Last updated: 11/04/2018 13:41:16

Open-Label Extension Study of the Phase 3 VRX-RET-E22-302 Double-Blind Trial. 115097

GSK study ID
VRX-RET-E22-304
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Not applicable
Trial status
Other
Other
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Multicenter, Open-Label, Long-Term, Safety, Tolerability and Efficacy Study of Retigabine in Adult Epilepsy Patients With Partial-Onset Seizures (Extension of Study VRX-RET-E22-302)
Trial description: This Phase 3 trial is an open-label extension study of the placebo-controlled, double-blind VRX-RET-E22-302 trial. Patients who have completed the VRX-RET-E22-302 trial and who meet inclusion and exclusion criteria will be treated with 600-1200 mg/day of retigabine as an adjunct therapy to their current antiepileptic drugs (AEDs) or vagal nerve stimulation. Treatment will be continued until the subject withdraws from the study or until the program is discontinued. Patients will be recruited from 55-60 sites in Europe, Israel, Australia, and South Africa. The primary objective of the study is to evaluate the safety and tolerability of long-term therapy with retigabine administered as adjunctive therapy in adult epilepsy patients with partial-onset seizures, who completed the double-blind Study VRX-RET-E22-302. Secondary objectives are: to evaluate efficacy of long-term treatment with retigabine and patient quality of life and to evaluate whether retinal pigmentation, unexplained vision loss, pigmentation of non-retinal ocular tissue, and discoloration of nails, lips, skin or mucosa change over time after discontinuation of retigabine.
Primary purpose:
Treatment
Trial design:
Single Group Assignment
Masking:
None (Open Label)
Allocation:
Non-randomized
Primary outcomes:

Number of participants with treatment emergent adverse events (TEAEs) and Serious adverse events (TESAEs)

Timeframe: Up to 122 months

Number of participants with TEAEs leading to treatment discontinuation (disc.)

Timeframe: Up to 122 months

Kaplan-Meier estimate of the Probability of disc. from Study Drug

Timeframe: Up to 122 months

Change from Baseline in systolic blood pressure (SBP) and diastolic blood pressure (DBP) measurements in the supine and standing position

Timeframe: Baseline and up to 122 months

Change from Baseline in heart rate (HR) measurements in the supine and standing position

Timeframe: Baseline and up to 122 months

Change from Baseline in body temperature

Timeframe: Baseline and up to 122 months

Change from Baseline in body weight

Timeframe: Baseline and up to 122 months

Change from Baseline in Electocardiogram (ECG) parameters PR, QRS, QT, corrected QT interval (QTc) Bazett and QTc Friedericia

Timeframe: Baseline and up to 122 months

Change from Baseline in alkaline phosphatase (Alk. Phos.), alanine amino transferase (ALT) and aspartate amino transferase (AST)

Timeframe: Baseline and up to 122 months

Change from Baseline in bicarbonate, calcium, chloride, cholesterol, non-fasting glucose, phosphorus, potassium, sodium and urea

Timeframe: Baseline and up to 122 months

Change from Baseline in creatinine, total bilirubin and uric acid

Timeframe: Baseline and up to 122 months

Change from Baseline in total protein

Timeframe: Baseline and up to 122 months

Change from Baseline in basophils, eosinophils, lymphocytes, monocytes, neutrophils, platelet count, white blood cells (WBC)

Timeframe: Baseline and up to 122 months

Change from Baseline in hematocrit

Timeframe: Baseline and up to 122 months

Change from Baseline in hemoglobin

Timeframe: Baseline and up to 122 months

Change from Baseline in hematology parameter red blood cells (RBC)

Timeframe: Baseline and up to 122 months

Change from Baseline in urine specific gravity

Timeframe: Baseline and up to 122 months

Change from Baseline in urine potential of hydrogen (pH)

Timeframe: Baseline and up to 122 months

Change from Baseline in Post-Void Residual (PVR) bladder ultrasound volume

Timeframe: Baseline and up to 122 months

Change from Baseline in the urinary voiding function [UVF] (assessed using the American Urological Association [AUA] Symptom Index)

Timeframe: Baseline and up to 122 months

Change from Baseline in Quality of Life in Epilepsy-31-Problems (QOLIE-31-P) Questionnaire

Timeframe: Baseline and up to 122 months

Percentage of participants with Abnormal Results of Physical Examination

Timeframe: Baseline and up to 122 months

Percentage of participants with Abnormal Results of Neurological Examination

Timeframe: Baseline and up to 122 months

Secondary outcomes:

Percentage of participants with retinal pigmentary abnormalities (RPA)

Timeframe: Up to 121 months

Percentage of participants with pigmentation of non-retinal ocular tissue (Non-ret. Pig. Abn)

Timeframe: Up to 121 months

Percentage of participants with abnormal pigmentation of skin, including the skin around the eyes and the eyelids, lips, nails, or mucosa

Timeframe: Up to 121 months

Percentage of participants with a clinically significant decrease (CSD) in visual acuity (VA) from initial examination

Timeframe: Up to 121 months

Percentage of participants with decrease in confrontation visual field from initial examination

Timeframe: Up to 121 months

Number of Participants With Resolution of Abnormal Eye Pigmentation after Discontinuation of Retigabine

Timeframe: 3 years and 10 months

Number of Participants With Resolution of Dermatologist Confirmed Abnormal Discoloration after Discontinuation of Retigabine

Timeframe: 3 years and 10 months

Time from Discontinuation of Retigabine to Resolution of Abnormal Eye Pigmentation

Timeframe: 3 years and 10 months

Time from Discontinuation of Retigabine to Resolution of All Dermatologist-Confirmed Abnormal Discoloration

Timeframe: 3 years and 10 months

Percentage change in the 28-day partial seizure rate from the Baseline phase (obtained during the 8-week Baseline period of Study VRX-RET-E22-302) to open-label treatment.

Timeframe: Baseline and up to 121 months

Percentage of Participants with 50% Reduction in Seizure Frequency From Baseline Phase of the Parent Study (VRX-RET-E22-302) to Open Label Treatment

Timeframe: Baseline and up to 121 months

Number of participants who were seizure free for any 6 continuous months

Timeframe: Up to 6 continuous months within the 121 months period

Number of participants who were seizure free for any 12 continuous months

Timeframe: Up to 12 continuous months within the 121 months period

Percentage of seizure free days

Timeframe: Up to 121 months

Interventions:
  • Drug: Retigabine (INN), Ezogabine (USAN)
  • Enrollment:
    376
    Primary completion date:
    2017-19-04
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Not applicable
    Medical condition
    Epilepsy
    Product
    retigabine, ezogabine
    Collaborators
    Not applicable
    Study date(s)
    July 2006 to May 2018
    Type
    Interventional
    Phase
    3

    Participation criteria

    Sex
    Female & Male
    Age
    18 - 75 years
    Accepts healthy volunteers
    No
    • Patient has successfully completed the Maintenance and Transition phases of Study VRX-RET-E22-302 for the treatment of partial-onset seizures
    • Patient is expected to benefit from participation in the study in the opinion of the Investigator.
    • Patient meets any of the withdrawal criteria in the previous VRX-RET-E22-302 study or is experiencing an ongoing serious adverse event.
    • Patient is receiving any investigational drug or using any experimental device in addition to Retigabine for treatment of epilepsy or any other medical condition.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    Royal Melbourne Hospital
    Parkville, VIC, Australia, 3050
    Status
    Recruitment Complete
    Location
    Institute of Neurology, Psychiatry and Narcology of AMS, Ukr
    Kharkov, Ukraine, 31068
    Status
    Recruitment Complete
    Location
    Inkosi Albert Luthuli Central Hospital
    Durban, KZ-Natal, South Africa, 4091
    Status
    Recruitment Complete
    Location
    Royal London Hospital
    London, United Kingdom, GT LON E1 1BB
    Status
    Study Complete
    Location
    Wolfson Medical Center
    Holon, ISRAEL, Israel, 58100
    Status
    Study Complete
    Location
    Fylde Coast Hospital
    Blackpool, United Kingdom, FY3 8BP
    Status
    Recruitment Complete
    Location
    Flinders Medical Centre
    Bedford Park, SA, Australia, 5041
    Status
    Study Complete
    Location
    Hospital Universitario Lozano Blesa Neurology Service
    Zaragoza, SPAIN, Spain, 50009
    Status
    Recruitment Complete
    Location
    Hosp. de Donostia Neurology Department
    San Sebastian, Spain, 20014
    Status
    Recruitment Complete
    Location
    Triple M Research
    Port Elisabeth, E Cape, South Africa, 6001
    Status
    Unmapped
    Location
    Western Galilee Hospital
    Nahariya, Israel, 22100
    Status
    Study Complete
    Location
    Johannesburg Hospital
    Johannesburg, Gauteng, South Africa, 2193
    Status
    Recruitment Complete
    Location
    Wilgers MR & Medical Centre
    Pretoria, Gauteng, South Africa, 0001
    Status
    Recruitment Complete
    Location
    Chaim Sheba Medical Center
    Ramat Gan, Israel, 52621
    Status
    Recruitment Complete
    Location
    City Hospital # 33
    Moscow, Russia
    Status
    Recruitment Complete
    Location
    Hopital Neurologique Pierre Wertheimer
    Lyon, France, 69003
    Status
    Study Complete
    Location
    General Hospital Middelheim -- Department of Neurology
    Antwerp, Belgium, B-2020
    Status
    Recruitment Complete
    Location
    Carl Bremer Hospital
    Belville, W Cape, South Africa, 7531
    Status
    Recruitment Complete
    Location
    Pavlov State Medical University Clinic and Department of Neurology
    St. Petersburg, Russia
    Status
    Recruitment Complete
    Location
    Centre Neurologique William Lennox
    Ottignies, Belgium, 1340
    Status
    Recruitment Complete
    Location
    Institute of Clniical Neurosciences
    Camperdown, NSW, Australia, 2050
    Status
    Recruitment Complete
    Location
    Universitaire Ziekenhuizen Gasthuisberg -- Department Neurology
    Leuven, Belgium, 3000
    Status
    Recruitment Complete
    Location
    Psychosomatic Center of Dnepropetr. Regional Clinic
    Dnepropetrovsk, Ukraine, 49616
    Status
    Recruitment Complete
    Location
    District Antiepileptic Centre City Clinical Hospital # 71
    Moscow, Russia
    Status
    Study Complete
    Location
    Zentrum Epilepsie Erlangen (ZEE) der Universitaet Erlangen
    Erlangen, BY, Germany, 91054
    Status
    Study Complete
    Location
    Hospital de Cruces Neurology Department
    Bilbao, Spain, 48903
    Status
    Recruitment Complete
    Location
    AZ Sint-Jan
    Brugge, Belgium, 8000
    Status
    Study Complete
    Location
    Oddzial Neurologii -- Klinika Neurologii ICZMP
    U1. Parzeczewska 35, Zgierz, Poland, 95-100
    Status
    Study Complete
    Location
    Prywatna Wielospecjalistyczna Lecznica Medyczna "Zycie"
    Plac Hallera 5, Warszawa, Poland, 03-464
    Status
    Study Complete
    Location
    Epilepsy Center of Municipal Clinical Psychoneurological Hospital
    Kiev, Ukraine, 04080
    Status
    Recruitment Complete
    Location
    Orszagos Pszichiatriai es Neurologiai Intezet
    Budapest, Hungary, 1021
    Status
    Study Complete
    Location
    Private Neurologische Paraxis
    Muenchen, BY, GERMANY, Germany, 80333
    Status
    Recruitment Complete
    Location
    Austin & Repatriation Medical Centre
    West Heidelberg, VIC, Australia, 3081
    Status
    Recruitment Complete
    Location
    Orszagos Idegsebeszeti Tudomanyos Intezet
    Budapest, Hungary, 1145
    Status
    Recruitment Complete
    Location
    Kharkov State Medical University
    Kharkov, Ukraine, 31002
    Status
    Recruitment Complete
    Location
    Specjalistyczna Przychodnia Lekarska Medikard
    Padlewskiego 4, Plock, Poland, 09-402
    Status
    Study Complete
    Location
    Universitaetslinkum Ulm Poliklinik fuer Neurologie
    Ulm, BW, Germany, 89081
    Status
    Recruitment Complete
    Location
    CHU Pontchaillou
    Rennes Cedex, France, 35033
    Status
    Recruitment Complete
    Location
    Odessa Regional Clinical Hospital Center for Neurology and Neurosurgery
    Odessa, Ukraine, Ukraine, 65025
    Status
    Study Complete
    Location
    Groote Schuur Hospital
    Cape Town, WC, South Africa, 7925
    Status
    Recruitment Complete
    Location
    Universitaetsklinik Mainz Neurologische Klinik
    Mainz, RP, Germany, 55101
    Status
    Study Complete
    Location
    Kaplan Medical Center
    Rechovot, Israel, 76100
    Status
    Recruitment Complete
    Location
    Russian Military Medical Academy
    St. Petersburg, Russia, 194044
    Status
    Recruitment Complete
    Location
    Kazan State Medical University
    Kazan, Russia, 420012
    Status
    Recruitment Complete
    Location
    Farmovs Parexel
    BleomFontein, Free State, South Africa, 9300
    Status
    Recruitment Complete
    Location
    Fundacion Jimenez Diaz
    Madrid, Spain, 28040
    Status
    Study Complete
    Location
    Panorama Medi-Clinic
    Parow, W Cape, South Africa, 7550
    Status
    Study Complete
    Location
    WSS im.Kardynala S. Wyszynskiego
    Lublin, Poland, 20-718
    Status
    Study Complete
    Location
    University of Bonn -- Department for Epileptplogy
    Bonn, Germany, D-53105
    Status
    Recruitment Complete
    Location
    Sunninghill & Kopano Clinical Trials
    Johannesburg, Gauteng, South Africa, 2157
    Status
    Study Complete
    Location
    Universitaet Giessen / Marburg Neurologie
    Marburg, HE, Germany, 35033
    Status
    Recruitment Complete
    Location
    Tel-Aviv Sourasky Medical Center
    Tel Aviv, Israel, 64239
    Status
    Recruitment Complete
    Location
    Assaf Harofeh Medical Center
    Beer Yaakov, Israel, 70300
    Status
    Recruitment Complete
    Location
    Hospital Sta. Creu i S. Pau
    Barcelona, Spain, 08025
    Status
    Study Complete
    Location
    Pecs University of Science, Clinic of Neurology
    Pecs, Ret, Hungary, U2
    Status
    Study Complete
    Location
    Centre Medical de La Teppe
    Tain L'Hermitage, 26, France, France, 26600
    Status
    Recruitment Complete
    Location
    North Coast Neurology Centre
    Maroochydore, QLD, Australia, 4558
    Status
    Recruitment Complete
    Location
    Hosp. Virgen de las Nieves
    Granada, Spain, 18014
    Status
    Recruitment Complete
    Location
    The James Cook University Hospital
    Middlesbrough, MERSYD, United Kingdom, TS4 3BY
    Status
    Recruitment Complete
    Location
    NZOZ Przychodnia Internistyczno - Stomatologiczna "Kendron"
    Bialystok, Poland
    Status
    Study Complete
    Location
    Wojewodzki Szpital Specjalistyczny im.Mikolaja Kopernika
    Gdansk, Poland, 80-803
    Status
    Study Complete
    Location
    Western Infirmary (Epilepsy)
    Glasgow, United Kingdom, G11 6NT
    Status
    Study Complete
    Location
    Hospital Ruber Internacional de Madrid
    Madrid, Spain, 28034
    Status
    Recruitment Complete
    Location
    City Hospital # 1
    Moscow, Russia, 117049
    Status
    Recruitment Complete
    Location
    Instytut Psychiatrii i Neurologii II Oddzial Neurologii
    Warszawa, Poland, 02-957
    Status
    Recruitment Complete
    Location
    Hopital Civil de Steasbourg Clinique Neurologie
    Levallois-Perret, France, France, 92594
    Status
    Recruitment Complete
    Location
    Rambam Medical Center
    Haifa, Israel, 31096
    Status
    Recruitment Complete

    Study documents

    Protocol
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Other
    Actual primary completion date
    2017-19-04
    Actual study completion date
    2018-24-05

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

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