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Based on available data, UCB has decided to stop development of padsevonil as adjunctive treatment of focal-onset seizures
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The purpose of the study in Part 1, is to evaluate (under fasted conditions) the plasma pharmacokinetics (PK) of padsevonil (PSL) using 4 PSL product variants against a PSL reference tablet and in Part 2, to evaluate the PK of PSL using a PSL reference tablet under fed and fasted conditions at 200 mg and 400 mg.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Type 1 tablet - part 1 | Active Comparator | Subjects will receive a single dose of padsevonil Type 1 tablet in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 2 tablet - part 1 | Experimental | Subjects will receive a single dose of padsevonil Type 2 tablet in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 3 tablet - part 1 | Experimental | Subjects will receive a single dose of padsevonil Type 3 tablet in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 4 tablet - part 1 | Experimental | Subjects will receive a single dose of padsevonil Type 4 tablet in the period defined by the pre-specified sequence they were randomized on to. |
|
| Type 5 tablet - part 1 | Experimental | Subjects will receive a single dose of padsevonil Type 5 tablet in the period defined by the pre-specified sequence they were randomized on to. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Padsevonil type 1 Tablet 200 mg | Drug |
Subjects will receive a padsevonil type 1 tablet in a pre-specified sequence during the Treatment Period. |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-t of padsevonil type 1 tablets during part 1 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC0-t of padsevonil type 2 tablets during part 1 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC0-t of padsevonil type 3 tablets during part 1 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC0-t of padsevonil type 4 tablets during part 1 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC0-t of padsevonil type 5 tablets during part 1 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC0-t of padsevonil type 1 tablets (2x200 mg, fasted) during part 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. | From Baseline up to Day 35 |
| Incidence of Serious Adverse Events (SAEs) |
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Inclusion Criteria:
Participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent form (ICF)
Study participants must be overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring
Study participants must have a body weight of at least 50 kg for males and 45 kg for females and body mass index within the range 18 to 35 kg/m2 (inclusive)
Study participants who are male or female:
A male participant must agree to use contraception during the treatment period and for at least 7 days after the last dose of study treatment and refrain from donating sperm during this period
A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| UCB Cares | 001 844 599 2273 (UCB) | Study Director |
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Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.
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In Part 1 a single oral dose of padsevonil 200 mg for the 4 different product variants and the padsevonil reference tablet will be administered to all subjects in the fasted state in a randomized 5-way crossover design. In order to explore the food interaction with padsevonil, in Part 2 a single oral dose of a padsevonil reference tablet at dose levels of 200 mg and 400 mg (2x 200mg tablets) will be administered to all subjects in the fasted and fed state in a randomized 4-way crossover study.
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| Type 1 tablet - part 2 (2 x 200 mg fasted) | Active Comparator | Subjects will receive a single 2 x 200 mg dose of padsevonil Type 1 tablet under fasting conditions in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 1 tablet - part 2 (2 x 200 mg fed) | Active Comparator | Subjects will receive a single 2 x 200 mg dose of padsevonil Type 1 tablet under fed conditions in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 1 tablet - part 2 (200 mg fasted) | Active Comparator | Subjects will receive a single 200 mg dose of padsevonil Type 1 tablet under fasting conditions in the period defined by the pre-specified sequence they were randomized on to. |
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| Type 1 tablet - part 2 (200 mg fed) | Active Comparator | Subjects will receive a single 200 mg dose of padsevonil Type 1 tablet under fed conditions in the period defined by the pre-specified sequence they were randomized on to. |
|
| Padsevonil type 2 Tablet | Drug |
Subjects will receive a padsevonil type 2 tablet in a pre-specified sequence during the Treatment Period |
|
| Padsevonil type 3 Tablet | Drug |
Subjects will receive a padsevonil type 3 tablet in a pre-specified sequence during the Treatment Period. |
|
| Padsevonil type 4 Tablet | Drug |
Subjects will receive a padsevonil type 4 tablet in a pre-specified sequence during the Treatment Period. |
|
| Padsevonil type 5 Tablet | Drug |
Subjects will receive a padsevonil type 5 tablet in a pre-specified sequence during the Treatment Period. |
|
AUC(0-t): Area under the plasma concentration-time curve from time zero to time t
| Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC0-t of padsevonil type 1 tablets (2x200 mg, fed) during part 2 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC0-t of padsevonil type 1 tablets (200 mg, fasted) during part 2 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC0-t of padsevonil type 1 tablets (200 mg, fed) during part 2 | AUC(0-t): Area under the plasma concentration-time curve from time zero to time t | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC of padsevonil type 1 tablets during part 1 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC of padsevonil type 2 tablets during part 1 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC of padsevonil type 3 tablets during part 1 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC of padsevonil type 4 tablets during part 1 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC of padsevonil type 5 tablets during part 1 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| AUC of padsevonil type 1 tablets (400 mg, fasted) during part 2 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC of padsevonil type 1 tablets (400 mg, fed) during part 2 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC of padsevonil type 1 tablets (200 mg, fasted) during part 2 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| AUC of padsevonil type 1 tablets (200 mg, fed) during part 2 | AUC: Area under the concentration-time curve from time 0 to infinity | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| Cmax of padsevonil type 1 tablets during part 1 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| Cmax of padsevonil type 2 tablets during part 1 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| Cmax of padsevonil type 3 tablets during part 1 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| Cmax of padsevonil type 4 tablets during part 1 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| Cmax of padsevonil type 5 tablets during part 1 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 1. |
| Cmax of padsevonil type 1 tablets (400 mg, fasted) during part 2 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| Cmax of padsevonil type 1 tablets (400 mg, fed) during part 2 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| Cmax of padsevonil type 1 tablets (200 mg, fasted) during part 2 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
| Cmax of padsevonil type 1 tablets (200 mg, fed) during part 2 | Cmax: Maximum observed plasma concentration | Plasma samples will be taken at: predose and 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8 ,12, 24, 36, 48, 60, and 72 hours during part 2. |
A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose:
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| From Baseline up to Day 35 |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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