ClinicalTrials.gg
RecruitingNCT07793396ENGAGEUpdated Sep 9, 2026

Prospective Study of Eslicarbazepine in Adults With Focal-Onset Seizures

An observational study in Focal-Onset Seizures, sponsored by King Edward Medical University. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by King Edward Medical University · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,500
Ages
18 Years and older
Sex
All
01

Study summary

This prospective multicenter observational study will evaluate the effectiveness, safety, tolerability, and impact on quality of life of eslicarbazepine in adults with focal-onset seizures in routine clinical practice. Participants will include newly diagnosed patients and patients previously treated with carbamazepine or oxcarbazepine who have inadequate seizure control or intolerable adverse effects. Treatment with eslicarbazepine will be initiated or changed at the discretion of the treating physician in accordance with routine clinical practice. Participants will be followed for 3 months.

Read the detailed description

This prospective, multicenter observational study will assess the effectiveness, safety, and tolerability of eslicarbazepine in adults with focal-onset epilepsy, including newly diagnosed patients and patients previously treated with carbamazepine or oxcarbazepine who have inadequate seizure control or intolerable adverse effects.

Treatment decisions, including the decision to initiate eslicarbazepine or switch from another antiseizure medication, will be made by the treating physician according to routine clinical practice and the approved product information. The study will therefore observe outcomes associated with eslicarbazepine use without assigning participants to treatment.

Eslicarbazepine will be administered orally once daily. Newly diagnosed patients will typically start at 400 mg/day and increase to 800 mg/day after one week. Patients switching from carbamazepine or oxcarbazepine may start at 400-600 mg/day according to clinical judgment and may undergo an overnight switch or cross-titration. If clinically indicated and tolerated, the dose may be increased to a maximum of 1600 mg/day. Dose adjustments will be guided by tolerability, seizure control, and adverse-event monitoring.

Participants will be assessed at baseline, Day 7, and Month 3. Data collected will include demographic and clinical information, concomitant medications, seizure occurrence and frequency, quality of life using the Patient Quality of Life in Epilepsy (QOLIE-10-P) questionnaire, treatment compliance, and adverse events and serious adverse events.

The study will include approximately 1500 participants from multiple institutes/hospitals across Pakistan.

02

Conditions studied

  • Focal-Onset Seizures

Keywords

  • Eslicarbazepine
  • Eslicarbazepine acetate
  • APTIOM
  • Focal-onset seizures
  • Partial-onset seizures
  • Focal epilepsy
  • Carbamazepine
  • Oxcarbazepine
  • Seizure control
  • Quality of life
  • QOLIE-10-P
  • Real-world evidence
03

In context

Seizures

766 studies on the registry are indexed under Seizures; 136 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 140 across 216 observational studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

King Edward Medical University is the lead sponsor of 82 studies on the registry; 27 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

The study population consists of approximately 1,500 adult male and female patients with diagnosed focal-onset (partial-onset) seizures across multiple institutes/hospitals in Pakistan. Participants will include newly diagnosed, treatment-naïve patients and patients previously treated with carbamazepine or oxcarbazepine who have inadequate seizure control or intolerable adverse effects. Eslicarbazepine treatment will be initiated or switched at the discretion of the treating physician in accordance with routine clinical practice and applicable prescribing information.

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

  • Adult patients (aged at least 18 years) with diagnosed partial-onset seizures.
  • Newly diagnosed (treatment-naïve) or previously treated with Carbamazepine or Oxcarbazepine and inadequately controlled or intolerant.
  • Patient or Legal Representative is willing and able to provide , or, in the absence of a legal representative, an Independent Healthcare Professional provides authorization for patient enrolment.

Exclusion criteria

Exclusion Criteria:

  • Any to Eslicarbazepine.
  • Female patients who are pregnant or lactating.
  • Patients who have a to the medicine or any component of prescribed therapy.
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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
Prospective
Enrollment
1,500 participants (estimated)
Target follow-up
3 Months
Patient registry
Yes

Groups and cohorts

  • Newly Diagnosed / Treatment-Naïve

    Adults with diagnosed focal-onset seizures who are newly diagnosed/treatment-naïve and receive eslicarbazepine as part of routine clinical care.

    Drug: Eslicarbazepine acetate

  • Previously Treated With Carbamazepine/Oxcarbazepine

    Adults with focal-onset seizures previously treated with carbamazepine or oxcarbazepine who have inadequate seizure control or intolerable adverse effects and receive eslicarbazepine as part of routine clinical care.

    Drug: Eslicarbazepine acetate

Interventions

  • Eslicarbazepine acetate administered orally once daily as prescribed by the treating physician in routine clinical practice. Newly diagnosed patients will typically initiate treatment at 400 mg/day and increase to 800 mg/day after one week. Patients switching from carbamazepine or oxcarbazepine may initiate treatment at 400-600 mg/day according to clinical judgment. Dose adjustments, including increases up to 1600 mg/day when clinically indicated and tolerated, will be determined by the treating physician.

06

What researchers measure

Primary outcomes

  1. Change in Seizure Frequency

    Time frame: From Baseline to Month 3

  2. Seizure Response Rate

    Time frame: From Baseline to Month 3

Secondary outcomes

  1. Change in QOLIE-10-P Score

    Patient Quality of Life in Epilepsy Score has 10 questions being scored 1 to 5 each with lower score indicating poorer quality of life and higher score indicating better quality of life with total score ranging from 10 to 50. An increase in score indicates improvement in quality of life.

    Time frame: From Baseline to Month 3

  2. Adverse Events and Serious Adverse Events

    Time frame: From Baseline through Month 3

07

Study locations

1 of 1 sites recruiting
  • Mayo Hospital Lahore
    Lahore, Punjab Province 54000, Pakistan
    Recruiting
    • Safia Assistant Professor Neurology, FCPS Neurology, PhD Scholar · Contactsafiabano@kemu.edu.pk · +92-301-4154276
    • Safia Assistant Professor Neurology, FCPS Neurology, PhD Scholar · Contactsafiabano@kemu.edu.pk
    • Ahsan Numan, FCPS,FAAN,FRCP,PhD · Sub investigator
    • Safia Bano, FCPS, PhD Scholar · Principal investigator
08

References and documents

Publications

  • 18. Gil-Nagel A, Villanueva V, Toledo M, et al. Improvement in quality of life and seizure reduction with eslicarbazepine acetate: The Spanish EPOS study. Acta Neurol Scand. 2016 Apr;133(4):237-244.
  • Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Allen Hauser W, Mathern G, Moshe SL, Perucca E, Wiebe S, French J. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia. 2010 Jun;51(6):1069-77. doi: 10.1111/j.1528-1167.2009.02397.x. Epub 2009 Nov 3. PubMed 19889013 ↗
  • 16. Soares-da-Silva P, Almeida L, Falcão A, et al. Eslicarbazepine acetate: overview of the clinical pharmacokinetics and pharmacodynamics. Expert Opin Drug Metab Toxicol. 2015 Feb;11(2):1841-1852
  • Hufnagel A, Ben-Menachem E, Gabbai AA, Falcao A, Almeida L, Soares-da-Silva P. Long-term safety and efficacy of eslicarbazepine acetate as adjunctive therapy in the treatment of partial-onset seizures in adults with epilepsy: results of a 1-year open-label extension study. Epilepsy Res. 2013 Feb;103(2-3):262-9. doi: 10.1016/j.eplepsyres.2012.07.014. Epub 2012 Aug 4. PubMed 22871333 ↗
  • Elger C, Halasz P, Maia J, Almeida L, Soares-da-Silva P; BIA-2093-301 Investigators Study Group. Efficacy and safety of eslicarbazepine acetate as adjunctive treatment in adults with refractory partial-onset seizures: a randomized, double-blind, placebo-controlled, parallel-group phase III study. Epilepsia. 2009 Mar;50(3):454-63. doi: 10.1111/j.1528-1167.2008.01946.x. Epub 2009 Feb 21. PubMed 19243424 ↗
  • 13. Villanueva V, Garcés M, López-González FJ, et al. Safety, efficacy and quality of life data from a 1-year, multicenter, observational study of eslicarbazepine acetate in adults with focal seizures in clinical practice (EPOS study). Epilepsy Behav. 2014 Oct;41:1-9.
  • Sperling MR, Abou-Khalil B, Harvey J, Rogin JB, Biraben A, Galimberti CA, Kowacs PA, Hong SB, Cheng H, Blum D, Nunes T, Soares-da-Silva P; 304 Study Team. Eslicarbazepine acetate as adjunctive therapy in patients with uncontrolled partial-onset seizures: Results of a phase III, double-blind, randomized, placebo-controlled trial. Epilepsia. 2015 Feb;56(2):244-53. doi: 10.1111/epi.12894. Epub 2014 Dec 22. PubMed 25528898 ↗
  • Ben-Menachem E, Gabbai AA, Hufnagel A, Maia J, Almeida L, Soares-da-Silva P. Eslicarbazepine acetate as adjunctive therapy in adult patients with partial epilepsy. Epilepsy Res. 2010 May;89(2-3):278-85. doi: 10.1016/j.eplepsyres.2010.01.014. Epub 2010 Mar 17. PubMed 20299189 ↗
  • 10. Almeida L, Soares-da-Silva P. Eslicarbazepine acetate: a novel once-daily antiepileptic drug for the treatment of focal seizures. Expert Opin Pharmacother. 2007;8(13):2103-2111
  • 9. Soares-da-Silva P, Pires N, Bonifácio MJ, Loureiro AI. Pharmacokinetic interactions of eslicarbazepine acetate with antiepileptic or cardiovascular drugs. Drug Metab Drug Interact. 2012;27(3):199-209
  • Zaccara G, Giovannelli F, Cincotta M, Carelli A, Verrotti A. Clinical utility of eslicarbazepine: current evidence. Drug Des Devel Ther. 2015 Feb 10;9:781-9. doi: 10.2147/DDDT.S57409. eCollection 2015. PubMed 25709402 ↗
  • Hebeisen S, Pires N, Loureiro AI, Bonifacio MJ, Palma N, Whyment A, Spanswick D, Soares-da-Silva P. Eslicarbazepine and the enhancement of slow inactivation of voltage-gated sodium channels: a comparison with carbamazepine, oxcarbazepine and lacosamide. Neuropharmacology. 2015 Feb;89:122-35. doi: 10.1016/j.neuropharm.2014.09.008. Epub 2014 Sep 19. PubMed 25242737 ↗
  • Almeida L, Soares-da-Silva P. Eslicarbazepine acetate (BIA 2-093). Neurotherapeutics. 2007 Jan;4(1):88-96. doi: 10.1016/j.nurt.2006.10.005. PubMed 17199020 ↗
  • 4. Perucca E. Pharmacoresistance in epilepsy: how should it be defined? CNS Drugs. 1998;10(3):171-179
  • Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, Engel J Jr, Forsgren L, French JA, Glynn M, Hesdorffer DC, Lee BI, Mathern GW, Moshe SL, Perucca E, Scheffer IE, Tomson T, Watanabe M, Wiebe S. ILAE official report: a practical clinical definition of epilepsy. Epilepsia. 2014 Apr;55(4):475-82. doi: 10.1111/epi.12550. Epub 2014 Apr 14. PubMed 24730690 ↗
  • Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med. 2000 Feb 3;342(5):314-9. doi: 10.1056/NEJM200002033420503. PubMed 10660394 ↗
  • 1. World Health Organization. Epilepsy. Available from: https://www.who.int/news-room/fact-sheets/detail/epilepsy

Individual participant data

Plan to share: No

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

Started Dec 2025 (actual). Primary completion is estimated for Dec 2026, 12 months after the start.

Of 53 non-industry observational studies under Seizures, half reached primary completion within 70 months of starting (the median), counting those still running; a quarter within 18. This study's planned 12 months is below that.

Counting every sponsor, half of 80 studies reached it within 38 months; a quarter within 18 and three quarters within 96.

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

Registered
Aug 25, 2026
First posted
Aug 28, 2026
StartActual
Dec 2, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 9, 2026
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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07793396
Lead sponsor
King Edward Medical University
Responsible party
safia bano (Dr. Safia Bano (Assistant Professor Neurology), King Edward Medical University) — Principal investigator
First posted
Aug 28, 2026
Start date
Dec 2, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 9, 2026

Study contacts

Safia Assistant Professor Neurology, FCPS Neurology, PhD Scholar
Contact
safiabano@kemu.edu.pk
+92-301-4154276

Oversight

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

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