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
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
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.
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 →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.
Exclusion Criteria:
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.
normal renal function (creatinine clearance \> 80 mL/min)
Drug: BIA 2-093
mild renal impairment (creatinine clearance 50-80 mL/min)
Drug: BIA 2-093
moderate renal impairment (creatinine clearance 30-50 mL/min)
Drug: BIA 2-093
severe renal impairment (creatinine clearance \<30 mL/min)
Drug: BIA 2-093
end stage renal disease, requiring haemodialysis (ESRD)
Drug: BIA 2-093
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.
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.
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.
| Milestone | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease |
|---|---|---|---|---|---|
| Started | 8 | 8 | 8 | 8 | 8 |
| Completed | 8 | 8 | 8 | 8 | 8 |
| Not completed | 0 | 0 | 0 | 0 | 0 |
BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites
| ng/mL | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease |
|---|---|---|---|---|---|
| Cmax (BIA 2-194) | 14286.790 ± 2988.340 | 18677.265 ± 4381.474 | 15055.632 ± 2513.170 | 14974.79 ± 4313.90 | 14510.197 ± 2149.176 |
| Cmax (BIA 2-195) | 211.076 ± 61.0200 | 348.843 ± 69.739 | 410.828 ± 68.663 | 465.928 ± 201.988 | 359.798 ± 119.819 |
| Cmax (Oxcarbazepine) | 138.339 ± 32.271 | 172.293 ± 43.431 | 157.629 ± 35.224 | 157.955 ± 61.354 | 208.473 ± 40.912 |
BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites Cmax - maximum observed plasma drug concentration
| hours | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease |
|---|---|---|---|---|---|
| Tmax (BIA 2-194) | 1.121 ± 0.530 | 1.327 ± 1.004 | 2.609 ± 2.504 | 2.680 ± 2.642 | 1.633 ± 1.069 |
| Tmax (BIA 2-195) | 22.008 ± 4.2430 | 20.185 ± 5.557 | 26.172 ± 8.485 | 33.947 ± 12.824 | 10.773 ± 1.553 |
| Tmax (Oxcarbazepine) | 2.396 ± 0.773 | 2.581 ± 0.681 | 3.970 ± 2.397 | 4.787 ± 3.172 | 4.260 ± 2.254 |
BIA 2-194; BIA 2-195; Oxcarbazepine are BIA 2-093 metabolites AUC - area under the plasma concentration versus time curve
| ng*h/mL | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease |
|---|---|---|---|---|---|
| AUC(0-12h) (BIA 2-194) | 105275.733 ± 21516.315 | 150945.034 ± 24049.320 | 138473.115 ± 19998.869 | 138262.814 ± 43286.475 | 134757.936 ± 18609.384 |
| AUC(0-12h) (BIA 2-195) | 1522.370 ± 427.4400 | 2435.245 ± 681.175 | 2025.731 ± 419.930 | 2157.860 ± 1092.304 | 2690.584 ± 731.793 |
| AUC(0-12h) (Oxcarbazepine) | 1218.276 ± 279.550 | 1388.146 ± 316.857 | 1460.113 ± 351.507 | 1496.463 ± 653.928 | 1832.298 ± 338.896 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 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%) |
| Event | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease |
|---|---|---|---|---|---|
| HEADACHENervous system disorders | 5/8 | 3/8 | 2/8 | 1/8 | 1/8 |
| SOMNOLENCENervous system disorders | 1/8 | 3/8 | 0/8 | 1/8 | 0/8 |
| UPPER RESPIRATORY TRACT INFECTIONInfections and infestations | 0/8 | 0/8 | 2/8 | 1/8 | 0/8 |
| DIZZINESSNervous system disorders | 0/8 | 1/8 | 0/8 | 0/8 | 0/8 |
| BACTERIAL INFECTIONInfections and infestations | 0/8 | 0/8 | 0/8 | 0/8 | 1/8 |
| URINARY TRACT INFECTIONInfections and infestations | 0/8 | 1/8 | 0/8 | 0/8 | 0/8 |
| VOMITINGGastrointestinal disorders | 0/8 | 0/8 | 0/8 | 1/8 | 1/8 |
| NAUSEAGastrointestinal disorders | 1/8 | 0/8 | 0/8 | 0/8 | 0/8 |
| FATIGUEGeneral disorders | 1/8 | 0/8 | 0/8 | 0/8 | 0/8 |
| GOUTMetabolism and nutrition disorders | 0/8 | 0/8 | 1/8 | 0/8 | 0/8 |
| Age, Categorical(Participants) | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease | Total |
|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 8 | 7 | 7 | 8 | 8 | 38 |
| >=65 years | 0 | 1 | 1 | 0 | 0 | 2 |
| Sex: Female, Male(Participants) | Group 1 Normal Renal Function | Group 2 Mild Renal Impairment | Group 3 Moderate Renal Impairment | Group 4 Severe Renal Impairment | Group 5 End Stage Renal Disease | Total |
|---|---|---|---|---|---|---|
| Female | 1 | 7 | 2 | 1 | 3 | 14 |
| Male | 7 | 1 | 6 | 7 | 5 | 26 |
This study is completed, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Bial - Portela C S.A.