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A Clinical Study to Investigate the Efficacy and Safety of Lacosamide as an Add on Therapy in Children With Epilepsy With Partial-onset Seizures

A Multicenter, Open-label, Long-term Extension Study to Investigate the Efficacy and Safety of Lacosamide as Adjunctive Therapy in Pediatric Subjects With Epilepsy With Partial-Onset Seizures

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01964560
Enrollment
540
Registered
2013-10-17
Start date
2014-08-13
Completion date
2022-04-13
Last updated
2022-10-25

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

Conditions

Epilepsy

Keywords

Lacosamide, Vimpat, UCB, Epilepsy, Partial-Onset Seizures, Pediatric

Brief summary

The purpose of this study is to evaluate the long-term safety, tolerability and efficacy of lacosamide (LCM) in pediatric subjects.

Interventions

DRUGLacosamide

Pharmaceutical form: oral solution Concentration: 1 mg/kg - 6 mg/kg BID (2 mg/kg/day - 12 mg/ kg/day) Route of administration: oral use

Sponsors

UCB Biopharma SRL
CollaboratorINDUSTRY
UCB BIOSCIENCES, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Months to 17 Years
Healthy volunteers
No

Inclusion criteria

* An Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent form (ICF) is signed and dated by the subject or legal representative. The ICF or a specific Assent form, where required, will be signed and dated by minors * Subject has completed the Transition Period of SP0967 \[NCT02477839\] or SP0969 \[NCT01921205\] for the treatment of uncontrolled partial-onset seizures in pediatric epilepsy * Subject is expected to benefit from participation, in the opinion of the investigator * Subject/legal representative is considered reliable and capable of adhering to the protocol (eg, able to understand and complete diaries), visit schedule, and medication intake according to the judgment of the investigator * Subject is male or female aged 1 month to ≤17 years * Subject has a diagnosis of epilepsy with partial-onset seizures

Exclusion criteria

* Subject is receiving any investigational drugs or using any experimental devices in addition to lacosamide (LCM) * Subject meets a mandatory withdrawal criterion (ie, MUST withdraw criterion) for SP0967 or SP0969, or is experiencing an ongoing serious adverse event (SAE) * For subjects ≥6 years of age, subject has a lifetime history of suicide attempt (including an actual attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ('Yes') to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Visit 1 * Female subject who is pregnant or nursing, and/or a female subject of childbearing potential who is not surgically sterile or does not practice 1 highly effective method of contraception

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)From Week 0 to the End of Safety Follow-Up (up to Week 104)An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.
Percentage of Participants With Serious TEAEsFrom Week 0 to the End of Safety Follow-Up (up to Week 104)A serious adverse event (SAE) must meet 1 or more of the following criteria: • Death, • Life-threatening (Life-threatening does not include a reaction that might have caused death had it occurred in a more severe form.), • Significant or persistent disability/incapacity, • Congenital anomaly/birth defect (including that occurring in a fetus), • Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or participant and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious., • Initial inpatient hospitalization or prolongation of hospitalization. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.
Percentage of Participants With TEAEs Leading to Study DiscontinuationFrom Week 0 to the End of Safety Follow-Up (up to Week 104)An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. AEs leading to study discontinuation. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.

Secondary

MeasureTime frameDescription
Percentage of Seizure-free Days During the StudyFrom Week 0 to End of Treatment (up to Week 96)The number of seizure-free days was the total number of days within an interval for which daily diary data were available and no seizures were reported. The percentage of seizure-free days was computed as 100 times the number of seizure-free days in the interval divided by the number of days in the interval for which daily diary data were available. Percentage of seizure-free days was measured using data obtained from participant diaries from EP0034 and is presented for the overall Treatment only.

Countries

Argentina, Australia, Belgium, Brazil, Bulgaria, China, Colombia, Croatia, Czechia, Estonia, France, Georgia, Greece, Hungary, Israel, Italy, Latvia, Lithuania, Mexico, Moldova, Montenegro, Philippines, Poland, Portugal, Romania, Russia, Serbia, Slovakia, Slovenia, South Korea, Taiwan, Thailand, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

The study started to enroll participants in August 2014 and concluded in April 2022.

Pre-assignment details

The Participant Flow refers to the Safety Set (SS). The SS included all enrolled study participants who took at least 1 dose of lacosamide (LCM) in this long-term extension study.

Participants by arm

ArmCount
Lacosamide (All Subjects)
Participants who participated in primary study \[SP0967 (NCT02477839) or SP0969 (NCT01921205)\] consented and met requirements to participate in current study received LCM 10 milligram/kilogram/day (mg/kg/day) as an oral solution for study participants weighing \<30 kg, LCM 6 mg/kg/day as an oral solution for study participants weighing \>=30 kg to \<50 kg, and LCM 300 mg/day as tablets for study participants weighing \>=50 kg. LCM was administered twice daily (bid) up to Week 96. After 1 week the investigator might adjust the LCM dose during the Treatment based on clinical judgment within a range of 2 mg/kg/day to 12 mg/kg/day for the oral solution and 100 mg/day to 600 mg/day for the tablets.
540
Total540

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event23
Overall StudyLack of Efficacy46
Overall StudyLost to Follow-up4
Overall StudyParticipant moved to another country1
Overall StudyPatient and Investigator choice1
Overall StudyPatient was prescribed CBD1
Overall StudyProtocol deviation2
Overall StudySeizures appeared resolved with epilepsy surgery1
Overall StudySurgery1
Overall StudySurgery-hemispherotomy1
Overall StudyWithdrawal by Subject64

Baseline characteristics

CharacteristicLacosamide (All Subjects)
Age, Continuous7.486 years
STANDARD_DEVIATION 5.415
Age, Customized
>=12 - <18 years
150 Participants
Age, Customized
>=24 months - <12 years
287 Participants
Age, Customized
>=28 days - <24 months
103 Participants
Race/Ethnicity, Customized
American Indian/Alaskan native
18 Participants
Race/Ethnicity, Customized
Asian
83 Participants
Race/Ethnicity, Customized
Black
4 Participants
Race/Ethnicity, Customized
Hispanic or Latino
68 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
472 Participants
Race/Ethnicity, Customized
Other/mixed
21 Participants
Race/Ethnicity, Customized
White
414 Participants
Sex: Female, Male
Female
236 Participants
Sex: Female, Male
Male
304 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
7 / 540
other
Total, other adverse events
289 / 540
serious
Total, serious adverse events
111 / 540

Outcome results

Primary

Percentage of Participants With Serious TEAEs

A serious adverse event (SAE) must meet 1 or more of the following criteria: • Death, • Life-threatening (Life-threatening does not include a reaction that might have caused death had it occurred in a more severe form.), • Significant or persistent disability/incapacity, • Congenital anomaly/birth defect (including that occurring in a fetus), • Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or participant and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious., • Initial inpatient hospitalization or prolongation of hospitalization. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.

Time frame: From Week 0 to the End of Safety Follow-Up (up to Week 104)

Population: The SS included all enrolled study participants who took at least 1 dose of LCM in this long-term extension study.

ArmMeasureValue (NUMBER)
Lacosamide (All Subjects)Percentage of Participants With Serious TEAEs20.6 percentage of participants
Primary

Percentage of Participants With TEAEs Leading to Study Discontinuation

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. AEs leading to study discontinuation. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.

Time frame: From Week 0 to the End of Safety Follow-Up (up to Week 104)

Population: The SS included all enrolled study participants who took at least 1 dose of LCM in this long-term extension study. Here, only those participants who discontinued the study due to TEAEs starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose of LCM are reported.

ArmMeasureValue (NUMBER)
Lacosamide (All Subjects)Percentage of Participants With TEAEs Leading to Study Discontinuation4.1 percentage of participants
Primary

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent is defined as starting on or after the date of first dose of LCM in EP0034, and within 30 days of last dose.

Time frame: From Week 0 to the End of Safety Follow-Up (up to Week 104)

Population: The Safety Set (SS) included all enrolled study participants who took at least 1 dose of LCM in this long-term extension study.

ArmMeasureValue (NUMBER)
Lacosamide (All Subjects)Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)77.2 percentage of participants
Secondary

Percentage of Seizure-free Days During the Study

The number of seizure-free days was the total number of days within an interval for which daily diary data were available and no seizures were reported. The percentage of seizure-free days was computed as 100 times the number of seizure-free days in the interval divided by the number of days in the interval for which daily diary data were available. Percentage of seizure-free days was measured using data obtained from participant diaries from EP0034 and is presented for the overall Treatment only.

Time frame: From Week 0 to End of Treatment (up to Week 96)

Population: The Full Analysis Set (FAS) was used for the analysis of seizure data and included all study participants in the SS who had at least 1 completed post-Baseline seizure diary. Study participants whose efficacy data could not be source verified were excluded from the FAS. Here, Number of participants analyzed included those participants who were evaluable for the assessment.

ArmMeasureValue (MEAN)Dispersion
Lacosamide (All Subjects)Percentage of Seizure-free Days During the Study66.96 percentage of seizure free daysStandard Deviation 36.18

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026