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CompletedNCT02281422Updated Dec 31, 2014Results posted

An Open-label, Single-dose, Single-centre Study, Investigating the Pharmacokinetics of BIA 2-093

A Phase 1 interventional study of BIA 2-093 in Epilepsy, sponsored by Bial - Portela C S.A.. Completed at 1 site in South Africa. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-12-31.

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

Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Open-label, single-dose (BIA 2-093 800 mg tablet), single-centre study in five groups of subjects with various degrees of renal function based on creatinine clearance

Read the detailed description

This was an open-label, single-dose (BIA 2-093 800 mg tablet), single-centre study in five groups of subjects with various degrees of renal function based on creatinine clearance (stages of renal function according to the Food and Drug Administration and the European Agency for the Evaluation of Medicinal Products Guidelines) for the evaluation of pharmacokinetics in patients with impaired renal function.

The trial commenced with Groups 1 and 2. An interim safety evaluation was conducted and, as there were no safety concerns, the trial continued with Groups 3 and 4. After another interim safety evaluation with the data from Groups 3 and 4, the trial commenced with Group 5.

02

Conditions studied

  • Epilepsy

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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 40 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 and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Males and females at least 18 years of age, with body mass not less than 50 kg.
  • Female subjects had to be post-menopausal, surgically sterilized or using a reliable method of contraception.
  • Subjects suffering from a chronic illness, other than hepatic impairment, had to have a stable condition, regarded by the investigator as unlikely to influence the outcome of the study.
  • Renal failure, the extent of which, as measured by the creatinine clearance, resulted in recruitment to one of five renal function groups.
  • Medical records indicating a stable serum creatinine (variation of not more than 30%), for at least 3 months prior to the screening visit (Groups 2 to 4 only), as determined by the clinical investigator. The sérum creatinine had to be stable to allow for an accurate determination of the creatinine clearance and therefore allowed for correct allocation to one of the renal function groups. Subjects who were recruited into Group 1 had normal renal function.

Exclusion criteria

Exclusion Criteria:

  • The receipt of any investigational drug within 30 days prior to this study.
  • Clinically significant abnormal findings (as judged by the investigator) for the following parameters, except those consistent with findings in renal failure: haematology, biochemistry, clotting profile, urinalysis, vital signs or ECG screening tests.
  • A history or laboratory evidence of hepatic impairment and/or disease. Owing to the metabolic pathway of BIA 2-093, any degree of hepatic impairment would have had a confounding effect on the PK analysis.
  • Positive test for HIV-1 or HIV-2 Antibodies, Hepatitis B surface antigen and Hepatitis C Antibodies.

HIV positive patients, and patients with Hepatitis B and C, generally have a below average, and in some cases a markedly decreased, level of health owing to the nature of the respective infections and the natural course of the diseases, both of which are often complicated by an array of opportunistic illnesses. Their ill health would have been further worsened by the fact that the patients are invarious degrees of renal failure, which has its own, often debilitating, complications. If patients with HIV or Hepatitis B or C were included in the study, this could have led to statistical confusion when assessing the safety and tolerability parameters. This is because events reported by the patients, which may be a part of the spectrum of complaints in HIV positive patients and Hepatitis B and C patients, would have confounded the safety and tolerability analysis. Furthermore, Hepatitis B and C, which may cause an element of hepatic impairment, would have confounded the PK analysis due to the metabolic pathway of BIA 2-093. In addition, by administering the study medication to these subjects, any adverse events that might have occurred would have added to the discomfort of the patient.

  • A history of any illness that, in the opinion of the Investigator and/or Sponsor, might have confounded the results.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Other
    Group 1 normal renal function

    normal renal function (creatinine clearance \> 80 mL/min)

    Drug: BIA 2-093

  • Other
    Group 2 mild renal impairment

    mild renal impairment (creatinine clearance 50-80 mL/min)

    Drug: BIA 2-093

  • Other
    Group 3 moderate renal impairment

    moderate renal impairment (creatinine clearance 30-50 mL/min)

    Drug: BIA 2-093

  • Other
    Group 4 severe renal impairment

    severe renal impairment (creatinine clearance \<30 mL/min)

    Drug: BIA 2-093

  • Other
    Group 5 end stage renal disease

    end stage renal disease, requiring haemodialysis (ESRD)

    Drug: BIA 2-093

Interventions

  • DrugBIA 2-093
06

What researchers measure

Primary outcomes

  1. Cmax - Peak Plasma Concentration

    BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites

    Time frame: pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.

  2. AUC(0-12h) - AUC From Time Zero to 12h

    BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites AUC - area under the plasma concentration versus time curve

    Time frame: pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.

Secondary outcomes

  1. Tmax (hr) - Time at Which Cmax Occurred

    BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites Cmax - maximum observed plasma drug concentration

    Time frame: pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.

07

Results

Posted Dec 31, 2014

Participant flow

Participant flow — Overall Study
MilestoneGroup 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal Disease
Started88888
Completed88888
Not completed00000

Outcome measures

PrimaryCmax - Peak Plasma Concentration

BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites

Time frame:
pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.
Reported as:
Mean · ng/mL
Cmax - Peak Plasma Concentration
ng/mLGroup 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal Disease
Cmax (BIA 2-194)14286.790 ± 2988.34018677.265 ± 4381.47415055.632 ± 2513.17014974.79 ± 4313.9014510.197 ± 2149.176
Cmax (BIA 2-195)211.076 ± 61.0200348.843 ± 69.739410.828 ± 68.663465.928 ± 201.988359.798 ± 119.819
Cmax (Oxcarbazepine)138.339 ± 32.271172.293 ± 43.431157.629 ± 35.224157.955 ± 61.354208.473 ± 40.912
SecondaryTmax (hr) - Time at Which Cmax Occurred

BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites Cmax - maximum observed plasma drug concentration

Time frame:
pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.
Reported as:
Mean · hours
Tmax (hr) - Time at Which Cmax Occurred
hoursGroup 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal Disease
Tmax (BIA 2-194)1.121 ± 0.5301.327 ± 1.0042.609 ± 2.5042.680 ± 2.6421.633 ± 1.069
Tmax (BIA 2-195)22.008 ± 4.243020.185 ± 5.55726.172 ± 8.48533.947 ± 12.82410.773 ± 1.553
Tmax (Oxcarbazepine)2.396 ± 0.7732.581 ± 0.6813.970 ± 2.3974.787 ± 3.1724.260 ± 2.254
PrimaryAUC(0-12h) - AUC From Time Zero to 12h

BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites AUC - area under the plasma concentration versus time curve

Time frame:
pre-dose and 1, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 5, 7, 9, 12, 24, 48, 72 and 96 hours post-dose.
Reported as:
Mean · ng*h/mL
AUC(0-12h) - AUC From Time Zero to 12h
ng*h/mLGroup 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal Disease
AUC(0-12h) (BIA 2-194)105275.733 ± 21516.315150945.034 ± 24049.320138473.115 ± 19998.869138262.814 ± 43286.475134757.936 ± 18609.384
AUC(0-12h) (BIA 2-195)1522.370 ± 427.44002435.245 ± 681.1752025.731 ± 419.9302157.860 ± 1092.3042690.584 ± 731.793
AUC(0-12h) (Oxcarbazepine)1218.276 ± 279.5501388.146 ± 316.8571460.113 ± 351.5071496.463 ± 653.9281832.298 ± 338.896

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Group 1 Normal Renal Function—0/8 (0%)5/8 (62.5%)
Group 2 Mild Renal Impairment—0/8 (0%)6/8 (75%)
Group 3 Moderate Renal Impairment—0/8 (0%)5/8 (62.5%)
Group 4 Severe Renal Impairment—0/8 (0%)4/8 (50%)
Group 5 End Stage Renal Disease—0/8 (0%)3/8 (37.5%)
Most frequent other events
Showing 10 of 12
Most frequent other events
EventGroup 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal Disease
HEADACHENervous system disorders5/83/82/81/81/8
SOMNOLENCENervous system disorders1/83/80/81/80/8
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations0/80/82/81/80/8
DIZZINESSNervous system disorders0/81/80/80/80/8
BACTERIAL INFECTIONInfections and infestations0/80/80/80/81/8
URINARY TRACT INFECTIONInfections and infestations0/81/80/80/80/8
VOMITINGGastrointestinal disorders0/80/80/81/81/8
NAUSEAGastrointestinal disorders1/80/80/80/80/8
FATIGUEGeneral disorders1/80/80/80/80/8
GOUTMetabolism and nutrition disorders0/80/81/80/80/8

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal DiseaseTotal
<=18 years000000
Between 18 and 65 years8778838
>=65 years011002
Sex: Female, Male
Sex: Female, Male(Participants)Group 1 Normal Renal FunctionGroup 2 Mild Renal ImpairmentGroup 3 Moderate Renal ImpairmentGroup 4 Severe Renal ImpairmentGroup 5 End Stage Renal DiseaseTotal
Female1721314
Male7167526
08

Study locations

1 site
  • Farmovs-Parexel
    Bloemfontein, 9301, South Africa
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 31, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02281422
Lead sponsor
Bial - Portela C S.A.
Responsible party
Sponsor
First posted
Nov 2, 2014
Start date
Mar 2005
Primary completion
Jun 2006
Completion
Jun 2006
Results posted
Dec 31, 2014
Last update
Dec 31, 2014

Oversight

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

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