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A superiority, randomized, open-label, multi-center study to compare the efficacy and safety of adjunctive zonisamide vs replacement with zonisamide of the last added antiepileptic drug in patients with partial onset seizures. - ADONE study - Add-ON vs rEplacement

A superiority, randomized, open-label, multi-center study to compare the efficacy and safety of adjunctive zonisamide vs replacement with zonisamide of the last added antiepileptic drug in patients with partial onset seizures. - ADONE study - Add-ON vs rEplacement

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2009-010895-64-IT
Enrollment
Unknown
Registered
2009-04-23
Start date
2009-05-31
Completion date
Unknown
Last updated
2013-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with localization-related epilepsy, who have added a second drug to the monotherapy, haven?t obtained an adequate reduction of seizure frequency with this combination and have responded to zonisamide added as third drug for at least three months. MedDRA version: 9.1 Level: LLT Classification code 10065337 Term: Focal epilepsy

Interventions

Trade Name: ZONEGRAN Pharmaceutical Form: Capsule, hard INN or Proposed INN: Zonisamide Concentration type: equal

Sponsors

Eisai s.r.l.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Age ≥ 18 years; Patients with non progressive localization-related epilepsy; Patients who are able and willing to give written Informed Consent; Current treatment with three antiepileptic drugs. The last antiepileptic drug introduced must be zonisamide; Patients in treatment with zonisamide for at least three months Patients with the laboratory test reports requested by the protocol (see par. 8.3)available and performed not more than three months before the first screening visit Inclusion criteria ? baseline visit: Responder Patients (50% or greater seizure reduction) as assessed after an at least three-month maintenance period with zonisamide*. * = seizure frequency before starting zonisamide must be documented checking case histories. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: patients contraindicated for zonisamide use (see SmPC); Patients with renal or hepatic impairment as assessed with medical history review; Pregnant or lactating women; Women of childbearing age who are not willing to use any contraceptive method with established efficacy. Patients suffering from clinically significant psychiatric illness, psychological or behavioral problems which could interfere with study participation; Patients with a history (within the last 12 months) of alcohol or drug abuse or dependency; Patients who have been on an investigational drug within 30 days prior to the initiation of the present study; Patients with a documented computed axial tomography (CAT) scan or magnetic resonance imaging (MRI) scan confirming the presence of a progressive neurological lesion within 12 months of the screening visit.

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective of this study is to assess, in patients who respond to zonisamide added as third drug after failure of a two-drug combination therapy, the safety and efficacy of the triple therapy vs the double therapy.;Secondary Objective: Non previsti;Primary end point(s): Primary: cumulative probability of withdrawing from the assigned treatment arm.

Countries

Italy

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026