A Phase 3 interventional study of Lacosamide and Carbamazepine-Controlled Release in Epilepsy and Monotherapy, sponsored by UCB BIOSCIENCES GmbH. Completed at 184 sites in 29 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2021-02-02.
Sponsored by UCB BIOSCIENCES GmbH · Phase 3, Interventional, and Treatment
Compare efficacy and safety of Lacosamide (LCM) to Carbamazepine Controlled-Release (CBZ-CR) as monotherapy in newly or recently newly diagnosed subjects with a primary efficacy endpoint of 6-month seizure freedom. Noninferiority design to show a similar risk/benefit balance between Lacosamide (LCM) and Carbamazepine-CR (CBZ-CR).
1,805 studies on the registry are indexed under Epilepsy; 417 are open to participants now.
This study's enrollment of 888 is above the median of 50 across 1,206 interventional studies indexed under Epilepsy.
Browse Epilepsy studies →UCB BIOSCIENCES GmbH is the lead sponsor of 21 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Drug: Lacosamide
Drug: Carbamazepine-Controlled Release
Lacosamide: * Strengths: 50 mg / 100 mg * Form: tablets * Dosage: total daily target dose of 200 mg, 400 mg or 600 mg. 1 dose reduction was allowed from either 600 mg to 500 mg or from 400 mg to 300 mg total daily dose * Duration: up to 118 weeks
Also known as: Vimpat®
Carbamazepine-CR: * Strengths: 200 mg * Form: tablets * Dosage: total daily target dose of 400 mg, 800 mg or 1200 mg. 1 dose reduction was allowed from either 1200 mg to 1000 mg or from 800 mg to 600 mg total daily dose * Duration: up to 118 weeks
Also known as: Tegretol® Retard Tablets 200 mg
Proportion of Subjects in the Full Analysis Set (FAS) Remaining Seizure Free for 6 Consecutive Months (26 Consecutive Weeks) of Treatment Following Stabilization at the Last Evaluated Dose for Each Subject
The proportion of subjects remaining seizure free for 6 months (26 weeks) was estimated using Kaplan-Meier methods.
Time frame: 6 consecutive months (26 consecutive weeks) of treatment following stabilization at the last evaluated dose for each subject
Proportion of Subjects in the Per Protocol Set (PPS) Remaining Seizure Free for 6 Consecutive Months (26 Consecutive Weeks) of Treatment Following Stabilization at the Last Evaluated Dose for Each Subject
The proportion of subjects remaining seizure free for 6 months (26 weeks) was estimated using Kaplan-Meier methods.
Time frame: 6 consecutive months (26 consecutive weeks) of treatment
Number of Subjects With at Least One Treatment-emergent Adverse Event (AE) During the Treatment Phase (up to 113 Weeks)
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
Time frame: Duration of the Treatment Phase (up to 113 weeks)
Number of Subjects Who Withdraw From the Study Due to a Treatment-emergent Adverse Event (AE) During the Treatment Phase (up to 113 Weeks)
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
Time frame: Duration of the Treatment Phase (up to 113 weeks)
Number of Subjects With at Least One Treatment-emergent Serious Adverse Event (SAE) During the Treatment Phase (up to 113 Weeks)
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A Serious Adverse Event must meet 1 or more predefined criteria like death, life-threatening, etc. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
Time frame: Duration of the Treatment Phase (up to 113 weeks)
Proportion of Subjects Remaining Seizure Free for 12 Consecutive Months (52 Consecutive Weeks) Following Stabilization at the Last Evaluated Dose for Each Subject
The proportion of subjects remaining seizure free for 12 months (52 weeks) was estimated using Kaplan-Meier methods.
Time frame: 12 consecutive months of treatment following stabilization at the last evaluated dose for each subject
This study started to enroll in April 2011 and concluded in August 2015.
| Milestone | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Started | 444 | 442 |
| Completed | 266 | 264 |
| Not completed | 178 | 178 |
| Withdrew: Lack of efficacy | 47 | 31 |
| Withdrew: Protocol violation | 11 | 10 |
| Withdrew: Lost to follow-up | 15 | 18 |
| Withdrew: Withdrawal by subject | 46 | 38 |
| Withdrew: Ae, serious fatal | 0 | 1 |
| Withdrew: Sae, non-fatal | 7 | 9 |
| Withdrew: Ae, non-serious non-fatal | 40 | 58 |
| Withdrew: Sae, fatal + sae, non-fatal | 1 | 0 |
| Withdrew: Sae,non-fatal+ae,non-serious non-fatal | 0 | 1 |
| Withdrew: Other reason | 11 | 12 |
The proportion of subjects remaining seizure free for 6 months (26 weeks) was estimated using Kaplan-Meier methods.
| percentage of subjects | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Proportion of Subjects in the Full Analysis Set (FAS) Remaining Seizure Free for 6 Consecutive Months (26 Consecutive Weeks) of Treatment Following Stabilization at the Last Evaluated Dose for Each Subject | 89.8 (86.8 to 92.8) | 91.1 (88.2 to 94.0) |
The proportion of subjects remaining seizure free for 6 months (26 weeks) was estimated using Kaplan-Meier methods.
| percentage of subjects | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Proportion of Subjects in the Per Protocol Set (PPS) Remaining Seizure Free for 6 Consecutive Months (26 Consecutive Weeks) of Treatment Following Stabilization at the Last Evaluated Dose for Each Subject | 91.4 (88.5 to 94.3) | 92.8 (90.1 to 95.6) |
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
| Participants | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Number of Subjects With at Least One Treatment-emergent Adverse Event (AE) During the Treatment Phase (up to 113 Weeks) | 328 | 332 |
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
| Participants | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Number of Subjects Who Withdraw From the Study Due to a Treatment-emergent Adverse Event (AE) During the Treatment Phase (up to 113 Weeks) | 47 | 69 |
The proportion of subjects remaining seizure free for 12 months (52 weeks) was estimated using Kaplan-Meier methods.
| percentage of subjects | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Proportion of Subjects Remaining Seizure Free for 12 Consecutive Months (52 Consecutive Weeks) Following Stabilization at the Last Evaluated Dose for Each Subject | 77.8 (73.4 to 82.2) | 82.7 (78.5 to 86.8) |
An Adverse Event is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A Serious Adverse Event must meet 1 or more predefined criteria like death, life-threatening, etc. Treatment-emergent AEs were defined as AEs that started on or after the date of first dose of study medication and within 30 days following the date of final study medication administration, or AEs whose intensity worsened on or after the date of first dose of study medication and within 30 days following the date of last dose.
| Participants | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| Number of Subjects With at Least One Treatment-emergent Serious Adverse Event (SAE) During the Treatment Phase (up to 113 Weeks) | 32 | 43 |
Collected over Adverse Events were collected during the whole study from Screening Phase (Week 0) over Evaluation, Maintenance and End of Study Phase up to 121 weeks.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lacosamide | — | 36/444 (8.1%) | 165/444 (37.2%) |
| Carbamazepine-Controlled Release (CBZ-CR) | — | 46/442 (10.4%) | 181/442 (41%) |
| Event | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| ConvulsionNervous system disorders | 4/444 | 2/442 |
| Partial seizures with secondary generalisationNervous system disorders | 0/444 | 3/442 |
| Cerebrovascular accidentNervous system disorders | 0/444 | 2/442 |
| Grand mal convulsionNervous system disorders | 0/444 | 2/442 |
| Ischaemic strokeNervous system disorders | 0/444 | 2/442 |
| Drug reaction with eosinophilia and systemic symptomsSkin and subcutaneous tissue disorders | 0/444 | 2/442 |
| Gait disturbanceGeneral disorders | 2/444 | 0/442 |
| Tendon ruptureInjury, poisoning and procedural complications | 2/444 | 0/442 |
| Complex partial seizuresNervous system disorders | 2/444 | 1/442 |
| EpilepsyNervous system disorders | 2/444 | 0/442 |
| Event | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) |
|---|---|---|
| HeadacheNervous system disorders | 60/444 | 58/442 |
| DizzinessNervous system disorders | 53/444 | 41/442 |
| FatigueGeneral disorders | 34/444 | 49/442 |
| SomnolenceNervous system disorders | 27/444 | 41/442 |
| Gamma-glutamyltransferase increasedInvestigations | 7/444 | 35/442 |
| NasopharyngitisInfections and infestations | 29/444 | 29/442 |
| NauseaGastrointestinal disorders | 26/444 | 23/442 |
Baseline Characteristics refer to the Safety Analysis Set which is defined as all randomized subjects who took at least 1 dose of study medication and is identical with the Full Analysis Set.
| Age, Categorical(Participants) | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) | Total Title |
|---|---|---|---|
| <=18 years | 27 | 19 | 46 |
| Between 18 and 65 years | 355 | 366 | 721 |
| >=65 years | 62 | 57 | 119 |
| Age, Continuous(years) | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) | Total Title |
|---|---|---|---|
| Mean | 41.9 ± 17.9 | 41.8 ± 17.2 | 41.8 ± 17.6 |
| Sex: Female, Male(Participants) | Lacosamide | Carbamazepine-Controlled Release (CBZ-CR) | Total Title |
|---|---|---|---|
| Female | 201 | 210 | 411 |
| Male | 243 | 232 | 475 |
Showing the first 100 of 184 sites across 29 countries.
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