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CompletedNCT02284854Updated Jan 8, 2015Results posted

Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine

A Phase 1 interventional study of BIA 2-093 and Carbamazepine in Epilepsy, sponsored by Bial - Portela C S.A.. Completed. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-01-08.

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

Phase
Phase 1
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

Open-label study in two parallel groups of 20 healthy subjects each. Group A assessed the effect of CBZ on ESL pharmacokinetics, and Group B assessed the effect of ESL on CBZ pharmacokinetics.

Read the detailed description

Open-label study in two parallel groups of 20 healthy subjects each. Group A assessed the effect of CBZ on ESL pharmacokinetics, and Group B assessed the effect of ESL on CBZ pharmacokinetics. Each patient participated in the study for approximately 9 weeks. The clinical portion of the study was completed in approximately 3 months. Subjects received the treatments during 35 days.

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 43 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 and female subjects aged 18 to 45 years inclusive;
  • Body mass index (BMI) between 18 and 30 kg/m2 inclusive;
  • Healthy as determined by pre-study medical history, physical examination, vital signs, and 12-lead electrocardiogram (ECG); negative tests for Hepatitis B surface Antigen (HBsAg), anti-HCVAb and Human Immunodeficiency Virus (HIV)-1 and HIV-2 Ab at screening;
  • Clinical laboratory test results clinically acceptable at screening and admission to each treatment period;
  • Negative screen for alcohol and drugs of abuse at screening and admission to each treatment period;
  • Non-smokers or ex-smokers;
  • Able and willing to give written informed consent;
  • If female, not of childbearing potential by reason of surgery or, if of childbearing potential, she used a double-barrier method of contraception: 1 male barrier method [male condom] plus 1 female barrier method (diaphragm, spermicide, or intrauterine device);
  • If female, had a negative urine pregnancy test at screening and admission to each treatment period.

Exclusion criteria

Exclusion Criteria:

  • 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; have a clinically relevant surgical history;
  • History of relevant atopy or any drug hypersensitivity (including known hypersensitivity to ESL or other carboxamide derivatives [e.g., carbamazepine, oxcarbazepine] or any of its excipients; known hypersensitivity to drugs structurally related to carbamazepine [e.g.: tricyclic antidepressants] or any of its excipients);
  • Second or third-degree atrioventricular blockade not corrected with a pace-maker or any other clinically significant abnormality in the 12-lead ECG as determined by the investigator;
  • History of alcoholism or drug abuse;
  • Consumed more than 14 units1 of alcohol a week;
  • Significant infection or known inflammatory process on screening or admission to each treatment period;
  • Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period;
  • Use of medicines within two weeks of admission to first period that may affect the safety or other study assessments, in the investigator's opinion;
  • Had donated or received any blood or blood products within the 3 months prior to screening;
  • Vegetarians, vegans or have other medical dietary restrictions;
  • Could not communicate reliably with the investigator; was unlikely to co-operate with the requirements of the study;
  • Unwilling or unable to give written informed consent;
  • If female, was pregnant or breast-feeding;
  • If female, was of childbearing potential and did not use an accepted effective contraceptive method or used hormonal contraceptives;
  • Had received an investigational drug within 3 months of screening or was currently participating in another study.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Group A

    Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily

    Drug: BIA 2-093 · Drug: Carbamazepine

  • Experimental
    Group B

    Day 1 to Day 8 - CBZ 200 mg Day 9 to Day 14 - CBZ 400 mg Day 15 to Day 29 - CBZ 400 mg twice-daily Day 30 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily

    Drug: BIA 2-093 · Drug: Carbamazepine

Interventions

  • DrugBIA 2-093

    Also known as: Eslicarbazepine acetate, ESL

  • DrugCarbamazepine

    Also known as: CBZ

06

What researchers measure

Primary outcomes

  1. Cmax (BIA 2-093) - the Maximum Plasma Concentration

    Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

    Time frame: Day 7 to 35

  2. Cmax (CBZ) - the Maximum Plasma Concentration

    Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

    Time frame: Day 28 to 35

  3. Cmax (CBZE) - the Maximum Plasma Concentration

    Reference - Day 28 following twice-daily oral administration of CBZ 400 mg twice-daily Test - Day 35 following twice-daily oral administration of CBZ 400 mg twice-daily CBZE - carbamazepine-epoxide is the active metabolite of CBZ

    Time frame: Day 28 to 35

  4. AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093

    Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

    Time frame: Day 7 to 35

  5. AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ

    Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

    Time frame: Day 28 to 35

  6. AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE

    Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg CBZE - carbamazepine-epoxide is the active metabolite of CBZ

    Time frame: Day 28 to 35

07

Results

Posted Jan 8, 2015

Participant flow

Participant flow — Overall Study
MilestoneGroup AGroup B
Started2320
Completed1820
Not completed50

Outcome measures

PrimaryCmax (BIA 2-093) - the Maximum Plasma Concentration

Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

Time frame:
Day 7 to 35
Reported as:
Mean · ng/mL
Cmax (BIA 2-093) - the Maximum Plasma Concentration
ng/mLGroup A
Cmax ESL (D7 ESL 800mg)18601 ± 3164
Cmax ESL (D35 ESL 800mg)14591 ± 1800
PrimaryCmax (CBZ) - the Maximum Plasma Concentration

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

Time frame:
Day 28 to 35
Reported as:
Mean · ng/mL
Cmax (CBZ) - the Maximum Plasma Concentration
ng/mLGroup B
Cmax CBZ (D28 CBZ 400 mg twice-daily)10414 ± 1896
Cmax CBZ (D35 CBZ 400 mg twice-daily)9719 ± 2019
PrimaryCmax (CBZE) - the Maximum Plasma Concentration

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg twice-daily Test - Day 35 following twice-daily oral administration of CBZ 400 mg twice-daily CBZE - carbamazepine-epoxide is the active metabolite of CBZ

Time frame:
Day 28 to 35
Reported as:
Mean · ng/mL
Cmax (CBZE) - the Maximum Plasma Concentration
ng/mLGroup B
Cmax CBZE (D28 CBZ 400 mg twice-daily)1562 ± 429
Cmax CBZE (D35 CBZ 400 mg twice-daily)1560 ± 332
PrimaryAUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093

Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg

Time frame:
Day 7 to 35
Reported as:
Mean · ng*h/mL
AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093
ng*h/mLGroup A
AUC0-t ESL (D7 ESL 800mg)276836 ± 43062
AUC0-t ESL (D35 ESL 800mg)188648 ± 23897
PrimaryAUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg

Time frame:
Day 28 to 35
Reported as:
Mean · ng*h/mL
AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ
ng*h/mLGroup B
AUC0-t CBZ (D28 CBZ 400 mg twice-daily)104494 ± 16344
AUC0-t CBZ (D35 CBZ 400 mg twice-daily)94394 ± 17230
PrimaryAUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE

Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg CBZE - carbamazepine-epoxide is the active metabolite of CBZ

Time frame:
Day 28 to 35
Reported as:
Mean · ng*h/mL
AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE
ng*h/mLGroup B
AUC0-t CBZE (D28 CBZ 400 mg twice-daily)15322 ± 3857
AUC0-t CBZE (D35 CBZ 400 mg twice-daily)14953 ± 3121

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
CBZ 200 mg—0/20 (0%)11/20 (55%)
CBZ 400 mg—0/20 (0%)9/20 (45%)
CBZ 400 mg Twice-daily—0/20 (0%)12/20 (60%)
ESL 800 mg + CBZ 400 mg Twice-daily—0/39 (0%)21/39 (53.8%)
ESL 800 mg—0/23 (0%)14/23 (60.9%)
ESL 800 mg + CBZ 200 mg—0/21 (0%)10/21 (47.6%)
ESL 800 mg + CBZ 400 mg—0/19 (0%)10/19 (52.6%)
Before Treatment—0/43 (0%)0/43 (0%)
After Treatment—0/38 (0%)4/38 (10.5%)
Most frequent other events
Showing 10 of 51
Most frequent other events
EventCBZ 200 mgCBZ 400 mgCBZ 400 mg Twice-dailyESL 800 mg + CBZ 400 mg Twice-dailyESL 800 mgESL 800 mg + CBZ 200 mgESL 800 mg + CBZ 400 mgBefore TreatmentAfter Treatment
AstheniaGeneral disorders3/204/207/205/397/233/210/190/430/38
HeadacheNervous system disorders5/202/203/209/394/231/212/190/432/38
SomnolenceNervous system disorders4/201/205/205/394/230/210/190/430/38
DizzinessNervous system disorders3/200/204/208/390/234/210/190/430/38
LymphadenopathyBlood and lymphatic system disorders0/201/200/200/390/230/213/190/430/38
DystoniaNervous system disorders0/200/201/205/390/230/210/190/430/38
Abdominal painGastrointestinal disorders1/200/201/202/390/230/212/190/431/38
NauseaGastrointestinal disorders1/201/201/203/392/230/212/190/430/38
RhinitisInfections and infestations0/201/202/201/390/231/211/190/430/38
ParaesthesiaNervous system disorders1/200/202/201/390/230/210/190/430/38

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group AGroup BTotal
<=18 years000
Between 18 and 65 years232043
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Group AGroup BTotal
Female10717
Male131326
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02284854
Lead sponsor
Bial - Portela C S.A.
Responsible party
Sponsor
First posted
Nov 6, 2014
Start date
Jul 2009
Primary completion
Nov 2009
Completion
Nov 2009
Results posted
Jan 8, 2015
Last update
Jan 8, 2015

Oversight

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

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This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.

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