A Study to Evaluate XEN1101 as Adjunctive Therapy in Primary Generalized Tonic-Clonic Seizures

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age12+
SponsorXenon Pharmaceuticals Inc.

About this trial

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study to evaluate the clinical efficacy, safety, and tolerability of XEN1101 administered as adjunctive treatment in primary generalized tonic-clonic seizures (PGTCS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subject is properly informed of the nature and risks of the study and gives informed consent in writing prior to entering the study (for adult subjects) and for adolescent subjects parent/legal guardian and subject gives informed consent or assent in writing prior to entering the study.

Subject is ≥12 years of age with a BMI ≤40 kg/m2 at Visit 1.

Subject must have had adequate trials of at least 2 ASMs, which were given (and tolerated) at adequate therapeutic doses, without achieving sustained seizure freedom.

Subject has probable or possible PGTCS (with or without other subtypes of generalized seizures) for ≥1 year, in the setting of generalized epilepsy according to the International League Against Epilepsy 2017 classification criteria, and subject is approved by The Epilepsy Study Consortium (TESC).

Disqualifiers

Subject has had status epilepticus within the 12 months prior to Visit 1.

Subject has history of repetitive seizures within the 12-month period preceding Visit 1 where the individual seizures cannot be counted.

Subject has a history of non-epileptic psychogenic seizures within 10 years prior to Visit 1.

Subject has a concomitant diagnosis of focal-onset seizures (FOS).

Trial design

Design model

Parallel

Treatments tested in this trial

  • XEN1101

    Drug

    XEN1101 capsules

  • Placebo

    Drug

    Placebo capsules

Treatment groups

160 Participants
are divided into 3 treatment groups
Group A: XEN1101 25 mg/dayExperimental treatment 1 intervention
Group B: XEN1101 15 mg/dayExperimental treatment 1 intervention
Group C: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Median percent change (MPC) in monthly (28 days) PGTCS frequency

Median percent change (MPC) in monthly (28 days) PGTCS frequency from baseline through the DBP for XEN1101 versus placebo.

Time frame
Baseline through DBP (Week 12)

Secondary outcomes

1

Proportion of subjects

Proportion of subjects experiencing ≥50% reduction in monthly (28 days) PGTCS frequency from baseline through the DBP for XEN1101 versus placebo.

Time frame
Baseline through DBP (Week 12)
2

Proportion of subjects

Proportion of subjects experiencing PGTCS freedom from baseline through the DBP for XEN1101 versus placebo.

Time frame
Baseline through Week 12

Other outcomes

1

Incidence of adverse events

To assess the safety and tolerability of XEN1101 in subjects with PGTCS (e.g., adverse events).

Time frame
From Screening Through to 56 Days Post-Final Dose

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Xenon Pharmaceuticals Inc.

Lead sponsor

Worldwide Clinical Trials

Collaborator