NCT02134366

Brief Summary

The purpose of this study is to evaluate whether clobazam, brand name Onf®, is more effective as an adjunctive or monotherapy in terminating Epilepsia Partialis Continua (EPC) than either lorazepam and/or clonazepam.

Trial Health

57
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jul 2014

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

May 6, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 9, 2014

Completed
2 months until next milestone

Study Start

First participant enrolled

July 1, 2014

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2017

Completed
Last Updated

May 9, 2018

Status Verified

May 1, 2018

Enrollment Period

3 years

First QC Date

May 6, 2014

Last Update Submit

May 3, 2018

Conditions

Keywords

Epilepsia Partialis ContinuaKojewnikov's EpilepsyEpilepsyClobazamFocal Motor EpilepsyPartial Motor Seizure

Outcome Measures

Primary Outcomes (2)

  • Time (measured in minutes) to onset of seizure freedom

    Within 7 days

  • Reduction of seizure frequency/minute

    Within 7 days

Secondary Outcomes (2)

  • Mental status preservation off sedating anticonvulsants as measured by the MoCA© scale

    Within 37 days

  • Ambulatory function as measured by the Hauser Ambulation Index

    Within 37 days

Study Arms (3)

Clobazam

EXPERIMENTAL

Subjects who are assigned the clobazam treatment group will receive a 10mg loading dose followed by a maintenance dose of 5-25 mg bid starting 12 hrs after the loading dose. If subjects are found to have failed to respond to treatment with clobazam, the physician investigator has the ability to either start another AED or increase the dose of clobazam depending on the clinical situation. Subjects still being treated with clobazam at discharge will be given a 30 day supply of clobazam.

Drug: ClobazamDrug: ClonazepamDrug: Lorazepam

Clonazepam

ACTIVE COMPARATOR

Subjects who are assigned to the clonazepam treatment group will receive a dose of 1-2mg clonazepam dose tid. Following the initial treatment if a physician investigator determines that the subject's treatment has failed, the investigator has the option of treating the subject with clobazam at which point the individuals would be treated in the same method as those originally assigned to the clobazam treatment group.

Drug: ClobazamDrug: ClonazepamDrug: Lorazepam

Lorazepam

ACTIVE COMPARATOR

Subjects who are assigned to the lorazepam treatment group will receive a 1-2mg dose of lorazepam qid. Following the initial treatment if a physician investigator determines that the subject's treatment has failed, the investigator has the option of treating the subject with clobazam at which point the individuals would be treated in the same method as those originally assigned to the clobazam treatment group.

Drug: ClobazamDrug: ClonazepamDrug: Lorazepam

Interventions

Comparison of AED use in Epilepsia Partialis Continua

Also known as: Onfi, Frisium, Urbanol
ClobazamClonazepamLorazepam

Comparison of AED use in Epilepsia Partialis Continua

Also known as: Klonopin
ClobazamClonazepamLorazepam

Comparison of AED use in Epilepsia Partialis Continua

Also known as: Ativan, Orfidal
ClobazamClonazepamLorazepam

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≥ to 18 yrs of age
  • Diagnosis of EPC by a Neurologist

You may not qualify if:

  • Previous exposure to clobazam prior to presentation
  • Seizure generalization
  • Patients who are intubated and on IV sedation such as Versed®, Propofol or Presedex®.
  • Female subjects who are pregnant and/or breast-feeding
  • Subject has an unstable and/or serious or psychiatric illness
  • Subject has an unstable and/or serious medical illness
  • Subject has any of the following but not limited to conditions:
  • A life threatening medical condition
  • Severe sepsis or septic shock
  • Severe Renal impairment
  • Severe Hepatic impairment
  • Sleep apnea
  • Narrow angle glaucoma
  • Severe respiratory insufficiency
  • Myasthenia gravis
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cooper Universtiy Hospital

Camden, New Jersey, 08103, United States

Location

MeSH Terms

Conditions

Epilepsia Partialis ContinuaEpilepsyEpilepsy, Partial, Motor

Interventions

ClobazamClonazepamLorazepam

Condition Hierarchy (Ancestors)

Status EpilepticusSeizuresNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsBrain DiseasesCentral Nervous System DiseasesEpilepsies, Partial

Intervention Hierarchy (Ancestors)

BenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsBenzodiazepinones

Study Officials

  • Melissa Carran, MD

    Cooper University Health System

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 6, 2014

First Posted

May 9, 2014

Study Start

July 1, 2014

Primary Completion

July 1, 2017

Study Completion

July 1, 2017

Last Updated

May 9, 2018

Record last verified: 2018-05

Locations