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Study With Seletracetam (Ucb 44212) in Adult Subjects (18 to 65 Years) With Partial Onset Seizures

An Open-label, Exploratory, Multicenter, Dose-escalation Study Examining the Efficacy, Safety and Tolerability of Ucb 44212 Used at Doses of 10 mg, 20 mg, 40 mg and 80 mg b.i.d. (Total Daily Dose of 20 to 160 mg) in Adult Subjects (18-65 Years) With Refractory Epilepsy Suffering From Partial Onset Seizures (Whether or Not Secondarily Generalized) and Treated With 1, 2 or 3 Approved Antiepileptic Drugs

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00152451
Enrollment
31
Registered
2005-09-09
Start date
2005-05-19
Completion date
2006-05-03
Last updated
2024-03-29

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

Conditions

Epilepsy, Partial

Keywords

Epilepsy, Partial onset seizures, Seletracetam

Brief summary

This trial will evaluate the efficacy and safety of ucb 44212 as add on therapy in subjects with focal epilepsy.

Interventions

* Pharmaceutical form: oral capsules * Concentration: 10 and 50 mg * Route of administration: oral administration

Sponsors

UCB S.A. - Pharma Sector
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Males/Females from 18 to 65 years of age (minimum body weight of 40 kg) * Subjects with a confirmed diagnosis of epilepsy suffering from partial onset seizures whether or not secondarily generalized * Subjects who have been treated for epilepsy for \>=6 months and are currently uncontrolled while being treated with 1-3 concomitant Antiepileptic Drug (AEDs) * Female subjects without childbearing potential; Female subjects with childbearing potential are eligible if they use a medically accepted non-hormonal contraceptive method

Exclusion criteria

* Seizures occurring in clusters. * Status epilepticus within 6 months of Visit 1 * History of non-epileptic seizures * Subjects on vigabatrin * Subjects on felbamate, unless treatment has been continuous for \>2 years * Ongoing psychiatric disease other than mild controlled disorders. * Subjects with clinically significant organ dysfunction * Known allergic reaction or intolerance to pyrrolidine derivatives and/or excipients * Pregnant or lactating women * Subjects currently taking levetiracetam (LEV) * Use of benzodiazepines (for any indication) taken at a higher frequency than an average of once a week, unless counted as one of the concomitant Antiepileptic Drug (AEDs)

Design outcomes

Primary

MeasureTime frameDescription
Percentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) During the Up-titration PeriodDuring the Up-titration Period (Week 5 to Week 12), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Secondary

MeasureTime frameDescription
Percentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)During the Treatment Period (Week 5 to Week 15), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the Treatment Period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.
Percentage Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration PeriodDuring the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)During the Treatment Period (Week 5 to Week 15), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the Treatment Period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.
Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Up-titration PeriodDuring the Up-Titration Period (Week 5 to Week 12), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).
Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodDuring the Treatment Period (Week 5 to Week 15)Calculated as 7-day partial onset seizure (type I) frequency; The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.
Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Treatment PeriodDuring the Treatment Period (Week 5 to Week 15)Calculated as 7-day partial onset seizure (type I) frequency. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).
Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Up-titration PeriodDuring the Up-Titration Period (Week 5 to Week 12)Calculated as 7-day partial onset seizure (type I) frequency. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).
Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Down-titration PeriodDuring the Down-Titration Period (Week 13 to Week 15)Calculated as 7-day partial onset seizure (type I) frequency. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Seizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodDuring the Treatment Period (Week 5 to Week 15)Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.
Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Treatment PeriodDuring the Treatment Period (Week 5 to Week 15)Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).
Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Down-titration PeriodDuring the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Down-titration PeriodDuring the Down-Titration Period (Week 13 to Week 15)Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Responder Rate in Partial Onset Seizures (Type I) Over the Up-titration PeriodWeek 12, compared to Baseline Period (Week 1 to Week 4)A responder was defined as a subject with a \>= 50% reduction in seizure frequency per week from the Baseline Period (Week 1 to Week 4) to the end of the Up-Titration Period.
Percentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration PeriodWeek 12, compared to Baseline Period (Week 1 to Week 4)Categories of percentage change in seizures from Baseline were as following: \< -25%; -25% to \<25%; 25% to \<75%; 75% to \<100%; 100%.
Percentage Change From Baseline in Seizure-free Days Per Week Over the Up-titration PeriodWeek 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)A day was considered seizure-free, if no seizure was reported during 24 hours.
Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration PeriodDuring the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) During the Up-titration PeriodWeek 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).
Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I + II + III) Overall in the Down-titration PeriodWeek 13 to Week 15, compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).
Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II +III) Overall in the Up-titration PeriodWeek 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).
Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Week 5 to Week 15, compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the treatment period for visit n) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). The treatment period referred to includes the period from the previous visit n-1 up to but not including the specific visit n. A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The Overall Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).
Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Week 5 to Week 15, compared to Baseline Period (Week 1 to Week 4)Calculated as (7-day seizure frequency during the treatment period for visit n) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). The treatment period referred to includes the period from the previous visit n-1 up to but not including the specific visit n. A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The Overall Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).
Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Up-titration PeriodDuring the Up-Titration Period (Week 5 to Week 12)Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Countries

United States

Participant flow

Recruitment details

The study started to enroll patients in May 2005 and concluded in May 2006.

Pre-assignment details

Participant Flow refers to the Intention-To-Treat Set. The study consisted of a 4-week Baseline Period, a 11-week Treatment Period (Up-/Down-Titration) and a 2-week Post-Treatment Period. Patients were up-titrated every two weeks until the maximum tolerated dose was reached. They were maintained at this dose until the end of the 8-week Up-Titration Period and continue that dose until the Down-Titration Visit scheduled for that dose level. Patients were to be down-titrated over a 3-week Period.

Participants by arm

ArmCount
Seletracetam
Escalating doses of 10, 20, 40 and 80 mg b.i.d. (twice daily) (total daily doses of 20 - 160 mg) were to be administered orally as capsules.
31
Total31

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event4

Baseline characteristics

CharacteristicSeletracetam
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
31 Participants
Age, Continuous44.41 years
STANDARD_DEVIATION 10.15
Sex: Female, Male
Female
15 Participants
Sex: Female, Male
Male
16 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
27 / 31
serious
Total, serious adverse events
0 / 31

Outcome results

Primary

Percentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) During the Up-titration Period

Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: During the Up-titration Period (Week 5 to Week 12), compared to Baseline Period (Week 1 to Week 4)

Population: The intention-to-treat (ITT) set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) During the Up-titration Period-30.88 percentage of change
Secondary

Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)

Calculated as (7-day seizure frequency during the treatment period for visit n) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). The treatment period referred to includes the period from the previous visit n-1 up to but not including the specific visit n. A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The Overall Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: Week 5 to Week 15, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (Type I+II+III) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 4 (Week 5 and 6)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 5 (Week 7 and 8)-1.39 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 6 (Week 9 and 10)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 7 (Week 11 and 12)-1.94 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 8 (Week 13)-1.60 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 9 (Week 14)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 10 (Week 15)-1.50 seizures per week
Secondary

Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I + II + III) Overall in the Down-titration Period

Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: Week 13 to Week 15, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (Type I+II+III) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I + II + III) Overall in the Down-titration Period-0.96 seizures per week
Secondary

Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II +III) Overall in the Up-titration Period

Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in all seizure types frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: Week 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (Type I+II+III) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II +III) Overall in the Up-titration Period-1.14 seizures per week
Secondary

Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)

Calculated as (7-day seizure frequency during the treatment period for visit n) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). The treatment period referred to includes the period from the previous visit n-1 up to but not including the specific visit n. A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The Overall Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: Week 5 to Week 15, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 4 (Week 5 and 6)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 5 (Week 7 and 8)-1.39 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 6 (Week 9 and 10)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 7 (Week 11 and 12)-1.94 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 8 (Week 13)-1.60 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 9 (Week 14)-1.25 seizures per week
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 10 (Week 15)-1.50 seizures per week
Secondary

Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) During the Up-titration Period

Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: Week 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) During the Up-titration Period-1.14 seizures per week
Secondary

Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration Period

Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)). A negative value in change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamChange From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration Period-0.96 seizures per week
Secondary

Percentage Change From Baseline in Seizure-free Days Per Week Over the Up-titration Period

A day was considered seizure-free, if no seizure was reported during 24 hours.

Time frame: Week 5 to Week 12, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for seizure-free days per week over the up-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure-free Days Per Week Over the Up-titration Period13.80 percentage of change
Secondary

Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)

Calculated as (7-day seizure frequency during the Treatment Period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.

Time frame: During the Treatment Period (Week 5 to Week 15), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (Type I+II+III) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 4 (Week 5 and 6)-40.06 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 5 (Week 7 and 8)-37.50 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 6 (Week 9 and 10)-27.68 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 7 (Week 11 and 12)-39.88 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 8 (Week 13)-39.33 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 9 (Week 14)-41.67 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 10 (Week 15)-33.33 percentage of change
Secondary

Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Down-titration Period

Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (Type I+II+III) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Down-titration Period-36.36 percentage of change
Secondary

Percentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Up-titration Period

Calculated as (7-day seizure frequency during the up-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in seizure frequency from Baseline. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: During the Up-Titration Period (Week 5 to Week 12), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for All Seizure Types (Types I+II+III) Overall in the Up-titration Period-30.88 percentage of change
Secondary

Percentage Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration Period

Calculated as (7-day seizure frequency during the down-titration period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Down-Titration Period (Week 13 to Week 15), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week for Partial Onset Seizures (Type I) Overall in the Down-titration Period-36.36 percentage of change
Secondary

Percentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)

Calculated as (7-day seizure frequency during the Treatment Period) - (7-day seizure frequency during the Baseline Period (Week 1 to Week 4)), divided by the 7-day seizure frequency during the Baseline Period with this quantity multiplied by 100. A negative value in percent change from Baseline indicates a decrease in partial onset seizure frequency from Baseline. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.

Time frame: During the Treatment Period (Week 5 to Week 15), compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 9 (Week 14)-41.67 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 10 (Week 15)-33.33 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 4 (Week 5 and 6)-40.06 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 5 (Week 7 and 8)-37.50 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 6 (Week 9 and 10)-27.68 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 7 (Week 11 and 12)-39.88 percentage of change
SeletracetamPercentage Change From Baseline in Seizure Frequency Per Week of Partial Onset Seizures (Type I) by Visit Over the Treatment Period (Up-titration + Down-titration)Visit 8 (Week 13)-39.33 percentage of change
Secondary

Percentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period

Categories of percentage change in seizures from Baseline were as following: \< -25%; -25% to \<25%; 25% to \<75%; 75% to \<100%; 100%.

Time frame: Week 12, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureGroupValue (NUMBER)
SeletracetamPercentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period< -25%3.2 percentage of participants
SeletracetamPercentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period-25% to < 25%35.5 percentage of participants
SeletracetamPercentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period25% to < 75%51.6 percentage of participants
SeletracetamPercentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period75% to <100%3.2 percentage of participants
SeletracetamPercentage of Participants With Categorized Response to the Treatment in Partial Onset Seizures (Type I) Over the Up-titration Period100%6.5 percentage of participants
Secondary

Responder Rate in Partial Onset Seizures (Type I) Over the Up-titration Period

A responder was defined as a subject with a \>= 50% reduction in seizure frequency per week from the Baseline Period (Week 1 to Week 4) to the end of the Up-Titration Period.

Time frame: Week 12, compared to Baseline Period (Week 1 to Week 4)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (NUMBER)
SeletracetamResponder Rate in Partial Onset Seizures (Type I) Over the Up-titration Period25.8 percentage of participants
Secondary

Seizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment Period

Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.

Time frame: During the Treatment Period (Week 5 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for all types (type I+II+III) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 4 (Week 5 and 6)2.50 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 5 (Week 7 and 8)3.73 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 6 (Week 9 and 10)2.55 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 7 (Week 11 and 12)2.50 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 8 (Week 13)3.00 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 9 (Week 14)4.00 seizures per week
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) by Visit Over the Treatment PeriodVisit 10 (Week 15)4.38 seizures per week
Secondary

Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Down-titration Period

Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Down-Titration Period (Week 13 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for Type I+II+III seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Down-titration Period3.50 seizures per week
Secondary

Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Treatment Period

Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Treatment Period (Week 5 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Treatment Period2.74 seizures per week
Secondary

Seizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Up-titration Period

Calculated as 7-day seizure frequency for all seizure types (type I+II+III). The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: During the Up-Titration Period (Week 5 to Week 12)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for All Seizure Types (Type I+II+III) Overall in the Up-titration Period2.25 seizures per week
Secondary

Seizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment Period

Calculated as 7-day partial onset seizure (type I) frequency; The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15). Visit x includes the period from the beginning of Visit x-1 up to but not including Visit x.

Time frame: During the Treatment Period (Week 5 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week at the respective visit are included in the analysis. Number of participants analyzed is given separately per visit.

ArmMeasureGroupValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 4 (Week 5 and 6)2.50 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 5 (Week 7 and 8)3.73 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 6 (Week 9 and 10)2.55 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 7 (Week 11 and 12)2.50 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 8 (Week 13)3.00 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 9 (Week 14)4.00 seizures per week
SeletracetamSeizure Frequency Per Week for Partial Onset Seizures (Type I) by Visit Over the Treatment PeriodVisit 10 (Week 15)4.38 seizures per week
Secondary

Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Down-titration Period

Calculated as 7-day partial onset seizure (type I) frequency. The duration of the Down-Titration Period was 3 weeks (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Down-Titration Period (Week 13 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication. Only subjects with valid data for partial (Type I) seizure frequency per week in the down-titration period are included in the analysis.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Down-titration Period3.50 seizures per week
Secondary

Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Treatment Period

Calculated as 7-day partial onset seizure (type I) frequency. The Treatment Period consists of an 8-week Up-Titration Period (Visit 3/Week 5 to Visit 7/Week 12) and a 3-week Down-Titration Period (Visit 7/Week 13 to Visit 10/Week 15).

Time frame: During the Treatment Period (Week 5 to Week 15)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Treatment Period2.74 seizures per week
Secondary

Seizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Up-titration Period

Calculated as 7-day partial onset seizure (type I) frequency. The duration of the Up-Titration Period was 8 weeks (Visit 3/Week 5 to Visit 7/Week 12).

Time frame: During the Up-Titration Period (Week 5 to Week 12)

Population: The ITT set included 31 subjects, who took at least one dose of trial medication.

ArmMeasureValue (MEDIAN)
SeletracetamSeizure Frequency Per Week for Partial Onset Seizure (Type I) Overall in the Up-titration Period2.25 seizures per week

Source: ClinicalTrials.gov ยท Data processed: Feb 4, 2026