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CompletedNCT01999777Updated Oct 10, 2019Results posted

Study to Evaluate the Safety and Efficacy of USL261 in Patients With Increased Bouts of Seizure Activity in the EMU

A Phase 3 interventional study of USL261 and Placebo in Epilepsy, sponsored by UCB Biopharma S.P.R.L.. Completed at 51 sites in 8 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2019-10-10.

Sponsored by UCB Biopharma S.P.R.L. (part of UCB S.A.) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

This study is designed to evaluate the efficacy, safety, and tolerability of USL261 compared with that of intranasal (IN) placebo for the treatment of intermittent bouts of increased seizure activity.

02

Conditions studied

  • Epilepsy

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Keywords

  • Epilepsy
  • seizure clusters
  • acute repetitive seizures
  • rescue treatment
03

In context

Epilepsy

1,842 studies on the registry are indexed under Epilepsy; 423 are open to participants now.

This study's enrollment of 62 is above the median of 50 across 1,228 interventional studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

UCB Biopharma S.P.R.L. is the lead sponsor of 48 studies on the registry; none are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 12 (80%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject has been admitted to the institution's EMU for seizure characterization or pre-surgical evaluation, or such admission is planned within 28 days
  • Subject body weight is ≥ 40 kg to ≤ 125 kg (inclusive)
  • Subject has an established diagnosis of partial or generalized epilepsy

Exclusion criteria

Exclusion Criteria:

  • Subject has history of status epilepticus in the 6 months prior to Screening
  • Subject has a progressive neurological disorder such as brain tumor, demyelinating disease, or degenerative central nervous system (CNS) disease that is likely to progress in the next 12 months
  • Subject has respiratory failure (or is at risk for respiratory failure) or other severe cardiorespiratory disease with New York Heart Association Class III or IV functional status, or requires supplemental oxygen
  • Subject has acute narrow-angle glaucoma
  • Subject is receiving chronic benzodiazepine treatment (defined as an average of ≥ 4 administrations per week) and cannot safely withdraw from such treatment within the washout period prior to treatment
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    USL261

    5 mg intranasal midazolam

    Drug: USL261

  • Placebo comparator
    Placebo

    intranasal placebo

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants That Were Seizure-free

    A participant was considered "seizure-free" if he or she completed the 6-hour Treatment Phase without seizures recorded, premature discontinuation of study drug, rescue intervention for acute central respiratory depression adverse event (AE), and alterations to background anti-epileptic drug (AED) therapy. Otherwise, the participant was included in the analysis for seizure-free events with the outcome of "seizure."

    Time frame: 6 hours

Secondary outcomes

  1. Time to First Seizure Following Treatment (TFSFT)

    Time to first seizure following treatment was defined as time from treatment with study drug to the onset of the next seizure, rescue intervention (for acute central respiratory depression AE) to maintain subject safety, alterations to background AED therapy, early termination, or 6 hours, whichever came first.

    Time frame: 6 hours

07

Results

Posted Nov 27, 2018

Participant flow

Participant flow — Overall Study
MilestoneUSL261Placebo
Started3131
Completed3131
Not completed00

Outcome measures

PrimaryNumber of Participants That Were Seizure-free

A participant was considered "seizure-free" if he or she completed the 6-hour Treatment Phase without seizures recorded, premature discontinuation of study drug, rescue intervention for acute central respiratory depression adverse event (AE), and alterations to background anti-epileptic drug (AED) therapy. Otherwise, the participant was included in the analysis for seizure-free events with the outcome of "seizure."

Time frame:
6 hours
Reported as:
Count of participants · Participants
Number of Participants That Were Seizure-free
ParticipantsUSL261Placebo
Number of Participants That Were Seizure-free1712
Statistical analysis
  • USL261 vs Placebo · Wald asymptotic · p = 0.1972P-value based on a standard Wald asymptotic test for equality without a continuity correction.
SecondaryTime to First Seizure Following Treatment (TFSFT)

Time to first seizure following treatment was defined as time from treatment with study drug to the onset of the next seizure, rescue intervention (for acute central respiratory depression AE) to maintain subject safety, alterations to background AED therapy, early termination, or 6 hours, whichever came first.

Time frame:
6 hours
Reported as:
Median · hours
Time to First Seizure Following Treatment (TFSFT)
hoursUSL261Placebo
Time to First Seizure Following Treatment (TFSFT)NA (4.0 to NA)3.9 (1.8 to NA)
Statistical analysis
  • USL261 vs Placebo · Log Rank · p = 0.1388

Adverse events

Collected over From informed consent until up to 48 hours of completion of the Treatment Phase. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
USL2610/31 (0%)0/31 (0%)16/31 (51.6%)
Placebo0/31 (0%)0/31 (0%)17/31 (54.8%)
Most frequent other events
Most frequent other events
EventUSL261Placebo
Product taste abnormalGeneral disorders2/316/31
HeadacheNervous system disorders1/315/31
Nasal discomfortRespiratory, thoracic and mediastinal disorders5/315/31
NauseaGastrointestinal disorders3/311/31
Throat irritationRespiratory, thoracic and mediastinal disorders3/313/31
RhinitisInfections and infestations0/312/31
Tongue injuryInjury, poisoning and procedural complications0/312/31
SomnolenceNervous system disorders2/310/31

Baseline characteristics

The Baseline Characteristics refers to the Safety Analysis Set which included all subjects who took at least 1 dose of study drug.

Age, Categorical
Age, Categorical(Participants)USL261PlaceboTotal
<=18 years224
Between 18 and 65 years292958
>=65 years000
Age, Continuous
Age, Continuous(years)USL261PlaceboTotal
Mean32.7 ± 12.9435.9 ± 13.5634.3 ± 13.24
Sex: Female, Male
Sex: Female, Male(Participants)USL261PlaceboTotal
Female182139
Male131023
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)USL261PlaceboTotal
Hispanic or Latino325
Not Hispanic or Latino282957
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)USL261PlaceboTotal
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American336
White262753
More than one race000
Unknown or Not Reported202
Region of Enrollment
Region of Enrollment(participants)USL261PlaceboTotal
Belgium101
United States222244
Czechia224
Lithuania325
Germany011
Spain347
08

Study locations

51 sites
  • Phoenix, Arizona, United States
  • Tucson, Arizona, United States
  • La Jolla, California, United States
  • Orange, California, United States
  • San Francisco, California, United States
  • Denver, Colorado, United States
  • Englewood, Colorado, United States
  • New Haven, Connecticut, United States
  • Tampa, Florida, United States
  • Augusta, Georgia, United States
  • Chicago, Illinois, United States
  • Winfield, Illinois, United States
  • Wichita, Kansas, United States
  • New Orleans, Louisiana, United States
  • Boston, Massachusetts, United States
  • Ann Arbor, Michigan, United States
  • Grand Rapids, Michigan, United States
  • Jackson, Mississippi, United States
  • St Louis, Missouri, United States
  • Lebanon, New Hampshire, United States
  • Edison, New Jersey, United States
  • Brooklyn, New York, United States
  • Rochester, New York, United States
  • Chapel Hill, North Carolina, United States
  • Durham, North Carolina, United States
  • Winston-Salem, North Carolina, United States
  • Columbus, Ohio, United States
  • Oklahoma City, Oklahoma, United States
  • Portland, Oregon, United States
  • Hershey, Pennsylvania, United States
  • Philadelphia, Pennsylvania, United States
  • Memphis, Tennessee, United States
  • Nashville, Tennessee, United States
  • Dallas, Texas, United States
  • San Antonio, Texas, United States
  • Temple, Texas, United States
  • Madison, Wisconsin, United States
  • Melbourne, Victoria, Australia
  • Linz, Austria
  • Brussels, Belgium
  • Ghent, Belgium
  • Leuven, Belgium
  • Brno, Czechia
  • Prague, Czechia
  • Bonn, Germany
  • Kork, Germany
  • Tübingen, Germany
  • Vilnius, Lithuania
  • Barcelona, Spain
  • Madrid, Spain
  • Valencia, Spain
09

References and documents

Publications

  • Spencer DC, Sinha SR, Choi EJ, Cleveland JM, King A, Meng TC, Pullman WE, Sequeira DJ, Van Ess PJ, Wheless JW. Safety and efficacy of midazolam nasal spray for the treatment of intermittent bouts of increased seizure activity in the epilepsy monitoring unit: A double-blind, randomized, placebo-controlled trial. Epilepsia. 2020 Nov;61(11):2415-2425. doi: 10.1111/epi.16704. Epub 2020 Nov 2. PubMed 33140403 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01999777
Responsible party
Sponsor
First posted
Dec 3, 2013
Start date
Nov 2013
Primary completion
Aug 2015
Completion
Aug 2015
Results posted
Nov 27, 2018
Last update
Oct 10, 2019

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Midazolam

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