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Conversion To Monotherapy With Lamictal Extended Release Tablets For Treatment Of Partial Epilepsy
This study has been completed.
First Received: July 19, 2006   Last Updated: May 15, 2009   History of Changes
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00355082
  Purpose

This study is being conducted to determine the effectiveness of a lower monotherapy dose of lamotrigine than that currently approved.


Condition Intervention Phase
Epilepsy, Partial
Drug: lamotrigine, 250 mg/day
Drug: lamotrigine, 300 mg/day
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Multicenter, Double-Blind, Randomized Conversion to Monotherapy Comparison of Two Doses of Lamotrigine for the Treatment of Partial Seizures

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Proportion of subjects in the 300 mg/day arm who prematurely discontinue the study. [ Time Frame: throughout the study ]

Secondary Outcome Measures:
  • Percent change from baseline in seizure frequency [ Time Frame: throughout the study ]
  • Percent seizure-free at last visit [ Time Frame: throughout the study ]
  • Treatment Emergent Adverse Events [ Time Frame: throughout the study ]
  • Time to discontinuation after escalationPercent change from baseline seizure frequency throughout the studyProportion of subjects in the 250 mg/day treatment group who prematurely discontinue. [ Time Frame: throughout the study ]
  • Proportion of subjects in the 250 mg/day treatment group who prematurely discontinue [ Time Frame: throughout the study ]
  • Time to discontinuation [ Time Frame: throughout the study ]
  • Proportion of subjects meeting the pre-defined escape criteria [ Time Frame: throughout the study ]

Enrollment: 299
Study Start Date: May 2006
Study Completion Date: November 2008
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Historic data Drug: lamotrigine, 300 mg/day
300 mg/day
Historic (2) Drug: lamotrigine, 250 mg/day
250 mg/day

  Eligibility

Ages Eligible for Study:   13 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Male or Female ≥13 years of age
  • Have a confident diagnosis of epilepsy with partial seizures for at least 24 weeks prior to the Baseline Phase
  • Have a documented history of partial seizures such that the investigator must judge that the subject is likely to have at least 4 partial seizures during the 8-week Baseline Phase.
  • Have experienced at least 4 partial seizures (i.e., simple or complex partial seizures with or without secondary generalization) during an 8-week (i.e., 56 days) prospective Baseline Phase with at least one partial seizure occurring during each 4-week (i.e., 28-day) period.
  • NOTE: With prior authorization from GlaxoSmithKline (GSK), retrospective data may take the place of up to the first 4 weeks (i.e., first 28 days) of the Baseline Phase for subjects providing reliable documentation of the following (see Appendix 3):

    1. A complete daily seizure diary that includes the number, and type (i.e., simple or complex partial seizures with or without secondary generalization), of seizures experienced each day for up to 28 consecutive days immediately prior to the prospective Baseline Phase
    2. Stability of prescribed dosages of background AED
    3. Compliance with background AED

All subjects permitted to use retrospective baseline data must complete a minimum of four weeks (i.e., 28 days) of the prospective Baseline Phase. The retrospective plus the prospective Baseline Phases must equal the 56 consecutive days prior to the start of dosing with study drug.

  • be currently receiving AED monotherapy treatment with a stable regimen of a non-enzyme inducing AED for at least four weeks prior to starting the Baseline Phase.
  • be able and willing to maintain an accurate, complete, written daily seizure diary, or has a parent/caregiver who is able and willing to maintain and accurate, complete, written daily seizure diary for the entire duration of the study.
  • be able to comply with the dosing of study drugs, background AED, and all study procedures.
  • understand and sign written informed consent, or will have a parent or a legally authorized representative who has done so, prior to the performance of any study assessments
  • if female, and of childbearing potential be using an acceptable form of birth control, to include one of the following:

    1. Complete abstinence from intercourse for two weeks before exposure to the study drug, throughout the clinical trial, and for a period after the trial to account for elimination of the drug (a minimum of 2 weeks).
    2. Consistent and correct use of one of the following methods of birth control:

Male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject.

Any intrauterine device (IUD) with a documented failure rate of less than 1% per year

Double barrier method consisting of spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a female diaphragm).

NOTE: Women who have had a hysterectomy, tubal ligation, or are post-menopausal are considered to be of non-childbearing potential.

NOTE: A pharmacokinetic interaction has been observed between LTG and estrogen-based oral contraceptives.

Therefore, the use of hormonal therapy (e.g., for contraception or hormone replacement therapy) is not allowed.

Exclusion criteria:

  • Exhibits any primary generalized seizures (e.g., absence, myoclonic primary generalized tonic-clonic seizures).
  • Has had status epilepticus within the 24 weeks prior to, or during, the Baseline Phase.
  • Is taking an enzyme-inducing AED (EIAED - e.g. carbamazepine, phenytoin, phenobarbital, primidone) or is taking more than 1 background AED.
  • Is currently taking LTG or has previously had an adequate trial of LTG.
  • Is currently taking felbamate
  • Is using hormone therapy
  • Is abusing alcohol and/or other substances
  • Has taken an investigational drug within the previous 30 days or plans to take an investigational drug anytime during the study.
  • Is receiving chronic treatment with any medication that could influence seizure control
  • NOTE: Use of benzodiazepines is allowed as specified in Section 8.1.2
  • Is currently following the ketogenic diet.
  • Is using vagal nerve stimulation
  • Is planning surgery to control seizures during the study.
  • Is pregnant, breastfeeding, or planning to become pregnant during the study or within the three weeks after the last dose of study drug.
  • Is suffering from acute or progressive neurological disease, severe psychiatric disease or severe mental abnormality that is likely to interfere with the objectives of the study.
  • Has any clinically significant cardiac, renal, hepatic condition, or a condition that affects the absorption, distribution, metabolism or excretion of drugs.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00355082

  Show 98 Study Locations
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GSK ( Study Director )
Study ID Numbers: LAM30055
Study First Received: July 19, 2006
Last Updated: May 15, 2009
ClinicalTrials.gov Identifier: NCT00355082     History of Changes
Health Authority: United States: Food and Drug Administration;   Russia: Ministry of Health and Social Development of the Russian Federation

Keywords provided by GlaxoSmithKline:
epilepsy
monotherapy
lamotrigine
Lamictal

Study placed in the following topic categories:
Epilepsies, Partial
Calcium, Dietary
Epilepsy
Seizures
Lamotrigine
Calcium Channel Blockers
Central Nervous System Diseases
Cardiovascular Agents
Brain Diseases
Anticonvulsants

Additional relevant MeSH terms:
Epilepsies, Partial
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Central Nervous System Diseases
Calcium Channel Blockers
Cardiovascular Agents
Brain Diseases
Pharmacologic Actions
Membrane Transport Modulators
Epilepsy
Therapeutic Uses
Lamotrigine
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on September 11, 2009