Adults 18 to 60, any sex, with Photosensitive Epilepsy. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Mean Change From Baseline in the Photoparoxysmal Response (PPR) Range in the Most Sensitive Eye Condition at 8 Hours Postdose on Day 1 of Each Treatment PeriodPrimary· Baseline (30 minutes-2 hours) and at 8 hours postdose on Day 1 of each treatment period
PPR was an electroencephalogram (EEG) trait of spike and spike-wave discharges in response to photic stimulation. Intermittent photic stimulation (IPS)-EEG assessments determine the range of frequencies of IPS that elicited an epileptiform EEG response. Each IPS-EEG assessment was conducted in all 3 eye conditions (eye closure, eyes closed, and eyes open) at ascending and then descending photo stimulation administered at 14 standard frequencies: 2, 5, 8, 10, 13, 15, 18, 20, 23, 25, 30, 40, 50, and 60 hertz (Hz). The lower and upper limit of photosensitivity to IPS threshold frequency were dete
Baseline
Group
Value
95% CI
Treatment A: Placebo
6.80
± 4.604
Treatment B: E2082 2.5 mg
5.60
± 4.336
Treatment C: E2082 25 mg
6.00
± 3.651
Open-label Treatment: E2082 40 mg
6.50
± 1.732
Change at 8 hours postdose
Group
Value
95% CI
Treatment A: Placebo
0.00
± 1.517
Treatment B: E2082 2.5 mg
1.16
± 1.381
Treatment C: E2082 25 mg
-3.90
± 2.928
Open-label Treatment: E2082 40 mg
-5.25
± 0.957
Mean Change From Baseline in PPR Ranges in Each of the 3 Eye Conditions (Eye Closure, Eyes Closed, and Eyes Opened) at 8 Hours Postdose on Day 1 of Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) and at 8 hours postdose on Day 1 of each treatment period
PPR was an EEG trait of spike and spike-wave discharges in response to photic stimulation. IPS-EEG assessments determine the range of frequencies of IPS that elicited an epileptiform EEG response. Each IPS-EEG assessment was conducted in all 3 eye conditions (eye closure, eyes closed, and eyes open) at ascending and then descending photo stimulation administered at 14 standard frequencies: 2, 5, 8, 10, 13, 15, 18, 20, 23, 25, 30, 40, 50, and 60 Hz. The lower and upper limit of photosensitivity to IPS threshold frequency were determined for each eye condition. From this range, SPR was derived.
Eye Closure: Baseline
Group
Value
95% CI
Treatment A: Placebo
6.2
± 4.09
Treatment B: E2082 2.5 mg
6
± 3.87
Treatment C: E2082 25 mg
5.8
± 4.65
Open-label Treatment: E2082 40 mg
5.5
± 2.89
Eye Closure: Change at 8 hours postdose
Group
Value
95% CI
Treatment A: Placebo
0.6
± 1.66
Treatment B: E2082 2.5 mg
0.4
± 0.91
Treatment C: E2082 25 mg
-3.7
± 3.93
Open-label Treatment: E2082 40 mg
-4.3
± 1.71
Eyes Closed: Baseline
Group
Value
95% CI
Treatment A: Placebo
5.4
± 4.72
Treatment B: E2082 2.5 mg
5.6
± 4.72
Treatment C: E2082 25 mg
5.3
± 3.2
Open-label Treatment: E2082 40 mg
6.3
± 2.87
Eyes Closed: Change at 8 hours postdose
Group
Value
95% CI
Treatment A: Placebo
1.1
± 1.4
Treatment B: E2082 2.5 mg
0.7
± 1.56
Treatment C: E2082 25 mg
-3.7
± 2.96
Open-label Treatment: E2082 40 mg
-5.4
± 1.62
Eyes Open: Baseline
Group
Value
95% CI
Treatment A: Placebo
5.2
± 5.4
Treatment B: E2082 2.5 mg
4.6
± 4.04
Treatment C: E2082 25 mg
5
± 3.83
Open-label Treatment: E2082 40 mg
6.3
± 4.65
Eyes Open: Change at 8 hours postdose
Group
Value
95% CI
Treatment A: Placebo
0.5
± 2.18
Treatment B: E2082 2.5 mg
0.8
± 1.12
Treatment C: E2082 25 mg
-3.9
± 3.28
Open-label Treatment: E2082 40 mg
-5.8
± 4.09
Time to Onset of Mean Photosensitivity Response in Each of the 3 Eye Conditions (Eye Closure, Eyes Closed, and Eyes Open Condition) up to 8 Hours Postdose on Day 1 of Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) up to 8 hours postdose on Day 1 of each treatment period
Time to onset of mean photosensitivity response in each of the 3 eye conditions (eye closure, eyes closed, and eyes open condition) was determined from mean and mean change from baseline SPR data across participants. The onset of mean suppression was defined as the first time point at which the mean Response of standardized photosensitivity response (SPR) across participants (not for each participant) was at least 3 units below the mean SPR at baseline. Photosensitivity response were essentially intermittent photosensitivity (intermittent photic stimulation \[IPS\]) assessments, is a form of v
Eye Closure
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
1
Open-label Treatment: E2082 40 mg
1
Eyes Closed
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
1
Open-label Treatment: E2082 40 mg
1
Eyes Opened
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
1
Open-label Treatment: E2082 40 mg
1
Maximum Change From Baseline of Photosensitivity Response in Each of the 3 Eye Conditions (Eye Closure, Eyes Closed, and Eyes Open Condition) up to 8 Hours Postdose on Day 1 of Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) up to 8 hours postdose on Day 1 of each treatment period
Maximum change from baseline of photosensitivity response in each of the 3 eye conditions (eye closure, eyes closed, and eyes open condition) were reported. PPR was an EEG trait of spike and spike-wave discharges in response to photic stimulation. IPS-EEG assessments determine the range of frequencies of IPS that elicited an epileptiform EEG response. Each IPS-EEG assessment was conducted in all 3 eye conditions (eye closure, eyes closed, and eyes open) at ascending and then descending photo stimulation administered at 14 standard frequencies: 2, 5, 8, 10, 13, 15, 18, 20, 23, 25, 30, 40, 50, a
Eye Closure: Baseline
Group
Value
95% CI
Treatment A: Placebo
6.20
± 4.087
Treatment B: E2082 2.5 mg
6.00
± 3.873
Treatment C: E2082 25 mg
5.75
± 4.646
Open-label Treatment: E2082 40 mg
5.50
± 2.887
Eye Closure: Maximum Change
Group
Value
95% CI
Treatment A: Placebo
1.40
± 3.912
Treatment B: E2082 2.5 mg
1.80
± 2.588
Treatment C: E2082 25 mg
-4.50
± 3.697
Open-label Treatment: E2082 40 mg
-5.25
± 2.500
Eyes Closed: Baseline
Group
Value
95% CI
Treatment A: Placebo
5.40
± 4.722
Treatment B: E2082 2.5 mg
5.60
± 4.722
Treatment C: E2082 25 mg
5.25
± 3.202
Open-label Treatment: E2082 40 mg
6.25
± 2.872
Eyes Closed: Maximum Change
Group
Value
95% CI
Treatment A: Placebo
1.80
± 2.588
Treatment B: E2082 2.5 mg
2.00
± 2.345
Treatment C: E2082 25 mg
-4.25
± 2.630
Open-label Treatment: E2082 40 mg
-6.25
± 2.872
Eyes Opened: Baseline
Group
Value
95% CI
Treatment A: Placebo
5.20
± 5.404
Treatment B: E2082 2.5 mg
4.60
± 4.037
Treatment C: E2082 25 mg
5.00
± 3.830
Open-label Treatment: E2082 40 mg
6.25
± 4.646
Eyes Opened: Maximum Change
Group
Value
95% CI
Treatment A: Placebo
2.00
± 3.240
Treatment B: E2082 2.5 mg
1.80
± 3.633
Treatment C: E2082 25 mg
-4.25
± 3.304
Open-label Treatment: E2082 40 mg
-6.25
± 4.646
Duration of Mean Photosensitivity Response in Each of the 3 Eye Conditions (Eye Closure, Eyes Closed, and Eyes Open Condition) up to 8 Hours Postdose on Day 1 of Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) up to 8 hours postdose on Day 1 of each treatment period
Duration of mean photosensitivity response in each of the 3 eye conditions (eye closure, eyes closed, and eyes open condition) was determined from mean and mean change from baseline SPR data across participants. Duration of mean suppression was defined as the difference in hours between the onset of mean suppression and the end of mean suppression of photosensitivity across participants. The onset of mean suppression was defined as the first time point at which the mean SPR across participants was at least 3 units below the mean SPR at baseline. The end of mean suppression was defined as the l
Eye Closure: Duration
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
7
Open-label Treatment: E2082 40 mg
7
Eyes Closed: Duration
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
7
Open-label Treatment: E2082 40 mg
7
Eyes Opened: Duration
Group
Value
95% CI
Treatment A: Placebo
NA
Treatment B: E2082 2.5 mg
NA
Treatment C: E2082 25 mg
7
Open-label Treatment: E2082 40 mg
7
Number of Participants With Complete Suppression, Partial Response, and no Response of Standardized Photosensitivity Response (SPR) up to 8 Hours Postdose on Day 1 of Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) up to 8 hours postdose on Day 1 of each treatment period
Complete suppression, reduction (partial response), and no change (no response) of PPR will be measured. Complete suppression was defined as a SPR reduction to 0 over at least 1 time point for all three eye conditions. Partial response was defined as a reduction in SPR of at least 3 units from baseline for at least 3 time points, and no time points with at least 3 units of increase, in the most sensitive eye condition; without meeting the complete suppression definition. No response was defined as not meeting complete suppression or partial suppression definitions.
Complete Suppression
Group
Value
95% CI
Treatment A: Placebo
0
Treatment B: E2082 2.5 mg
0
Treatment C: E2082 25 mg
2
Open-label Treatment: E2082 40 mg
2
Partial Response
Group
Value
95% CI
Treatment A: Placebo
0
Treatment B: E2082 2.5 mg
0
Treatment C: E2082 25 mg
0
Open-label Treatment: E2082 40 mg
2
No Response
Group
Value
95% CI
Treatment A: Placebo
5
Treatment B: E2082 2.5 mg
5
Treatment C: E2082 25 mg
2
Open-label Treatment: E2082 40 mg
0
Change From Baseline in Bond and Lader Visual Analogue Scales (BL-VAS) at 1, 2, 4, 6, and 8 Hours Post-dose in Each Treatment PeriodSecondary· Baseline (30 minutes-2 hours) and at 1,2,4,6 and 8 hours post-dose in each treatment period
BL-VAS system was used to assess the extent of damage to the extrapyramidal system and the motor functions that it controls. The BL-VAS monitored the subjective mood of each participant on 16 mood scales. Participants were asked to indicate on the VAS scale ranging from 0 to 100 millimeter (mm) about how they felt at the moment the scale was administered (example, alert/drowsy; calm/excited; content/tensed). The individual responses from the 16 mood scales were then combined to make three subscales: a.) Anxiety, b.) Dysphoria, c.) sedation with each item ranges from 0 to 100 and higher scores
Anxiety: Baseline
Group
Value
95% CI
Treatment A: Placebo
29.42
± 22.731
Treatment B: E2082 2.5 mg
29.42
± 22.731
Treatment C: E2082 25 mg
24.33
± 22.712
Open-label Treatment: E2082 40 mg
24.33
± 22.712
Anxiety: Change at 1 hour post-dose
Group
Value
95% CI
Treatment A: Placebo
-7.36
± 23.099
Treatment B: E2082 2.5 mg
-9.44
± 19.550
Treatment C: E2082 25 mg
-0.37
± 0.386
Open-label Treatment: E2082 40 mg
-2.40
± 3.382
Anxiety: Change at 2 hours post-dose
Group
Value
95% CI
Treatment A: Placebo
2.84
± 8.996
Treatment B: E2082 2.5 mg
-10.04
± 20.028
Treatment C: E2082 25 mg
-1.05
± 2.684
Open-label Treatment: E2082 40 mg
19.73
± 42.748
Anxiety: Change at 4 hours post-dose
Group
Value
95% CI
Treatment A: Placebo
2.82
± 8.885
Treatment B: E2082 2.5 mg
-8.96
± 18.512
Treatment C: E2082 25 mg
0.10
± 1.010
Open-label Treatment: E2082 40 mg
-0.10
± 4.017
Anxiety: Change at 6 hours post-dose
Group
Value
95% CI
Treatment A: Placebo
-0.72
± 3.883
Treatment B: E2082 2.5 mg
-9.70
± 21.895
Treatment C: E2082 25 mg
-0.87
± 2.766
Open-label Treatment: E2082 40 mg
-0.42
± 4.452
Anxiety: Change at 8 hours post-dose
Group
Value
95% CI
Treatment A: Placebo
-0.72
± 3.935
Treatment B: E2082 2.5 mg
5.92
± 43.792
Treatment C: E2082 25 mg
18.78
± 35.818
Open-label Treatment: E2082 40 mg
-0.85
± 3.171
Dysphoria: Baseline
Group
Value
95% CI
Treatment A: Placebo
33.58
± 23.032
Treatment B: E2082 2.5 mg
33.58
± 23.032
Treatment C: E2082 25 mg
36.23
± 25.703
Open-label Treatment: E2082 40 mg
36.23
± 25.703
Dysphoria: Change at 1 hour post-dose
Group
Value
95% CI
Treatment A: Placebo
-4.44
± 7.134
Treatment B: E2082 2.5 mg
-0.50
± 6.536
Treatment C: E2082 25 mg
0.50
± 0.883
Open-label Treatment: E2082 40 mg
2.28
± 4.110
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Secondary· Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Group
Value
95% CI
Treatment A: Placebo
2
Treatment B: E2082 2.5 mg
2
Treatment C: E2082 25 mg
1
Open-label Treatment: E2082 40 mg
2
Number of Participants With Clinically Significant Change From Baseline in Vital SignsSecondary· Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71)
Group
Value
95% CI
Treatment A: Placebo
0
Treatment B: E2082 2.5 mg
0
Treatment C: E2082 25 mg
0
Open-label Treatment: E2082 40 mg
0
Number of Participants With Clinically Significant Change From Baseline in Laboratory ValuesSecondary· Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71)
Group
Value
95% CI
Treatment A: Placebo
0
Treatment B: E2082 2.5 mg
0
Treatment C: E2082 25 mg
0
Open-label Treatment: E2082 40 mg
0
Cmax: Maximum Observed Plasma Concentration for E2082Secondary· Predose (within 2 hours prior to dosing) to 8 hours postdose on Day 1 of each treatment period
Group
Value
95% CI
Treatment B: E2082 2.5 mg
100
± 25.1
Treatment C: E2082 25 mg
617
± 30.3
Open-label Treatment: E2082 40 mg
851
± 91.8
Tmax: Time to Reach Maximum Plasma Concentration (Cmax) for E2082Secondary· Predose (within 2 hours prior to dosing) to 8 hours postdose on Day 1 of each treatment period
Group
Value
95% CI
Treatment B: E2082 2.5 mg
3.93
1.00 – 7.82
Treatment C: E2082 25 mg
3.96
3.90 – 4.00
Open-label Treatment: E2082 40 mg
3.99
1.88 – 7.88
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71).
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The primary purpose of the study is to assess pharmacodynamic (PD) activity of E2082 as measured by suppression of epileptic photoparoxysmal response (PPR) in the participant's most sensitive eye condition in participants with photosensitive epilepsy, compared to placebo.
Publications & conference data
No peer-reviewed publications indexed yet for this trial.
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Sponsor: as reported to ClinicalTrials.gov by Eisai Inc.
Last refreshed: 28 September 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03686033.