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The purpose of this study is to characterize the pharmacokinetics of Eslicarbazepine acetate in children and adolescents with epilepsy.
This clinical study was planned to be performed as an open-label, single-centre, multiple-dose study, in 30 paediatric epileptic patients distributed by 3 age groups of 10 patients each: 2-6 years [Group 1], 7-11 years [Group 2], and 12-17 years [Group 3].
The study was constituted by a 4-week baseline phase, followed by 3 consecutive 4-week treatment periods with Eslicarbazepine acetate in which patients received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day (weeks 1-4), 15 mg/kg/day (weeks 5-8) and 30 mg/kg/day or 1800 mg/day, whichever less (weeks 9-12). At the end of each 4-week treatment period, patients were hospitalised and serial blood samples for drug assays were obtained over a dosing interval.
After the last treatment period or in the event of premature discontinuation, the dose had to be down-titrated during a 2-week period. After the last treatment period patient could continue receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s) /patient and his/her physician agreed this was in the best patient's interest. A follow-up visit occurred approximately 4 weeks after the last hospitalisation or early discontinuation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (2-6 yrs) | Experimental | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 1 (2-6 years), oral suspension 50 mg/mL was used. The dose was to be rounded to the nearest 25 mg unit. |
|
| Group 2 (7-11 years) | Experimental | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 2 (7-11 years) and Group 3 (12-17 years), Eslicarbazepine acetate strengths 200 mg, 400 mg, 600 mg and 800 mg tablets might be used. The dose was to be rounded to the nearest 100 mg unit. Half tablets might be used for dosage adjustment (tablets were scored). |
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| Group 3 (12-17 years) | Experimental | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 2 (7-11 years) and Group 3 (12-17 years), Eslicarbazepine acetate strengths 200 mg, 400 mg, 600 mg and 800 mg tablets might be used. The dose was to be rounded to the nearest 100 mg unit. Half tablets might be used for dosage adjustment (tablets were scored). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIA 2-093 (Eslicarbazepine acetate) | Drug | Eslicarbazepine acetate administered at increasing daily doses of 5 mg/kg, 15 mg/kg, and 30 mg/kg (or 1800 mg, whichever less); once-daily; oral route |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Drug Concentration (Cmax) Post-dose | pre-dose, and ½, 1½, 3, 4½, 6 and 12 hours post-dose | |
| Time of Occurrence of Cmax (Tmax). | pre-dose, and ½, 1½, 3, 4½, 6 and 12 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage Change in Seizure Frequency During Each 4-week Treatment Period Compared to the Baseline Phase | The efficacy variables were the percentage change in seizure frequency during each 4-week treatment period compared to the baseline phase. Seizures were recorded in the patient's diary during the baseline phase and during the following 4-week treatment periods. Seizure frequency for each patient was standardised to a frequency per 28 days period (i.e., mean daily frequency multiplied by 28). Changes in seizure frequency were analysed for each age group separately. |
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Inclusion Criteria:
The following inclusion criteria were applied in selecting patients for participation in the trial.
Patient was eligible for entry into the baseline phase if he/she fulfilled the following criteria at Visit 1:
At Visit 2, patient was eligible for entry into the Eslicarbazepine acetate treatment phase if he/she fulfilled the following criteria:
Exclusion Criteria:
Patient was not allowed for entry into the screening phase if he/she fulfilled the following criteria at Visit 1:
At Visit 2, patient was not eligible for entry into the Eslicarbazepine acetate treatment phase if he/she fulfilled the following criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinica de Neurologie Pediatrica, Spitalul "Alexandru Obregia" | Bucharest | 041914 | Romania |
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| ID | Title | Description |
|---|---|---|
| FG000 | Group 1 (2-6 Yrs) | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 1 (2-6 years), oral suspension 50 mg/mL was used. The dose was to be rounded to the nearest 25 mg unit. |
| FG001 | Group 2 (7-11 Years) | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 2 (7-11 years) and Group 3 (12-17 years), Eslicarbazepine acetate strengths 200 mg, 400 mg, 600 mg and 800 mg tablets might be used. The dose was to be rounded to the nearest 100 mg unit. Half tablets might be used for dosage adjustment (tablets were scored). |
| FG002 | Group 3 (12-17 Years) | At the end of the baseline phase, patients meeting the final selection criteria were admitted to three consecutive 4-week treatment periods in which they received Eslicarbazepine acetate once-daily at the following dosage regimens: 5 mg/kg/day in the first 4 weeks, 15 mg/kg/day in weeks 5-8 and 30 mg/kg/day or 1800 mg/day, whichever less, in weeks 9-12. After the last treatment period, dose was down-titrated during a 2-week period or patient continued receiving Eslicarbazepine acetate ("compassionate use") if both parent(s)/guardian(s)/patient and his/her physician agreed this was in the best patient's interest. For Group 2 (7-11 years) and Group 3 (12-17 years), Eslicarbazepine acetate strengths 200 mg, 400 mg, 600 mg and 800 mg tablets might be used. The dose was to be rounded to the nearest 100 mg unit. Half tablets might be used for dosage adjustment (tablets were scored). |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Group 1 (2-6 Yrs) | Efficacy population (EP) |
| BG001 | Group 2 (7-11 Yrs) | Efficacy population (EP) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 Observed Plasma Drug Concentration (Cmax) Post-dose | Posted | Mean | Standard Deviation | ng/mL | pre-dose, and ½, 1½, 3, 4½, 6 and 12 hours 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 | Group 1 (2-6 Yrs) | Safety population (SP) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Seizures | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Stomatitis | Gastrointestinal disorders | MedDRA (9.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Head of Clinical Research | BIAL - Portela & Cª, SA | +351-22 9866100 | clinical.trials@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 |
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|
| Baseline, end of 5 mg/kg/day treatment period (4 weeks), 15 mg/kg/day treatment period (4 weeks) and 30 mg/kg/day treatment period (4 weeks). |
| BG002 |
| Group 3 (12-17 Yrs) |
Efficacy population (EP) |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Primary | Time of Occurrence of Cmax (Tmax). | Posted | Mean | Standard Deviation | hours | pre-dose, and ½, 1½, 3, 4½, 6 and 12 hours post-dose |
|
|
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| Secondary | Percentage Change in Seizure Frequency During Each 4-week Treatment Period Compared to the Baseline Phase | The efficacy variables were the percentage change in seizure frequency during each 4-week treatment period compared to the baseline phase. Seizures were recorded in the patient's diary during the baseline phase and during the following 4-week treatment periods. Seizure frequency for each patient was standardised to a frequency per 28 days period (i.e., mean daily frequency multiplied by 28). Changes in seizure frequency were analysed for each age group separately. | Posted | Median | 95% Confidence Interval | percent change | Baseline, end of 5 mg/kg/day treatment period (4 weeks), 15 mg/kg/day treatment period (4 weeks) and 30 mg/kg/day treatment period (4 weeks). |
|
|
|
| 2 |
| 12 |
| 9 |
| 12 |
| EG001 | Group 2 (7-11 Yrs) | Safety population (SP) | 1 | 8 | 7 | 8 |
| EG002 | Group 3 (12-17 Yrs) | Safety population (SP) | 0 | 11 | 7 | 11 |
| Bronchopneumonia | Infections and infestations | MedDRA (9.0) | Systematic Assessment |
|
| Flu like symptoms | General disorders | MedDRA (9.0) | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (9.0) | Systematic Assessment |
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| Incoordination | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Psychomotor agitation | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Aggressive behaviour | Psychiatric disorders | MedDRA (9.0) | Systematic Assessment |
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| Interstitial pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA (9.0) | Systematic Assessment |
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| Diplopia | Eye disorders | MedDRA (9.0) | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA (9.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (9.0) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (9.0) | Systematic Assessment |
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| Allergy to insect sting | Immune system disorders | MedDRA (9.0) | Systematic Assessment |
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| Viral pharyngitis | Infections and infestations | MedDRA (9.0) | Systematic Assessment |
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| Viral tonsillitis | Infections and infestations | MedDRA (9.0) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Drowsiness | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Acute pharyngitis | Infections and infestations | MedDRA (9.0) | Systematic Assessment |
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| Inappetence | Metabolism and nutrition disorders | MedDRA (9.0) | Systematic Assessment |
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| Equilibrium trouble | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Intention tremor | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Nystagmus | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Seizures | Nervous system disorders | MedDRA (9.0) | Systematic Assessment |
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| Aggression aggravated | Psychiatric disorders | MedDRA (9.0) | Systematic Assessment |
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| Dosage regimen 30 mg/kg/day |
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| Dosage regimen 30 mg/kg/day |
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