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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05614063
Registration number
NCT05614063
Ethics application status
Date submitted
6/11/2022
Date registered
14/11/2022
Titles & IDs
Public title
A Randomized Study of XEN1101 Versus Placebo in Focal-Onset Seizures
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Scientific title
A Randomized, Double-blind, Placebo-Controlled, Multicenter Phase 3 Study to Evaluate the Safety, Tolerability, and Efficacy of XEN1101 as Adjunctive Therapy in Focal-Onset Seizures
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Secondary ID [1]
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2022-502000-73-00
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Secondary ID [2]
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XPF-010-301
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Universal Trial Number (UTN)
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Trial acronym
X-TOLE2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Focal Onset Seizures
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Condition category
Condition code
Neurological
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Epilepsy
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - XEN1101
Treatment: Drugs - Placebo
Experimental: XEN1101 25 mg/day - XEN1101 25 mg/day
Experimental: XEN1101 15 mg/day - XEN1101 15 mg/day
Placebo comparator: Placebo - Placebo
Treatment: Drugs: XEN1101
XEN1101 Capsules
Treatment: Drugs: Placebo
Placebo Capsules
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Median percent change (MPC) in monthly (28 days) focal seizure frequency from baseline to DBP for XEN1101 versus placebo.
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Assessment method [1]
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Timepoint [1]
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From baseline through to the double blind period (week 12)
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Secondary outcome [1]
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Proportion of subjects experiencing =50% reduction in monthly (28 days) focal seizure frequency from baseline through the DBP for XEN1101 versus placebo.
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Assessment method [1]
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Timepoint [1]
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From baseline through to the double blind period (week 12)
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Secondary outcome [2]
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MPC in weekly (7 days) focal seizure frequency from baseline to Week 1 for XEN1101 versus placebo.
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Assessment method [2]
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Timepoint [2]
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From baseline through to the week 1
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Secondary outcome [3]
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Proportion of subjects experiencing "at least much improved" (including "much" and "very much improved") in Patient Global Impression of Change (PGI-C).
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Assessment method [3]
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Timepoint [3]
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From baseline through to the double blind period (week 12)
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Secondary outcome [4]
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To assess adverse events as criteria for safety and tolerability of XEN1101
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Assessment method [4]
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Timepoint [4]
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From screening through to 56 days post-final dose.
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Eligibility
Key inclusion criteria
* Be properly informed of the nature and risks of the study and give informed consent in writing, prior to entering the study
* Diagnosis (=2 years) of focal epilepsy according to the International League Against Epilepsy (ILAE) Classification of Epilepsy (2017). Subject must have had adequate trials of at least 2 ASMs, which were given (and tolerated) at adequate therapeutic doses, without achieving sustained seizure freedom.
* Treatment with a stable dose of 1 to 3 allowable current ASMs for at least one month prior to screening, during baseline, and throughout the duration of the DBP
* Able to keep accurate seizure diaries
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previously documented electroencephalogram which shows any pattern not consistent with focal etiology of seizures.
* History of focal aware non-motor seizures only, non-epileptic psychogenic seizure, primary generalized seizure, developmental and epileptic encephalopathy, including Lennox-Gastaut syndrome.
* Seizures secondary to drug or alcohol use, ongoing infection, neoplasia, demyelinating disease, degenerative neurological disease, metabolic illness, progressive structural lesion, encephalopathy, or progressive central nervous system (CNS) disease.
* History of status epilepticus or repetitive seizures within the 12-month period preceding Visit 1 where the individual seizures cannot be counted.
* History of neurosurgery for seizures <1 year prior to Visit 1, or radiosurgery <2 years prior to enrollment.
* Any medical condition or personal circumstance that, in the opinion of the investigator, exposes the subject to unacceptable risk by participating in the study or prevents adherence to the protocol.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/11/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2025
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Actual
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Sample size
Target
360
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
MelbourneNSW,QLD,VIC
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Recruitment hospital [1]
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St Vincent's Hospital Melbourne - Fitzroy
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Recruitment hospital [2]
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Royal Prince Alfred Hospital (RAPH) - Camperdown
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Recruitment hospital [3]
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Westmead Hospital - Westmead
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Recruitment hospital [4]
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The University of Queensland (UQ) - Brisbane
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Recruitment hospital [5]
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Austin Health Pharmacy Clinical Trials - Heidelberg
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Recruitment hospital [6]
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Southern Neurology - Kogarah
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Recruitment hospital [7]
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Alfred Health - Melbourne
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Recruitment hospital [8]
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The Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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4101 - Brisbane
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Recruitment postcode(s) [5]
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3079 - Heidelberg
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Recruitment postcode(s) [6]
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2217 - Kogarah
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Recruitment postcode(s) [7]
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3004 - Melbourne
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Recruitment postcode(s) [8]
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3052 - Melbourne
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Recruitment outside Australia
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United States of America
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Alabama
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Dundee
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Salford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Xenon Pharmaceuticals Inc.
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Worldwide Clinical Trials
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The X-TOLE2 Phase 3 clinical trial is a randomized, double-blind, placebo-controlled study that will evaluate the clinical efficacy, safety and tolerability of XEN1101 administered as adjunctive therapy in focal-onset seizures.
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Trial website
https://clinicaltrials.gov/study/NCT05614063
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Medical Director
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Address
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Xenon Pharmaceuticals Inc.
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Contact person for public queries
Name
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Xenon Medical Affairs
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Address
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Phone
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1-604-484-3300
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05614063