Epilepsy
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | 8 weeks | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 | 8 weeks | 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) During the Initial 8 Weeks of Study Treatment | 8 weeks | 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?. |
| Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | 8 weeks | 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. |
| Percent Change in Seizure Frequency of the Indicated Types of Seizures | Pre-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 Phase | Up 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 Treatment | 8 weeks | 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 Participants With the Indicated Intensity of Rash (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | Up 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 Phase | Up 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 VPA | Up 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 8 | Week 4 and Week 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. |
| Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | Up 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
| Arm | Count |
|---|---|
| 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 |
| Total | 102 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Continuation Phase | Adverse Event | 1 | 0 |
| Continuation Phase | Lack of Efficacy | 12 | 11 |
| Continuation Phase | Poor Compliance | 1 | 0 |
| Continuation Phase | Withdrawal by Subject | 0 | 2 |
| Continuation Phase | Withdrawal Due to Wishes of Family | 1 | 0 |
| Escalation Phase + Maintenance Phase | Adverse Event | 1 | 2 |
Baseline characteristics
| Characteristic | Adults: LTG | Adolescents: LTG | Total |
|---|---|---|---|
| Age, Continuous | 29.0 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 participants | 51 participants | 102 participants |
| Sex: Female, Male Female | 23 Participants | 25 Participants | 48 Participants |
| Sex: Female, Male Male | 28 Participants | 26 Participants | 54 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 48 / 51 | 50 / 51 | 98 / 102 |
| serious Total, serious adverse events | 5 / 51 | 2 / 51 | 7 / 102 |
Outcome results
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Adults: LTG | 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 | 2 participants |
| Adolescents: LTG | 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 | 3 participants |
| Total: LTG | 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 | 5 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | 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 | Drug related | 3 rash events |
| Adults: LTG | 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 | Not related to drug | 4 rash events |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | 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 | Drug related | 3 rash events |
| Adults: LTG | 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 | Not related to drug | 4 rash events |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Adults: LTG | Number of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 2 participants |
| Adolescents: LTG | Number of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 3 participants |
| Total: LTG | Number of Participants With Any Rash Event (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 5 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | 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 | Severe | 0 participants |
| Adults: LTG | 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 | Moderate | 2 participants |
| Adults: LTG | 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 | Mild | 3 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | 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 | Severe | 0 participants |
| Adults: LTG | 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 | Moderate | 2 participants |
| Adults: LTG | 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 | Mild | 3 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Adults: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment | 3 rash events |
| Adolescents: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment | 4 rash events |
| Total: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) During the Initial 8 Weeks of Study Treatment | 7 rash events |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Adults: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 3 rash events |
| Adolescents: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 4 rash events |
| Total: LTG | Number of Rash Events Experienced (Including SJS and Any Other Serious Drug Eruption) up to the End of the Maintenance Phase | 7 rash events |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Adults: LTG | Number of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA | 1 adjudicated rash events |
| Adolescents: LTG | Number of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA | 2 adjudicated rash events |
| Total: LTG | Number of Rash Events (Including SJS and Any Other Serious Drug Eruption) Adjudicated by the Rash Adjudication Committee in Participants Taking VPA | 3 adjudicated rash events |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 60.0 percentage of participants |
| Adults: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | 17.9 percentage of participants |
| Adults: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 16.0 percentage of participants |
| Adolescents: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 0 percentage of participants |
| Adolescents: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | 20.0 percentage of participants |
| Adolescents: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 20.0 percentage of participants |
| Total: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | 18.9 percentage of participants |
| Total: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 18.0 percentage of participants |
| Total: LTG | Percentage of Participants With at Least a 50 Percent Reduction in Seizure Frequency for the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 33.3 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Adults: LTG | Percentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8 | Week 4 | 15.2 percentage of participants |
| Adults: LTG | Percentage of Participants With Monocyte Values Outside the Normal Range (Shifted High) at Weeks 4 and 8 | Week 8 | 16.2 percentage of participants |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Adults: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 83.3 percent change |
| Adults: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | 6.3 percent change |
| Adults: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 18.6 percent change |
| Adolescents: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 27.4 percent change |
| Adolescents: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | -11.1 percent change |
| Adolescents: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 10.1 percent change |
| Total: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | All Partial Seizures, n=28, 25, 53 | -9.8 percent change |
| Total: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Generalized Seizures with LGS, n=25, 25, 50 | 12.4 percent change |
| Total: LTG | Percent Change in Seizure Frequency of the Indicated Types of Seizures | Tonic-clonic Seizures, n=5, 4, 9 | 36.5 percent change |