LAMICTAL (Lamotrigine) For The Treatment Of Absence Seizures



Status:Completed
Conditions:Neurology
Therapuetic Areas:Neurology
Healthy:No
Age Range:Any - 12
Updated:10/1/2017
Start Date:November 1, 2004
End Date:April 22, 2006

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Evaluation of Lamotrigine in Subjects With Absence Seizures

This is an open-label study evaluating the efficacy and safety of lamotrigine (LTG) for the
treatment of newly-diagnosed typical absence seizures. Subjects will be children and
adolescents < 13 years of age. It will be conducted at multiple sites in the US. The study
will consist of 4 phases: Screen Phase (up to 1 week), Baseline Phase (24 hours), Escalation
Phase (up to 20 weeks) and Maintenance Phase (12 weeks). Subjects will receive increasing
doses of LTG according to the dosing schedule until attaining seizure freedom as confirmed by
hyperventilation (HV) for clinical signs and a 1-hr EEG at 2 consecutive weekly visits. At
that point, subjects will move into the 12-week Maintenance Phase. Subjects who do not
achieve seizure freedom upon reaching the maximum dose (10.2mg/kg/day) with the specified
dose escalation will be discontinued from the study. During the Maintenance Phase, the
investigators will use their best effort to maintain the subjects at the efficacious dose
reached. If the subjects have unacceptable side effects or inadequate seizure control, the
doses of study drug can be increased or decreased as specified in the dosing schedule. Safety
will be assessed by monitoring adverse events, laboratory assessments, and serum lamotrigine
levels. Health outcomes assessments will also be conducted.


Inclusion criteria:

- Newly-diagnosed with absence epilepsy and never been treated with Anti-epileptic drugs
(AEDs).

- Diagnosis demonstrated on one of two 5-minute hyperventilation tests.

- Investigator must judge that the subject and parent/guardian are likely to comply with
all study procedures.

- Parent/guardian must given written informed consent. Subjects who are intellectually
able to understand the concepts and procedures of the protocol must give assent by
also signing the consent or by signing a separate assent form.

- Results of all screen assessments are judged to be clinically acceptable to the
investigator and do not indicate any reasons why entry into the study would be
contraindicated.

Exclusion criteria:

- Seizures are the result of a currently active, known, and identifiable intracerebral
lesion.

- Has partial or generalized tonic-clonic seizures.

- Has a progressive neurological disorder defined as being unstable for at least 12
weeks prior to the Screen Phase.

- Has a psychiatric disorder requiring medication, or has had a past psychiatric
condition that was both judged to be severe and required hospitalization.

- Has any clinically significant chronic cardiac, renal, or hepatic medical condition.

- Has a condition that affects the absorption, distribution, metabolism, or excretion of
drugs.

- Is currently taking any psychoactive drugs to treat hyperactivity disorder or
attention deficit disorder.

- Has taken any investigational drug within 12 weeks prior to the Screen Phase.

- Is sexually active.

- Is either pregnant (i.e., confirmed by pregnancy test at Screen) or breastfeeding.

- Has a clinically significant chronic medical disorder which the investigator and/or
GSK medical monitor determine warrants exclusion.
We found this trial at
22
sites
Tallahassee, Florida 32308
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Tallahassee, FL
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Atlanta, Georgia 30341
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Atlanta, GA
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Buffalo, New York 14263
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Buffalo, NY
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Chapel Hill, North Carolina 27599
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Chapel Hill, NC
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Fort Worth, Texas 76104
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Fort Worth, TX
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Germantown, Tennessee 38138
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Germantown, TN
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Greenville, North Carolina 27858
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Greenville, NC
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Louisville, Kentucky 40202
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Louisville, KY
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Loxahatchee Groves, Florida 33470
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Loxahatchee Groves, FL
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Madison, Wisconsin 53792
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Madison, WI
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Melbourne, Florida 32935
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Melbourne, FL
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Milwaukee, Wisconsin 53215
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Milwaukee, WI
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Nashville, Tennessee 37203
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Nashville, TN
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Newark, New Jersey 07112
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Newark, NJ
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Panama City, Florida 32405
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Panama City, FL
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Portland, Oregon 97227
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Portland, OR
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Raleigh, North Carolina 27614
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Raleigh, NC
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Rochester, New York 14642
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Rochester, NY
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San Jose, California 95116
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San Jose, CA
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Seattle, Washington 98109
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Seattle, WA
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Springfield, Missouri 65807
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Springfield, MO
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Tampa, Florida 33612
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Tampa, FL
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