Actively Recruiting

Phase 2
Age: 1Month - 18Years
All Genders
ID04015141

An Open-Label Study With Extension Phase to Evaluate the Efficacy and Safety of Perampanel Administered as an Adjunctive Therapy in Pediatric Subjects (Age 1 Month to Less Than 18 Years) With Childhood Epilepsy

Led by Eisai Inc. · Updated on 2025-10-09

100

Participants Needed

49

Research Sites

37 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the efficacy of perampanel as an additional therapy for children and adolescents with pediatric epileptic syndrome and partial-onset seizures. The study aims to measure how well perampanel reduces seizure frequency, focusing on the 50% responder rate during the maintenance phase of the core study. This phase 2, open-label trial includes participants from 1 month to less than 18 years old with specific epilepsy diagnoses. The study includes a Core Study and two Extension Phases. The Core Study starts with a 4-week screening period, followed by a 23-week treatment period divided into a 10-week titration phase and a 13-week maintenance phase. Participants receive perampanel oral suspension or tablets once daily for up to 56 weeks. Those completing the Core Study may join Extension Phase A, which has a 33-week treatment period and a 4-week follow-up. Extension Phase B is available for participants in areas without commercial perampanel or extended access programs, continuing treatment as deemed beneficial by investigators. Throughout the study, participants will undergo regular assessments including seizure frequency monitoring, cognitive and behavioral evaluations, growth and development measurements, and safety checks such as vital signs, laboratory tests, and electroencephalograms. Researchers will track responders who achieve seizure reductions and evaluate overall clinical impressions and drug effects. Participation may last up to about 60 weeks, including all phases and follow-up periods, with careful monitoring of adverse events and treatment impact.

CONDITIONS

Brief Title

A Study to Evaluate Efficacy and Safety of Perampanel Administered as an Adjunctive Therapy in Pediatric Participants With Childhood Epilepsy

Who Can Participate

Age: 1Month - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female participants aged 1 month to less than 18 years for Cohort 1 or 1 month to less than 2 years for Cohort 2 at consent
  • Participants under 1 year must have been born at 36 weeks gestational age or later
  • Diagnosed with pediatric epileptic syndrome (Cohort 1) or epilepsy with partial-onset seizures (Cohort 2)
  • At least 4 seizures in the 4 weeks before enrollment
  • No progressive cause of epilepsy confirmed by clinical or brain imaging
  • Stable doses of 1 to 4 approved antiepileptic drugs for at least 4 weeks (2 weeks if under 6 months old), with only 1 enzyme-inducing antiepileptic drug allowed
Not Eligible

You will not qualify if you...

  • History or current pseudo-seizures within 5 years before screening
  • Status epilepticus requiring hospitalization within 6 months before screening
  • Unstable psychiatric diagnosis that affects study participation
  • Suicidal ideation with intent within 6 months before enrollment for participants aged 6 and above
  • Scheduled or planned epilepsy surgery within 6 months after screening
  • Progressive central nervous system disease or tumors
  • Use of benzodiazepines for non-epilepsy reasons from 1 month before screening and during study
  • Implanted neurostimulator devices less than 5 months before screening or parameter changes within 4 weeks before screening
  • Perampanel use within 30 days before screening or previous discontinuation due to adverse reactions or lack of effectiveness
  • Weight less than 4.0 kilograms at baseline

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 23 weeks

Participants receive perampanel as adjunctive therapy during the Core Study treatment period, which includes a titration phase and a maintenance phase.

Regular visits during titration and maintenance periods

Treatment

Duration - 33 weeks

Participants who complete the Core Study may continue receiving perampanel during Extension Phase A treatment period.

Regular visits during extension treatment period

Follow-up

Duration - 4 weeks

Participants are monitored for safety and outcomes following the Extension Phase A treatment period.

1 to 2 visits depending on participant status

Treatment

Duration - Duration not specified

Participants who complete Extension Phase A and meet criteria continue receiving perampanel during Extension Phase B.

Visits as determined by investigator

Trial Site Locations

Total: 49 locations

1

Phoenix Childrens Hospital

Phoenix, Arizona, United States, 85016

Withdrawn

2

Center For Neurosciences

Tucson, Arizona, United States, 85718

Withdrawn

3

David Geffen School of Medicine at UCLA

Los Angeles, California, United States, 90095

Actively Recruiting

4

Childrens Hospital Colorado

Aurora, Colorado, United States, 80045

Active, Not Recruiting

5

Nemours Foundation Alfred Dupont Children's Hospital

Wilmington, Delaware, United States, 19803

Withdrawn

6

Nicklaus Children's Hospital

Miami, Florida, United States, 33155

Terminated

7

Pediatric Neurology PA

Orlando, Florida, United States, 32819

Withdrawn

8

Pediatric Epilepsy and Neurology Specialists

Tampa, Florida, United States, 33607

Actively Recruiting

9

PANDA Neurology

Atlanta, Georgia, United States, 30328

Withdrawn

10

Meridian Clinical Research-(Savannah Georgia)

Savannah, Georgia, United States, 31406

Completed

11

Children's Hospital of Michigan

Detroit, Michigan, United States, 48201

Completed

12

Northeast Regional Epilepsy Group

Hackensack, New Jersey, United States, 07601

Completed

13

Columbia University Medical Center

New York, New York, United States, 10032

Withdrawn

14

Wake Forest Baptist Medical Center - PPDS

Winston-Salem, North Carolina, United States, 27157

Active, Not Recruiting

15

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States, 44106

Completed

16

Dayton Children's Hospital

Dayton, Ohio, United States, 45404

Completed

17

Doernbecher Children's Hospital

Portland, Oregon, United States, 97239

Withdrawn

18

Child Neurology Consultants of Austin

Austin, Texas, United States, 78731

Completed

19

Road Runner Research Ltd

San Antonio, Texas, United States, 78249

Actively Recruiting

20

Children's Specialty Group

Norfolk, Virginia, United States, 23510

Completed

21

Children's Hospital of Richmond at VCU - CHoR-PIN

Richmond, Virginia, United States, 23298

Completed

22

Seattle Children's Hospital

Seattle, Washington, United States, 98105

Actively Recruiting

23

Centre Neurologique William Lennox

Ottignies, Brabant Wallon, Belgium

Completed

24

Cliniques Universitaires Saint-Luc

Brussels, Brussels Capital, Belgium

Withdrawn

25

H�pital Universitaire des Enfants Reine Fabiola

Brussels, Brussels Capital, Belgium

Actively Recruiting

26

UZ Brussel

Brussels, Brussels Capital, Belgium

Completed

27

UZ Gent

Ghent, Oost-Vlaanderen, Belgium

Completed

28

H�pital Erasme

Anderlecht, Belgium

Withdrawn

29

Fakultni nemocnice Brno

Brno, Czechia

Completed

30

Fakultni nemocnice Ostrava

Ostrava, Czechia

Withdrawn

31

Fakultni nemocnice Plzen

Pilsen, Czechia

Withdrawn

32

Aarhus Universitetshospital

Aarhus N, Central Jutland, Denmark

Withdrawn

33

Regionshospitalet Randers

Randers, Denmark

Withdrawn

34

Hopitaux de La Timone

Marseille, Bouches-du-Rhone, France

Completed

35

H�pital Pellegrin-Enfants

Bordeaux, France

Completed

36

Hopital Necker

Paris, France

Actively Recruiting

37

Hopitaux de Paris CHU Hopital Robert Debre - Inserm U676

Paris, France

Actively Recruiting

38

CHRU Rennes

Rennes, France

Active, Not Recruiting

39

Centre Hospitalier Universitaire de Toulouse

Toulouse, France

Actively Recruiting

40

Universit�tsklinikum Freiburg

Freiburg im Breisgau, Germany

Completed

41

Universit�tsklinikum Jena

Jena, Germany

Completed

42

Dr. Von Haunersches Kinderspital

Munich, Germany

Completed

43

Kleinwachau S�chsisches Epilepsiezentrum Radeberg Gemeinn�tzige Gmbh

Radeberg, Germany

Completed

44

Centro Medico Teknon � Grupo Quironsalud

Barcelona, Spain

Withdrawn

45

Hospital Clinico San Carlos

Madrid, Spain

Completed

46

Hospital General Universitario Gregorio Mara�on

Madrid, Spain

Actively Recruiting

47

Complejo Hospitalario de Navarra

Pamplona, Spain

Actively Recruiting

48

CHUS � H. Clinico U. de Santiago

Santiago de Compostela, Spain

Actively Recruiting

49

Hospital Universitario Virgen del Rocio - PPDS

Seville, Spain

Actively Recruiting

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Research Team

E

Eisai Medical Information

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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