Overview

Study to Investigate Safety and Tolerability of Intravenous Lacosamide in Children.

Status:
Completed
Trial end date:
2019-06-28
Target enrollment:
0
Participant gender:
All
Summary
EP0060 is a multicenter, open-label study to evaluate the safety and tolerability of intravenous (iv) Lacosamide (LCM) in pediatric subjects >= 1 month to < 17 years of age with epilepsy.
Phase:
Phase 2/Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
UCB BIOSCIENCES, Inc.
Collaborator:
PRA Health Sciences
Treatments:
Lacosamide
Criteria
Inclusion Criteria:

- Male or female from >=1 month to <17 years of age

- Subject has a diagnosis of epilepsy with partial-onset seizures or primary generalized
tonic-clonic seizures

- Subject meets 1 of the following criteria:

1. Open-label lacosmide (OLL) subject: Subject is currently receiving oral lacosmide
(LCM) as adjunctive or monotherapy as participants in an open label long-term
study (SP848, EP0034, or other pediatric study); OR,

2. Prescription lacosamide (RxL) subject: Subject is currently receiving prescribed
oral LCM from commercial supply (eg, VIMPAT) as adjunctive or monotherapy; OR,

3. Initiating intravenous lacosamide (IIL) subject: Subject is not currently
receiving LCM and will receive intravenous (iv) LCM as adjunctive treatment in
EP0060. Initiation of LCM monotherapy is not permitted in IIL subjects.

- Subject is an OLL or RxL subject and meets both of the following criteria:

1. Subject has been administered LCM for the treatment of epilepsy for at least 2
weeks prior to Screening; AND

2. Subject has been administered (OLL) or prescribed (RxL) oral LCM at a dose of 2
mg/kg/day to 12 mg/kg/day (for subjects <50 kg) or 100 mg/day to 600 mg/day (for
subjects >=50 kg). Open-label study drug LCM (OLL) or prescribed oral LCM dose
(RxL) must be stable for at least 3 days prior to first LCM infusion; OR,

- Subject is an ILL subject and is on a stable dosage regimen of at least 1
antiepileptic drug (AED). The daily dosage regimen of concomitant AED therapy must be
kept constant for a period of at least 2 weeks prior to Screening.

- Subject is an acceptable candidate for venipuncture and iv infusion

- Subject is, in the opinion of the investigator, able to comply with all study
requirements. Subject (or parent[s] or legal representative) is willing to comply with
all study requirements

- Subject weighs >=4 kg

Exclusion Criteria:

- Subject has previously received intravenous (iv) lacosamide (LCM) in this study

- Subject has any medical, neurological, or psychiatric condition that, in the opinion
of the investigator, could jeopardize the subject's health or compromise the subject's
ability to participate in EP0060

- Subject has clinically significant hypotension or bradycardia in the opinion of the
investigator

- Subject >=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 by positive responses ("Yes") to either Question 4 or
Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening

For open-label lacosamide (OLL) subjects, enrollment in EP0060 is not permitted if any of
the following additional criteria are met:

- Subject has any ongoing Adverse Event (AE) in their long-term, open-label study that, in
the opinion of the investigator, could jeopardize or would compromise the subject's ability
to participate EP0060 or the subject meets any of the criteria for required withdrawal from
the long-term open-label study

For prescription lacosamide (RxL) and initiating intravenous lacosamide (IIL) subjects,
enrollment in EP0060 is not permitted if any of the following additional criteria are met:

- Subject has a medical condition that could reasonably be expected to interfere with
drug absorption distribution, metabolism, or excretion

- Subject is a female of childbearing potential and does not practice an acceptable
method of contraception for the duration of participation in EP0060

- Subject has creatinine clearance less than 30 mL/min

- Subject has a clinically relevant electrocardiogram (ECG) abnormality, in the opinion
of the principal investigator (ie, second or third degree heart block at rest or a QT
prolongation greater than 450 ms)

- Subject has hemodynamically significant heart disease (eg, heart failure)

- Subject has an arrhythmic heart condition requiring medical therapy, known cardiac
sodium channelopathy, such as Brugada syndrome

- Subject has a known history of severe anaphylactic reaction or serious blood
dyscrasias

- Subject has an acute or subacutely progressive central nervous system disease.

- Subject has epilepsy secondary to a progressing cerebral disease or any other
progressive or neurodegenerative disease (malignant brain tumor or Rasmussen syndrome)

- Lacosamide is intended for treatment of generalized convulsive status epilepticus

- Subject has diagnosis of Dravet's syndrome

For IIL subjects, enrollment in EP0060 is not permitted if the following additional
criterion is met:

- Subject has been treated with LCM within the last 3 months prior to Screening