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CompletedNCT02172742Updated Apr 6, 2025Results posted

The Effect of BIA 2-093 on the Steady-state Pharmacokinetics of Digoxin

A Phase 1 interventional study of BIA 2-093 and Placebo in Epilepsy, sponsored by Bial - Portela C S.A.. Completed at 1 site in Portugal. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-06.

Sponsored by Bial - Portela C S.A. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The purpose of this study is to investigate the effects of multiple-dose administration of BIA 2-093 on the steady-state pharmacokinetics of digoxin in healthy subjects.

Read the detailed description

Single centre, multiple-dose, double-blind, randomised, placebo-controlled, two-way crossover study in 12 healthy volunteers. The study consisted of two 8-day treatment periods separated by a washout of 10 or more days. During each of the treatment periods the volunteers received either a daily oral dose of BIA 2-093 1200 mg once-daily (od) or matching placebo, concomitantly with a dose of digoxin (days 1 and 2: loading dose of 0.5 mg/day; days 3 to 8: 0.25 mg/day).

02

Conditions studied

  • Epilepsy

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Keywords

  • Eslicarbazepine acetate
  • BIA 2-093
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 13 is below the median of 50 across 1,206 interventional studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

Bial - Portela C S.A. is the lead sponsor of 133 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or female subjects aged between 18 and 45 years, inclusive.
  • Subjects of body mass index (BMI) between 19 and 28 kg/m2, inclusive.
  • Subjects who were healthy as determined by pre-study medical history, physical examination, neurological examination, and 12-lead ECG.
  • Subjects who had clinical laboratory tests clinically acceptable.
  • Subjects who were negative for HBs Ag, anti-HCV Ab and anti-HIV-1 and HIV-2 Ab tests at screening.
  • Subjects who were negative for alcohol and drugs of abuse at screening.
  • Subjects who were non-smokers or who smoked less than 10 cigarettes or equivalent per day.
  • Subjects who were able and willing to give written informed consent.
  • In case of female volunteers, subjects who were not of childbearing potential by reason of surgery or, if of childbearing potential, used one of the following methods of contraception: double-barrier or intrauterine device.
  • In case of female volunteers, subjects who had a negative pregnancy test at screening.

Exclusion criteria

Exclusion Criteria:

  • Subjects who did not conform to the above inclusion criteria.
  • Subjects who had a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders.
  • Subjects who had a clinically relevant surgical history.
  • Subjects who had a clinically relevant family history.
  • Subjects who had a history of relevant atopy.
  • Subjects who had a history of relevant drug hypersensitivity.
  • Subjects who had a history of alcoholism or drug abuse.
  • Subjects who consumed more than 14 units of alcohol a week.
  • Subjects who had any of the following findings on the ECG: QTc interval >440 msec; first-, second- or third-degree atrioventricular block; atrial fibrillation; heart rate below 50 bpm; any other relevant abnormality.
  • Subjects who had a significant infection or known inflammatory process on screening and/or admission.
  • Subjects who had acute gastrointestinal symptoms at the time of screening and/or admission (e.g., nausea, vomiting, diarrhoea, heartburn).
  • Subjects who had used prescription drugs within 4 weeks of first dosing.
  • Subjects who had used over the counter medication excluding oral routine vitamins but including mega dose vitamin therapy within one week of first dosing.
  • Subjects who had used any investigational drug and/or participated in any clinical trial within 2 months of their first admission.
  • Subjects who had previously received BIA 2-093.
  • Subjects who had donated and/or received any blood or blood products within the previous 2 months prior to screening.
  • Subjects who were vegetarians, vegans and/or had medical dietary restrictions.
  • Subjects who could not communicate reliably with the investigator.
  • Subjects who were unlikely to co-operate with the requirements of the study.
  • Subjects who were unwilling or unable to give written informed consent.
  • In case of female volunteers, subjects who were pregnant or breast-feeding.
  • In case of female volunteers, subjects who were of childbearing potential and did not use an authorized effective contraceptive method.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    BIA 2-093

    BIA 2-093 1200 mg (2 tablets 600 mg) ESL, Eslicarbazepine acetate Concomitantly with a dose of digoxin (days 1 and 2: loading dose of 0.5 mg/day; days 3 to 8: 0.25 mg/day).

    Drug: BIA 2-093 · Drug: Digoxin

  • Placebo comparator
    Placebo

    Placebo (2 tablets matching BIA 2-093 600 mg tablets) PLC, Placebo Concomitantly with a dose of digoxin (days 1 and 2: loading dose of 0.5 mg/day; days 3 to 8: 0.25 mg/day).

    Drug: Placebo · Drug: Digoxin

Interventions

  • DrugBIA 2-093

    BIA 2-093 1200 mg once-daily

    Also known as: ESL, Eslicarbazepine acetate

  • DrugPlacebo

    matching placebo

    Also known as: PLC, Placebo

  • DrugDigoxin

    Digoxin (days 1 and 2: loading dose of 0.5 mg/day; days 3 to 8: 0.25 mg/day).

    Also known as: Lanoxin™

06

What researchers measure

Primary outcomes

  1. Cmax - Maximum Steady-state Plasma Concentration

    Cmax - Maximum steady-state plasma concentration of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

    Time frame: Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose

Secondary outcomes

  1. Tmax - Time of Occurrence of Cmax at Steady-state

    Time of Occurrence of Cmax Maximum steady-state plasma concentration of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

    Time frame: Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose

  2. AUCτ - Steady-state Area Under the Plasma Concentration-time Profile Over 24 h

    Steady-state Area Under the Plasma Concentration-time Profile Over 24 h of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

    Time frame: Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose

07

Results

Posted Dec 31, 2014

Participant flow

Participant flow — Overall Study
MilestoneBIA 2-093 + PlaceboPlacebo + BIA 2-093
Started76
Completed66
Not completed10

Outcome measures

PrimaryCmax - Maximum Steady-state Plasma Concentration

Cmax - Maximum steady-state plasma concentration of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

Time frame:
Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose
Reported as:
Mean · ng/mL
Cmax - Maximum Steady-state Plasma Concentration
ng/mLBIA 2-093 + Placebo
Cmax (BIA 2-005)27571 ± 8252
Cmax (Digoxin) (Digoxin+Placebo)2,350 ± 1,034
Cmax (Digoxin) (Digoxin+BIA 2-093)1,909 ± 0,596
SecondaryTmax - Time of Occurrence of Cmax at Steady-state

Time of Occurrence of Cmax Maximum steady-state plasma concentration of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

Time frame:
Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose
Reported as:
Median · hours
Tmax - Time of Occurrence of Cmax at Steady-state
hoursBIA 2-093 + Placebo
tmax (BIA 2-005)2 (1 to 6)
tmax (Digoxin) (Digoxin+placebo)1 (0.5 to 2)
tmax (Digoxin) (Digoxin+BIA 2-093)1 (0.5 to 4)
SecondaryAUCτ - Steady-state Area Under the Plasma Concentration-time Profile Over 24 h

Steady-state Area Under the Plasma Concentration-time Profile Over 24 h of BIA 2-005 (BIA 2-093 metabolite) and Digoxin

Time frame:
Day 6 and Day 7: pre-dose; Day 8: pre-dose, ½, 1, 2, 3, 4, 6, 8, 12, 18, and 24 hours post-dose
Reported as:
Mean · ng*h/mL
AUCτ - Steady-state Area Under the Plasma Concentration-time Profile Over 24 h
ng*h/mLBIA 2-093 + Placebo
AUCτ (BIA 2-005)370297 ± 79388
AUCτ (Digoxin) (Digoxin+Placebo)17607 ± 5599
AUCτ (Digoxin) (Digoxin+BIA 2-093)16595 ± 3801

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BIA 2-093+Digoxin—1/13 (7.7%)10/13 (76.9%)
Placebo+Digoxin—0/13 (0%)6/13 (46.2%)
Most frequent serious events
Most frequent serious events
EventBIA 2-093+DigoxinPlacebo+Digoxin
HypertensionCardiac disorders1/130/13
Most frequent other events
Showing 10 of 21
Most frequent other events
EventBIA 2-093+DigoxinPlacebo+Digoxin
Mental impairmentNervous system disorders4/131/13
HeadacheNervous system disorders3/130/13
SomnolenceNervous system disorders3/130/13
DizzinessNervous system disorders2/130/13
Taste bitterNervous system disorders2/130/13
Tension headacheNervous system disorders1/132/13
LipothymiaNervous system disorders0/131/13
Syncope vasovagalNervous system disorders1/130/13
Vasovagal reactionNervous system disorders1/130/13
Axillary painGeneral disorders0/131/13

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BIA 2-093 + PlaceboPlacebo + BIA 2-093Total
<=18 years000
Between 18 and 65 years7613
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)BIA 2-093 + PlaceboPlacebo + BIA 2-093Total
Female527
Male246
08

Study locations

1 site
  • Human Pharmacology Unit (UFH)Section of Clinical Research (SIC), Department of Research & Development (DID), BIAL - Portela & Cª, SA,
    Trofa, Coronado (S.Romão E S. Mamede), Portugal
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02172742
Lead sponsor
Bial - Portela C S.A.
Responsible party
Sponsor
First posted
Jun 24, 2014
Start date
May 2002
Primary completion
Jul 2002
Completion
Jul 25, 2002
Results posted
Dec 31, 2014
Last update
Apr 6, 2025

Study contacts

Manuel Vaz da Silva, MD, PhD
study director · Human Pharmacology Unit / BIAL - Portela & Ca, S.A.

Oversight

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

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