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To investigate the steady-state pharmacokinetics of once-daily and twice-daily regimens of BIA 2-093 and twice-daily regimen of Oxcarbazepine (Trileptal®) in healthy subjects and to assess the tolerability of such regimens in healthy subjects.
Single centre, open-label, randomised, three-way crossover study in 12 healthy volunteers. The study consisted of three 8-day treatment periods separated by washout periods of 10-15 days. On each of the treatment periods the volunteers received either a daily oral dose of BIA 2-093 900 mg once-daily (od), BIA 2-093 450 mg twice-daily (bid), or Oxcarbazepine (Trileptal®) 450 mg bid.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | BIA 2-093 900 mg once-daily period followed by BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period BIA 2-093 450 mg od - BIA 2-093 450 mg bid - OXC 900 mg bid |
|
| Group B | Experimental | BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 900 mg once-daily period BIA 2-093 450 mg bid - OXC 450 mg bid - BIA 2-093 900 mg od |
|
| Group C | Experimental | oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 900 mg once-daily period followed by BIA 2-093 450 mg twice-daily period OXC 450 mg bid - BIA 2-093 900 mg od - BIA 2-093 450 mg bid |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIA 2-093 | Drug |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax - Maximum Observed Plasma Drug Concentration | Cmax - maximum observed plasma drug concentration for BIA 2-093 metabolites: BIA 2-194 BIA 2-195 Oxcarbazepine | pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72 and 96 h post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| AUC - Area Under the Plasma Concentration Versus Time Curve | AUC - Area Under the Plasma Concentration Versus Time Curve for BIA 2-093 metabolites: BIA 2-194 BIA 2-195 Oxcarbazepine | pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72 and 96 h post-dose |
| Number of of Subjects Reporting at Least One Adverse Event |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manuel Vaz-da-Silva, MD, PhD | BIAL - Portela & Cª S.A. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BIAL - Portela & Cª S.A. - Human Pharmacology Unit (UFH) | S. Mamede Do Coronado | Trofa | 4745-457 | Portugal |
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| ID | Title | Description |
|---|---|---|
| FG000 | Group A | BIA 2-093 900 mg once-daily period followed by BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period. BIA 2-093 900 mg od - BIA 2-093 450 mg bid - OXC 450 mg bid |
| FG001 | Group B | BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 900 mg once-daily period BIA 2-093 450 mg bid OXC 450 mg bid BIA 2-093 900 mg od |
| FG002 | Group C | oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 900 mg once-daily period followed by BIA 2-093 450 mg twice-daily period OXC 450 mg bid - BIA 2-093 900 mg od - BIA 2-093 450 mg bid |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Group A | BIA 2-093 450 mg once-daily period followed by BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period BIA 2-093 450 mg od - BIA 2-093 450 mg bid - OXC 450 mg bid |
| BG001 | Group B |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| 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 | Cmax - Maximum Observed Plasma Drug Concentration | Cmax - maximum observed plasma drug concentration for BIA 2-093 metabolites: BIA 2-194 BIA 2-195 Oxcarbazepine | The results are related to overall population in the study devided by period of treatment. | Posted | Mean | Standard Deviation | ng/mL | pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72 and 96 h post-dose |
|
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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 | BIA 2-093 900 mg | ESL, Eslicarbazepine acetate BIA 2-093 900 mg od |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Asthenia | General disorders | MedDRA (7.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Head of Clinical Research | Bial - Portela & Cª, S.A. | +351 229 866 100 | jose.rocha@bial.com |
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| ID | Term |
|---|---|
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C416835 | eslicarbazepine acetate |
| D000078330 | Oxcarbazepine |
| ID | Term |
|---|---|
| D002220 | Carbamazepine |
| D003984 | Dibenzazepines |
| D006575 | Heterocyclic Compounds, 3-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Oxcarbazepine |
| Drug |
|
|
Number of of subjects reporting at least one adverse event. |
| 8 weeks |
BIA 2-093 450 mg twice-daily period followed by oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 450 mg once-daily period BIA 2-093 450 mg bid - OXC 450 mg bid - BIA 2-093 450 mg od
| BG002 | Group C | oxcarbazepine 450 mg twice-daily period followed by BIA 2-093 450 mg once-daily period followed by BIA 2-093 450 mg twice-daily period OXC 450 mg bid - BIA 2-093 450 mg od - BIA 2-093 450 mg bid |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG002 |
| Oxcarbazepine 450 mg Bid |
OXC, Oxcarbazepine 450 mg bid |
|
|
| Secondary | AUC - Area Under the Plasma Concentration Versus Time Curve | AUC - Area Under the Plasma Concentration Versus Time Curve for BIA 2-093 metabolites: BIA 2-194 BIA 2-195 Oxcarbazepine | The results are related to overall population in the study devided by period of treatment. | Posted | Mean | Standard Deviation | ng*h/mL | pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72 and 96 h post-dose |
|
|
|
| Secondary | Number of of Subjects Reporting at Least One Adverse Event | Number of of subjects reporting at least one adverse event. | The results are related to overall population in the study devided by period of treatment. | Posted | Number | Subjects | 8 weeks |
|
|
|
| 0 |
| 11 |
| 9 |
| 11 |
| EG001 | BIA 2-093 450 mg Bid | ESL, Eslicarbazepine acetate BIA 2-093 450 mg bid | 0 | 12 | 10 | 12 |
| EG002 | Oxcarbazepine 450 mg Bid | OXC, Oxcarbazepine 450 mg bid | 0 | 11 | 11 | 11 |
| Fatigue | General disorders | MedDRA (7.1) | Systematic Assessment |
|
| Injection site haematoma | General disorders | MedDRA (7.1) | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA (7.1) | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (7.1) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (7.1) | Systematic Assessment |
|
| Appetite lost | Metabolism and nutrition disorders | MedDRA (7.1) | Systematic Assessment |
|
| Increased appetite | Metabolism and nutrition disorders | MedDRA (7.1) | Systematic Assessment |
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| Ejaculation disorder | Reproductive system and breast disorders | MedDRA (7.1) | Systematic Assessment |
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| Erection increased | Reproductive system and breast disorders | MedDRA (7.1) | Systematic Assessment |
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| Palpitations | Cardiac disorders | MedDRA (7.1) | Systematic Assessment |
|
| Blepharospasm | Eye disorders | MedDRA (7.1) | Systematic Assessment |
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| Transaminases increased | Investigations | MedDRA (7.1) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (7.1) | Systematic Assessment |
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| Muscle pain | Musculoskeletal and connective tissue disorders | MedDRA (7.1) | Systematic Assessment |
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| Increased libido | Psychiatric disorders | MedDRA (7.1) | Systematic Assessment |
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| Diffuse macular rash | Skin and subcutaneous tissue disorders | MedDRA (7.1) | Systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (7.1) | Systematic Assessment |
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| Haematoma | Vascular disorders | MedDRA (7.1) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Frontal headache | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Nystagmus | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
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| Orthostatic dizziness | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Cervical radiculopathy | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
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| Concentration impairment | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
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| Memory impairment | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
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| Migraine | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Motor dysfunction NOS | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Numbness of limbs | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Occipital headache | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Vasovagal reaction | Nervous system disorders | MedDRA (7.1) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Abdominal colic | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Dry lips | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Epigastric pain | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Gingival bleeding | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
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| Heartburn | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Loose stools | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Right upper quadrant pain | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Tooth pain | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (7.1) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (7.1) | Systematic Assessment |
|
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| D006571 | Heterocyclic Compounds |
|
| AUC0-t (Oxcarbazepine) |
|