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Clinical Evaluation of BW430C in Epilepsy

Clinical Evaluation of BW430C in Epilepsy<Phase III Study>

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00395694
Enrollment
102
Registered
2006-11-03
Start date
2006-08-07
Completion date
2009-03-26
Last updated
2018-09-26

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

Conditions

Epilepsy

Keywords

epilepsy, Incidence of rash, safety evaluation for initial dose, patients with Valproic acid

Brief summary

To evaluate safety information of BW430C when administered using the lower starting doses and slower dose escalations as recommended Global Data Sheet

Interventions

anti-epileptic drug

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Epilepsy with partial seizures * Tonic clonic seizures * Generalized seizures of Lennox-Gastaut * Subjects whose seizures are easily recognizable at least one seizure per month and counts for 8 consecutive weeks prior to the start of the study drug. * Concurrent AEDs: Subjects taking concurrent VPA.

Exclusion criteria

* Previous participation in a study of Lamictal * Known hypersensitivity to any drugs * Pregnant women * nursing mothers * women who may be pregnant * women contemplating pregnancy during the study period

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Any Rash Event (Including Stevens-Johnson Syndrome [SJS] and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment8 weeksAny rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Secondary

MeasureTime frameDescription
Number of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment8 weeksThe rash events (including SJS and any other serious drug eruption) were classified into severe (rash prevents participant from leading a normal life), moderate (participant's discomfort due to rash interferes with daily life), and mild (no interference with participant's daily life due to rash), based on the intesity of the event.
Number of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment8 weeksThe adverse event of rash was considered to be drug-related when the Investigator answered Yes to the following question: Is there a reasonable possibility that the adverse event may have been caused by the investigational product?.
Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures8 weeksPartial seizures are seizures that affect only a part of the brain at onset. Tonic-clonic seizures (grand mal seizures) affect the entire brain and are characterized by a generalized involuntary muscular contraction and cessation of respiration followed by tonic and clonic spasms of the muscles. Lennox-Gastaut syndrome (LGS) is a pediatric epilepsy syndrome characterized by multiple seizure types; mental retardation or regression; and abnormal findings on an electroencephalogram (EEG), with paroxysms of fast activity and generalized slow spike-and-wave discharges.
Percent Change in Seizure Frequency of the Indicated Types of SeizuresPre-treatment (Day 0) and Week 8 of the Maintenance Phase (Study Week 14)Percent change in seizure frequency was calculated as 100 \* (pre-treatment seizures minus MP seizures)/pre-treatment seizures. Partial seizures are seizures that affect only a part of the brain at onset. Tonic-clonic seizures (grand mal seizures) affect the entire brain and are characterized by a generalized involuntary muscular contraction and cessation of respiration followed by tonic and clonic spasms of the muscles. Lennox-Gastaut syndrome (LGS) is a pediatric epilepsy syndrome characterized by multiple seizure types, mental retardation or regression, and abnormal findings on an ECG.
Number of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseUp to Week 8 of the Maintenance Phase (Study Week 14)Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.
Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment8 weeksAny rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.
Number of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseUp to Week 8 of the Maintenance Phase (Study Week 14)The rash events (including SJS and any other serious drug eruption) were classified into severe (rash prevents participant from leading a normal life), moderate (participant's discomfort due to rash interferes with daily life), and mild (no interference with participant's daily life due to rash), based on the intesity of the event.
Number of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseUp to Week 8 of the Maintenance Phase (Study Week 14)The adverse event of rash was considered to be drug-related when the Investigator answered Yes to the following question: Is there a reasonable possibility that the adverse event may have been caused by the investigational product?.
Number of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPAUp to Week 8 of the Maintenance Phase (Study Week 14)The rash adjudication committee reviewed all rash events from a dermatologic standpoint based on the nature, onset site, affected area, time to onset, outcome, and the investigator's comments to adjudicate whether or not the reported event was a drug eruption. A drug eruption is an eruption or a solitary lesion caused by a drug taken internally, often a result of allergic sensitization.
Percentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8Week 4 and Week 8Monocytes are a type of white blood cell (WBC; typically comprising 2%-8% of total WBCs) and are a part of the immune system. The normal range for adults is 0.2 to 0.95 \* 10\^3 cells per microliter (µL); the normal range for adolescents is 0 to 0.8 \* 10\^3 cells per µL. The monocyte count may increase during chronic inflammation, stress response, immune-mediated disease, viral fever, etc. The percentage of participants (par.) with monocyte values outside the normal range was calculated as 100 \* (number of par. with monocyte values outside the normal range) divided by the total number of par.
Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseUp to Week 8 of the Maintenance Phase (Study Week 14)Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Adults: LTG
Adult participants were initiated on 12.5 milligrams per day (mg/day) of BW430C (lamotrigine \[LTG\]) (as a tablet taken orally) once daily. Participants had their dose increased to an optimal maintenance dose (escalation phase) and then were maintained at that dose for 8 weeks (maintenance phase \[MP\]). During the 8-week MP, participants received up to a maximum of 200 mg/day for adults taking valproeic acid (VPA) or up to a maximum of 400 mg/day for adults not taking VPA plus an inducer of LTG glucuronidation. Participants who achieved adequate seizure control at the end of the MP and for whom no alternative antiepileptic drugs (AEDs) were available were allowed to continue treatment with LTG until the drug is marketed (continuation phase).
51
Adolescents: LTG
Adolescent participants were initiated on 0.15 mg/kilogram (kg)/day. Participants had their dose increased to an optimal maintenance dose (escalation phase) and then were maintained at that dose for 8 weeks (MP). During the 8-week MP, adolescents taking VPA alone received up to a maximum of 3 mg/kg/day, adolescents taking VPA with an inducer of LTG glucuronidation received up to a maximum of 5 mg/kg/day, and adolescents not taking VPA with an inducer of LTG glucuronidation received up to a maximum of 15 mg/kg/day. Participants who achieved adequate seizure control at the end of the MP and for whom no alternative AEDs were available were allowed to continue treatment with BW430C until the drug is marketed (continuation phase).
51
Total102

Withdrawals & dropouts

PeriodReasonFG000FG001
Continuation PhaseAdverse Event10
Continuation PhaseLack of Efficacy1211
Continuation PhasePoor Compliance10
Continuation PhaseWithdrawal by Subject02
Continuation PhaseWithdrawal Due to Wishes of Family10
Escalation Phase + Maintenance PhaseAdverse Event12

Baseline characteristics

CharacteristicAdults: LTGAdolescents: LTGTotal
Age, Continuous29.0 Years
STANDARD_DEVIATION 9.9
8.2 Years
STANDARD_DEVIATION 4.1
18.6 Years
STANDARD_DEVIATION 12.9
Race/Ethnicity, Customized
Asian-Japanese
51 participants51 participants102 participants
Sex: Female, Male
Female
23 Participants25 Participants48 Participants
Sex: Female, Male
Male
28 Participants26 Participants54 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
48 / 5150 / 5198 / 102
serious
Total, serious adverse events
5 / 512 / 517 / 102

Outcome results

Primary

Number of Participants With Any Rash Event (Including Stevens-Johnson Syndrome [SJS] and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment

Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Time frame: 8 weeks

Population: Safety Population: all participants enrolled in the study who received at least one dose of study medication

ArmMeasureValue (NUMBER)
Adults: LTGNumber of Participants With Any Rash Event (Including Stevens-Johnson Syndrome [SJS] and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment2 participants
Adolescents: LTGNumber of Participants With Any Rash Event (Including Stevens-Johnson Syndrome [SJS] and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment3 participants
Total: LTGNumber of Participants With Any Rash Event (Including Stevens-Johnson Syndrome [SJS] and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment5 participants
95% CI: [1.6, 11.1]
Secondary

Number of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment

The adverse event of rash was considered to be drug-related when the Investigator answered Yes to the following question: Is there a reasonable possibility that the adverse event may have been caused by the investigational product?.

Time frame: 8 weeks

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureGroupValue (NUMBER)
Adults: LTGNumber of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study TreatmentDrug related3 rash events
Adults: LTGNumber of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study TreatmentNot related to drug4 rash events
Secondary

Number of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase

The adverse event of rash was considered to be drug-related when the Investigator answered Yes to the following question: Is there a reasonable possibility that the adverse event may have been caused by the investigational product?.

Time frame: Up to Week 8 of the Maintenance Phase (Study Week 14)

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureGroupValue (NUMBER)
Adults: LTGNumber of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseDrug related3 rash events
Adults: LTGNumber of Drug-related and Not Related Rash Events (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseNot related to drug4 rash events
Secondary

Number of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase

Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Time frame: Up to Week 8 of the Maintenance Phase (Study Week 14)

Population: Safety Population

ArmMeasureValue (NUMBER)
Adults: LTGNumber of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase2 participants
Adolescents: LTGNumber of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase3 participants
Total: LTGNumber of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase5 participants
Secondary

Number of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment

The rash events (including SJS and any other serious drug eruption) were classified into severe (rash prevents participant from leading a normal life), moderate (participant's discomfort due to rash interferes with daily life), and mild (no interference with participant's daily life due to rash), based on the intesity of the event.

Time frame: 8 weeks

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureGroupValue (NUMBER)
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study TreatmentSevere0 participants
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study TreatmentModerate2 participants
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study TreatmentMild3 participants
Secondary

Number of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase

The rash events (including SJS and any other serious drug eruption) were classified into severe (rash prevents participant from leading a normal life), moderate (participant's discomfort due to rash interferes with daily life), and mild (no interference with participant's daily life due to rash), based on the intesity of the event.

Time frame: Up to Week 8 of the Maintenance Phase (Study Week 14)

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureGroupValue (NUMBER)
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseSevere0 participants
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseModerate2 participants
Adults: LTGNumber of Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance PhaseMild3 participants
Secondary

Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment

Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Time frame: 8 weeks

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureValue (NUMBER)
Adults: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment3 rash events
Adolescents: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment4 rash events
Total: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment7 rash events
Secondary

Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase

Any rash event (including SJS or any other serious drug eruption) includes: all event terms containing rash; drug eruption; SJS; toxic epidermal necrolysis; rash generalized; and events grouped into the Skin and Subcutaneous Tissue Disorders system organ class per the Medical Dictionary for Regulatory Activities (MedDRA), including the above-mentioned events that the GSK medical advisors judged to be included as any rash event. SJS, also called as erythema multiforme, is a skin disorder resulting from an allergic reaction or infection.

Time frame: Up to Week 8 of the Maintenance Phase (Study Week 14)

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureValue (NUMBER)
Adults: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase3 rash events
Adolescents: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase4 rash events
Total: LTGNumber of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase7 rash events
Secondary

Number of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA

The rash adjudication committee reviewed all rash events from a dermatologic standpoint based on the nature, onset site, affected area, time to onset, outcome, and the investigator's comments to adjudicate whether or not the reported event was a drug eruption. A drug eruption is an eruption or a solitary lesion caused by a drug taken internally, often a result of allergic sensitization.

Time frame: Up to Week 8 of the Maintenance Phase (Study Week 14)

Population: Safety Population. Only those participants who had experienced any rash event were evaluated.

ArmMeasureValue (NUMBER)
Adults: LTGNumber of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA1 adjudicated rash events
Adolescents: LTGNumber of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA2 adjudicated rash events
Total: LTGNumber of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA3 adjudicated rash events
Secondary

Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures

Partial seizures are seizures that affect only a part of the brain at onset. Tonic-clonic seizures (grand mal seizures) affect the entire brain and are characterized by a generalized involuntary muscular contraction and cessation of respiration followed by tonic and clonic spasms of the muscles. Lennox-Gastaut syndrome (LGS) is a pediatric epilepsy syndrome characterized by multiple seizure types; mental retardation or regression; and abnormal findings on an electroencephalogram (EEG), with paroxysms of fast activity and generalized slow spike-and-wave discharges.

Time frame: 8 weeks

Population: Full Analysis Set (FAS) Population: all enrolled participants except those who had no assessments of the main efficacy variable (percent reduction in seizure frequency).

ArmMeasureGroupValue (NUMBER)
Adults: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 960.0 percentage of participants
Adults: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 5317.9 percentage of participants
Adults: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5016.0 percentage of participants
Adolescents: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 90 percentage of participants
Adolescents: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 5320.0 percentage of participants
Adolescents: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5020.0 percentage of participants
Total: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 5318.9 percentage of participants
Total: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5018.0 percentage of participants
Total: LTGPercentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 933.3 percentage of participants
Secondary

Percentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8

Monocytes are a type of white blood cell (WBC; typically comprising 2%-8% of total WBCs) and are a part of the immune system. The normal range for adults is 0.2 to 0.95 \* 10\^3 cells per microliter (µL); the normal range for adolescents is 0 to 0.8 \* 10\^3 cells per µL. The monocyte count may increase during chronic inflammation, stress response, immune-mediated disease, viral fever, etc. The percentage of participants (par.) with monocyte values outside the normal range was calculated as 100 \* (number of par. with monocyte values outside the normal range) divided by the total number of par.

Time frame: Week 4 and Week 8

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
Adults: LTGPercentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8Week 415.2 percentage of participants
Adults: LTGPercentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8Week 816.2 percentage of participants
Secondary

Percent Change in Seizure Frequency of the Indicated Types of Seizures

Percent change in seizure frequency was calculated as 100 \* (pre-treatment seizures minus MP seizures)/pre-treatment seizures. Partial seizures are seizures that affect only a part of the brain at onset. Tonic-clonic seizures (grand mal seizures) affect the entire brain and are characterized by a generalized involuntary muscular contraction and cessation of respiration followed by tonic and clonic spasms of the muscles. Lennox-Gastaut syndrome (LGS) is a pediatric epilepsy syndrome characterized by multiple seizure types, mental retardation or regression, and abnormal findings on an ECG.

Time frame: Pre-treatment (Day 0) and Week 8 of the Maintenance Phase (Study Week 14)

Population: FAS Population

ArmMeasureGroupValue (MEDIAN)
Adults: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 983.3 percent change
Adults: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 536.3 percent change
Adults: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5018.6 percent change
Adolescents: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 927.4 percent change
Adolescents: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 53-11.1 percent change
Adolescents: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5010.1 percent change
Total: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresAll Partial Seizures, n=28, 25, 53-9.8 percent change
Total: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresGeneralized Seizures with LGS, n=25, 25, 5012.4 percent change
Total: LTGPercent Change in Seizure Frequency of the Indicated Types of SeizuresTonic-clonic Seizures, n=5, 4, 936.5 percent change

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