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Trial registered on ANZCTR
Registration number
ACTRN12608000096358
Ethics application status
Approved
Date submitted
13/02/2008
Date registered
20/02/2008
Date last updated
21/11/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
A double blind, randomised, placebo-controlled, mulitcentre study to assess the efficacy and safety of adjunctive zonisamide in primary generalised tonic clonic seizures.
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Scientific title
Efficacy and safety of adjuntice zonisamide in primary generalised tonic clonic seizures
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Secondary ID [1]
521
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E2090- E044-315
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
epilepsy
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Condition category
Condition code
Neurological
2666
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0
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Epilepsy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
adjunctive therapy - Zonisamide. Patients will take study drug (either Zonisamide or placebo) alongside their usual Antiepileptic drug's. Patient's will commence on a dose of 1mg/kg (subjects<12 years or 50mg (subjects >12 years). Further dose increases will occur at one week intervals until a dose of 5mg/kg or 300mg is reached by week 4. Patients will then maintain their dose for futher 12 weeks.
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Intervention code [1]
2296
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Treatment: Drugs
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Comparator / control treatment
Placebo will be the comparator to Zonisamide. Placebo will be dispensed in the same way as Zonisamide.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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decrease of seizure frequency
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Assessment method [1]
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Timepoint [1]
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after 16 weeks of active therapy
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Secondary outcome [1]
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safety - blood samples will be taken and assessed for safety laboratory values.
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Assessment method [1]
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Timepoint [1]
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At screening and final visit (after 16 weeks of active therapy)
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Eligibility
Key inclusion criteria
primary generalized tonic clonic seizures
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Minimum age
6
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
any other type of epilepsy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects will be enrolled and allocated to a treatment using a central randomisation system by phone.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Subjects will be randomised using a central randomisation system which will determine the sequence of patients.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
20/02/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
154
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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3050,
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Recruitment postcode(s) [2]
760
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3084
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Recruitment postcode(s) [3]
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2031
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Recruitment postcode(s) [4]
762
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2067
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Recruitment postcode(s) [5]
763
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3065
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Recruitment outside Australia
Country [1]
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Germany
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State/province [1]
667
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Country [2]
668
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Finland
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State/province [2]
668
0
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Country [3]
669
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Lithuania
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State/province [3]
669
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Country [4]
670
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Czech Republic
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State/province [4]
670
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Country [5]
671
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Hungary
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State/province [5]
671
0
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Country [6]
672
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Estonia
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State/province [6]
672
0
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Country [7]
673
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Russian Federation
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State/province [7]
673
0
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Country [8]
674
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Ukraine
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State/province [8]
674
0
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Country [9]
675
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Serbia and Montenegro
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State/province [9]
675
0
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Country [10]
676
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Romania
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State/province [10]
676
0
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Country [11]
677
0
Croatia
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State/province [11]
677
0
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Country [12]
678
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Croatia
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State/province [12]
678
0
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Country [13]
679
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Poland
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State/province [13]
679
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Country [14]
680
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Spain
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State/province [14]
680
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Eisai Global Clinical Development, Eisia Ltd.
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Address [1]
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3 Shortlands, London. W6 8EE, UK
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Country [1]
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United Kingdom
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Primary sponsor type
Commercial sector/Industry
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Name
Eisia G.C.D., Eisai Ltd.
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Address
3 Shortlands, London, W6 8EE, UK
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Country
United Kingdom
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Parexel International Limited
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Address [1]
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The Quays
101-105 Oxford Road, Uxbridge, Middlesex, UB8 1LZ
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Country [1]
2731
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United Kingdom
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Secondary sponsor category [2]
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Other Collaborative groups
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Name [2]
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Parexel International Limited
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Address [2]
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3 Thomas Holt Drive
North Ryde
NSW 2113
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Melbourne Human Research Ethics Committee
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Ethics committee address [1]
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Ward 6 East, Research Directorate Gratten St Parkville VIC 3050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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21/11/2007
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Approval date [1]
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20/02/2008
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Ethics approval number [1]
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2007-287
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Ethics committee name [2]
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Northern Sydney Central Coast Human Research Ethics Committee
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Ethics committee address [2]
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Research Office, RNSH Level 4 Vindin House, Pacific Highway, St Leonards NSW 2065
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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10/01/2008
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Approval date [2]
4982
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Ethics approval number [2]
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08/HARBR/7/8
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Ethics committee name [3]
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Austin Health Human Research Ethics Committee
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Ethics committee address [3]
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Level 8, Room 8322 Harold Stokes Building Austin Hospital 145 Studley Road Heidelberg Victoria 3084
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
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16/01/2008
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Approval date [3]
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04/06/2008
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Ethics approval number [3]
4983
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H2008/03171
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Ethics committee name [4]
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St Vincents Hospital (melbourne) Human Research Ethics Committee
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Ethics committee address [4]
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Level 5, Aikenhead Building 27 Victoria Parade Fitzroy VIC 3065
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Ethics committee country [4]
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Australia
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Date submitted for ethics approval [4]
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31/01/2008
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Approval date [4]
5004
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Ethics approval number [4]
5004
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014/08
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Summary
Brief summary
This study is designed to compare how safe and effective zonisamide is compared to placebo in people with primary generalised tonic clonic seizures who are already being treated with one or two other anti-epileptic drugs. Zonisamide is an investigational drug. Primary Research Objective: To assess the efficacy of adjunctive zonisamide in IGE in reducing the frequency of tonic-clonic seizures in subjects with continuing continuing primary generalised tonic-clonic seizures Secondary Research Objective: To assess the safety and tolerability of adjunctive zonisamide. Exploratory Research Objective: To further explore the efficacy of zonisamide on other seizure types expected to occur in a significant proportion of subjects (myoclonic seizures, absence seizures). This is a double-blind, randomised, placebo-controlled study comparing zonisamide and placebo in 154 subjects (1:1 ratio). The study consists of Baseline, Titration and Maintenance periods. Baseline Period - once the Screening Visit has been performed, a seizure diary will be maintained to document the baseline seizure frequency in the eight weeks before the Randomisation Visit. Titration Period - zonisamide/placebo dose will commence at 1 mg/kg in subjects <12 years of age or at 50 mg for subjects 12 years of age. Further dose increases will occur at one week intervals until at dose of 5 mg/kg or 300 mg is reached by Week 4. If adverse events (AEs) occur, one titration step will be omitted during Weeks 0-3, in which case the dose reached at Week 4 will be 4 mg/kg or 250 mg. Subject's who require further down titration will be withdrawn from the study. Maintenance Period - subjects will be treated with their Week 4 dose. In the event of seizures occurring in the first two weeks of the Maintenance Period, the dose will be increased to 6 mg/kg or 400 mg (or 5 mg/kg or 350 mg, if the subject omitted one dose in the Titration Period and the AE that led to this dose increase omission has subsided). The dose will be reduced to 4 mg/kg or 200 mg in dose-limiting AEs. Subjects who require further down titration or dose increases will be withdrawn (with the exception of those who had temporary dose decreases for not more that 4 days when necessitated by intercurrent illness). During the remainder of the Maintenance Period, the dose of study medication must remain unchanged. During the entire study the patient will keep a seizure diary to ascertain seizure frequency and type. Adverse events (AEs) will be reviewed at every visit, also physical and neurological exams, orthostatic vitals, 12 lead ECGs and clinical labs will be collected at every visit.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sophie Nzongani-Morin
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Address
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190 Rue Championnet
PARIS, 75018
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Country
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France
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Phone
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+33 1 44 90-32 31
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Janos Antal M.D.
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Address
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Hermina utca 17.
Budapest, H-1146
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Country
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Hungary
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Phone
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36 1 461-7600
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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