| Newcastle upon Tyne, United Kingdom, NE1 4LP | |
| Queen's Hospital | |
| Romford, United Kingdom, RM7 0AG | |
| Southampton General Hospital | |
| Southampton, United Kingdom, SO16 6YD | |
More Information
No publications provided
| Responsible Party: | Bial - Portela C S.A. |
| ClinicalTrials.gov Identifier: | NCT00988156 History of Changes |
| Other Study ID Numbers: | BIA-2093-305 |
| Study First Received: | October 1, 2009 |
| Last Updated: | April 11, 2013 |
| Health Authority: | Portugal: National Pharmacy and Medicines Institute |
Keywords provided by Bial - Portela C S.A.:
|
Epilepsy Partial Refractory Children Adolescents |
Adjunctive Randomised Double-blind Placebo-controlled Parallel-group |
Additional relevant MeSH terms:
|
Epilepsy Epilepsies, Partial Brain Diseases Central Nervous System Diseases Nervous System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013