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The purpose of this study is to explore the maximum tolerated dose of E2007 in Japanese patients with refractory partial seizures which are uncontrolled with other anti-epileptic drugs (AEDs). Thirty patients will receive E2007 (dose escalating to the maximum of 12 mg per day). The dose of E2007 will be adjusted during 6 weeks. Subsequently, the dose will be fixed and maintained during 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E2007 | Drug | The dose of E2007 will start from 2 mg and will be increased by 2 mg every week up to 12 mg (the maximum dose). The dose will be adjusted during 6 weeks (i.e., titration period). Subsequently, the dose will be fixed and maintained during 4 weeks (Maintenance period). Patients must visit study site at Weeks -4, 1, 2, 3, 4, 5, 6, 8, 10 and 14 to confirm. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose (MTD) | MTD was defined by participants. For participants who completed treatment, MTD was dose at last administration. For subjects who discontinued due to adverse event (AE), the MTD depended on the number of days within down-titration. If these criteria were not applied, the MTD was determined based on suggestions from the Tolerability and Safety Evaluation Committee. | 10 weeks (Titration and Maintenance Periods) |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change in Total Seizure Frequency Per 28 Days From Baseline (Maintenance Period) ; LOCF | The percent change in seizure frequency per 28 days during the maintenance period was collected via patient diary cards. This was calculated using the last observation carried forward (LOCF) method. | Baseline (Day -28 to Day 0), Week 1 to Week 10 |
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Inclusion criteria:
Male or female aged between 20 and 64 years old.
Patients diagnosed with partial seizure (including secondarily generalized seizure).
Patients who have at least 3 counts of partial seizures during the previous 4 weeks prior to observation start and no seizure-free for 21 days during 8 weeks before the treatment start based on medical records. Simple partial seizure without motor signs will not be counted.
Patients who have been treated for at least 12 weeks but confirmed to be uncontrolled with more than one standard AED for 2 years.
Patients treated with stable doses of up to three AEDs. Only one cytochrome
P450 (CYP) 3A4 inducer shown below will be allowed for concomitant use:
Patients on stable dose of anti-depressants, anti-anxiety drugs, or mood stabilizers from before 8 weeks.
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hidetaka Hiramatsu | New Drug Development Department, Eisai Company Limited | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kitakyushu | Fukuoka | Japan | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35305920 | Derived | Maguire M. Response to "Perampanel and pregnancy: Could experience be a gloomy lantern that does not even illuminate its bearer?". Epilepsy Behav. 2022 Apr;129:108654. doi: 10.1016/j.yebeh.2022.108654. Epub 2022 Mar 16. No abstract available. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Perampanel | Orally administered E2007 (2, 4, 6, 8, 10, and 12 mg) once daily before bedtime (in fed administration insofar as possible). The dose started from 2 mg and up-titrated weekly in 2 mg increments up to the maximum 12 mg unless subjects met the following judgment on dose titration: 1.) If meeting titration limiting criteria, 2.) If subjects refused up-titration due to AEs, 3.) If the investigator judged it difficult to up-titrate due to AEs, or 4.) If treatment duration was less than 5 days. Total duration of treatment was 10 weeks from the initial dose. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Perampanel | Orally administered E2007 (2, 4, 6, 8, 10, and 12 mg) once daily before bedtime (in fed administration insofar as possible). The dose started from 2 mg and up-titrated weekly in 2 mg increments up to the maximum 12 mg unless subjects met the following judgment on dose titration: 1.) If meeting titration limiting criteria, 2.) If subjects refused up-titration due to AEs, 3.) If the investigator judged it difficult to up-titrate due to AEs, or 4.) If treatment duration was less than 5 days. Total duration of treatment was 10 weeks from the initial dose. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Safety analysis set |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Tolerated Dose (MTD) | MTD was defined by participants. For participants who completed treatment, MTD was dose at last administration. For subjects who discontinued due to adverse event (AE), the MTD depended on the number of days within down-titration. If these criteria were not applied, the MTD was determined based on suggestions from the Tolerability and Safety Evaluation Committee. | Safety analysis set | Posted | Number | Participants | 10 weeks (Titration and Maintenance Periods) |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Perampanel | Orally administered E2007 (2, 4, 6, 8, 10, and 12 mg) once daily before bedtime (in fed administration insofar as possible). The dose started from 2 mg and up-titrated weekly in 2 mg increments up to the maximum 12 mg unless subjects met the following judgment on dose titration: 1.) If meeting titration limiting criteria, 2.) If subjects refused up-titration due to AEs, 3.) If the investigator judged it difficult to up-titrate due to AEs, or 4.) If treatment duration was less than 5 days. Total duration of treatment was 10 weeks from the initial dose. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA/J V.12.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Inc. | Eisai Call Center | 888-422-4743 |
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| ID | Term |
|---|---|
| D012640 | Seizures |
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C551441 | perampanel |
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|
| Kobe |
| Hyōgo |
| Japan |
| Kyoto | Kyoto | Japan |
| Sendai | Miyagi | Japan |
| Nagasaki | Nagasaki | Japan |
| Niigata | Niigata | Japan |
| Shizuoka | Shizuoka | Japan |
| Komatsushimachō | Tokushima | Japan |
| Kodaira | Tokyo | Japan |
| Miscellaneous |
|
| Standard Deviation |
| Years |
|
| Sex: Female, Male | Safety analysis set: The population after excluding the following patients: a) Patients who do not meet the inclusion criteria regarding "indication," b) Patients untreated c) Patients with no evaluable data on safety | Count of Participants | Participants |
|
|
|
| Secondary | Percent Change in Total Seizure Frequency Per 28 Days From Baseline (Maintenance Period) ; LOCF | The percent change in seizure frequency per 28 days during the maintenance period was collected via patient diary cards. This was calculated using the last observation carried forward (LOCF) method. | Efficacy analysis set: Population after excluding : (a) Patients who do not meet the inclusion criteria, (b) Patients who meet the exclusion criteria which affect efficacy evaluation of E2007, (c) Patients untreated,(d) Patients with no evaluable data on efficacy,(e) Patients with <80% treatment compliance | Posted | Median | Full Range | Percent change | Baseline (Day -28 to Day 0), Week 1 to Week 10 |
|
|
|
| 0 |
| 30 |
| 27 |
| 30 |
| Dizziness | Nervous system disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Irritability | General disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Malaise | General disorders | MedDRA/J V.12.1 | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA/J V.12.1 | Systematic Assessment |
|
| Blood glucose decreased | Investigations | MedDRA/J V.12.1 | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA/J V.12.1 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA/J V.12.1 | Systematic Assessment |
|
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| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |