ClinicalTrials.gg
RecruitingNCT06922175Updated Oct 2, 2025

REACH: RWE Retrospective Study to Evaluate Cenobamate Impact on Health Care Resource Utilization

An observational study in Epilepsy With Uncontrolled Focal-onset Seizures, sponsored by Aziende Chimiche Riunite Angelini Francesco S.p.A. Recruiting at 10 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-02.

Sponsored by Aziende Chimiche Riunite Angelini Francesco S.p.A · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Dec 2024; still recruiting 1 year 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

The Study is an observational, retrospective study which aim is to assess cenobamate's healthcare resources utilization (HCRU) in the management of uncontrolled focal onset seizures. The amin objective is to compare the resource utilization before and after the use of cenobamate. Data from medical charts will be used and inserted into the eCRF from which the analyses will be conducted. Data from 200 patients from 10 sites in 5 countries are included.

02

Conditions studied

  • Epilepsy With Uncontrolled Focal-onset Seizures

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Keywords

  • anti-seizure medications
  • Epilepsy
03

In context

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 422 are open to participants now.

This study's planned enrollment of 200 is above the median of 112 across 540 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

Aziende Chimiche Riunite Angelini Francesco S.p.A is the lead sponsor of 40 studies on the registry; 4 are 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
No
Sampling method
Non-probability sample

Study population

Adult patients affected by epilepsy with focal-onset seizures not adequately controlled after 2 or more anti-seizure medications (ASMs), due to efficacy or tolerability issues, who start a treatment with cenobamate as an adjunctive therapy (according to SmPC), in real world setting, and have at least 6 months of data on treatment and healthcare resources utilization (HCRU) (if any) prior to cenobamate starting date.

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 patients of any ethnic origin ≥18 years old at index date;
  2. Patients with a diagnosis of epilepsy with uncontrolled focal-onset seizures despite the previous treatment with from 2 to 5 ASMs who started treatment with cenobamate at index date;
  3. Patients presenting at least 1 seizure a month in the last 6 months prior to index date;
  4. Patients with at least 6 months of data coverage in the medical records prior to the index date;
  5. Patients with at least 12 months of data in the medical records after index date (with a maximum interval between data of 6 months).
  6. Patients who give the consent to the processing of personal data according to the General Data Protection Regulation (GDPR) and/or other applicable local regulation.

Exclusion criteria

Exclusion Criteria:

  1. Patients who meet any of the to the administration of adjunctive ASMs according to their approved SmPC;
  2. Patients who started cenobamate within an EAP;
  3. Progressive neurological disease, including degenerative CNS diseases and/or progressive brain tumors;
  4. Patients with specific syndrome (e.g. LGS and Dravet);
  5. Pregnancy or lactation;
  6. Patients without self-judgement ability;
  7. Patients with substance and alcohol abuse or dependence (except for caffeine and nicotine);
  8. Patients participating in any pharmacological or nonpharmacological interventional study starting from 6 months before the index date.
Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Adult patients affected by epilepsy with focal-onset seizures

    Adult patients affected by epilepsy with focal-onset seizures not adequately controlled after 2 or more ASMs (anti-seizure medications), due to efficacy or tolerability issues, who start a treatment with cenobamate as an adjunctive therapy (according to SmPC), in real world setting, and have at least 6 months of data on treatment and HCRU (if any) prior to cenobamate starting date.

06

What researchers measure

Primary outcomes

  1. Impact of cenobamate used as adjunctive therapy on epilepsy-related healthcare resources utilization (HCRU), stratified by early and later treatment lines.

    To assess the impact of cenobamate used as adjunctive therapy on epilepsy-related HCRU, will be collected the number of epilepsy/epilepsy treatment-related hospitalizations during all the observation period

    Time frame: 0-12 months

  2. Impact of cenobamate used as adjunctive therapy on epilepsy-related healthcare resources utilization (HCRU), stratified by early and later treatment lines.

    To assess the impact of cenobamate used as adjunctive therapy on epilepsy-related HCRU,will be collected the length of epilepsy/epilepsy treatment-related hospitalizations during all the observation period

    Time frame: 0-12 months

  3. Impact of cenobamate used as adjunctive therapy on epilepsy-related healthcare resources utilization (HCRU), stratified by early and later treatment lines

    To assess the impact of cenobamate used as adjunctive therapy on epilepsy-related HCRU will be collected the number of epilepsy/epilepsy treatment-related outpatient visits (OP) during all the observation period

    Time frame: 0-12 months

  4. Impact of cenobamate used as adjunctive therapy on epilepsy-related healthcare resources utilization (HCRU), stratified by early and later treatment lines

    To assess the impact of cenobamate used as adjunctive therapy on epilepsy-related HCRU will be collected the number of epilepsy/epilepsy treatment-related emergency room (ER) visits;

    Time frame: 0-12 months

Secondary outcomes

  1. Impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs)

    To assess the impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs), the following data will be recorded: Switch/add-on of other ASMs

    Time frame: 0-12 months

  2. Impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs)

    To assess the impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs), the following data will be recorded: Changes in the dose of co-ASMs

    Time frame: 0-12 months

  3. Impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs)

    To assess the impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs), the following data will be recorded: Changes in the number of co-ASMs

    Time frame: 0-12 months

  4. Impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs)

    To assess the impact of cenobamate used as adjunctive therapy on the use of concomitant anti-seizure medications (ASMs), the following data will be recorded: Time to discontinuation of ASMs

    Time frame: 0-12 months

  5. Impact of cenobamate used as adjunctive therapy on epilepsy-related emergency and medical care

    To evaluate the impact of cenobamate used as adjunctive therapy on epilepsy-related emergency and medical care, the number of epilepsy/epilepsy treatment related emergency care, ambulance use, the number of outpatient visits with neurologists, and the number of epilepsy specialist nurses' intervention will be collected;

    Time frame: 0-12 months

  6. Effectiveness of cenobamate used as adjunctive therapy

    To evaluate the effectiveness of cenobamate used as adjunctive therapy, seizure frequency at baseline and at routinely scheduled follow-up visits, till the end of observation will be collected. For comparability, seizure frequency will be extrapolated per month (28 days);

    Time frame: 0-12 months

  7. Impact of cenobamate used as adjunctive therapy on epilepsy-related surgery

    To assess the impact of cenobamate used as adjunctive therapy on epilepsy-related surgery the following data will be collected: * the number of epilepsy-related surgery (how many patients initiated cenobamate while they were in waiting list or post-surgical intervention, i.e. surgical failure); * the number of hospitalizations due to surgery related to epilepsy (e.g. fractures due to falls); * the number of Intensive Care Unit (ICU) visits;

    Time frame: 0-12 months

  8. Impact of cenobamate used as adjunctive therapy on comorbidity-related healthcare resources utilization (HCRU)

    To evaluate the impact of cenobamate used as adjunctive therapy on comorbidity-related HCRU, the following data will be collected: * Number and length of hospitalizations of all-cause inpatient visits, * Number of ER visits, * Number of outpatient visits. All-cause HCRU will be defined as HCRU due to any cause;

    Time frame: 0-12 months

  9. Impact of cenobamate used as adjunctive therapy on phone calls/virtual interventions

    To evaluate the impact of cenobamate used as adjunctive therapy on phone calls/virtual interventions, the number of phone calls/virtual interventions will be collected.

    Time frame: 0-12 months

  10. Safety of cenobamate used as adjunctive therapy

    To evaluate safety of cenobamate used as adjunctive therapy, the number, type and severity of, adverse events, adverse drug reactions will be collected. Moreover, changes in the number, type, dose of concomitant medications other than anti-seizure medications will be collected over the duration of the study.

    Time frame: 0-12 months

07

Study locations

6 of 10 sites recruiting
  • Epilepsiezentrums am Neurozentrum des Universitätsklinikum Freiburg
    Freiburg im Breisgau, Germany, Germany
    Not yet recruiting
    • Andreas Schulze-Bonhage · Contact
  • Epileptologicum
    Hamburg, Germany, Germany
    Not yet recruiting
    • Patrick House · Contact
  • Diakonie Kork, Epilepsiezentrum
    Kork, Germany, Germany
    Not yet recruiting
    • Bernhard Steinhoff · Contact
  • Kempenhaeghe - Academisch Centrum voor Epilepsie
    Heeze, Netherlands, Netherlands
    Not yet recruiting
    • H.J.M. Marian Majoie · Contact
  • Epilepsy Unit - Neurology Department Valle de Hebron Hospital
    Barcelona, Spain, Spain
    Recruiting
    • Manuel Toledo Argany · Contact
  • Epilepsy Unit of the Neurology Department of the Hospital Clínico San Carlos
    Madrid, Spain, Spain
    Recruiting
    • Irene Garcia Morales · Contact
  • Consorcio Hosp. General Universitario Valencia
    Valencia, Spain, Spain
    Recruiting
    • Ascensión Castillo Ruiz · Contact
  • Department of Neurology, University Hospital Zurich
    Zurich, Switzerland, Switzerland
    Recruiting
    • Marian Galovic · Contact
  • Institute of Neurosciences NHS Greater Glasgow and Clyde
    Glasgow, UK, United Kingdom
    Recruiting
    • Craig Heath · Contact
  • Epilepsies - The Royal Wolverhampton NHS Trust
    Wolverhampton, UK, United Kingdom
    Recruiting
    • Phil Tittensor · Contact
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2024 (actual). Primary completion is estimated for Dec 2025, 12 months after the start.

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

Registered
Apr 1, 2025
First posted
Apr 10, 2025
StartActual
Dec 19, 2024
Primary completionEst.
Dec 30, 2025
CompletionEst.
Dec 30, 2025
Last update
Oct 2, 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 Oct 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06922175
Collaborators
1Med
Responsible party
Sponsor
First posted
Apr 10, 2025
Start date
Dec 19, 2024
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2025 (estimated)
Last update
Oct 2, 2025

Study contacts

Lars Nicklasson
Contact
Lars.nicklasson@angelinipharma.com
+46 702528077

Oversight

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

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