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SAFETY AND EFFICACY OF LACOSMIDE AS ADDITIONAL THERAPY IN PATIENTS SUFFERING FROM EPILEPTIC TONIC-CLONIC SEIZURES

AN OPEN-LABEL, MULTICENTER EXTENSION STUDY TO EVALUATE THE LONG-TERM SAFETY AND EFFICACY OF LACOSAMIDE AS ADJUNCTIVE THERAPY FOR UNCONTROLLED PRIMARY GENERALIZED TONIC-CLONIC SEIZURES IN SUBJECTS WITH IDIOPATHIC GENERALIZED EPILEPSY

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2012-001770-29-SK
Enrollment
250
Registered
2015-04-28
Start date
2015-07-06
Completion date
Unknown
Last updated
2021-06-14

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

Conditions

Idiopathic generalized epilepsy

Interventions

Trade Name: Vimpat 50 mg film-coated tablets Product Name: Lacosamide Product Code: SPM927 Pharmaceutical Form: Film-coated tablet INN or Proposed INN: LACOSAMIDE Current Sponsor code: SPM 927 Concent

Sponsors

UCB BIOSCIENCES, Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Subject must have completed or be an eligible Baseline failure from the parent study SP0982 Note: Other subjects screened for SP0982 may be considered for roll-over to EP0012 if the investigator considers that the subject could benefit from treatment with open-label lacosamide and based on prior discussion with and approval from the UCB Study Physician or representative Are the trial subjects under 18? yes Number of subjects for this age range: 60 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 170 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20

Exclusion criteria

Exclusion criteria: Subject is receiving any investigational drugs or using any experimental devices in addition to 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). The subject should be referred immediately to a Mental Healthcare Professional. 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 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). Tests that result in ALT, AST, or ALP up to 25% above the exclusion limit may be repeated once for confirmation.

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective is to assess the safety and tolerability of LCM as an adjunctive therapy for uncontrolled PGTC seizures in subjects with IGE during long-term exposure.;Secondary Objective: To assess the efficacy of adjunctive LCM therapy during long-term exposure for the treatment of subjects with IGE experiencing uncontrolled PGTC seizures To allow subjects who have completed SP0982 and eligible Baseline failures from SP0982 to receive LCM;Primary end point(s): 1. Number of subjects with treatment-emergent adverse events (TEAEs) over the duration of the Treatment Period 2. Number of subjects withdrawn due to TEAEs 3. Number of subjects with new appearance of absence and/or myoclonic seizures during the Treatment Period 4. Number of subjects with an increase of up to 25% in days with absence seizures per 28 days compared to the Prospective Baseline (of study SP0982) 5. Number of subjects with an increase of >25% to 50% in days with absence seizures per 28 days compared to the Prospective Baseline (of study SP0982) 6. Number of subjects with an increase of >50% to 75% in days with absence seizures per 28 days compared to the Prospective Baseline (of study SP0982) 7. Number of subjects with an increase of >75% in days with absence seizures per 28 days compared to the Prospective Baseline (of study SP0982) 8. Number of subjects with an increase of up to 25% in days with myoclonic seizures per 28 days compared to the Prospective Baseline (of study SP0982) 9. Number of subjects with an increase of >25% to 50% in days with myoclonic seizures per 28 days compared to the Prospective Baseline (of study SP0982) 10. Number of subjects with an increase of >50% to 75% in days with myoclonic seizures per 28 days compared to the Prospective Baseline (of study SP0982) 11. Number of subjects with an increase of >75% in days with myoclonic seizures per 28 days compared to the Prospective Baseline (of study SP0982) 12. Percentage of subjects with at least 50% wo

Secondary

MeasureTime frame
Secondary end point(s): 1. Percentage of treatment-emergent marked abnormalities in hematology parameters 2. Percentage of treatment-emergent marked abnormalities in chemistry parameters 3. Percentage of treatment-emergent marked abnormalities in 12-lead electrocardiogram (ECGs) 4. Percentage of treatment-emergent marked abnormalities in vital sign measurements 5. Percent change in Primary Generalized Tonic-clonic seizure (PGTCS) frequency per 28 days from Combined Baseline;Timepoint(s) of evaluation of this end point: 1. - 4. During the study (up to 5 years) 5. From Combined Baseline until Termination Visit (up to 5 years)

Countries

Australia, Belgium, Brazil, Bulgaria, China, Czechia, Czech Republic, France, Germany, Hungary, Israel, Italy, Japan, Korea, Republic of, Mexico, Poland, Portugal, Romania, Russian Federation, Slovakia, Spain, Taiwan, Turkey, United States

Contacts

Public ContactClin Trial Reg & Results disclosure

UCB BIOSCIENCES GmbH

clinicaltrials@ucb.com

Outcome results

None listed

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