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NCT03686033

A Study to Evaluate the Pharmacodynamic Activity of E2082 in Adult Participants With Photosensitive Epilepsy

Terminated Phase 2 Results posted Last updated 28 September 2020
What this trial tests

Phase 2 trial testing Placebo in Photosensitive Epilepsy in 8 participants. Terminated before completion.

Timeline
31 October 2018
Primary endpoint
18 June 2019
18 June 2019

Quick facts

Lead sponsorEisai Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposetreatment
Enrollment8
Start date31 October 2018
Primary completion18 June 2019
Estimated completion18 June 2019
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

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 Period Primary · 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
GroupValue95% CI
Treatment A: Placebo6.80± 4.604
Treatment B: E2082 2.5 mg5.60± 4.336
Treatment C: E2082 25 mg6.00± 3.651
Open-label Treatment: E2082 40 mg6.50± 1.732
Change at 8 hours postdose
GroupValue95% CI
Treatment A: Placebo0.00± 1.517
Treatment B: E2082 2.5 mg1.16± 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 Period Secondary · 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
GroupValue95% CI
Treatment A: Placebo6.2± 4.09
Treatment B: E2082 2.5 mg6± 3.87
Treatment C: E2082 25 mg5.8± 4.65
Open-label Treatment: E2082 40 mg5.5± 2.89
Eye Closure: Change at 8 hours postdose
GroupValue95% CI
Treatment A: Placebo0.6± 1.66
Treatment B: E2082 2.5 mg0.4± 0.91
Treatment C: E2082 25 mg-3.7± 3.93
Open-label Treatment: E2082 40 mg-4.3± 1.71
Eyes Closed: Baseline
GroupValue95% CI
Treatment A: Placebo5.4± 4.72
Treatment B: E2082 2.5 mg5.6± 4.72
Treatment C: E2082 25 mg5.3± 3.2
Open-label Treatment: E2082 40 mg6.3± 2.87
Eyes Closed: Change at 8 hours postdose
GroupValue95% CI
Treatment A: Placebo1.1± 1.4
Treatment B: E2082 2.5 mg0.7± 1.56
Treatment C: E2082 25 mg-3.7± 2.96
Open-label Treatment: E2082 40 mg-5.4± 1.62
Eyes Open: Baseline
GroupValue95% CI
Treatment A: Placebo5.2± 5.4
Treatment B: E2082 2.5 mg4.6± 4.04
Treatment C: E2082 25 mg5± 3.83
Open-label Treatment: E2082 40 mg6.3± 4.65
Eyes Open: Change at 8 hours postdose
GroupValue95% CI
Treatment A: Placebo0.5± 2.18
Treatment B: E2082 2.5 mg0.8± 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 Period Secondary · 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
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg1
Open-label Treatment: E2082 40 mg1
Eyes Closed
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg1
Open-label Treatment: E2082 40 mg1
Eyes Opened
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg1
Open-label Treatment: E2082 40 mg1
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 Period Secondary · 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
GroupValue95% CI
Treatment A: Placebo6.20± 4.087
Treatment B: E2082 2.5 mg6.00± 3.873
Treatment C: E2082 25 mg5.75± 4.646
Open-label Treatment: E2082 40 mg5.50± 2.887
Eye Closure: Maximum Change
GroupValue95% CI
Treatment A: Placebo1.40± 3.912
Treatment B: E2082 2.5 mg1.80± 2.588
Treatment C: E2082 25 mg-4.50± 3.697
Open-label Treatment: E2082 40 mg-5.25± 2.500
Eyes Closed: Baseline
GroupValue95% CI
Treatment A: Placebo5.40± 4.722
Treatment B: E2082 2.5 mg5.60± 4.722
Treatment C: E2082 25 mg5.25± 3.202
Open-label Treatment: E2082 40 mg6.25± 2.872
Eyes Closed: Maximum Change
GroupValue95% CI
Treatment A: Placebo1.80± 2.588
Treatment B: E2082 2.5 mg2.00± 2.345
Treatment C: E2082 25 mg-4.25± 2.630
Open-label Treatment: E2082 40 mg-6.25± 2.872
Eyes Opened: Baseline
GroupValue95% CI
Treatment A: Placebo5.20± 5.404
Treatment B: E2082 2.5 mg4.60± 4.037
Treatment C: E2082 25 mg5.00± 3.830
Open-label Treatment: E2082 40 mg6.25± 4.646
Eyes Opened: Maximum Change
GroupValue95% CI
Treatment A: Placebo2.00± 3.240
Treatment B: E2082 2.5 mg1.80± 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 Period Secondary · 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
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg7
Open-label Treatment: E2082 40 mg7
Eyes Closed: Duration
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg7
Open-label Treatment: E2082 40 mg7
Eyes Opened: Duration
GroupValue95% CI
Treatment A: PlaceboNA
Treatment B: E2082 2.5 mgNA
Treatment C: E2082 25 mg7
Open-label Treatment: E2082 40 mg7
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 Period Secondary · 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
GroupValue95% CI
Treatment A: Placebo0
Treatment B: E2082 2.5 mg0
Treatment C: E2082 25 mg2
Open-label Treatment: E2082 40 mg2
Partial Response
GroupValue95% CI
Treatment A: Placebo0
Treatment B: E2082 2.5 mg0
Treatment C: E2082 25 mg0
Open-label Treatment: E2082 40 mg2
No Response
GroupValue95% CI
Treatment A: Placebo5
Treatment B: E2082 2.5 mg5
Treatment C: E2082 25 mg2
Open-label Treatment: E2082 40 mg0
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 Period Secondary · 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
GroupValue95% CI
Treatment A: Placebo29.42± 22.731
Treatment B: E2082 2.5 mg29.42± 22.731
Treatment C: E2082 25 mg24.33± 22.712
Open-label Treatment: E2082 40 mg24.33± 22.712
Anxiety: Change at 1 hour post-dose
GroupValue95% 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
GroupValue95% CI
Treatment A: Placebo2.84± 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 mg19.73± 42.748
Anxiety: Change at 4 hours post-dose
GroupValue95% CI
Treatment A: Placebo2.82± 8.885
Treatment B: E2082 2.5 mg-8.96± 18.512
Treatment C: E2082 25 mg0.10± 1.010
Open-label Treatment: E2082 40 mg-0.10± 4.017
Anxiety: Change at 6 hours post-dose
GroupValue95% 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
GroupValue95% CI
Treatment A: Placebo-0.72± 3.935
Treatment B: E2082 2.5 mg5.92± 43.792
Treatment C: E2082 25 mg18.78± 35.818
Open-label Treatment: E2082 40 mg-0.85± 3.171
Dysphoria: Baseline
GroupValue95% CI
Treatment A: Placebo33.58± 23.032
Treatment B: E2082 2.5 mg33.58± 23.032
Treatment C: E2082 25 mg36.23± 25.703
Open-label Treatment: E2082 40 mg36.23± 25.703
Dysphoria: Change at 1 hour post-dose
GroupValue95% CI
Treatment A: Placebo-4.44± 7.134
Treatment B: E2082 2.5 mg-0.50± 6.536
Treatment C: E2082 25 mg0.50± 0.883
Open-label Treatment: E2082 40 mg2.28± 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.

GroupValue95% CI
Treatment A: Placebo2
Treatment B: E2082 2.5 mg2
Treatment C: E2082 25 mg1
Open-label Treatment: E2082 40 mg2
Number of Participants With Clinically Significant Change From Baseline in Vital Signs Secondary · Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71)
GroupValue95% CI
Treatment A: Placebo0
Treatment B: E2082 2.5 mg0
Treatment C: E2082 25 mg0
Open-label Treatment: E2082 40 mg0
Number of Participants With Clinically Significant Change From Baseline in Laboratory Values Secondary · Up to 28 days after the last dose of study treatment on Day 1 in Treatment Period 4 (approximately Day 71)
GroupValue95% CI
Treatment A: Placebo0
Treatment B: E2082 2.5 mg0
Treatment C: E2082 25 mg0
Open-label Treatment: E2082 40 mg0
Cmax: Maximum Observed Plasma Concentration for E2082 Secondary · Predose (within 2 hours prior to dosing) to 8 hours postdose on Day 1 of each treatment period
GroupValue95% CI
Treatment B: E2082 2.5 mg100± 25.1
Treatment C: E2082 25 mg617± 30.3
Open-label Treatment: E2082 40 mg851± 91.8
Tmax: Time to Reach Maximum Plasma Concentration (Cmax) for E2082 Secondary · Predose (within 2 hours prior to dosing) to 8 hours postdose on Day 1 of each treatment period
GroupValue95% CI
Treatment B: E2082 2.5 mg3.931.00 – 7.82
Treatment C: E2082 25 mg3.963.90 – 4.00
Open-label Treatment: E2082 40 mg3.991.88 – 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.

Treatment A: Placebo
Serious: 1/5 (20%)
Deaths: 0/5
Treatment B: E2082 2.5 mg
Serious: 0/5 (0%)
Deaths: 0/5
Treatment C: E2082 25 mg
Serious: 0/4 (0%)
Deaths: 0/4
Open-label Treatment: E2082 40 mg
Serious: 0/4 (0%)
Deaths: 0/4

Serious adverse events (3 terms)

ReactionSystemTreatment A: PlaceboTreatment B: E2082 2.5 mgTreatment C: E2082 25 mgOpen-label Treatment: E208…
Eye movement disorderEye disorders
Disturbance in attentionNervous system disorders
DysarthriaNervous system disorders
Other adverse events (8 terms — click to expand)

ReactionSystemTreatment A: PlaceboTreatment B: E2082 2.5 mgTreatment C: E2082 25 mgOpen-label Treatment: E208…
SomnolenceNervous system disorders
Upper respiratory tract infectionInfections and infestations
DizzinessNervous system disorders
DysarthriaNervous system disorders
HeadacheNervous system disorders
AggressionPsychiatric disorders
AngerPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Eye movement disorder, Disturbance in attention, Dysarthria.

Data from ClinicalTrials.gov NCT03686033 adverse events section.

Sponsor's own description

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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