Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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
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
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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