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A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Lacosamide in Neonates With Repeated Electroencephalographic Neonatal Seizures

About

Brief Summary

The purpose of the study is to evaluate the efficacy of lacosamide (LCM) versus an Active Comparator chosen based on standard of care (StOC) in severe and nonsevere seizure burden (defined as total minutes of electroencephalographic neonatal seizures (ENS) per hour) in neonates with seizures that are not adequately controlled with previous anti-epileptic drug (AED) treatment.

Primary Purpose
Treatment
Study Type
Interventional
Phase
Phase II/III

Eligibility

Gender
All
Healthy Volunteers
No
Minimum Age
N/A
Maximum Age
28 Days

Inclusion Criteria:

  • Participant must be at least 34 weeks of gestational age (GA)
  • Participants who have confirmation on video-electroencephalogram (EEG) of ≥2 minutes of cumulative electroencephalographic neonatal seizures (ENS) or ≥3 identifiable ENS prior to entering the Treatment Period
  • Participants must have received either phenobarbital (PB), levetiracetam (LEV), or midazolam (MDZ) (in any combination) before entering the study
  • Participant weighs at least 2.3 kg at the time of enrollment Informed consent
  • An Independent Ethics Committee (IEC)-approved written informed consent form (ICF) is signed and dated by the participant's parent(s) or legal representative(s)

Exclusion Criteria:

  • Participant with seizures responding to correction of metabolic disturbances (hypoglycemia, hypomagnesemia, or hypocalcemia) or with seizures for which a targeted, known treatment is available
  • Participant has seizures related to prenatal maternal drug use or drug withdrawal
  • Participant has a clinically relevant electrocardiogram (ECG) abnormality, in the opinion of the investigator
  • Participant receiving treatment with phenytoin (PHT), lidocaine (LDC), or other sodium channel blockers at any time

Join this Trial

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Study Stats
Protocol No.
20-001668
Category
Neurology
Pediatrics
Urology
Contact
Angela Martinez
Location
  • UCLA Westwood
For Providers
NCT No.
NCT04519645
For detailed technical eligibility, visit ClinicalTrials.gov.