A Study to Investigate JNJ-40411813 in Combination With Levetiracetam or Brivaracetam in Epilepsy

Last updated: January 9, 2025
Sponsor: Janssen Research & Development, LLC
Overall Status: Completed

Phase

2

Condition

N/A

Treatment

Placebo

JNJ-40411813

Clinical Study ID

NCT04836559
CR108943
2020-003698-24
40411813EPY2001
  • Ages 18-69
  • All Genders

Study Summary

The purpose of this study is to evaluate the efficacy of up to 3 dose levels of adjunctive JNJ-40411813 compared to placebo based on the time to baseline monthly seizure count in participants with focal onset seizures who are receiving levetiracetam or brivaracetam and up to 3 other anti-epileptic drugs (AEDs) (double-blind treatment period) and to evaluate the long-term efficacy and safety of adjunctive therapy with JNJ-40411813 in participants with epilepsy (open-label extension [OLE] period).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Body mass index (BMI) between 18 and 35 kilogram per meter square (kg/m^2, inclusive (BMI = weight/height^2). Minimum body weight should be 40-kilogram (kg)

  • Established diagnosis of focal epilepsy, for at least 1 year using the InternationalLeague Against Epilepsy (ILAE) criteria. Participants should not be enrolled if theyare known to have had fewer than 3 or more than 100 seizures in any monthly periodin the past 6 months. It is preferred that participants have experience inmaintaining a seizure e-diary

  • Must have had a neuroimaging procedure within 10 years, including a computedtomography (CT) scan or magnetic resonance imaging (MRI), that excluded aprogressive neurologic disorder; these procedures may be performed within the 8-weekbaseline period

  • Cohort 1: Current treatment with at least 1 and up to 4 anti-epileptic drugs (AEDs) (including levetiracetam), administered at stable dosage(s) for at least 1 monthbefore screening, and no new AEDs added for the previous 2 months; these AEDs mustremain unchanged throughout the pretreatment and double-blind treatment periods (with the exception of dosage reductions of concomitant AEDs because of suspectedelevated AED levels or side effects) Cohort 2 and beyond: Current treatment with atleast 1 and up to 4 AEDs (including levetiracetam or brivaracetam), administered atthe appropriate dosage(s) and for a sufficient treatment period before screening.These AEDs must remain unchanged throughout the pretreatment and double-blindtreatment periods (with the exception of dosage reductions of concomitant AEDsbecause of suspected elevated AED levels or side effects). Important note: screeningof participants receiving brivaracetam will start when enrolling for Cohort 2

  • Currently showing inadequate response to levetiracetam, administered at theappropriate dosage(s) and for a sufficient treatment period, based on the judgmentof the investigator

  • Healthy based on clinical laboratory tests, physical examination, medical history,vital signs, and 12-lead ECG

  • Men or women between 18 and 69 years old

Exclusion

Exclusion Criteria:

  • Have a generalized epileptic syndrome

  • Diagnosis of Lennox-Gastaut Syndrome

  • Currently experiencing seizures that cannot be counted accurately

  • History of any current or past nonepileptic seizures, including psychogenic seizures

  • Known allergies, hypersensitivity, or intolerance to placebo, JNJ-40411813 or itsexcipients

  • Current treatment with vagus nerve stimulation, deep brain and cortical stimulationfor 1 year or less

  • Planned epilepsy surgery within the next 6 months or completed epilepsy surgery lessthan (<) 6 months ago

  • Current treatment with vigabatrin

  • History of malignancy within 5 years before screening (exceptions are squamous andbasal cell carcinomas of the skin and carcinoma in situ of the cervix, ormalignancy, which is considered cured with minimal risk of recurrence)

  • Current or past (within the past year) major psychotic disorder, such asschizophrenia, bipolar disorder, or other psychotic conditions, recent (within thepast 6 months) interictal psychosis, and major depressive disorder (MDD) withpsychotic features

  • Exacerbation of MDD within the past 6 months; antidepressant use is allowed

  • Has a current or recent history of clinically significant suicidal ideation withinthe past 6 months, corresponding to a score of 4 (active suicidal ideation with someintent to act, without specific plan) or 5 (active suicidal ideation with specificplan and intent) for ideation on the Columbia Suicide Severity Rating Scale (C-SSRS), or a history of suicidal behavior within the past 1 year, as validated bythe CSSRS at screening

  • Has a history of at least mild drug or alcohol use disorder according to Diagnosticand Statistical Manual of Mental Disorders (5th edition) (DSM-5) criteria within 1year before Screening

Study Design

Total Participants: 110
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
May 18, 2021
Estimated Completion Date:
February 08, 2024

Study Description

JNJ-40411813 is a positive allosteric modulator (PAM) of the metabotropic glutamate receptor-2 (mGlu2), which is abundantly expressed in the forebrain and cerebellum. The mGlu2 receptor functions as a presynaptic auto-receptor that, upon activation, decreases the release of the excitatory neurotransmitter glutamate. Positive allosteric modulation of a receptor will result in the direct enhancement of the agonist-induced signal while PAMs themselves have generally no or low intrinsic activity at the receptor. The net effect of JNJ-40411813 is hypothesized to be a normalization of hyper-glutamatergic transmission. JNJ-40411813 is being evaluated for the treatment of disorders of the central nervous systems (CNS), such as epilepsy, and has been evaluated in schizophrenia and anxious depression. This study will consist of 1 to a maximum of 3 cohorts. In each cohort, for each participant the study consists of a screening period (up to minus [-] 8 weeks), an 8-week prospective pretreatment baseline period, an up to 12-week double-blind treatment period and a 2-year OLE period or a follow-up telephone visit 2 weeks after the last dose of study intervention. Safety assessments including physical and neurological examination, vital signs, 12 lead electrocardiogram (ECG), clinical chemistry, hematology, and urinalysis will be performed. The total maximal duration of the study is up to 2 years and 5 months.

Connect with a study center

  • AZ Sint-Jan

    Brugge, 8000
    Belgium

    Site Not Available

  • Cliniques Universitaires Saint Luc

    Bruxelles, 1200
    Belgium

    Site Not Available

  • Cliniques Universitaires Saint-Luc

    Bruxelles, 1200
    Belgium

    Site Not Available

  • UZ Antwerpen

    Edegem, 2650
    Belgium

    Site Not Available

  • Az Groeninge

    Kortrijk, 8500
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven, B-3000
    Belgium

    Site Not Available

  • CHU UCL Namur - Site Godinne

    Yvoir, 5530
    Belgium

    Site Not Available

  • Vivantes Humboldt Klinikum

    Berlin, 13509
    Germany

    Site Not Available

  • Krankenhaus Mara - Bethel

    Bielefeld, 33617
    Germany

    Site Not Available

  • Universitatsklinikum Bonn

    Bonn, 53127
    Germany

    Site Not Available

  • Universitaetsklinik Erlangen

    Erlangen, 91054
    Germany

    Site Not Available

  • Universitaetsklinikum Frankfurt

    Frankfurt, 60590
    Germany

    Site Not Available

  • Universitaetsmedizin Greifswald

    Greifswald, 17475
    Germany

    Site Not Available

  • Evangelisches Krankenhaus Alsterdorf gGmbH

    Hamburg, 22337
    Germany

    Site Not Available

  • Diakonie Kork - Epilepsiezentrum

    Kehl-Kork, 77694
    Germany

    Site Not Available

  • Universitaetsklinikum Giessen und Marburg GmbH

    Marburg, 35043
    Germany

    Site Not Available

  • Klinikum Großhadern der Ludwig-Maximilians-Universität

    München, 81377
    Germany

    Site Not Available

  • Chungnam National University Hospital

    Daejeon, 35015
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • Konkuk University Medical Center

    Seoul, 05030
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Severance Hospital Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Site Not Available

  • Centrum Medyczne Neuromed Sp z o. o.

    Bydgoszcz, 85-163
    Poland

    Site Not Available

  • Copernicus Podmiot Leczniczy Sp. z o.o

    Gdansk, 80-803
    Poland

    Site Not Available

  • Centrum Terapii SM

    Katowice, 40-571
    Poland

    Site Not Available

  • MA LEK AM Maciejowscy Spolka Cywilna Centrum Terapii SM

    Katowice, 40 571
    Poland

    Site Not Available

  • NEURO MEDIC Janusz Zbrojkiewicz Poradnia Wielospecjalistyczna

    Katowice, 40 686
    Poland

    Site Not Available

  • NEURO-MEDIC Janusz Zbrojkiewicz Poradnia Wielospecjalistyczna

    Katowice, 40-686
    Poland

    Site Not Available

  • NZOZ Wielospecjalistyczna Poradnia Lekarska 'Synapsis'

    Katowice, 40-123
    Poland

    Site Not Available

  • Centrum Leczenia Padaczki i Migreny NZOZ

    Krakow, 31 209
    Poland

    Site Not Available

  • Specjalistyczne Gabinety Lekarskie

    Krakow, 31 156
    Poland

    Site Not Available

  • Centrum Leczenia Padaczki i Migreny. NZOZ

    Kraków, 31-209
    Poland

    Site Not Available

  • Centrum Opieki Zdrowotnej Orkan Med Stec Michalska sj

    Ksawerow, 95 054
    Poland

    Site Not Available

  • Centrum Opieki Zdrowotnej Orkan-med Stec-Michalska sj

    Ksawerów, 95-054
    Poland

    Site Not Available

  • Clinical Best Solutions Sp. z o.o., Sp. K.

    Lublin, 20-078
    Poland

    Site Not Available

  • Twoja Przychodnia - Centrum Medyczne Nowa Sol

    Nowa Sol, 67-100
    Poland

    Site Not Available

  • Clinical Research Center sp z o o MEDIC R s k

    Poznan, 61 731
    Poland

    Site Not Available

  • Clinical Research Center sp. z o.o MEDIC-R s.k.

    Poznan, 61-731
    Poland

    Site Not Available

  • NZOZ NEURO KARD Ilkowski i Partnerzy Sp Partnerska Lekarzy

    Poznan, 61 853
    Poland

    Site Not Available

  • NZOZ NEURO-KARD Ilkowski i Partnerzy Sp. Partnerska Lekarzy

    Poznan, 61-853
    Poland

    Site Not Available

  • Clinical Research Center sp. z o.o MEDIC-R s.k.

    Poznań, 60-848
    Poland

    Site Not Available

  • Institute of Psychiatry and Neurology

    Warszawa, 02-957
    Poland

    Site Not Available

  • MTZ Clinical Research Powered by Pratia

    Warszawa, 02-172
    Poland

    Site Not Available

  • Neurosphera

    Warszawa, 02-952
    Poland

    Site Not Available

  • Centrum Medyczne Oporow

    Wroclaw, 52 416
    Poland

    Site Not Available

  • Centrum Medyczne Oporow

    Wrocław, 52 416
    Poland

    Site Not Available

  • ProNeuro Centrum Medyczne

    Zory, 44-240
    Poland

    Site Not Available

  • Republic Clinical Hospital

    Kazan, 420064
    Russian Federation

    Site Not Available

  • Research Medical Center Your Health

    Kazan, 420097
    Russian Federation

    Site Not Available

  • Specialized clinical psychiatric hospital #1

    Krasnodar, 350007
    Russian Federation

    Site Not Available

  • Clinical City Hospital #1

    Moscow, 119049
    Russian Federation

    Site Not Available

  • Nizny Novgorod clinical psychiatric hospital 1

    Nizny Novgorod, 603155
    Russian Federation

    Site Not Available

  • SHI 'Saratov City Clinical Hospital 2 n.a V.I. Razumovsky

    Saratov, 410028
    Russian Federation

    Site Not Available

  • Smolensk Regional Clinical Hospital

    Smolensk, 214018
    Russian Federation

    Site Not Available

  • Psychoneurological Dispensary of Frunzensky District

    St-Petersburg, 190013
    Russian Federation

    Site Not Available

  • St-Petersburg Bekhterev Psychoneurological Research Institute

    St-Petersburg, 192109
    Russian Federation

    Site Not Available

  • Yaroslavl State Medical University

    Yaroslavl, 150000
    Russian Federation

    Site Not Available

  • Hosp Clinic de Barcelona

    Barcelona, 08036
    Spain

    Site Not Available

  • Hosp Univ Vall D Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hosp. Clinic I Provincial de Barcelona

    Barcelona, 08036
    Spain

    Active - Recruiting

  • Hosp. Clinic de Barcelona

    Barcelona, 08036
    Spain

    Site Not Available

  • Hosp. Del Mar

    Barcelona, 08003
    Spain

    Site Not Available

  • Hosp. Univ. Vall D Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hosp. de La Santa Creu I Sant Pau

    Barcelona, 08041
    Spain

    Site Not Available

  • Hosp. de la Santa Creu i Sant Pau

    Barcelona, 08041
    Spain

    Active - Recruiting

  • Hosp. Univ. de La Princesa

    Madrid, 28006
    Spain

    Site Not Available

  • Hosp Regional Univ de Malaga

    Malaga, 29010
    Spain

    Site Not Available

  • Hosp. Regional Univ. de Malaga

    Malaga, 29010
    Spain

    Site Not Available

  • Hosp. Regional Univ. de Malaga

    Málaga, 29010
    Spain

    Site Not Available

  • Centro Neurologia Avanzada Sevilla

    Sevilla, 41013
    Spain

    Site Not Available

  • Hosp. Mutua Terrassa

    Terrassa, 08222
    Spain

    Site Not Available

  • Centro de Inv. Avanzada Neurociencias

    Zaragoza, 50001
    Spain

    Site Not Available

  • Ce 'Dnipropetrovsk Regional Clinical Hospital N.A. Mechnikov' of Dnipropetrovsk Rc

    Dnipro, 49005
    Ukraine

    Site Not Available

  • Medical Center of Private Enterprise Neuron

    Kharkiv, 61091
    Ukraine

    Site Not Available

  • Cnce 'Kyiv City Psychoneurological Hospital #2' of Executive Body of Kyiv City Council (Kcsa)

    Kyiv, 02192
    Ukraine

    Site Not Available

  • Cnce of Lviv Regional Council 'Lviv Regional Clinical Hospital'

    Lviv, 79010
    Ukraine

    Site Not Available

  • Mnpe 'Regional Clinical Psychiatric Hospital of Kirovohrad Regional Council'

    Nove Settlement, 25491
    Ukraine

    Site Not Available

  • Mnpe 'Regional Clinical Psychiatric Hospital of Kirovohrad Regional Council'

    Nove Settlement, Kropyvnytskyi, 25491
    Ukraine

    Site Not Available

  • Mnce 'Ternopil Regional Clinical Psychoneurology Hospital' of Trb

    Ternopil, 46027
    Ukraine

    Site Not Available

  • Llc Diamed Medical Center

    Uzhhorod, 88000
    Ukraine

    Site Not Available

  • Cnpe 'Vinnytsia Regional Clinical Psycho-Neurological Hospital N.A. Ac. O.I. Yushchenko' of Vrc

    Vinnytsya, 21037
    Ukraine

    Site Not Available

  • Tucson Neuroscience Research

    Tucson, Arizona 85710
    United States

    Site Not Available

  • Accel Research Sites

    DeLand, Florida 32720
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33136
    United States

    Site Not Available

  • Research Institution of Orlando, LLC

    Orlando, Florida 32806
    United States

    Site Not Available

  • Accel Research Sites

    Port Orange, Florida 32127
    United States

    Site Not Available

  • Emory University School of Medicine

    Atlanta, Georgia 30307
    United States

    Site Not Available

  • Ascension Medical Group

    Wichita, Kansas 67214
    United States

    Site Not Available

  • Maine Medical Center

    Scarborough, Maine 04074
    United States

    Site Not Available

  • John Hopkins Hospital

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Mid-Atlantic Epilepsy and Sleep Center

    Bethesda, Maryland 20817
    United States

    Site Not Available

  • Clinical Research Professionals

    Chesterfield, Missouri 63005
    United States

    Site Not Available

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37212
    United States

    Site Not Available

  • University of Virginia

    Charlottesville, Virginia 22903
    United States

    Site Not Available

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