Clinical Trial Results:
Prospective, Long-Term, Interventional, Active Extension Study to Evaluate the Safety and Tolerability of NBI-921352 as Adjunctive Therapy in Subjects with Focal Onset Seizures (FOS)
Summary
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EudraCT number |
2021-004265-12 |
Trial protocol |
CZ FR HU ES IT BE |
Global end of trial date |
11 Mar 2024
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Results information
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Results version number |
v1(current) |
This version publication date |
27 Mar 2025
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First version publication date |
27 Mar 2025
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
NBI-921352-FOS2022
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT05493293 | ||
WHO universal trial number (UTN) |
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Sponsors
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Sponsor organisation name |
Neurocrine Biosciences
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Sponsor organisation address |
12780 El Camino Real, San Diego, United States, 92130
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Public contact |
Neurocrine Medical Information, Neurocrine Biosciences Inc., +1 877-641-3461, medinfo@neurocrine.com
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Scientific contact |
Neurocrine Medical Information, Neurocrine Biosciences Inc., +1 877-641-3461, medinfo@neurocrine.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
11 Mar 2024
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
11 Mar 2024
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Global end of trial reached? |
Yes
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Global end of trial date |
11 Mar 2024
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The primary objective for this study is evaluate the long-term safety and tolerability of NBI-921352 in participants with FOS.
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Protection of trial subjects |
This study was performed in full compliance with applicable Good Clinical Practice (GCP) and regulations.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
08 Nov 2022
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Australia: 8
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Country: Number of subjects enrolled |
Spain: 22
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Country: Number of subjects enrolled |
Belgium: 6
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Country: Number of subjects enrolled |
Czechia: 28
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Country: Number of subjects enrolled |
France: 7
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Country: Number of subjects enrolled |
Hungary: 6
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Country: Number of subjects enrolled |
Italy: 5
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Worldwide total number of subjects |
82
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EEA total number of subjects |
74
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
82
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||
Pre-assignment
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Screening details |
Participants who enrolled directly from Study NBI-921352-FOS2021 did not have a screening period. Participants who did not enroll directly had a screening period of at least 4 weeks. | ||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||
Arms
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Arm title
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NBI-921352 | ||||||||||||||||||||
Arm description |
Participants received NBI-921352 3 times per day (TID) for up to 104 weeks. | ||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||
Investigational medicinal product name |
NBI-921352
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
NBI-921352 was administered per schedule specified in the arm description.
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Baseline characteristics reporting groups
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Reporting group title |
NBI-921352
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Reporting group description |
Participants received NBI-921352 3 times per day (TID) for up to 104 weeks. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
NBI-921352
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Reporting group description |
Participants received NBI-921352 3 times per day (TID) for up to 104 weeks. |
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End point title |
Number of Participants With Serious Treatment-emergent Adverse Events (TEAEs) [1] | ||||||
End point description |
A TEAE was an adverse event (AE) with an onset date on or after first dose of study drug and within 14 days after the last dose of study drug. An AE was any untoward medical occurrence in a participant administered the study drug that did not necessarily have a causal relationship with the treatment. A serious adverse event (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required in-patient hospitalization/prolongation of existing hospitalization, was a congenital anomaly, was infection that required treatment parenteral antibiotics, other important medical events which might jeopardize participants, or might require medical/surgical intervention to prevent any of the above. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the ‘Reported Adverse Events’ Section. Safety analysis set included all enrolled participants who received at least 1 dose of NBI-921352.
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End point type |
Primary
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End point timeframe |
From first dose of study drug up to Week 111
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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: The endpoint was descriptive in nature. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From first dose of study drug up to Week 111
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Adverse event reporting additional description |
Safety analysis set included all enrolled participants who received at least 1 dose of NBI-921352.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
26.0
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Reporting groups
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Reporting group title |
NBI-921352
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Reporting group description |
Participants received NBI-921352 3 times per day (TID) for up to 104 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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22 Oct 2021 |
• Inclusion criterion was revised to indicate that hormonal contraception is considered an acceptable method of contraception when used with effective nonhormonal contraception and to clarify that male participants with bilateral orchiectomy are required to use a condom with spermicide.
• Specified that known potent inhibitors or inducers of cytochrome P3A4 (CYP3A4) enzymes (other than antiseizure medications [ASMs]) are not permitted during the study.
• A statement was added that participants should avoid exposure to excessive sunlight or artificial ultraviolet light during the study and be advised to use sunscreen/sunblock and/or wear protective clothing when exposure could not be avoided.
• Added that study treatment discontinuation was required for corrected QT interval using Fridericia’s formula (QTcF) change from baseline >60 millisecond (msec) (cardiologist verified) and confirmed with repeated electrocardiogram (ECG) measure.
• Added that study treatment discontinuation was required for QTcF of >500 msec (cardiologist verified) on any ECG tracing.
• Added a statement that the electronic data capture (EDC) and study-specific electronic case report forms (eCRFs) will comply with European Union General Data Protection Regulation. |
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18 May 2022 |
The protocol was revised to allow enrollment of participants who did not enroll directly from FOS2021. A Screening Period of up to 8 weeks and a 1-week open label (OL) Dose Titration Period was added.
• Removed statement that participants should avoid excessive sunlight and ultraviolet light exposure during the study.
• Added a statement that the Sponsor will store biosamples in a manner compliant with applicable national and local regulations and the requirements of the European Union General Data Protection Regulation.
• Added that entries into the daily seizure diary will be reviewed with the participant by qualified study staff personnel who have completed the study-specific training.
• Revised methods for measuring body temperature.
• Added a statement that study visits may be conducted remotely if in-person visits were not possible for COVID-19-related reasons.
• Updated to state that SAEs must be reported immediately and no later than 24 hours of knowledge of the event under any circumstances.
• Added that pregnancies in partners of male participants must be reported to Neurocrine Biosciences, Inc (NBI) and that NBI will ask to follow the partner’s pregnancy.
• Updated Sponsor contact information for reporting SAEs and pregnancies.
• Removed the requirement for postbaseline safety data from the definition of the safety analysis set. |
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04 May 2023 |
• The secondary objective was recategorized as an ‘other’ objective.
• Changes were made to the study endpoints, and the safety and efficacy analyses were updated to reflect the changes to the endpoints.
• Clarified that a Taper Visit is not applicable for participants who withdraw from the study if they have dose de-escalation before the Early Termination Visit.
• Increased the frequency of pregnancy testing for female participants of childbearing potential during the OL treatment period and removed the requirement for a confirmatory serum pregnancy test to be conducted at the study center.
• Added that the local regulatory authority will be notified if urgent safety measures are required.
• Updated statements about the security of information technology systems and Sponsor compliance with applicable laws and regulations for disclosure of study results.
• Updated the Schedule of Assessments to clarify timing of seizure diary collection and dispensation. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |