E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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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 | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10015039 |
E.1.2 | Term | Epilepsy congenital |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic 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 |
To evaluate the long-term safety and tolerability of BRV. |
Valutare la sicurezza e tollerabilità a lungo termine di BRV. |
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E.2.2 | Secondary objectives of the trial |
Not applicable. |
Non applicabili. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Inclusion criteria for long-term follow-up (LTFU) study participants only: - Study participants with a confirmed diagnosis of epilepsy who participated in core study N01266 [NCT01364597] and/or N01349 [NCT03325439] and for whom a reasonable benefit from long-term administration of brivaracetam (BRV) is expected. Inclusion criteria for directly enrolled (DE) study participants only: - Study participant is >or= 4 years to < 16 years of age; - Study participant has presence of an electroencephalogram (EEG) reading compatible with the diagnosis of focal epilepsy within the last 10 years; - Study participant has uncontrolled partial-onset seizure (POS) after an adequate course of treatment (in the opinion of the Investigator) with at least 1 antiepileptic drug (AED); - Study participant had at least 1 POS during the 4-week Screening Period; - Study participant is taking at least 1 AED. Vagal nerve stimulator will be counted as a concomitant AED. |
Criteri di inclusione solo per i partecipanti allo studio di follow up a lungo termine: - Partecipanti allo studio con diagnosi di epilessia confermata, che hanno partecipato agli studi core N01266 [] e/o N01349 [] e per i quali ci si aspetta un ragionevole beneficio dal trattamento a lungo termine con brivaracetam (BRV); Criteri di inclusione per i soggetti direttamente arruolati nello studio: - il partecipante allo studio ha un’età compresa tra >o=4 anni e <16 anni; - il partecipante allo studio dispone di una lettura dell’elettroencefalogramma (EEG) compatibile con la diagnosi di epilessia focale negli ultimi 10 anni; - il partecipante allo studio presenta POS incontrollate dopo un adeguato ciclo di trattamento (secondo il parere dello sperimentatore) con almeno 1 AED; - il partecipante allo studio ha manifestato almeno 1 POS durante il periodo di screening di 4 settimane; - il partecipante allo studio sta assumendo almeno 1 AED. La stimolazione del nervo vago sarà considerata come AED concomitante. |
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E.4 | Principal exclusion criteria |
Exclusion criteria for all study participants: - Study participant has, in the Investigator's opinion, severe medical, neurological, or psychiatric disorders or laboratory values, which may have an impact on the safety of the study participant; - Study participant has any medical condition including chronic liver disease, which in the Investigator's opinion, warrants exclusion; - Study participant is currently participating in another study of an investigational medication (or a medical device) other than brivaracetam (BRV). The use of antiepileptic drugs (AEDs) marketed for adults but not approved for pediatric use is not considered to be "investigational" for the purposes of this study; - Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator or medical monitor, contraindicates participation in the study. Exclusion criteria for long-term follow-up (LTFU) study participants only: - Study participant had poor compliance with the visit schedule or medication intake in the BRV core study; - Study participant >or= 6 years of age has a lifetime history of suicide attempt (including an actual attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated on the Columbia Suicide Severity Rating Scale (C-SSRS). Exclusion criteria for directly enrolled (DE) study participants only: - Study participant has a history of primary generalized epilepsy; - Study participant has a history of status epilepticus in the 30 days immediately prior to the Screening Visit (ScrV) or during the Screening Period; - Study participant has history or presence of known psychogenic nonepileptic seizures; - Study participant has experienced febrile seizures exclusively. The occurrence of febrile seizures in addition to other unprovoked seizures is not exclusionary; - Study participant has any clinically significant acute or chronic illness as determined during the physical examination or from other information available to the Investigator (eg, bone marrow suppression, chronic hepatic disease, severe renal impairment, psychiatric disorder as per Investigator assessment); - Study participant has clinically significant laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results, according to the judgment of the Investigator; - Study participant has a clinically significant ECG abnormality according to the Investigator; - Study participant had major surgery within 6 months prior to the ScrV. |
Criteri di esclusione per tutti i partecipanti allo studio: - a giudizio dello sperimentatore, il partecipante allo studio soffre di gravi disturbi medici, neurologici o psichiatrici o presenta valori di laboratorio che potrebbero avere un impatto sulla sua sicurezza; - il partecipante allo studio presenta una qualsiasi condizione medica, compresa una malattia epatica cronica, che, secondo l’opinione dello sperimentatore, ne giustifica l’esclusione; - il partecipante allo studio sta attualmente partecipando a un altro studio di un farmaco (o un dispositivo medico) sperimentale diverso da BRV. L’uso di AED commercializzati per gli adulti, ma non approvati per uso pediatrico, non è considerato “sperimentale” ai fini di questo studio; - sensibilità a uno qualunque dei trattamenti dello studio o ai relativi componenti, o a un farmaco oppure altra allergia che, secondo l’opinione dello sperimentatore o del responsabile del monitoraggio medico, può rappresentare una controindicazione alla partecipazione allo studio. Criteri di esclusione solo per i partecipanti allo studio di follow up a lungo termine: - il partecipante allo studio ha manifestato ipersensibilità a BRV oppure a eccipienti o composti chimicamente correlati a BRV nel corso dello studio principale di BRV; - il partecipante allo studio di età >o=6 presenta nell’arco della sua vita un tenativo di suicidio (incluso un tentativo attivo, un tentativo interrotto o un tentativo fallito), oppure ha manifestato un’ideazione suicida negli ultimi 6 mesi come indicato da una risposta positiva (“Sì”) alla Scala della Columbia University per la valutazione della gravità del rischio di suicidio (C-SSRS). Criteri di esclusione solo per i partecipanti allo studio con arruolamento diretto: - il partecipante allo studio presenta un’anamnesi di epilessia primaria generalizzata; - il partecipante allo studio presenta un’anamnesi di stato epilettico nei 30 giorni immediatamente precedenti la visita di screening o durante il periodo di screening; - il partecipante allo studio presenta un’anamnesi o presenza di crisi convulsive psicogene non epilettiche note; - Il partecipante allo studio ha manifestato esclusivamente crisi convulsive febbrili. L’insorgenza di crisi convulsive febbrili oltre ad altre crisi convulsive non provocate non determina l’esclusione; - il partecipante allo studio presenta una qualunque malattia acuta o cronica clinicamente significativa, in base a quanto determinato durante l’esame obiettivo o ad altre informazioni in possesso dello sperimentatore (per es. soppressione del midollo osseo, epatopatia cronica, grave insufficienza renale, disturbi psichiatrici, secondo la valutazione dello sperimentatore); - il partecipante allo studio presenta anomalie di laboratorio clinicamente significative che possono aumentare il rischio associato alla partecipazione allo studio o interferire con l’interpretazione dei risultati dello studio, secondo il giudizio dello sperimentatore; - il partecipante allo studio presenta un’anomalia ECG clinicamente significativa secondo lo sperimentatore; - il partecipante allo studio ha subito un intervento di chirurgia maggiore nei 6 mesi precedenti la visita di screening. |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Incidence of treatment-emergent adverse events (TEAEs) during the study; 2. Incidence of treatment-emergent serious adverse events (SAEs) during the study; 3. Incidence of treatment-emergent adverse events (TEAEs) leading to discontinuation of study drug during the study. |
1. Incidenza di eventi avversi emergenti dal trattamento (TEAE) durante lo studio; 2. Incidenza di eventi avversi seri (SAE) emergenti dal trattamento durante lo studio; 3. Incidenza di TEAE che portano all’interruzione del farmaco dello studio durante lo studio. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1-3. From Entry Visit (Day 1) until Safety Visits (up to 5 years). |
1-3. Dalla visita di ingresso (Giorno 1) fino alle visite di sicurezza (fino a 5 anni). |
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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 | Yes |
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 |
Tolerability |
Tollerabilità |
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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 | No |
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 | Yes |
E.8.1.7.1 | Other trial design description |
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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 |
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 35 |
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 | Information not present in EudraCT |
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 |
Japan |
Mexico |
United States |
Belgium |
France |
Germany |
Hungary |
Ireland |
Italy |
Poland |
Spain |
United Kingdom |
Czechia |
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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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LPLV. |
Ultima visita dell'ultimo paziente. |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 12 |
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 | 3 |
E.8.9.2 | In all countries concerned by the trial days | 12 |