Clobazam in Patients With Lennox-Gastaut Syndrome

Last updated: January 6, 2012
Sponsor: Lundbeck LLC
Overall Status: Completed

Phase

3

Condition

Seizure Disorders

Epilepsy

Treatment

N/A

Clinical Study ID

NCT00518713
13110A
OV1012
  • Ages 2-60
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety and efficacy of clobazam as adjunctive therapy in the treatment of seizures which lead to drop attacks (drop seizures) in patients 2 to 60 years of age with Lennox-Gastaut Syndrome (LGS). Patients will be enrolled at approximately 65 sites in the U.S. and ex-US for up to 23 weeks. Patients will be randomly assigned to either a low, medium or high dose, or placebo. The study will include a baseline period, a titration period and a maintenance period. After the maintenance period, patients will either continue into an open-label extension study or enter the taper period with a final visit 1 week after the last dose.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patient must have been <11 years of age at the onset of LGS.

  • Patient must have LGS.

  • Patient must be on at least 1 AED.

  • Parent or caregiver must be able to keep an accurate seizure diary.

Exclusion

Exclusion Criteria:

  • Etiology of patient's seizures is a progressive neurologic disease. Patients withtuberous sclerosis will not be excluded from study participation, unless there is aprogressive tumor.

  • Patient has had an episode of status epilepticus within 12 weeks of baseline.

  • Patient has had an anoxic episode requiring resuscitation within 6 months ofscreening.

  • Patient has a clinically significant history of an allergic reaction or significantsensitivity to benzodiazepines.

  • Patient is taking more than 3 concurrent AEDs.

  • Patient has been on the ketogenic diet for less than 30 days prior to screening orsuffers from frequent stooling.

  • If the patient has a Vagal Nerve Stimulator (VNS), the settings have not been stablefor at least 30 days prior to screening.

  • Patient has taken corticotropins in the 6 months prior to screening.

  • Patient is currently taking long-term systemic steroids (excluding inhaled mediationfor asthma treatment) or any other daily medication known to exacerbate epilepsy. Anexception will be made of prophylactic medication, for example, for idiopathicnephrotic syndrome or asthma.

  • If the patient is taking felbamate, has been taking it for less than 1 year prior toscreening. Other protocol-defined inclusion and exclusion criteria may apply.

Study Design

Total Participants: 238
Study Start date:
August 01, 2007
Estimated Completion Date:
April 30, 2010

Study Description

LGS poses a significant treatment challenge. No single antiepileptic drug (AED) provides satisfactory relief for all or most patients with LGS and a combination of treatments is often required. Even with combination therapy, many LGS patients show resistance to treatment. Adjunctive therapy with newer anticonvulsant medications has demonstrated efficacy for some patients, although polytherapy and high medication doses are often associated with unfavorable adverse event profiles.

More effective and better-tolerated treatment options are needed for this population of medically intractable epilepsy patients. Clobazam may provide an improved safety profile compared to other AEDs currently approved for the treatment of LGS and may have less hypotonia and drooling effects than other benzodiazepines.

Connect with a study center

  • Strategic Health Evaluators

    Chatswood, New South Wales 2067
    Australia

    Site Not Available

  • Westmead Hospital, Department of Neurology

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • Monash Medical Centre, Department of Neurology

    Clayton, Victoria 3168
    Australia

    Site Not Available

  • Austin & Repatriation Hospital (Austin Health) Epilepsy Research Centre

    Melbourne, Victoria 3081
    Australia

    Site Not Available

  • Royal Melbourne Hospital Department of Neurology

    Melbourne, Victoria 3050
    Australia

    Site Not Available

  • Vitebsk Regional Diagnostic Center

    Vitebsk, 210023
    Belarus

    Site Not Available

  • Department of Neurology, Yashoda Hospital

    Hyderabaad, Andhra Pradesh 500003
    India

    Site Not Available

  • Andhra Medical College, King George Hospital

    Visakhapatnam, Andhra Pradesh 530002
    India

    Site Not Available

  • Maulana Azad Medical College and Associated Lok Nayak Govind Ballabh Pant Hospitals and Guru Nanak Eye centre

    New Delhi, Delhi 110002
    India

    Site Not Available

  • Neurology Center

    Ahmedabad, Gujarat 380006
    India

    Site Not Available

  • St. John's Medical College Hospital

    Bangalore, Karnataka 560034
    India

    Site Not Available

  • K. S. Hedge Medical Academy

    Mangalore, Karnataka 575018
    India

    Site Not Available

  • Malikatta Neuro Center

    Mangalore, Karnataka 575002
    India

    Site Not Available

  • Jaslok Hospital & Research Centre

    Mumbai, Maharashtra 400026
    India

    Site Not Available

  • KEM Hospital & Research Centre

    Pune, Maharashtra 411 011
    India

    Site Not Available

  • Institute of Human Behaviour and Allied Sciences

    Delhi, New Delhi 110095
    India

    Site Not Available

  • Deenanath Mangeshkar Hospital and Research Center

    Erandawane, Pune 411004
    India

    Site Not Available

  • Christian Medical College

    Ludhiana, Punjab 1410108
    India

    Site Not Available

  • Dr. Kamakshi Memorial Hospital

    Chennai, Tamilnadu 600 100
    India

    Site Not Available

  • Chhatrapati Sahu Ji Maharaj Medical University

    Lucknow, Uttra Pradesh 226 003
    India

    Site Not Available

  • Apollo Gleneagles Hospitals

    Kolkata, West Bengal 700054
    India

    Site Not Available

  • P.D. Hinduja National Hospital Medical Research Centre

    Mumbai, 400016
    India

    Site Not Available

  • Kaunas University of Medicine Hospital

    Kaunas, LT 50009
    Lithuania

    Site Not Available

  • Clinic for Neurology and Psychiatry for Child and Youth

    Belgrade, 11000
    Serbia

    Site Not Available

  • University of Alabama at Birmingham

    Huntsville, Alabama 35081
    United States

    Site Not Available

  • Phoenix Children's Hospital

    Phoenix, Arizona 85216
    United States

    Site Not Available

  • St. Joseph's Hospital and Medical Center

    Phoenix, Arizona 85013
    United States

    Site Not Available

  • Childrens Hospital Los Angeles

    Los Angeles, California 90027
    United States

    Site Not Available

  • The Children's Hospital

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Children's National Medical Center

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • Pediatric Neurology and Epilepsy Center

    Loxahatchee, Florida 33470
    United States

    Site Not Available

  • Miami Children's Hospital

    Miami, Florida 33155
    United States

    Site Not Available

  • Child Neurology Center of NW FL

    Pensacola, Florida 32504
    United States

    Site Not Available

  • Pediatric Epilepsy & Neurology Specialists

    Tampa, Florida 33609
    United States

    Site Not Available

  • University of South Florida

    Tampa, Florida 33606
    United States

    Site Not Available

  • Medical College of Georgia

    Augusta, Georgia 30912
    United States

    Site Not Available

  • Pediatric Neurology of Idaho Children's Specialty Center

    Boise, Idaho 83712
    United States

    Site Not Available

  • Children's Memorial Hospital

    Chicago, Illinois 61516
    United States

    Site Not Available

  • Rush University Medical Center

    Chicago, Illinois 60612
    United States

    Site Not Available

  • University of Chicago Medical Center

    Chicago, Illinois 60637
    United States

    Site Not Available

  • University of Kentucky, Kentucky Clinic, Department of Neurology

    Lexington, Kentucky 40536-0284
    United States

    Site Not Available

  • LSU Health Sciences Center

    Shreveport, Louisiana 71103
    United States

    Site Not Available

  • Mid-Atlantic Epilepsy and Sleep Center

    Bethesda, Maryland 20817
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Minnesota Epilepsy Group

    St. Paul, Minnesota 55012
    United States

    Site Not Available

  • The Comprehensive Epilepsy Care Center for Children and Adults

    Chesterfield, Missouri 63017
    United States

    Site Not Available

  • St. John's Medical Research Institute, Inc.

    Springfield, Missouri 65807
    United States

    Site Not Available

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire 03756
    United States

    Site Not Available

  • Robert Wood Johnson University Hospital

    New Brunswick, New Jersey 08901
    United States

    Site Not Available

  • St. Joseph's Regional Medical Center

    Paterson, New Jersey 07503
    United States

    Site Not Available

  • Clinical Research Center of New Jersey (CRCNJ)

    Voorhees, New Jersey 08043
    United States

    Site Not Available

  • NYU Comprehensive Epilepsy Center

    New York, New York 10016
    United States

    Site Not Available

  • University of Rochester Medical Center

    Rochester, New York 14450
    United States

    Site Not Available

  • University Neurology, Inc.

    Cincinnati, Ohio 45219
    United States

    Site Not Available

  • The Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Jefferson Epilepsy Center

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • UTMG Pediatric Neurology

    Memphis, Tennessee 38105
    United States

    Site Not Available

  • Children's Medical Center at UT Southwestern-Dallas

    Dallas, Texas 75235
    United States

    Site Not Available

  • Cook Children's Health Care System

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Baylor College of Medicine Pediatric Neurology

    Houston, Texas 77030
    United States

    Site Not Available

  • Virginia Commonwealth University

    Richmond, Virginia 23298-0211
    United States

    Site Not Available

  • Marshfield Clinic

    Marshfield, Wisconsin 54449
    United States

    Site Not Available

  • Children's Hospital of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

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