CClinicalTrials.gg
CompletedNCT04252846Updated Feb 9, 2023

A Study to Investigate Dosage, Effectiveness, and Safety of Perampanel When Used as First Add-on Therapy in Participants >=12 Years With Partial Onset Seizures With or Without Secondary Generalization or With Primary Generalized Tonic-Clonic Seizures Associated With Idiopathic Generalized Epilepsy

An observational study in Idiopathic Generalized Epilepsy, Partial Onset Seizures and Generalised Tonic-Clonic Seizures, sponsored by Eisai Limited. Completed at 36 sites in 7 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2023-02-09.

Sponsored by Eisai Limited · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
191
Ages
12 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to assess the retention rate of perampanel as a reliable proxy for overall effectiveness and tolerability in participants aged at least 12 years who are prescribed perampanel (for partial onset seizures [POS] with or without secondary generalization [SG] or for primary generalized tonic-clonic seizures [PGTCS] associated with idiopathic generalized epilepsy [IGE] as first adjunctive to antiepileptic drug (AED) monotherapy as part of their routine clinical care.

02

Conditions studied

  • Idiopathic Generalized Epilepsy
  • Partial Onset Seizures
  • Generalised Tonic-Clonic Seizures

Keywords

  • Perampanel
  • Fycompa
  • Epilepsy
  • Seizures
  • Prospective
03

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Approximately 300 participants with diagnosis of epilepsy (POS with or without SG or PGTCS associated with IGE)

Inclusion criteria

  1. Diagnosis of epilepsy
  2. History of POS with or without SG or PGTCS associated with IGE
  3. Documented POS with or without SG or PGTCS associated with IGE, within the past 12 months
  4. Previously treated with 1 or 2 AEDs as monotherapy
  5. At least 4 weeks' seizure diary data, or sufficient clinical detail to calculate baseline seizure frequency

Exclusion criteria

Exclusion Criteria:

  1. Episode(s) of status epilepticus within the past 6 months before Screening
  2. Previously treated with 2 or more AEDs in combination (other than during cross-titration between AED monotherapies)
  3. Previous or current use of perampanel

    Note: Retrospective inclusions will be allowed but only if the time between the initiation of perampanel treatment and the inclusion does not exceed 7 calendar days

  4. Hypersensitivity to perampanel or any of the excipients
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
191 participants (actual)
Patient registry
No

Groups and cohorts

  • Perampanel

    Participants with a diagnosis of epilepsy (POS with or without SG or PGTCS associated with IGE) will initiate treatment with perampanel as first adjunctive treatment as per the clinical judgment of the treating physician as part of routine clinical care. All participants will be observed prospectively for up to 12 months after initiation of perampanel treatment.

    Drug: Perampanel

Interventions

  • DrugPerampanel

    Perampanel oral tablets or oral suspension.

    Also known as: Fycompa

05

What researchers measure

Primary outcomes

  1. Retention Rate at Month 12

    Retention rate at 12 months is defined as the percentage of participants remaining on perampanel at 12 months.

    Time frame: Month 12

Secondary outcomes

  1. Retention Rate at Month 6

    Retention rate at 6 months is defined as the percentage of participants remaining on perampanel at 6 months.

    Time frame: Month 6

  2. Pragmatic Seizure-free Rate at Months 6 and 12

    Pragmatic seizure-free rate is defined as the percentage of participants (based on all study participants) who are free of all seizures at 6 months (and for the previous 3 months) and at 12 months (and for the previous 6 months).

    Time frame: Months 6 and 12

  3. Completer Seizure-free Rate at Months 6 and 12

    Completer seizure-free rate is defined as the percentage of participants (based on a subset of study participants who remain on perampanel treatment at 6 and 12 months) who are free of all seizures at 6 months (and for the previous 3 months) and at 12 months (and for the previous 6 months), respectively.

    Time frame: Months 6 and 12

  4. Median Percent Change From Baseline in Seizure Frequency at Months 6 and 12

    Seizure frequency change will be measured at 6 months (averaged over the previous 3 months) and at 12 months (averaged over the previous 6 months).

    Time frame: Months 6 and 12

  5. 50 Percent (%) Responder Rate at Months 6 and 12

    50% responder rate is defined as the percentage of participants with greater than or equal to (\>=) 50% reduction in seizure frequency (averaged over the 3 months before the 6-month visit, and over the 6 months before the12-month visit) relative to baseline.

    Time frame: Months 6 and 12

  6. Seizure Worsening Rate at Months 6 and 12

    Seizure worsening rate is defined as the percentage of participants with \>=10% increase in seizure frequency (averaged over the 3 months before the 6-month visit, and over the 6 months before the 12-month visit) relative to baseline.

    Time frame: Months 6 and 12

  7. Last Dose of Perampanel at Months 6 and 12

    Time frame: Months 6 and 12

  8. Percentage of Participants by Perampanel Dose Titration Speed

    Time frame: Up to Month 12

  9. Duration of Treatment on Perampanel

    Time frame: Up to Month 12

  10. Percentage of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs),Serious Adverse Events (SAEs), TEAEs Leading to Discontinuation, and TEAEs by Severity

    Time frame: Up to Month 12

06

Study locations

36 sites
  • Sydvestjysk Sygehus Esbjerg
    Esbjerg, South Denmark, Denmark
  • Hôpital Pontchaillou
    Rennes, Ille-et-Vilaine, France
  • Hôpital Roger Salengro
    Lille, Nord, France
  • Centre de consultations Saint-Jean Bâtiment A
    Cagnes-sur-Mer, France
  • Hopitaux de La Timone
    Marseille, France
  • Hôpital Robert Debré
    Paris, France
  • Centre hospitalier de Pau
    Pau, France
  • Centre Hospitalier Universitaire de Toulouse
    Toulouse, France
  • CHRU Bretonneau
    Tours, France
  • Eisai Trial Site #2
    Berlin, Germany
  • Eisai Trial Site #1
    Ulm, Germany
  • AORN A Cardarelli
    Naples, Campania, Italy
  • Azienda Sanitaria Universitaria Integrata di Udine - PO Universitario Santa Maria della Misericordia
    Udine, Friuli-Venezia Giulia, Italy
  • Fondazione PTV Policlinico Tor Vergata
    Roma, Lazio, Italy
  • ASST Santi Paolo e Carlo - Azienda Universitaria-Polo Universitario San Paolo
    Milano, Lombardia, Italy
  • Ospedale di Merano
    Merano, Trentino-Alto Adige, Italy
  • Ospedale Santa Maria Della Misericordia Di Perugia
    Perugia, Umbria, Italy
  • Ospedale Policlinico San Martino
    Genova, Italy
  • Azienda Ospedaliera Universitaria Federico II
    Napoli, Italy
  • Policlinico Universitario Campus Biomedico Di Roma
    Roma, Italy
  • Centro Hospitalar E Universitário de Coimbra EPE
    Coimbra, Portugal
  • Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria
    Lisboa, Portugal
  • Centro Hospitalar de São João, E.P.E.
    Porto, Portugal
  • Krasnoyarsk State Medical University n.a. V.F. Voyno-Ysenetskiy
    Krasnoyarsk, Russian Federation
  • City Clinical Hospital #1 n.a. N.I.Pirogov
    Moscow, Russian Federation
  • Moscow State Medical Stomatological University n.a. A.I. Evdokimov
    Moscow, Russian Federation
  • Russian National Research Medical University n.a. N.I.Pirogov
    Moscow, Russian Federation
  • City Neurology Center Sibneuromed LLC
    Novosibirsk, Russian Federation
  • Regional Treatment and Rehabilitation Center
    Tyumen, Russian Federation
  • CHUVI - H.U. Alvaro Cunqueiro
    Vigo, Pontevedra, Spain
  • Hospital Universitari Sagrat Cor Quironsalud
    Barcelona, Spain
  • Hospital Universitario Virgen de Las Nieves
    Granada, Spain
  • Hospital Regional Universitario de Malaga - Hospital General
    Málaga, Spain
  • Hospital Universitario de Donostia
    San Sebastián, Spain
  • Hospital Universitario Virgen Macarena
    Sevilla, Spain
  • Hospital Clinico Universitario de Valladolid
    Valladolid, Spain
07

References and documents

Individual participant data

Plan to share: Yes — Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04252846
Lead sponsor
Eisai Limited
Responsible party
Sponsor
First posted
Feb 5, 2020
Start date
Jul 20, 2020
Primary completion
Jan 12, 2023
Completion
Jan 12, 2023
Last update
Feb 9, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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