BEEP Follow Up: Evaluation of Repeatability of Lamotrigine Pharmacokinetics in Epileptic Patients

This is an double-blind, multiple-dose, full replicate design, pharmacokinetic study of
lamotrigine in "enriched" patients with epilepsy who previously participated in HP-00048923.
LAMICTAL 100mg tablets and the most commonly used generic lamotrigine 100mg tablet (from
Teva) will be compared pharmacokinetically.

Inclusion Criteria:

- Subject is able to provide informed consent and was enrolled in previous BEEP study.

- Subject is male or female between 18 and 76 years of age inclusive.

- Subject has a diagnosis of epilepsy with simple partial seizures and/or complex
partial seizures, with or without secondary generalization or primary generalized
seizures

- Subject has been maintained on a stable dose regimen of anti-epileptic drugs (AEDs),
including lamotrigine at 200mg, 400mg, or 600mg total daily dosage divided BID for at
least 8 weeks prior to Visit 1 and during the screening period

- Subject is willing to be switched between brand and generic lamotrigine

- Subject is an acceptable candidate for venipuncture

- Subject is willing to stop all OTC medications for 24 hours prior to and during 12
hour study visits

Exclusion Criteria:

- Subject is currently participating or has participated within the last 2 months in any
trial of an investigational drug or experimental device

- Subject has a history of status epilepticus within the 12 month period prior to Visit
1.

- Subject has any medical condition, which in the opinion of the investigator, could
jeopardize the subject's health or would compromise the subject's ability to
participate in the trial

- Subject has any psychiatric condition, which in the opinion of the investigator, could
jeopardize the subject's health or would compromise the subject's ability to
participate in this trial or confound the interpretation of the trial data

- Subject has known hypersensitivity to lamotrigine

- Subject has a medical condition that impacts drug absorption (e.g. gastric bypass
surgery), including routine use (i.e.

daily or weekly) use of acid blockers, antacids, anti-diarrhea, stimulants, appetite
suppressants, or anti nausea medication or other drugs that modulate GI function

- Subject has any history of alcohol or drug abuse within the previous two years

- Subject has acute or subacutely progressive CNS disease

- Subject has moderate or severe liver impairment as assessed by alanine
aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin levels ≥5
times the upper limit of normal (ULN).

- Subject has moderate or severe renal impairment as assessed by creatinine clearance
lower than 50mL/min, using the Cockcroft-Gault formula

- Female subjects of childbearing potential will not be eligible to participate who are
unwilling or unable to use a medically acceptable method of contraception throughout
the entire study period and for one week after the study is completed. Medically
acceptable methods of contraception that may be used by the subject and/or her partner
are: condom with spermicide, diaphragm with spermicide, IUD without progesterone,
vaginal spermicidal suppository, surgical sterilization of their partner(s) or
abstinence

- Female subject is pregnant or nursing

- Female subject is using hormonal contraceptive precautions including
progesterone-coated IUD

- Subjects is using hormonal replacement therapy

- Subject is unwilling or unable to maintain their approximate daily smoking use during
the study

- Subject is using rifampin or other non-AED that strongly modulates lamotrigine levels

- addition to lamotrigine and/or vagus nerve stimulation and/or intermittent
benzodiazepine use (e.g. lorazepam, diazepam, clonazepam), subject is taking more than
two concomitant AEDs

- Subject is not willing or able to be adherent to study protocol (e.g. dosing of
lamotrigine and any interacting comedication).