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A Study to Investigate how effective, safe and tolerable the drug NBI-921352 is when used with anti-seizure medications in adults with focal onset seizures

A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Dose-Finding Study to Investigate Safety, Tolerability, Pharmacokinetics, and Efficacy of NBI-921352 as Adjunctive Therapy in Adult Subjects with Focal Onset Seizures (FOS)

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-001433-39-HU
Enrollment
100
Registered
2021-07-06
Start date
2021-08-26
Completion date
Unknown
Last updated
2023-09-18

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

Conditions

Focal Onset Seizures (FOS) MedDRA version: 21.1 Level: LLT Classification code 10016843 Term: Focal seizures System Organ Class: 100000004852

Interventions

Sponsors

Neurocrine Biosciences, Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Subjects must meet all of the following inclusion criteria: • Capable of providing consent and has completed the written informed consent. • Male or female, 18 to 65 years of age, inclusive, with a body mass index =65 years) yes F.1.3.1 Number of subjects for this age range 8

Exclusion criteria

Exclusion criteria: Subjects will be excluded from the study if they meet any of the following criteria: • History of epilepsy with only nonmotor seizures without an observable component, psychogenic nonepileptic seizures, or primary generalized seizures. • Presence or previous history of developmental and/or epileptic encephalopathy. • Presence of seizure types other than FOS. • History of repetitive seizures within the 12-month period preceding study entry where the individual seizures cannot be counted. • Status epilepticus within the last 12 months before enrollment. • Any suicidal behavior or suicidal ideation of type 4 or type 5 in the 2 years before screening, a history of suicide attempt in the last 2 years, or more than 1 lifetime suicide attempt. • History or presence of any significant medical or surgical condition, lab value, or concomitant medication that would place the subject at increased risk as determined by the investigator. • A known history of clinically concerning cardiac arrhythmia (including long QT syndrome) or prolongation of screening (pre-treatment) QT interval corrected for heart rate. • Currently taking disallowed medications listed in Section 7.1.1 or it is anticipated that the subject will require treatment with at least 1 of the disallowed concomitant medications during the study. • Past use of vigabatrin without stable visual fields tested twice in the 12 months after the last dose of vigabatrin. • Require use of rescue medication more than once per week. • Multiple drug allergies or a severe drug reaction to an ASM(s), including dermatological (eg, Stevens-Johnson syndrome), hematological, or organ toxicity reactions. • An implanted responsive neurostimulator system (RNS).

Design outcomes

Primary

MeasureTime frame
Main Objective: The study is designed to facilitate the selection of a suitable dose range of NBI-921352 for use in subsequent efficacy and safety studies in adult subjects with FOS. The study objectives are as follows: • To assess the safety and tolerability of NBI-921352 in adults with FOS taking concomitant background ASMs. • To characterize the PK and PK/pharmacodynamic (PD) relationship of NBI-921352 and determine the effect of NBI-921352 on plasma levels of background ASMs. • To assess the efficacy of NBI-921352 on FOS frequency and quality of life in adults with FOS taking concomitant background ASMs.;Secondary Objective: Not applicable;Primary end point(s): Primary: • Number of participants with Serious Treatment-emergent Adverse Events ( TEAEs), TEAEs leading to discontinuation of study treatment, and fatal TEAEs • NBI-921352 PK/PD, including exposure-efficacy response relationship;Timepoint(s) of evaluation of this end point: Baseline, Treatment Period: Day 1 to Week 11

Secondary

MeasureTime frame
Secondary end point(s): Secondary: • Percent change from baseline in monthly Focal onset seizure frequency during the treatment period • Percent change from baseline in monthly focal onset seizure frequency during the maintenance period • Clinical Global Impression of Change (CGIC) scores at Week 11 • Treatment response defined as =50% reduction in monthly (28 days) FOS frequency during the treatment period compared to the seizure baseline period. ;Timepoint(s) of evaluation of this end point: Baseline, Treatment Period: Day 1 to Week 11; Maintenance Period: Week 4 to Week 11

Countries

Australia, Belgium, Czechia, Czech Republic, France, Hungary, Italy, Spain, United Kingdom

Contacts

Public ContactMedical Information Call Center

Neurocrine Biosciences Inc.

medinfo@neurocrine.com+18776413461

Outcome results

None listed

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