ClinicalTrials.gg
CompletedNCT05533814Updated Mar 7, 2025

A Study to Evaluate the Efficacy and Safety of Perampanel Monotherapy in Untreated Participants With Focal Onset Seizures With or Without Focal to Bilateral Tonic-clonic Seizures

A Phase 4 interventional study of Perampanel in Epilepsy, sponsored by Eisai Korea Inc.. Completed at 10 sites in Korea, Republic of. Open to participants aged 4 Years and older. Per ClinicalTrials.gov, last updated 2025-03-07.

Sponsored by Eisai Korea Inc. (part of Eisai Co., Ltd.) · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
125
Allocation
Not applicable
Ages
4 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 28 studies testing perampanel in Epilepsy — none open to participants now, 1 under way, none of them phase 3. perampanel · Epilepsy.

Enrollment
6th of 27
125 · median 26
Started
2022
with 1 other
Phase 4
10 of 28
none open now
Registered
24th of 28
by date
Lead sponsor
2 of 28
Eisai Korea Inc.

Among the 28 studies testing perampanel in Epilepsy, this one is the 6th largest by enrollment of the 27 interventional ones that give a count, is one of 2 that started in 2022, is one of 10 in phase 4, and was the 24th registered.

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 420 are open to participants now.

Browse Epilepsy studies →

Open to participants now

None of the 28 studies testing perampanel in Epilepsy is open now. The open studies under Epilepsy, anywhere →

About perampanel

perampanel: first FDA approval 2012 (FYCOMPA), first EMA approval 2012. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 283 Epilepsy studies recruiting now, 112 (40%) set no upper age limit and 148 (52%) stop at 75 or younger; 140 take children under 18; 55 take healthy volunteers.

This study: 4 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Download CSVNarrow it in search →With an account: the 28 studies testing perampanel in Epilepsy as a file.
02

Study summary

The primary purpose of this study is to evaluate the efficacy of perampanel monotherapy measured by the seizure-free rate during the Maintenance Period (24 weeks) of the Treatment Phase in untreated participants with focal onset seizures (FOS) with or without focal to bilateral tonic-clonic seizures (FBTCS).

Read the detailed description

The study will consist of a Core Study (36 weeks) and an Extension Phase (24 weeks). Core Study will consist of 4 weeks Pre-treatment Phase or Baseline and 32 weeks Treatment Phase (8 weeks Titration period and 24 weeks Maintenance period).

03

Conditions studied

  • Epilepsy

Keywords

  • Epilepsy
  • Focal onset seizures
  • Focal to bilateral tonic-clonic seizures
  • Fycompa
  • Seizures
  • Monotherapy
  • Open-label
04

Who can participate

Ages eligible
4 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and female, age 4 years or older
  2. Diagnosis of epilepsy with FOS with or without FBTCS according to the International League Against Epilepsy (ILAE) Classification of Epileptic Seizures (2017), established by clinical history and an electroencephalogram (EEG)
  3. Newly diagnosed or recurrent epilepsy with at least 2 unprovoked seizures (excluding focal non-motor seizures) separated by a minimum of 24 hours in the 1 year before Visit 1 (baseline)

Exclusion criteria

Exclusion Criteria:

  1. Focal non-motor seizures only
  2. Generalized epilepsies or seizures such as absences and/or myoclonic seizures, or Lennox Gastaut syndrome
  3. History of status epilepticus within 1 year before Visit 1 (baseline)
  4. History of psychogenic non-epileptic seizures within 5 years before Visit 1 (baseline)
  5. Progressive central nervous system (CNS) disease (including degenerative CNS diseases, progressive tumors, and dementia), or psychological or neurological disorders
  6. History of suicidal ideation/attempt within 5 years before Visit 1 (baseline)
  7. Evidence of clinically significant active hepatic disease, or other clinically significant disease (example, cardiac, respiratory, gastrointestinal, renal disease) that in the opinion of the investigators could affect the participant safety or interfere with the study assessments
  8. History of any type of brain or central nervous system surgery within 1 year before Visit 1 (baseline)
  9. Newly started ketogenic diet or has been on ketogenic diet for less than 5 weeks before Visit 1 (baseline)
  10. Multiple drug allergies or a severe drug reaction to anti-epileptic drugs (AEDs), including dermatological (example, Stevens-Johnson syndrome), hematological, or organ toxicity reactions
  11. Hypersensitive to perampanel or ingredients of this drug
  12. Participant with genetic problems including galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
  13. Use of intermittent rescue medication on 2 or more occasions within 4 weeks before Visit 1 (baseline)
  14. History of receiving any AED (except for occasional use less than 2 weeks of AEDs as rescue treatment), antipsychotics, or anti-anxiety drugs within 12 weeks before Visit 1 (baseline)
  15. History of receiving any AED (including rescue treatment) for more than 2 weeks in total within 2 years before Visit 1 (baseline)
  16. Has received prior treatment with perampanel
  17. Females of child bearing potential who are breastfeeding or pregnant at Visit 1 (baseline), or who do not consent to employ
  18. Currently enrolled in another clinical study or have used any drug/biologics or device within 28 days or 5*half-life, whichever is longer
  19. Participant who did not consent to having at least 2 weeks of before Visit 2, if known to take Cytochrome P4503A () inducing drugs or foods on Visit 1 (including, but not limited to the following) - Carbamazepine, enzalutamide, mitotane, phenytoin, phenobarbital, amobarbital, secobarbital, rifabutin, rifampicin, food containing St. John's Wort (hypericum perforatum), bosentan, efavirenz, etravirine, modafinil, armodafinil, rufinamide, nevirapine, oxcarbazepine, and (except for topical use)
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
125 participants (actual)

Study arms

  • Experimental
    Perampanel

    Participants will be administered oral perampanel at a starting dose of 2 milligram (mg) per day. Doses of perampanel will then be up titrated in increments of 2 mg every 2 weeks up to maximum of 8 mg per day at the discretion of the investigator, and the dose may be administered up to maximum tolerated dose (MTD) according to the clinical response and tolerance of individual participants.

    Drug: Perampanel

Interventions

  • Perampanel tablets.

    Also known as: Fycompa, E2007

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Will Achieve Seizure Freedom During the 24-weeks Maintenance Period

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Percentage of Participants Who Will Achieve Seizure Freedom During the Total 48-weeks Treatment Period (24-weeks Maintenance Period Plus 24-weeks Extension Phase)

    Time frame: Up to 48 weeks

  2. Percentage of Participants With at Least 50 Percent (%) and 75% Reduction in Seizure Frequency During the 24-weeks Maintenance Period

    50% responder rate is defined as the percentage of participants with greater than or equal to (\>=) 50% reduction in seizure frequency. 75% responder rate is defined as the percentage of participants with \>=75% reduction in seizure frequency.

    Time frame: Up to 24 weeks

  3. Percentage of Participants With at Least 50% and 75% Reduction in Seizure Frequency During the 24-weeks Extension Phase

    50% responder rate is defined as the percentage of participants with \>=50% reduction in seizure frequency. 75% responder rate is defined as the percentage of participants with \>=75% reduction in seizure frequency.

    Time frame: Up to 24 weeks

  4. Median Percent Change From Baseline in Partial Onset Seizure Frequency per 28 Days at the End of 8 Weeks Titration Period

    Time frame: Baseline up to Week 8 of Titration Period

  5. Median Percent Change From Baseline in Partial Onset Seizure Frequency per 28 days at the End of 24 Weeks Maintenance Period

    Time frame: Baseline up to Week 24 of Maintenance Period

  6. Median Percent Change From Baseline in Partial Onset Seizure Frequency per 28 days at the End of 24 Weeks Extension Phase

    Time frame: Baseline up to Week 24 of Extension Phase

  7. Percentage of Participants Remaining on Perampanel Treatment at the end of Maintenance Period

    The retention rate is defined as the percentage of participants remaining on perampanel treatment at the end of Maintenance Period after initiating treatment.

    Time frame: Week 24 of Maintenance Period

  8. Percentage of Participants Remaining on Perampanel Treatment at the end of Extension Phase

    The retention rate is defined as the percentage of participants remaining on perampanel treatment at the end of Extension Phase after initiating treatment.

    Time frame: Week 24 of Extension Phase

  9. Number of Participants With One or More Treatment-emergent Adverse Events (TEAEs)

    A TEAE is defined as an adverse event (AE) that emerges during treatment, having been absent at pretreatment (Baseline) or reemerges during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsens in severity during treatment relative to the pretreatment state, when the AE is continuous. An AE is defined as any untoward medical occurrence in a participant administered an investigational product. An AE does not necessarily have a causal relationship with a medicinal product.

    Time frame: Up to 60 weeks

  10. Number of Participants With Abnormal Vital Sign Values

    Vital sign parameters will include diastolic and systolic blood pressure (BP), pulse rate, respiratory rate, body temperature and body weight.

    Time frame: Up to 60 weeks

  11. Number of Participants With Clinically Significant Laboratory Values

    Laboratory parameters will include hematology and blood chemistry.

    Time frame: Up to 60 weeks

07

Study locations

10 sites
  • Eisai Site #9
    Cheongju, Korea, Republic of
  • Eisai Site #4
    Daegu, Korea, Republic of
  • Eisai Site #8
    Daegu, Korea, Republic of
  • Eisai Site #3
    Daejeon, Korea, Republic of
  • Eisai Site #10
    Jeonju, Korea, Republic of
  • Eisai Site #1
    Seoul, Korea, Republic of
  • Eisai Site #2
    Seoul, Korea, Republic of
  • Eisai Site #5
    Seoul, Korea, Republic of
  • Eisai Site #6
    Seoul, Korea, Republic of
  • Eisai Site #7
    Seoul, Korea, Republic of
08

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.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2022 to primary completion in Jan 2025, 27 months.

Of 43 phase 4 interventional studies under Epilepsy, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 35. This study's 27 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 6, 2022
First posted
Sep 9, 2022
StartActual
Oct 19, 2022
Primary completionActual
Jan 23, 2025
CompletionActual
Jan 23, 2025
Last update
Mar 7, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05533814
Lead sponsor
Eisai Korea Inc.
Responsible party
Sponsor
First posted
Sep 9, 2022
Start date
Oct 19, 2022
Primary completion
Jan 23, 2025
Completion
Jan 23, 2025
Last update
Mar 7, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Perampanel

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