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Effects of Eslicarbazepine Acetate (BIA 2-093) on Cognition and Psychomotor Function

Effects of Eslicarbazepine Acetate (BIA 2-093) on Cognition and Psychomotor Function: Single-blind, Single-centre, Single and Multiple Dose, Fixed-order, Placebocontrolled Trial in Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02284828
Enrollment
26
Registered
2014-11-06
Start date
2007-09-30
Completion date
2007-11-30
Last updated
2014-12-10

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

Conditions

Epilepsy

Brief summary

Single-blind, single-centre, fixed-order study to evaluate the PD effects of a single oral dose and multiple oral doses of ESL (BIA 2-093) in healthy volunteers.

Detailed description

Single-blind, single-centre, fixed-order study to evaluate the PD effects of a single oral dose and multiple oral doses of ESL (BIA 2-093) in healthy volunteers. A single dose of oral ESL 900 mg was followed by consecutive 7-day periods of: Placebo, ESL 800 mg, and ESL 1200 mg each given QD. The single dose was chosen to assess the ESL acute response relationship with respect to cognitive and motor skill performance, and the multiple doses were chosen to further characterize the ESL dose response relationship with respect to cognitive and motor skill performance.

Interventions

DRUGBIA 2-093

Sponsors

Bial - Portela C S.A.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male or female subjects, 18 to 45 years of age, inclusive * Having completed at least high school level education (based on personal report) * Native speakers of the English language or having learned English before 12 years of age * Understood and provided written informed consent prior to the initiation of any protocol-specific procedures * Body mass index (BMI) was within the range of 18 to 30 kg/m2, inclusive, with a minimum weight of at least 50 kg * Free from any clinically significant abnormality on the basis of medical history, vital signs, physical examination, 12-lead ECG, and laboratory evaluation at Screening. * Female subjects of childbearing potential practiced abstinence or used and were willing to continue to use a medically acceptable form of birth control for at least 1 month prior to Screening and for at least 1 month after the last study drug administration. Medically acceptable forms of contraception included intrauterine device or double-barrier. Hormone-based contraceptives methods were not acceptable, because ESL may have decreased their effectiveness. Female subjects of non-childbearing potential were amenorrheic for at least 2 years or had a hysterectomy and/or bilateral oophorectomy. * Male subjects were required to use a double-barrier form of contraception * Subjects who were willing and able to abide by all study requirements and restrictions

Exclusion criteria

* History or presence of drug or alcohol dependence (excluding nicotine and caffeine), including subjects who had ever been in a drug rehabilitation program, based on medical history * Clinically significant abnormalities on physical examination, medical history, 12-lead ECG, vital signs, or laboratory values, as judged by the investigator or designee * Current psychiatric illness, except nicotine and caffeine dependence. Subjects with a past history of psychiatric illness were excluded at the discretion of the investigator or designee * History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition, which in the opinion of the investigator could jeopardize the safety of the subject or the validity of the study results * Use of a non-prescription drug within 7 days prior to the first study drug administration. Unless in the opinion of the investigator or designee, the medication received did not interfere with the study procedures or data integrity or compromise the safety of the subject * Use of any prescription medications or natural health products (except acceptable forms of birth control and hormone replacement) within 14 days prior to the first study drug administration or throughout the study, unless in the opinion of the investigator or designee, the product did not interfere with the study procedures or data integrity or compromise the safety of the subject * Positive serum pregnancy screen following Screening or positive urine pregnancy screen at admission and on Days -1, 9, or 16 * Positive urine drug screen (5-panel MedTox kit) at Screening, Day -1, Day 9, or Day 16. * Positive breath alcohol test at Screening, Days -1, 9, or 16 * Female subjects who were pregnant or lactating or who were planning to become pregnant within 60 days of last study drug administration * History of allergy or hypersensitivity to ESL, related drugs, or any of the drug excipients or other drug product components * Positive for Hepatitis B, Hepatitis C, or HIV * Current or pending legal charges * Treatment with any investigational drug within 30 days prior to first drug administration * A subject who, in the opinion of the investigator or designee, was not considered to be suitable and was unlikely to comply with the study protocol for any reason

Design outcomes

Primary

MeasureTime frame
Motor Reaction Time (MRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose
Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose
Recognition Reaction Time (RRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose
Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose
Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose
Total Reaction Time (TRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase-1, 3, 6, and 10 hours post-dose

Participant flow

Participants by arm

ArmCount
Group 1 BIA 2-093
A single dose of oral BIA 2-093 900 mg was followed by consecutive 7-day periods of: Placebo, ESL 800 mg, and ESL 1200 mg.
26
Total26

Baseline characteristics

CharacteristicGroup 1 BIA 2-093
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
9 / 2613 / 266 / 267 / 26
serious
Total, serious adverse events
0 / 260 / 260 / 260 / 26

Outcome results

Primary

Motor Reaction Time (MRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase3 hours4.1 milisecondsStandard Deviation 69.22
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase6 hours0.7 milisecondsStandard Deviation 66.37
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase10 hours-10.8 milisecondsStandard Deviation 52.96
Primary

Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing PhasePre-dose587.0 milisecondsStandard Deviation 118.51
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase3 hours590.3 milisecondsStandard Deviation 89.91
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase6 hours588.2 milisecondsStandard Deviation 94.12
Group 1 BIA 2-093Motor Reaction Time (MRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase10 hours576.5 milisecondsStandard Deviation 106.46
Primary

Recognition Reaction Time (RRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase3 hours-11.1 milisecondsStandard Deviation 55.23
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase6 hours-9.2 milisecondsStandard Deviation 54.67
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase10 hours-19.3 milisecondsStandard Deviation 51.05
Primary

Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing PhasePre-dose425.0 milisecondsStandard Deviation 81.88
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase3 hours414.0 milisecondsStandard Deviation 53.55
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase6 hours419.3 milisecondsStandard Deviation 58.7
Group 1 BIA 2-093Recognition Reaction Time (RRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase10 hours408.0 milisecondsStandard Deviation 56.4
Primary

Total Reaction Time (TRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase3 hours-7.0 milisecondsStandard Deviation 119.95
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase6 hours-8.4 milisecondsStandard Deviation 117
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Change From Baseline at Each Time Point During Acute Dosing Phase10 hours-30.0 milisecondsStandard Deviation 99.67
Primary

Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase

Time frame: -1, 3, 6, and 10 hours post-dose

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase10 hours984.5 milisecondsStandard Deviation 157.72
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing PhasePre-dose1011.9 milisecondsStandard Deviation 195.12
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase3 hours1004.3 milisecondsStandard Deviation 134.68
Group 1 BIA 2-093Total Reaction Time (TRT) (ms): Raw Values at Each Time Point During Acute Dosing Phase6 hours1007.5 milisecondsStandard Deviation 145.7

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