E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Epilepsy (partial seizures with or without secondary generalization) |
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E.1.1.1 | Medical condition in easily understood language |
Epilepsy (partial seizures with or without secondary generalization) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
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 |
Evaluate the long-term safety and tolerability of BRV in focal epilepsy subjects with partial seizures |
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E.2.2 | Secondary objectives of the trial |
Evaluate the maintenance of efficacy of BRV over time |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Male/female study participant from 16 years of age or older. Study participant who are not legal adults may only be included where legally permitted and ethically accepted - Study participant completed the Treatment Period and Transition Period of EP0083 or is ongoing in N01379 sites in Japan - Female study participants with childbearing potential are eligible if they use a medically accepted contraceptive method - Inclusion Criteria for directly enrollers only: Study participant has 1 to <8 partial seizures (according to the 1981 International League Against Epilepsy (ILAE) classification) during the 8 weeks prior to brivaracetam (BRV) administration |
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E.4 | Principal exclusion criteria |
- Study participant has developed hypersensitivity to any components of the investigational medicinal product (IMP) or comparative drugs as stated in this protocol during the course of the core study - Severe medical, neurological or psychiatric disorders, or laboratory values which may have an impact on the safety of the study participant - Poor compliance with the visit schedule or medication intake in the previous BRV studies - Planned participation in any other clinical study of another investigational drug or device during this study - Pregnant or lactating woman - Any medical condition which, in the Investigator’s opinion, warrants exclusion - Study participant has a lifetime history of suicide attempt or has suicidal ideation in the past 6 months - Study participant has >2 x upper limit of normal (ULN) of any of the following at the Entry Visit (EV): alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >ULN total bilirubin (>=1.5x ULN total bilirubin if known Gilbert’s syndrome) |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Percentage of study participants with treatment-emergent adverse events (TEAEs) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. From baseline until end of the safety follow up (up to 88.5 months) |
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E.5.2 | Secondary end point(s) |
1. Percent change in partial seizure frequency per 28 days from Baseline of EP0083 or N01358 to the Evaluation Period 2. Responder rate in partial seizure frequency per 28 days over the Evaluation Period 3. Percentage of participants continuously seizure-free for partial seizure and all seizure types (partial, generalized, and unclassified epileptic seizure) for at least 6 months during the Evaluation Period 4. Percentage of participants continuously seizure-free for partial seizure and all seizure types (partial, generalized, and unclassified epileptic seizure) for at least 12 months during the Evaluation Period 5. Percentage of participants continuously seizure-free for partial seizure and all seizure types during the Evaluation Period 6.Percent change in partial seizure frequency per 28 days from Baseline of directly enrolled study participants to the Evaluation Period 7. Responder rate in partial seizure frequency per 28 days over the Evaluation Period for directly enrolled study participants 8. Percentage of participants continuously seizure-free for partial seizure and all seizure types (partial, generalized, and unclassified epileptic seizure) for at least 6 months during the Evaluation Period for directly enrolled study particpants 9. Percentage of participants continuously seizure-free for partial seizure and all seizure types (partial, generalized, and unclassified epileptic seizure) for at least 12 months during the Evaluation Period for directly enrolled study particpants 10. Percentage of participants continuously seizure-free for partial seizure and all seizure types during the Evaluation Period for directly enrolled study particpants |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1-2. Baseline of EP0083 or N01358 and by every 3-month periods over the Evaluation Period (up to 84 months) 3. During the Evaluation Period (up to 6 months) 4. During the Evaluation Period (up to 12 months) 5. During the Evaluation Period (up to 84 months) 6. Baseline from 8 weeks prior to BRV administration by every 3-month periods over the Evaluation Period (up to 39 months) 7. Baseline from 8 weeks prior to BRV administration by every 3-month periods over the Evaluation Period (up to 39 months) 8. During the Evaluation Period (up to 6 months) 9. During the Evaluation Period (up to 12 months) 10. Baseline from 8 weeks prior to BRV administration by every 3-month periods over the Evaluation Period (up to 39 months) |
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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 | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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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 | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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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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Last Subject Last Visit (LSLV) |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 7 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 19 |