E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Epilepsy; partial onset or generalized tonic clonic seizures |
Epilessia;crisi epilettiche parziali o tonico-cloniche generalizzate |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10015037 |
E.1.2 | Term | Epilepsy |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The objectives of this study are: • To obtain information about the long term safety of Lacosamide (LCM) in comparison with Carbamazepine Controlled Release (CBZ CR) when used as monotherapy in subjects with recently diagnosed partial onset or generalized tonic clonic seizures • To allow subjects who completed the monotherapy study SP0993 to continue to receive LCM or CBZ CR |
L’obiettivo dello studio è_ - ottenere informazioni in merito alla sicurezza a lungo termine della lacosamide (LCM) rispetto alla carbamazepina a rilascio controllato (CBZ-CR), somministrate in monoterapia, in pazienti con diagnosi recente di crisi epilettiche parziali o tonico-cloniche generalizzate;- consentire ai pazienti che abbiano completato lo studio in monoterapia SP0993 di continuare ad assumere LCM o CBZ-CR. |
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E.2.2 | Secondary objectives of the trial |
4.1.2 Other safety variables The other safety variables are as follows: • Changes in hematology, chemistry, and urinalysis parameters • Changes in 12-lead electrocardiograms (ECGs) • Changes in vital sign measurements (ie, blood pressure [BP] and pulse rate) • Changes in physical or neurological examination findings • Changes in body weight 4.2. Exploratory variables 4.2.1 Efficacy variables Efficacy evaluations will be based on subject diaries where types, dates, and number of seizures are recorded. The exploratory efficacy variables are: • Percentage of subjects seizure free • Retention rate (ie, duration of treatment in the study) |
Prot.sez.4.1.2 Altre variabili di sicurezza sono: • Variazione dei parametri ematologici, chimici e urinari • Variazione dell’elettrocardiogramma a 12 derivazioni (ECG) • Variazione dei parametri vitali (pressione e frequenza del polso) • Variazione dei risultati dell’esame obiettivo o neurologico • Variazione del peso.Prot.sez.4.2 La valutazione dell’efficacia si baserà sui diari dei pazienti, nei quali saranno registrati tipo, data e numero di crisi. Le variabili esplorative di efficacia sono:• Percentuale di pazienti liberi da crisi;• Tasso di ritenzione in trattamento (cioè, durata del trattamento durante lo studio). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. An Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent form is signed and dated by the subject or by the parent(s) or legal representative. The Informed Consent form or a specific Assent form, where required, will be signed and dated by minors. 2. Subject/legal representative is considered reliable and capable of adhering to the protocol (eg, able to understand and complete diaries), visit schedule, and medication intake according to the judgment of the investigator. 3. Subject has remained seizure free and completed the Maintenance Phase of the SP0993 monotherapy study; or subject has experienced 1 or more seizures on the first or second target dose during the SP0993 Maintenance Phase. 4. Subject is expected to benefit from participation in SP0994 in the opinion of the investigator. |
1. Il paziente, un genitore o un rappresentante legale dovranno firmare e datare un modulo per il consenso informato scritto approvato dalla Commissione di revisione dell’Istituzione (IRB)/Comitato Etico indipendente (IEC). Ove previsto, anche i pazienti minorenni firmeranno e dateranno un modulo per il consenso informato o un modulo speciale di assenso. 2. Lo sperimentatore dovrà ritenere che il paziente/rappresentante legale sia affidabile e capace di rispettare il protocollo (per es., in grado di capire e di compilare i diari), il programma di visite e l’assunzione del farmaco. 3. Il paziente dovrà essere libero da crisi durante la Fase di mantenimento dello studio SP0993 in monoterapia e dovrà aver completato tale fase, oppure dovrà essere incorso in 1 o più episodi di crisi epilettiche in concomitanza con la prima o la seconda dose target durante la Fase di mantenimento dello studio SP0993. 4. Lo sperimentatore dovrà ritenere che il paziente possa trarre un beneficio dalla partecipazione allo studio SP0994. |
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E.4 | Principal exclusion criteria |
1. Subject is receiving any investigational drugs or using any experimental devices in addition to Lacosamide (LCM) or Cabamazepine Controlled Release (CBZ CR). 2. Subject experienced a seizure at the third target dose (ie, LCM 600mg/day or CBZ CR 1200mg/day) during the Evaluation Phase or Maintenance Phase of the SP0993 study. 3. Subject is taking benzodiazepines for a nonepilepsy indication. 4. Subject meets a withdrawal criterion for the previous study SP0993. 5. Subject is experiencing an ongoing SAE from the previous study SP0993. |
1. Pazienti che assumono altri farmaci sperimentali oltre alla LCM o alla CBZ-CR o utilizzano dispositivi medici sperimentali. 2. Pazienti nei quali si sia manifestata una crisi in concomitanza con la terza dose target (cioè, LCM 600 mg/die o CBZ-CR 1200 mg/die) durante la Fase di valutazione o quella di mantenimento dello studio SP0993. 3. Pazienti in terapia con benzodiazepine per indicazioni diverse dall’epilessia. 4. Pazienti che siano stati ritenuti rispondenti a uno dei criteri per il ritiro nel precedente studio SP0993. 5. Pazienti che presentino eventi avversi gravi (SAE) in seguito alla partecipazione al precedente studio SP0993. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary safety variables are as follows: • AEs reported spontaneously by the subject and/or caregiver or observed by the investigator • Subject withdrawals due to AEs • SAEs The exploratory efficacy variables are: • Percentage of subjects seizure free • Retention rate (ie, duration of treatment in the study). The exploratory health outcomes variables are: • Health care resource use: Additional health care provider visits unforeseen by the protocol and hospitalizations |
Le variabili di sicurezza principali sono le seguenti:• AE riportati spontaneamente dal paziente e/o dal caregiver, oppure osservati dallo sperimentatore; • Numero di ritiri dovuto agli AE; • SAE.Le variabili esplorative di efficacia sono: • Percentuale di pazienti liberi da crisi • Tasso di ritenzione in trattamento (cioè, durata del trattamento durante lo studio). Le variabili esplorative relative agli esiti sanitari sono: • Uso delle risorse sanitarie: ulteriori visite presso operatori sanitari non previste dal protocollo e ricoveri ospedalieri. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
End of trial |
Conclusione dello studio. |
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E.5.2 | Secondary end point(s) |
The other safety variables are as follows: • Changes in hematology, chemistry, and urinalysis parameters • Changes in 12-lead electrocardiograms (ECGs) • Changes in vital sign measurements (ie, blood pressure [BP] and pulse rate) • Changes in physical or neurological examination findings • Changes in body weight |
Altre variabili di sicurezza sono: • Variazione dei parametri ematologici, chimici e urinari; • Variazione dell’elettrocardiogramma a 12 derivazioni (ECG); • Variazione dei parametri vitali (pressione e frequenza del polso); • Variazione dei risultati dell’esame obiettivo o neurologico; • Variazione del peso. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
End of trial |
Conclusione dello studio |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Al DB lock del SP0993 lo studio SP0994 sarà chiuso e il cieco rivelato |
At DB lock of SP993,SP994 will be unblind&closed |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 115 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Canada |
Russian Federation |
Ukraine |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 29 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |