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    Clinical Trial Results:
    A multicenter medical safety follow-up study for patients with partial onset seizures who received more than 28 days of total exposure to BGG492 in studies BGG492A2207 and/or BGG492A2212

    Summary
    EudraCT number
    2013-003431-29
    Trial protocol
    IT  
    Global end of trial date
    21 Sep 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Oct 2016
    First version publication date
    06 Oct 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CBGG492A2216
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02150213
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 6133241111,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Sep 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Sep 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective was to observe if patients exposed to BGG492 for more than 28 days had developed uterine endometrial stromal sarcomas (females) and/or adrenal cortical adenomas (males and females) at least one year after treatment with BGG492 had been completed
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 Aug 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 18
    Country: Number of subjects enrolled
    Italy: 2
    Country: Number of subjects enrolled
    Korea, Republic of: 17
    Country: Number of subjects enrolled
    Hungary: 13
    Country: Number of subjects enrolled
    Slovakia: 2
    Country: Number of subjects enrolled
    United States: 7
    Worldwide total number of subjects
    59
    EEA total number of subjects
    35
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    56
    From 65 to 84 years
    3
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The purpose of this follow-up safety study was to provide medical follow-up to patients exposed to BGG492 for more than 28 days in Study BGG492A2207 and/or BGG492A2212.

    Pre-assignment
    Screening details
    The purpose of this follow-up safety study was to provide medical follow-up to patients exposed to BGG492 for more than 28 days in Study BGG492A2207 and/or BGG492A2212.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    BGG492
    Arm description
    This was a follow-up safety study where study treatment was not administered. Patients came from BGG492 studies where patients were previously exposed to > 28 days of BGG492 50 mg, 100 mg or 150 mg given orally three times a day
    Arm type
    Experimental

    Investigational medicinal product name
    Selurampanel
    Investigational medicinal product code
    BGG492
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Treatment was not administered in this study. Patients came from BGG492 studies where patients were previously exposed to > 28 days of BGG492 50 mg, 100 mg or 150 mg given orally three times a day

    Number of subjects in period 1
    BGG492
    Started
    59
    Completed
    57
    Not completed
    2
         Consent withdrawn by subject
    1
         Lost to follow-up
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    BGG492
    Reporting group description
    This was a follow-up safety study where study treatment was not administered. Patients came from BGG492 studies where patients were previously exposed to > 28 days of BGG492 50 mg, 100 mg or 150 mg given orally three times a day

    Reporting group values
    BGG492 Total
    Number of subjects
    59 59
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    56 56
        From 65-84 years
    3 3
        85 years and over
    0 0
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    43.2 ( 11.58 ) -
    Gender, Male/Female
    Units: Subjects
        Female
    31 31
        Male
    28 28

    End points

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    End points reporting groups
    Reporting group title
    BGG492
    Reporting group description
    This was a follow-up safety study where study treatment was not administered. Patients came from BGG492 studies where patients were previously exposed to > 28 days of BGG492 50 mg, 100 mg or 150 mg given orally three times a day

    Primary: Incidence of adrenal cortical adenomas

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    End point title
    Incidence of adrenal cortical adenomas [1]
    End point description
    Incidence of adrenal cortical adenomas as assessed by non-contrast MRI of the abdomen (CT or ultrasound of the abdomen was permitted if MRI was contraindication). No statistical analysis was planned for this primary outcome
    End point type
    Primary
    End point timeframe
    Minimum of one year after last dose of BGG492 in study BGG492A2207 or BGG492A2212
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint.
    End point values
    BGG492
    Number of subjects analysed
    59
    Units: Particpants
    3
    No statistical analyses for this end point

    Primary: Incidence of uterine endometrial stromal sarcomas

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    End point title
    Incidence of uterine endometrial stromal sarcomas [2]
    End point description
    Incidence of uterine endometrial stromal sarcomas as assessed by sonogram/biopsy (females) No Statistical analysis was planned for this primary outcome.
    End point type
    Primary
    End point timeframe
    Minimum of one year after last dose of BGG492 in study BGG492A2207 or BGG492A2212
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint.
    End point values
    BGG492
    Number of subjects analysed
    29
    Units: Participants
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All Adverse events are reported in this record from First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Occurrences causally related to treatment were assessed by investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.0
    Reporting groups
    Reporting group title
    BGG492
    Reporting group description
    This was a follow-up safety study where study treatment was not administered. Patients came from BGG492 studies where patients were previously exposed to > 28 days of BGG492 50 mg, 100 mg or 150 mg given orally three times a day

    Serious adverse events
    BGG492
    Total subjects affected by serious adverse events
         subjects affected / exposed
    5 / 59 (8.47%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adrenal Adenoma
    alternative dictionary used: MedDRA 18.0
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Angiomyolipoma
    alternative dictionary used: MedDRA 18.0
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Ovarian cyst
    alternative dictionary used: MedDRA 18.0
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    BGG492
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 59 (5.08%)
    Renal and urinary disorders
    Renal Cyst
    alternative dictionary used: MedDRA 18.0
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 Dec 2014
    Where MRI was not appropriate for imaging of the adrenal gland, CT or, if CT was not available, ultrasound, were allowed as alternative procedures for imaging. Changes were made throughout the protocol to indicate that a “qualified specialist” could perform the sonogram, and not only gynecologists. Text was added to specify that if imaging of the adrenal gland had been performed outside of the study but at least 1 year after the last dose of BGG492, then it was not required to perform this assessment again in the context of this study, as long as the imaging report was available. Results from this imaging were recorded in the eCRF. Text was added above the Schedule of Assessments to emphasize that the assessments listed for Visits 3 and 5 were only required for patients who had findings on the adrenal and/or uterine imaging. The SAE reporting requirements specific to this study were clarified. The original protocol made reference to the use of MRI to collect density measurements in Hounsfield units. This was corrected throughout the protocol since density in Hounsfield units applies to CT scans.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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