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Trial · NCT02408523

A Study to Assess the Safety and Efficacy of Lacosamide Versus Placebo (a Pill Without Active Medication) in Patients With Idiopathic Generalised Epilepsy Who Are Already Taking Anti-epileptic Medications

NCT02408523, Phase 3, Completed, UCB BIOSCIENCES, Inc.; results first posted 2020-04-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Assess the Safety and Efficacy of Lacosamide Versus Placebo (a Pill Without Active Medication) in Patients With Idiopathic Generalised Epilepsy Who Are Already Taking Anti-epileptic Medications. Trials, record NCT02408523. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02408523

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Assess the Safety and Efficacy of Lacosamide Versus Placebo (a Pill Without Active Medication) in Patients With Idiopathic Generalised Epilepsy Who Are Already Taking Anti-epileptic Medications
NCT number
NCT02408523
Status
Completed
Phases
Phase 3
Enrollment
242 participants, actual
Lead sponsor
UCB BIOSCIENCES, Inc.
Conditions
Epilepsy
Interventions
Lacosamide Tablet, Lasosamide Oral Solution, Placebo Tablet, Placebo Oral Solution
First posted
2015-04-03
Last updated
2020-12-17
Other registries' IDs
eudract:2011-003100-21
Results first posted
2020-04-16

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The primary efficacy variable was the time to the second primary generalized tonic clonic seizure (PGTCS) during the 24-week Treatment Period. Relative difference between groups (Lacosamide vs Placebo) was expressed as Hazard Ratio. The indicated measured values are the observed number of events of second PGTCS in the treatment period which form the basis of the statistical analysis of the time to event analysis. The hazard ratio compares 2 treatment groups for the times to a specified number of events (125) for the combined treatment groups, and so both the number of events and the times until those events pertain to the computation of the hazard ratio. A Hazard Ratio below 1 indicates time to second PGTCS was improved for LCM compared to Placebo.
SecondaryPercentage of Participants With Seizure Freedom for Primary Generalized Tonic Clonic (PGTC) Seizures During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
A seizure-free day from primary generalized tonic clonic seizures (PGTCS) was defined as a day where no PGTCS were reported in the seizure diary and PGTCS were assessed, which was estimated using Kaplan-Meier (KM) methods.
SecondaryTime to the First Primary Generalized Tonic Clonic (PGTC) Seizure During the Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The secondary efficacy variable was the time to the first primary generalized tonic clonic seizure (PGTCS) during the 24-week Treatment Period. Relative difference between groups (Lacosamide vs Placebo) was expressed as Hazard Ratio. The indicated measured values are the observed number of events of first PGTCS in the treatment period which form the basis of the statistical analysis of the time to event analysis. The hazard ratio compares 2 treatment groups for the times to the number of events for the combined treatment groups, and so both the number of events and the times until those events pertain to the computation of the hazard ratio. A Hazard Ratio below 1 indicates time to second PGTCS was improved for LCM compared to Placebo.
SecondaryPercentage of Participants With at Least One Adverse Event (AE) as Reported Spontaneously by the Subject and/or Caregiver or Observed by the InvestigatorFrom Visit 1 (Week -4) to End of Study Period (up to Week 36)
An AE was any untoward medical occurrence in a patient or clinical investigation study participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational medicinal product (IMP), whether or not related to the IMP.
SecondaryPlasma Concentrations of LacosamideDuring the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
Lacosamide plasma concentration was expressed in micrograms per milliliter (μg/mL). Means and standard deviation (SD) were only calculated if at least 2/3 of the concentrations were quantified at the respective timepoint. Values Below Limit of Quantification (BLQ) were replaced by value of 0 in calculations of means and SDs.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The Full Analysis Set (FAS) was a subset of the Safety Set (SS) that consisted of all study participants with at least 1 seizure diary assessment during the Treatment Period.~1 patient from the Lacosamide (FAS) group was randomized after the 125th event and did not appear in this analysis.
eventsNUMBER
SECONDARYPercentage of Participants With Seizure Freedom for Primary Generalized Tonic Clonic (PGTC) Seizures During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The Full Analysis Set (FAS) was a subset of the Safety Set (SS) that consisted of all study participants with at least 1 seizure diary assessment during the Treatment Period.~1 patient from the Lacosamide (FAS) group was randomized after the 125th event and did not appear in this analysis.
percentage of participantsNUMBER
SECONDARYTime to the First Primary Generalized Tonic Clonic (PGTC) Seizure During the Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)During the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The Full Analysis Set (FAS) was a subset of the Safety Set (SS) that consisted of all study participants with at least 1 seizure diary assessment during the Treatment Period.~1 patient from the Lacosamide (FAS) group was randomized after the 125th event and did not appear in this analysis.
eventsNUMBER
SECONDARYPercentage of Participants With at Least One Adverse Event (AE) as Reported Spontaneously by the Subject and/or Caregiver or Observed by the InvestigatorFrom Visit 1 (Week -4) to End of Study Period (up to Week 36)The Safety Set (SS) was a subset of the Randomized Set (RS) and consisted of all study participants who had been treated with at least 1 dose of study medication, either LCM or Placebo.percentage of participantsNUMBER
SECONDARYPlasma Concentrations of LacosamideDuring the Treatment Period from Visit 2 (Week 0) to Visit 10 (Week 24)
The Safety Set (SS) was a subset of the Randomized Set (RS) and consisted of all study participants who had been treated with at least 1 dose of study medication, either LCM or Placebo.~Data not collected from participants in Placebo (SS) Arm/Group.
ug/mLMEAN

Results by group11

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Placebo (FAS)76events
Time to the Second Primary Generalized Tonic Clonic (PGTC) Seizure During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Lacosamide (FAS)49events
Percentage of Participants With Seizure Freedom for Primary Generalized Tonic Clonic (PGTC) Seizures During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Placebo (FAS)17.395% Confidence Interval 10.3 to 24.3percentage of participants
Percentage of Participants With Seizure Freedom for Primary Generalized Tonic Clonic (PGTC) Seizures During the 24-week Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Lacosamide (FAS)31.095% Confidence Interval 22.4 to 39.6percentage of participants
Time to the First Primary Generalized Tonic Clonic (PGTC) Seizure During the Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Placebo (FAS)97events
Time to the First Primary Generalized Tonic Clonic (PGTC) Seizure During the Treatment Period From Visit 2 (Week 0) to Visit 10 (Week 24)Lacosamide (FAS)79events
Percentage of Participants With at Least One Adverse Event (AE) as Reported Spontaneously by the Subject and/or Caregiver or Observed by the InvestigatorPlacebo (SS)81.8percentage of participants
Percentage of Participants With at Least One Adverse Event (AE) as Reported Spontaneously by the Subject and/or Caregiver or Observed by the InvestigatorLacosamide (SS)82.6percentage of participants
Plasma Concentrations of LacosamideLacosamide (SS)Visit 5, Week 6 (Titration)8.610961Standard Deviation 3.705438ug/mL
Plasma Concentrations of LacosamideLacosamide (SS)Visit 10, Week 24 (Maintenance)8.074427Standard Deviation 3.948749ug/mL

Participant flow14

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo121
Overall StudySTARTEDLacosamide121
Overall StudyCompleted Treatment PeriodPlacebo110
Overall StudyCompleted Treatment PeriodLacosamide103
Overall StudyEnrolled Transition PeriodPlacebo108
Overall StudyEnrolled Transition PeriodLacosamide101
Overall StudyEnrolled Taper PeriodPlacebo7
Overall StudyEnrolled Taper PeriodLacosamide9
Overall StudyEnrolled Safety Folllow-up PeriodPlacebo10
Overall StudyEnrolled Safety Folllow-up PeriodLacosamide11

Adverse events264

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVertigoEar and labyrinth disordersPlacebo (SS) Treatment Period21212
otherVertigoEar and labyrinth disordersLacosamide (SS) Treatment Period81218
otherVertigoEar and labyrinth disordersPlacebo (SS) Transition Period31084
otherVertigoEar and labyrinth disordersLacosamide (SS) Transition Period11011
otherVertigoEar and labyrinth disordersPlacebo (SS) Taper Period070
otherVertigoEar and labyrinth disordersLacosamide (SS) Taper Period090
otherVertigoEar and labyrinth disordersPlacebo (SS) Safety Follow-up Period0100
otherVertigoEar and labyrinth disordersLacosamide (SS) Safety Follow-up Period0110
otherNauseaGastrointestinal disordersPlacebo (SS) Treatment Period71217
otherNauseaGastrointestinal disordersLacosamide (SS) Treatment Period1112112

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo (SS) Treatment Period0121
Total, all-cause mortalityLacosamide (SS) Treatment Period0121
Total, all-cause mortalityPlacebo (SS) Transition Period0108
Total, all-cause mortalityLacosamide (SS) Transition Period0101
Total, all-cause mortalityPlacebo (SS) Taper Period07
Total, all-cause mortalityLacosamide (SS) Taper Period09
Total, all-cause mortalityPlacebo (SS) Safety Follow-up Period010
Total, all-cause mortalityLacosamide (SS) Safety Follow-up Period011
Total, other adverse eventsPlacebo (SS) Treatment Period41121
Total, other adverse eventsLacosamide (SS) Treatment Period60121

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02408523

GET https://conductscience.org/api/trials/v1/NCT02408523/events?page=2