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A Study on the Effectiveness and Safety of Diazepam Injection (Vanquix™) for Patients With Epilepsy That Receive Antiepileptic Drugs, But Still Experience Acute Repetitive Seizures (Bouts or Clusters of Seizures) That Require Treatment
This study is currently recruiting participants.
Verified by King Pharmaceuticals Research and Development, December 2008
Sponsored by: King Pharmaceuticals Research and Development
Information provided by: King Pharmaceuticals Research and Development
ClinicalTrials.gov Identifier: NCT00319501
  Purpose

The purpose of this study is to determine if there is a difference in the number of seizures and adverse events after a diazepam or placebo injection is given to control acute repetitive seizures.


Condition Intervention Phase
Epilepsy
Epilepsy, Generalized
Epilepsy, Complex Partial
Epilepsies, Partial
Seizures
Drug: Diazepam
Drug: Placebo
Phase III

Genetics Home Reference related topics: autosomal dominant partial epilepsy with auditory features pyridoxal 5'-phosphate-dependent epilepsy pyridoxine-dependent epilepsy
MedlinePlus related topics: Epilepsy Seizures
Drug Information available for: Diazepam
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase III, Randomized Double-Blind, Parallel, Placebo-Controlled, Multicenter Study, With Optional Open-Label Continuation, of the Safety and Efficacy of Vanquix™ Auto-Injector (Diazepam Injection) for the Management of Selected, Refractory Patients With Epilepsy Who Require Intermittent Medical Intervention to Control Episodes of Acute Repetitive Seizures

Further study details as provided by King Pharmaceuticals Research and Development:

Primary Outcome Measures:
  • Time to next seizure or rescue [ Time Frame: Beginning at least 15 minutes after and within 12 hours of study drug administration ] [ Designated as safety issue: No ]

Estimated Enrollment: 325
Study Start Date: January 2006
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Diazepam
Intramuscular autoinjector: 5, 10, 15, or 20 mg (based on subject's weight); onset of an episode
2: Placebo Comparator Drug: Placebo
Intramuscular autoinjector; vehicle; onset of an episode

Detailed Description:

In the United States, more than 2 million people have epilepsy. Most patients with epilepsy are able to control their seizures with drugs and/or surgery. However, many patients (400,000 to greater than 600,000) are considered refractory to antiepileptic drugs and still experience acute repetitive seizures (ARS). An ARS is an episode of multiple seizures that differs from the patient's usual seizure pattern and is often recognizable by the patient's family and caregivers. The ARS is usually described as a bout or cluster of seizures that occurs over a short period of time in which the patient regains consciousness in between seizures. Only one drug is currently available that persons other than health care professionals (e.g., patient's caregiver) may give to control ARS. This drug is called Diastat®. Diastat® is a diazepam rectal gel and, although it is effective, it may be difficult, inconvenient, or objectionable to use because of its rectal administration. Vanquix™ (diazepam autoinjector) also contains diazepam, but is administered by an automated injectable device into the leg muscle. Vanquix™ may be less difficult and more convenient to use by caregivers, however, its effectiveness and safety have not been studied in patients. This study will determine the effectiveness and safety of Vanquix™ compared to placebo for treating ARS.

  Eligibility

Ages Eligible for Study:   2 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Inclusion Criteria for Patient:

  • Clinical diagnosis of epilepsy, on a stable antiepileptic drug (AED) regimen for at least 2 weeks, and requires intermittent medical intervention to control episodes of acute repetitive seizures (ARS)
  • Experienced at least 2 episodes of ARS in previous year, one of which occurred in previous 6 months
  • Has episodes of ARS that include complex partial or generalized seizures
  • Has a responsible caregiver available to participate
  • Is not pregnant and not lactating and is practicing an acceptable method of birth control

Inclusion Criteria for Caregiver(s):

  • Is 18 years of age or older and is responsible
  • Is available to accompany the patient to clinic visits

Exclusion Criteria:

  • Petit mal status or petit mal variant status
  • History of ARS consistently progressing to status epilepticus
  • Has history of failure to respond to benzodiazepine treatment
  • Hypersensitive to diazepam
  • Acute narrow angle glaucoma
  • Abuses alcohol and/or other substances
  • Took another investigational drug in previous 30 days
  • Acute or progressive neurological disease, severe psychiatric disease, or severe mental abnormality
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00319501

Contacts
Contact: Theresa Dassinger 919-653-7032

  Show 53 Study Locations
Sponsors and Collaborators
King Pharmaceuticals Research and Development
Investigators
Study Director: Richard Barrett, Ph.D. King Pharmaceuticals
  More Information

Responsible Party: King Pharmaceuticals, Inc. ( Eric G. Carter, Ph.D., M.D., Chief Science Officer )
Study ID Numbers: K826-05-3001
Study First Received: April 27, 2006
Last Updated: December 30, 2008
ClinicalTrials.gov Identifier: NCT00319501  
Health Authority: United States: Food and Drug Administration

Keywords provided by King Pharmaceuticals Research and Development:
Acute Repetitive Seizures
ARS
Diazepam
Cluster Seizures

Study placed in the following topic categories:
Epilepsy, Complex Partial
Epilepsies, Partial
Signs and Symptoms
Epilepsy
Diazepam
Seizures
Neurologic Manifestations
Central Nervous System Diseases
Brain Diseases
Epilepsy, Generalized

Additional relevant MeSH terms:
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
GABA Modulators
Physiological Effects of Drugs
Psychotropic Drugs
Antiemetics
Anesthetics
Neuromuscular Agents
Therapeutic Uses
Muscle Relaxants, Central
Hypnotics and Sedatives
Anesthetics, Intravenous
Tranquilizing Agents
Nervous System Diseases
Gastrointestinal Agents
Central Nervous System Depressants
Pharmacologic Actions
Adjuvants, Anesthesia
Autonomic Agents
Anesthetics, General
GABA Agents
Anti-Anxiety Agents
Peripheral Nervous System Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on January 16, 2009