Effects of Eslicarbazepine Acetate (Esl, Bia 2-093) on Cognitive Function in Children With Partial Onset Seizures
1 other identifier
interventional
123
5 countries
36
Brief Summary
To evaluate the effects of eslicarbazepine acetate on cognition in comparison with placebo as adjunctive therapy in children aged 6 to 16 years old with refractory partial-onset seizures.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2010
36 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2010
CompletedFirst Submitted
Initial submission to the registry
February 3, 2012
CompletedFirst Posted
Study publicly available on registry
February 7, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedResults Posted
Study results publicly available
October 24, 2014
CompletedOctober 24, 2014
October 1, 2014
1.6 years
February 3, 2012
January 10, 2014
October 23, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Power of Attention Score to the End of the Double Blind (DB) Period
Power of Attention was defined as the sum of the reaction time measures from the attentional tasks (simple \[dominant hand only\] reaction time, choice reaction time and digit vigilance speed) in order to assess information processing speed and attention/psychomotor speed.Change from baseline to the end of the double-blind period in Power of Attention will be compared between the treatment groups using an ANCOVA. Non-inferiority of ESL vs Placebo will be assessed by comparing the 95% CI's upper bound of the difference of Least Squares Mean (LSmeans) between treatment groups (ESL-placebo) with 121 ms. If the upper bound is greater than 121 ms then the null hypothesis that the change from baseline in the Power of Attention score in ESL group is at least 121 ms inferior than the placebo group will be rejected. Single Values were calculated the average of post treatment visits (visits 5 and 7or EDV) minus average of baseline visits (visits 1 and 2)
Visit 1 (-4 weeks for training), Visit 2 (Day 1), Visit 5 (6 weeks), Visit 7 (12 weeks) or at early discontinuation visit (EDV)
Secondary Outcomes (2)
Change From Baseline in Standardized Seizure Frequency - Part I
Baseline; Titration Period (4 Weeks: V2-V3-V4)
Change From Baseline in Seizure Frequency During the One-year Open-Label (OL)
Weeks 1 to ≥ 41 weeks
Study Arms (2)
Eslicarbazepine acetate (BIA 2-093)
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Eslicarbazepine acetate (ESL) tablets 200 mg and the matching placebo will be supplied. Treatments will be administered by oral route, once-daily, in the evening. The dose will be rounded to the nearest 100 mg unit. Half tablets may be used for dose adjustment if necessary.
Eligibility Criteria
You may qualify if:
- At visit 1 (screening), patient must be/have:
- written informed consent by parent or legal guardian and, where applicable, the patient;
- age 6 to 16 years, inclusive;
- a documented diagnosis of epilepsy for at least 12 months prior to screening;
- at least 2 partial onset seizures during the 4 weeks prior to screening despite treatment with 1 to 2 AEDs in a stable dose regimen;
- an Intelligence Quotient (IQ) of at least 70;
- current treatment with 1 to 2 AEDs (except oxcarbazepine, benzodiazepines other than clobazam and vagus nerve stimulation (VNS));
- excepting epilepsy, patient is judged to be in general good health based on medical history, physical examination and clinical laboratory tests;
- in the opinion of the investigator, able to complete the Cognitive Drug Research (CDR) test battery;
- in case of a girl of childbearing potential, patient presents a serum B-human chorionic gonadotropin (B hCG) test consistent with a non gravid state and agrees to remain abstinent or use reliable contraception (if used, hormonal contraception must be combined with a barrier method) starting at screening and continuing until at least the post-study visit (PSV).
- At visit 2 (randomisation), patient must be/have:
- at least 2 partial-onset seizures during the 4 week baseline period prior to randomisation (documented in a diary);
- in case of a girl of childbearing potential, patient presents a urine B-hCG test consistent with a non-gravid state;
- stable dose regimen of concomitant AEDs during the 4 week baseline period;
- diaries satisfactorily completed by the patient or his/her caregiver during the baseline period;
- +1 more criteria
You may not qualify if:
- At visit 1 (screening), patients must not be/have:
- only simple partial seizures with no motor symptomatology;
- primarily generalised seizures;
- known rapidly progressive neurological disorders (progressive brain disease, epilepsy secondary to progressive cerebral lesion);
- occurrence of seizures too close to count accurately;
- history of status epilepticus or cluster seizures (i.e., 3 or more seizures within 30 minutes) within the 3 months prior to screening; seizures of non-epileptic origin;
- Lennox-Gastaut syndrome;
- West syndrome;
- major psychiatric disorders;
- seizures of psychogenic origin within the last 2 years;
- history of schizophrenia or suicide attempt;
- history of attention deficit disorder or other diseases adversely affecting cognitive abilities;
- currently treated with oxcarbazepine, benzodiazepines other than clobazam (on a routine or chronic basis) and/or VNS;
- known hypersensitivity to carboxamide derivatives (oxcarbazepine or carbamazepine);
- uncontrolled cardiac, renal, hepatic, endocrine, gastrointestinal, metabolic, haematological or oncology disorder;
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (36)
Ospedale Salesi
Ancona, 60123, Italy
Ospedale Pediatrico Giovanni XXII
Bari, 70126, Italy
Ospedale Maggiore "C.A. Pizzardi"
Bologna, 40133, Italy
Istituto Scientifico G. Gaslini
Genova, 16146, Italy
Ospedale Carlo Poma
Mantova, 46100, Italy
Policlinico Martino
Messina, 98128, Italy
Ospedale Fatebenefratelli
Milan, 20121, Italy
Policlinico Seconda Università di Napoli
Napoli, 80131, Italy
Istituto Mondino
Pavia, 27100, Italy
Ospedale Bambin Gesu
Roma, 00165, Italy
Azienda Ospedaliera O.I.R.M.- Sant'Anna
Torino, 10126, Italy
Amphia Ziekenhuis
Breda, 4819 EV, Netherlands
Kempenhaeghe, location Heeze
Heeze, 5591 VE, Netherlands
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
Gabinet Lekarski Neurologii Dzieciecej i Leczenia Padaczki
Kielce, 25-316, Poland
Wielkopolskie Centrum Neurologii Dzieci i Mlodziezy
Poznan, 60-311, Poland
AKADEMIA MEDYCZNA im. Karola Marcinkowskiego w Poznaniu Katedra I Klinika Neurologii Wieku Rozwojowego
Poznan, 60-355, Poland
Instytut "Pomnik-Centrum Zdrowia Dziecka"
Warsaw, 04-730, Poland
State Medical Institution "Children Republic Clinical Hospital of Minzdrav of Republic Tatarstan"
Kazan', 420138, Russia
Moscow State Healthcare Institution Scientific and Practical centre of medical help to children
Moscow, 119620, Russia
State Institution "Moscow Regional Scientific and Research Clinical Institute named after M.F. Vladimirsky"
Moscow, 129110, Russia
OOO City Neurological Center "Sibneuromed"
Novosibirsk, 630091, Russia
Saint Petersburg Scientific and Research Psycho-Neurology Institute
Saint Petersburg, 192019, Russia
Saint-Petersburg State Pediatric Medical Academy of Ministry of Health and Social development of Russian Federation
Saint Petersburg, 194100, Russia
Saint-Petersburg State Pediatric Medical Academy of Ministry of Health and Social
Saint Petersburg, 194100, Russia
Institution Russian Academy of Science Institute of human brain RAN
Saint Petersburg, 197376, Russia
Saint-Petersburg Sate Healthcare Institution "Children City Hospital #1"
Saint Petersburg, 198205, Russia
State Healthcare Institution "Samarskaya Regional Clinical Hosptital named after M.I.Kalinin"
Samara, 443095, Russia
Yaroslavskay State Medical Academy of Roszdrav
Yaroslavl, 150030, Russia
Donetsk Region Child Clinical Centre of Neuroreabilitation
Donetsk, 83052, Ukraine
Regional psycho-neurological hospital #3
Ivano-Frankivsk, 76014, Ukraine
chair of neuropathology and pediatric neurology of Kharkov Medical Academy
Kharkiv, 61018, Ukraine
Danylo Galytskyy Lviv National Medical University
Lviv, 79010, Ukraine
Communal institution "Child City Hospital #3"
Odesa, 65125, Ukraine
Vinnytsya National Medical University,Vinnytsya Regional Psychoneurological Hospital
Vinnitsa, 21005, Ukraine
Zaporizhya regional clinical children hospital
Zaporizhzhya, 69063, Ukraine
Related Publications (1)
Mintz M, Pina-Garza JE, Wolf SM, McGoldrick PE, Jozwiak S, Grinnell T, Cantu D, Costa R, Moreira J, Li Y, Blum D. Safety and Tolerability of Adjunctive Eslicarbazepine Acetate in Pediatric Patients (Aged 4-17 Years) With Focal Seizures. J Child Neurol. 2020 Mar;35(4):265-273. doi: 10.1177/0883073819890997. Epub 2019 Dec 26.
PMID: 31878820DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director R&D
- Organization
- BIAL - Portela & Cª SA
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 3, 2012
First Posted
February 7, 2012
Study Start
August 1, 2010
Primary Completion
March 1, 2012
Study Completion
May 1, 2013
Last Updated
October 24, 2014
Results First Posted
October 24, 2014
Record last verified: 2014-10