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The primary purpose of this study is to assess the retention rate of perampanel as a reliable proxy for overall effectiveness and tolerability in participants aged at least 12 years who are prescribed perampanel (for partial onset seizures [POS] with or without secondary generalization [SG] or for primary generalized tonic-clonic seizures [PGTCS] associated with idiopathic generalized epilepsy [IGE] as first adjunctive to antiepileptic drug (AED) monotherapy as part of their routine clinical care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Perampanel | Participants with a diagnosis of epilepsy (POS with or without SG or PGTCS associated with IGE) will initiate treatment with perampanel as first adjunctive treatment as per the clinical judgment of the treating physician as part of routine clinical care. All participants will be observed prospectively for up to 12 months after initiation of perampanel treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Perampanel | Drug | Perampanel oral tablets or oral suspension. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Retention Rate at Month 12 | Retention rate at 12 months is defined as the percentage of participants remaining on perampanel at 12 months. | Month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Retention Rate at Month 6 | Retention rate at 6 months is defined as the percentage of participants remaining on perampanel at 6 months. | Month 6 |
| Pragmatic Seizure-free Rate at Months 6 and 12 |
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Inclusion Criteria:
Exclusion Criteria:
Episode(s) of status epilepticus within the past 6 months before Screening
Previously treated with 2 or more AEDs in combination (other than during cross-titration between AED monotherapies)
Previous or current use of perampanel
Note: Retrospective inclusions will be allowed but only if the time between the initiation of perampanel treatment and the inclusion does not exceed 7 calendar days
Hypersensitivity to perampanel or any of the excipients
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Approximately 300 participants with diagnosis of epilepsy (POS with or without SG or PGTCS associated with IGE)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sydvestjysk Sygehus Esbjerg | Esbjerg | Region Syddanmark | Denmark | |||
| Hôpital Pontchaillou |
Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.
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Pragmatic seizure-free rate is defined as the percentage of participants (based on all study participants) who are free of all seizures at 6 months (and for the previous 3 months) and at 12 months (and for the previous 6 months).
| Months 6 and 12 |
| Completer Seizure-free Rate at Months 6 and 12 | Completer seizure-free rate is defined as the percentage of participants (based on a subset of study participants who remain on perampanel treatment at 6 and 12 months) who are free of all seizures at 6 months (and for the previous 3 months) and at 12 months (and for the previous 6 months), respectively. | Months 6 and 12 |
| Median Percent Change From Baseline in Seizure Frequency at Months 6 and 12 | Seizure frequency change will be measured at 6 months (averaged over the previous 3 months) and at 12 months (averaged over the previous 6 months). | Months 6 and 12 |
| 50 Percent (%) Responder Rate at Months 6 and 12 | 50% responder rate is defined as the percentage of participants with greater than or equal to (>=) 50% reduction in seizure frequency (averaged over the 3 months before the 6-month visit, and over the 6 months before the12-month visit) relative to baseline. | Months 6 and 12 |
| Seizure Worsening Rate at Months 6 and 12 | Seizure worsening rate is defined as the percentage of participants with >=10% increase in seizure frequency (averaged over the 3 months before the 6-month visit, and over the 6 months before the 12-month visit) relative to baseline. | Months 6 and 12 |
| Last Dose of Perampanel at Months 6 and 12 | Months 6 and 12 |
| Percentage of Participants by Perampanel Dose Titration Speed | Up to Month 12 |
| Duration of Treatment on Perampanel | Up to Month 12 |
| Percentage of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs),Serious Adverse Events (SAEs), TEAEs Leading to Discontinuation, and TEAEs by Severity | Up to Month 12 |
| Rennes |
| Ille-et-Vilaine |
| France |
| Hôpital Roger Salengro | Lille | Nord | France |
| Centre de consultations Saint-Jean Bâtiment A | Cagnes-sur-Mer | France |
| Hopitaux de La Timone | Marseille | France |
| Hôpital Robert Debré | Paris | France |
| Centre hospitalier de Pau | Pau | France |
| Centre Hospitalier Universitaire de Toulouse | Toulouse | France |
| CHRU Bretonneau | Tours | France |
| Eisai Trial Site #2 | Berlin | Germany |
| Eisai Trial Site #1 | Ulm | Germany |
| AORN A Cardarelli | Naples | Campania | Italy |
| Azienda Sanitaria Universitaria Integrata di Udine - PO Universitario Santa Maria della Misericordia | Udine | Friuli Venezia Giulia | Italy |
| Fondazione PTV Policlinico Tor Vergata | Rome | Lazio | Italy |
| ASST Santi Paolo e Carlo - Azienda Universitaria-Polo Universitario San Paolo | Milan | Lombardy | Italy |
| Ospedale di Merano | Merano | Trentino-Alto Adige | Italy |
| Ospedale Santa Maria Della Misericordia Di Perugia | Perugia | Umbria | Italy |
| Ospedale Policlinico San Martino | Genova | Italy |
| Azienda Ospedaliera Universitaria Federico II | Naples | Italy |
| Policlinico Universitario Campus Biomedico Di Roma | Roma | Italy |
| Centro Hospitalar E Universitário de Coimbra EPE | Coimbra | Portugal |
| Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria | Lisbon | Portugal |
| Centro Hospitalar de São João, E.P.E. | Porto | Portugal |
| Krasnoyarsk State Medical University n.a. V.F. Voyno-Ysenetskiy | Krasnoyarsk | Russia |
| City Clinical Hospital #1 n.a. N.I.Pirogov | Moscow | Russia |
| Moscow State Medical Stomatological University n.a. A.I. Evdokimov | Moscow | Russia |
| Russian National Research Medical University n.a. N.I.Pirogov | Moscow | Russia |
| City Neurology Center Sibneuromed LLC | Novosibirsk | Russia |
| Regional Treatment and Rehabilitation Center | Tyumen | Russia |
| CHUVI - H.U. Alvaro Cunqueiro | Vigo | Pontevedra | Spain |
| Hospital Universitari Sagrat Cor Quironsalud | Barcelona | Spain |
| Hospital Universitario Virgen de Las Nieves | Granada | Spain |
| Hospital Regional Universitario de Malaga - Hospital General | Málaga | Spain |
| Hospital Universitario de Donostia | San Sebastián | Spain |
| Hospital Universitario Virgen Macarena | Seville | Spain |
| Hospital Clinico Universitario de Valladolid | Valladolid | Spain |
| ID | Term |
|---|---|
| C562694 | Epilepsy, Idiopathic Generalized |
| D004830 | Epilepsy, Tonic-Clonic |
| D004827 | Epilepsy |
| D012640 | Seizures |
| ID | Term |
|---|---|
| D004829 | Epilepsy, Generalized |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C551441 | perampanel |
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