A study to learn about the safety of long-term treatment with brivaracetam in children and young adults with childhood or juvenile absence epilepsy

2023-508095-11-00 Protocol EP0224 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 27 Nov 2024 · Status Ongoing, recruitment ended · 4 EU/EEA countries · 15 sites · Protocol EP0224

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 70
Countries 4
Sites 15

Childhood Absence Epilepsy

To investigate the long-term safety and tolerability of brivaracetam (BRV) in pediatric study participants with childhood absence epilepsy (CAE) or juvenile absence epilepsy (JAE)

Key facts

Sponsor
UCB Biopharma
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
27 Nov 2024 → ongoing
Decision date (initial)
2024-07-24
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-508095-11-00
WHO UTN
U1111-1303-1174
ClinicalTrials.gov
NCT06315322

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

To investigate the long-term safety and tolerability of brivaracetam (BRV) in pediatric study participants with childhood absence epilepsy (CAE) or juvenile absence epilepsy (JAE)

Conditions and MedDRA coding

Childhood Absence Epilepsy

VersionLevelCodeTermSystem organ class
24.0 PT 10085031 Juvenile absence epilepsy 100000004852
24.0 LLT 10085034 Childhood absence epilepsy 100000004848

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Participants who previously participated in EP0132 and/or N01269 and qualify for entry into EP0224 as per the EP0132 or N01269 protocol with a confirmed diagnosis of childhood absence epilepsy (CAE) or juvenile absence epilepsy (JAE) - Participants for whom a reasonable benefit from long-term administration of Brivaracetam (BRV) is expected in the opinion of the Investigator - Male and female A male participant must agree to use contraception during the treatment period and for at least 2 days after the final dose of investigational medicinal product (IMP) and refrain from donating sperm during this period. A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies: ◦ Not a woman of childbearing potential (WOCBP) OR A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 2 days after the final dose of IMP. - Capable of and provides informed consent/assent, and the participant’s parent/legal representative/caregiver provides signed informed consent for minor participants, which includes compliance with the requirements and restrictions listed in the Informed Consent form (ICF)/Assent form and in this protocol

Exclusion criteria 1

  1. - Participant has a history or presence of paroxysmal nonepileptic seizures - Participant has severe medical, neurological, or psychiatric disorders or laboratory values which could, at the discretion of the Investigator, affect safe participation in the study or would preclude appropriate study participation - Participant has hepatic impairment (Child Pugh Score A, B, or C) based on the Investigator’s assessment - Participant has active suicidal ideation prior to study entry as indicated by a positive response (“Yes”) to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) (for participants 6 years of age or older) or clinical judgment (for participants younger than 6 years of age). The participant should be referred immediately to a Mental Healthcare Professional - Participant has any medical or psychiatric condition that, in the opinion of the Investigator, could jeopardize or would compromise the participant’s ability to participate in this study - Participant has known fructose intolerance or a known hypersensitivity to any components of BRV or excipients or a drug with similar chemical structure - Concomitant use of carbamazepine, felbamate, gabapentin, oxcarbazepine, phenobarbital, phenytoin, tiagabine, or vigabatrin - Participant is receiving any investigational drugs or using any experimental devices in addition to BRV - Participant meets a mandatory withdrawal criterion for N01269 or EP0132 or is experiencing an ongoing Serious adverse event (SAE) - Participant has poor compliance with the visit schedule or IMP intake in the preceding study in the opinion of the Investigator

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. - Incidence of treatment-emergent adverse events (TEAEs) during the study - Incidence of treatment-emergent adverse events (TEAEs) leading to discontinuation of investigational medicinal product (IMP) during the study

Secondary endpoints 1

  1. - Incidence of serious adverse events (SAEs) during the study - Incidence of IMP related TEAEs during the study

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

brivaracetam

PRD11077215 · Product

Active substance
Brivaracetam
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SRL
Paediatric formulation
No
Orphan designation
No

brivaracetam

PRD11077163 · Product

Active substance
Brivaracetam
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SRL
Paediatric formulation
No
Orphan designation
No

brivaracetam

PRD11077225 · Product

Active substance
Brivaracetam
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SRL
Paediatric formulation
No
Orphan designation
No

brivaracetam

PRD11077213 · Product

Active substance
Brivaracetam
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SRL
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

UCB Biopharma

Sponsor organisation
UCB Biopharma
Address
Researchdreef 60
City
Anderlecht
Postcode
1070
Country
Belgium

Scientific contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Public contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Third parties 4

OrganisationCity, countryDuties
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Interactive response technologies (IRT)
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 11, Code 12, Code 13, Code 5, Data management
Research Foundation for Mental Hygiene, Inc.
ORL-000005768
Menands, United States Other

Locations

4 EU/EEA countries · 15 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 15 8
Romania Ongoing, recruitment ended 9 4
Slovakia Ongoing, recruitment ended 4 2
Spain Ended 3 1
Rest of world
United States, Georgia, Ukraine
39

Investigational sites

Italy

8 sites · Ended
Azienda Ospedaliera Universitaria Gaetano Martino Messina
#40765: Dipartimento di Neuroscienze, Via Consolare Valeria N 1, 98124, Messina
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
#40629: UOC Neuropsichiatria Infantile, Largo Agostino Gemelli 8, 00168, Rome
ASST Fatebenefratelli Sacco
#40762: Pad B Reparto Neurologia Pediatrica, Via Lodovico Castelvetro 32, 20154, Milan
IRCCS Foundation Istituto Neurologico Carlo Besta
#40144: UOC Neuropsichiatria Infantile, Via Giovanni Celoria 11, 20133, Milan
Neurological Institute Foundation Casimiro Mondino
#40764: Neuropsichiatria Infantile, Via Casimiro Mondino 2, 27100, Pavia
Bambino Gesu Childrens Hospital
#40766: UOC Neurologia, Piazza Sant'Onofrio 4, 00165, Rome
IRCCS Foundation Istituto Neurologico Carlo Besta
#40144: UOC Neuropsichiatria Infantile, Via Giovanni Celoria 11, 20133, Milan
Azienda Ospedaliera Universitaria Integrata Verona
#40763: UOC Neuropsichiatria Infantile, Piazzale Aristide Stefani 1, 37126, Verona

Romania

4 sites · Ongoing, recruitment ended
Centrul National Clinic De Recuperare Neuropsihomotorie Copii Doctor Nicolae Robanescu
#40769: Pediatric Neurology, Strada Sold Dumitru Minca 44 Sector 4, 041408, Bucharest
Spitalul Clinic De Urgenta Pentru Copii Louis Turcanu Timisoara
#40770: Pediatric Neurology, Strada Corbului Nr 7, 300239, Timisoara
Spitalul Clinic De Psihiatrie Prof.Dr.Alexandru Obregia
#40767: Pediatric Neurology, Soseaua Berceni 4, 041914, Bucharest
Spitalul Clinic De Urgenta Pentru Copii Sfanta Maria Iasi
#40768: Pediatric Neurology, Strada Vasile Lupu Nr 62, 700309, Jassi

Slovakia

2 sites · Ongoing, recruitment ended
In Medic s.r.o
#40771: Neurology, Novy Sad 930/17, 085 01, Bardejov
Konzilium s.r.o.
#40772: Neurology, Puskinova 795/8, 018 51, Nova Dubnica

Spain

1 site · Ended
Fundacio Assistencial De Mutua De Terrassa Fpc
#40453: Neurologia, Calle De San Antonio No 32, 08221, Terrassa

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2024-11-27 2026-03-04 2024-11-27 2026-03-04
Romania 2025-03-20 2025-03-20 2026-03-04
Slovakia 2025-01-07 2025-01-07 2026-03-04

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 36 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) ep0224-protocol-public n/a
Recruitment arrangements (for publication) ep0224-es-icf-recr-proc-en-public 1.0
Recruitment arrangements (for publication) ep0224-it-icf-recr-proc-en-public 1.0
Recruitment arrangements (for publication) ep0224-ro-icf-recr-proc-en-public 1.0
Recruitment arrangements (for publication) ep0224-sk-recr-proc-en-public 1.0
Subject information and informed consent form (for publication) ep0224-es-icf-ass12-17-es-ES-public 2.0
Subject information and informed consent form (for publication) ep0224-es-icf-ass6-11-es-ES-public 1.0
Subject information and informed consent form (for publication) ep0224-es-icf-main-es-ES-public 2.1
Subject information and informed consent form (for publication) ep0224-es-icf-pp-es-ES-public 1.0
Subject information and informed consent form (for publication) ep0224-es-icf-recr-proc-en-public 1.0
Subject information and informed consent form (for publication) ep0224-it-icf-adult-it-IT-public 2.0
Subject information and informed consent form (for publication) ep0224-it-icf-ass12-17-it-IT-public 2.0
Subject information and informed consent form (for publication) ep0224-it-icf-ass6-11-it-IT-public 1.1
Subject information and informed consent form (for publication) ep0224-it-icf-dp-it-IT-public 1.0
Subject information and informed consent form (for publication) ep0224-it-icf-par-it-IT-public 2.0
Subject information and informed consent form (for publication) ep0224-it-icf-pp-it-IT-public 1.0
Subject information and informed consent form (for publication) ep0224-it-icf-recr-proc-en-public 1.0
Subject information and informed consent form (for publication) ep0224-ro-icf-adult-ro-RO-public 2.1
Subject information and informed consent form (for publication) ep0224-ro-icf-ass11-14-ro-RO-public 1.0
Subject information and informed consent form (for publication) ep0224-ro-icf-ass15-17-ro-RO-public 2.1
Subject information and informed consent form (for publication) ep0224-ro-icf-ass7-10-ro-RO-public 1.0
Subject information and informed consent form (for publication) ep0224-ro-icf-par-ro-RO-public 2.1
Subject information and informed consent form (for publication) ep0224-ro-icf-pp-ro-RO-public 1.0
Subject information and informed consent form (for publication) ep0224-ro-icf-recr-proc-en-public 1.0
Subject information and informed consent form (for publication) ep0224-sk-icf-ass12-17-sk-SK-public 2.0
Subject information and informed consent form (for publication) ep0224-sk-icf-ass6-11-sk-SK-public 1.1
Subject information and informed consent form (for publication) ep0224-sk-icf-gdpr-sk-SK-public 1.0
Subject information and informed consent form (for publication) ep0224-sk-icf-main-sk-SK-public 2.0
Subject information and informed consent form (for publication) ep0224-sk-icf-pp-sk-SK-public 1.2
Subject information and informed consent form (for publication) ep0224-sk-icf-proc-en-public 1.0
Summary of Product Characteristics (SmPC) (for publication) brivaracetam-SPC-psur9-public 1.0
Synopsis of the protocol (for publication) EP0224-protocol-summary-en-public 1.0
Synopsis of the protocol (for publication) EP0224-protocol-summary-public-es-ES 1.0
Synopsis of the protocol (for publication) EP0224-protocol-summary-public-it-IT 1.0
Synopsis of the protocol (for publication) EP0224-protocol-summary-public-ro-RO 1.0
Synopsis of the protocol (for publication) EP0224-protocol-summary-public-sk-SK 1.0

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-02 Italy Acceptable
2024-07-19
2024-07-19
2 SUBSTANTIAL MODIFICATION SM-1 2024-09-16 Italy Acceptable 2024-12-04
3 SUBSTANTIAL MODIFICATION SM-2 2024-12-17 Italy Acceptable
2025-03-05
2025-03-06
4 SUBSTANTIAL MODIFICATION SM-3 2025-04-25 Italy Acceptable
2025-07-31
2025-07-31
5 NON SUBSTANTIAL MODIFICATION NSM-1 2026-03-04 Italy Acceptable
2025-07-31
2026-03-04