CClinicalTrials.gg
CompletedNCT01235403SELFUpdated May 21, 2018Results posted

Trial to Assess Optimized Dosage of Lacosamide as add-on Therapy in Patients With Partial Onset Seizure

A Phase 4 interventional study of Lacosamide in Partial Epilepsies, sponsored by UCB Pharma. Completed at 32 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-21.

Sponsored by UCB Pharma · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate if a flexible dose escalation of lacosamide, up to the maximum approved dose of 400 mg/day, or to a clinically effective lower dose for an individual patient, improves the tolerability and safety of lacosamide (200 mg to 400 mg/d) as add-on treatment for patients with partial onset epilepsy.

Explanation of acronym: SELF = Safety Efficacy Lacosamide Flexibility

02

Conditions studied

  • Partial Epilepsies

Keywords

  • Epilepsy treatment.
  • Anti-epileptic drugs
  • Seizures
03

In context

Epilepsy

1,805 studies on the registry are indexed under Epilepsy; 417 are open to participants now.

This study's enrollment of 100 is above the median of 50 across 1,205 interventional studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

UCB Pharma is the lead sponsor of 238 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient has a diagnosis of partial-onset epilepsy with or without secondary generalization
  • Currently taking 1 to 3 concomitant marketed antiepileptic drugs
  • 18 years and older at study entry

Exclusion criteria

Exclusion Criteria:

  • Previous use of lacosamide
  • Hypersensitivity to any component of lacosamide
  • Patients with partial onset seizures not clearly identifiable
  • History of generalized epilepsy
  • History of status epilepticus within last 12 months
  • Uncountable seizures due to clustering within last 12 weeks
  • Non epileptic events, including pseudoseizures, conversion disorder that could be confused with seizures
  • History of drug or alcohol abuse
  • History of suicide attempt
  • Progressive cerebral disease
  • Concomitant treatment of felbamate
  • Prior or concomitant vigabatrin use
  • Under legal protection
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Lacosamide

    Flexible dosing between 200mg/day and 400mg/day

    Drug: Lacosamide

Interventions

  • DrugLacosamide

    Lacosamide : 50 mg tablets bid. Titration phase: (12 weeks) 100 mg/day: duration 1 to 3 weeks. Then uptitration to optimal therapeutic dose of 200 mg/day to 400 mg/day, in steps of 100 mg/day and a time period per step of 1 to 3 weeks. Maintenance phase (12 weeks): Optimal therapeutic dose 200 mg/day to 400 mg/day. Taper phase if needed: 3 to 4 weeks

    Also known as: Vimpat®

06

What researchers measure

Primary outcomes

  1. Number of Subjects Reporting at Least 1 Treatment-Emergent Adverse Event (TEAE) During the Study

    Number of subjects reporting at least 1 Treatment-Emergent Adverse Event (TEAE) during the study. The study is comprised of a 12-week Titration Phase, a 12 -week Maintenance Phase, and a 3 to 4 week Taper Phase if needed.

    Time frame: During the study ( up to 24 - 28 weeks)

  2. Number of Subjects Prematurely Discontinuing Due to a TEAE During the Study

    Number of subjects prematurely discontinuing due to a TEAE during the study. The study is comprised of a 12-week Titration Phase, a 12 -week Maintenance Phase, and a 3 to 4 week Taper Phase if needed.

    Time frame: During the study (up to 24 - 28 weeks)

Secondary outcomes

  1. Percentage of Subjects Retained on Vimpat Through the End of the 24-week Treatment Period

    The number of subjects continuing on Vimpat up to and including Visit 4 (Week 24) divided by the number of patients who took at least 1 dose of Vimpat multiplied by 100. The overall Treatment Period comprises of a 12-week Titration Phase and 12-week Maintenance Phase.

    Time frame: End of Treatment Period (24-week)

07

Results

Posted Jan 24, 2013

Participant flow

This is a 24-week study, which enrolled 100 patients at 44 sites in France.

Participant flow — Overall Study
MilestoneLacosamide
Started100
Completed74
Not completed26
Withdrew: Adverse event14
Withdrew: Lost to follow-up2
Withdrew: Withdrawal by subject4
Withdrew: Lack of efficacy2
Withdrew: Other reasons for premature termination4

Outcome measures

PrimaryNumber of Subjects Reporting at Least 1 Treatment-Emergent Adverse Event (TEAE) During the Study

Number of subjects reporting at least 1 Treatment-Emergent Adverse Event (TEAE) during the study. The study is comprised of a 12-week Titration Phase, a 12 -week Maintenance Phase, and a 3 to 4 week Taper Phase if needed.

Time frame:
During the study ( up to 24 - 28 weeks)
Reported as:
Number · subjects
Number of Subjects Reporting at Least 1 Treatment-Emergent Adverse Event (TEAE) During the Study
subjectsLacosamide
Number of Subjects Reporting at Least 1 Treatment-Emergent Adverse Event (TEAE) During the Study64
PrimaryNumber of Subjects Prematurely Discontinuing Due to a TEAE During the Study

Number of subjects prematurely discontinuing due to a TEAE during the study. The study is comprised of a 12-week Titration Phase, a 12 -week Maintenance Phase, and a 3 to 4 week Taper Phase if needed.

Time frame:
During the study (up to 24 - 28 weeks)
Reported as:
Number · subjects
Number of Subjects Prematurely Discontinuing Due to a TEAE During the Study
subjectsLacosamide
Number of Subjects Prematurely Discontinuing Due to a TEAE During the Study14
SecondaryPercentage of Subjects Retained on Vimpat Through the End of the 24-week Treatment Period

The number of subjects continuing on Vimpat up to and including Visit 4 (Week 24) divided by the number of patients who took at least 1 dose of Vimpat multiplied by 100. The overall Treatment Period comprises of a 12-week Titration Phase and 12-week Maintenance Phase.

Time frame:
End of Treatment Period (24-week)
Reported as:
Number · percentage of subjects
Percentage of Subjects Retained on Vimpat Through the End of the 24-week Treatment Period
percentage of subjectsLacosamide
Percentage of Subjects Retained on Vimpat Through the End of the 24-week Treatment Period73

Adverse events

Collected over During the study (up to 24 - 28 weeks). The study is comprised of a 12-week Titration Phase, a 12 -week Maintenance Phase, and a 3 to 4 week Taper Phase if needed.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lacosamide—3/100 (3%)49/100 (49%)
Most frequent serious events
Most frequent serious events
EventLacosamide
DiplopiaEye disorders1/100
NauseaGastrointestinal disorders1/100
ComaNervous system disorders1/100
DizzinessNervous system disorders1/100
Gait disturbanceGeneral disorders1/100
Partial seizures with secondary generalisationNervous system disorders1/100
Status epilepticusNervous system disorders1/100
Most frequent other events
Most frequent other events
EventLacosamide
DizzinessNervous system disorders42/100
HeadacheNervous system disorders8/100
AstheniaGeneral disorders5/100

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Lacosamide
<=18 years0
Between 18 and 65 years88
>=65 years12
Age, Continuous
Age, Continuous(years)Lacosamide
Mean44.5 ± 16.22
Sex: Female, Male
Sex: Female, Male(Participants)Lacosamide
Female55
Male45
Region of Enrollment
Region of Enrollment(participants)Lacosamide
France100
08

Study locations

32 sites
  • Amiens, France
  • Aubenas, France
  • Auxerre, France
  • Bordeaux, France
  • Brest, France
  • Caen, France
  • Carpentras, France
  • Chateaubriand, France
  • Colmar, France
  • Créteil, France
  • Gap, France
  • Gonesse, France
  • La Rochelle, France
  • Laval, France
  • Limoges, France
  • Marseille, France
  • Montluçon, France
  • Nice, France
  • Nîmes, France
  • Paris, France
  • Perpignan, France
  • Poitiers, France
  • Pringy, France
  • Rennes, France
  • Rouen, France
  • Saint Aubin Sur Cie, France
  • Saint Julien En Gengvois, France
  • Saint-Malo, France
  • St Brieuc, France
  • Toulouse, France
  • Vienne, France
  • Villeurbanne, France
09

References and documents

Publications

  • Baulac M, Coulbaut S, Doty P, McShea C, De Backer M, Bartolomei F, Vlaicu M. Adjunctive lacosamide for focal epilepsy: an open-label trial evaluating the impact of flexible titration and dosing on safety and seizure outcomes. Epileptic Disord. 2017 Jun 1;19(2):186-194. doi: 10.1684/epd.2017.0907. PubMed 28597842 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01235403
Lead sponsor
UCB Pharma
Responsible party
Sponsor
First posted
Nov 5, 2010
Start date
Jun 2010
Primary completion
Dec 2011
Completion
Dec 2011
Results posted
Jan 24, 2013
Last update
May 21, 2018

Study contacts

UCB Clinical Trial Call Center
study director · +1 877 822 9493 (UCB)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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