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Completed

NCT Number: NCT02912364

Comparison of the Cognitive and Behavioral Effects of Eslicarbazepine Acetate and Carbamazepine in Healthy Adults

Double-blind, randomized, two period crossover comparison of the cognitive and behavioral effects of Eslicarbazepine acetate and Carbamazepine in healthy volunteers.

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Stanford University

Palo Alto, California, 94304, United States

About this study

This study is a double-blind, randomized, two period crossover design. The study consists of 6 visits over a 21 week period. Forty six (46) normal healthy subjects will be treated with both Eslicarbazepine acetate (ESL, 800 mg/day) and Carbamazepine (CBZ, 800mg/day) for 6 weeks and 3 days each (maintenance 4 weeks and taper 3 days). Each antiepileptic drug (AED) treatment period will be followed by a four day taper and washout period off AED for the remainder of the month. Cognitive and behavioral testing along with safety testing will be conducted at pretreatment baseline, the end of each randomization AED maintenance period, and after the final washout period.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy adults between the ages of 18 and 55 years old.
  • Male or female

Exclusion criteria

  • Presence of clinically significant cardiovascular, endocrine, hematopoietic, hepatic, neurologic, psychiatric, or renal disease or pregnancy.
  • Presence or history of drug or alcohol abuse.
  • The use of concomitant medications, which are known to affect ESL or Carbamazepine or the use of any concomitant medications that may alter cognitive function (see Section VII.E for a partial list).
  • Use of oral contraceptive hormones or other medications that could be affected by ESL or Carbamazepine.
  • Prior adverse reaction to or prior hypersensitivity to either study medication or to related compounds.
  • Prior participation in studies involving anticonvulsant medications.
  • Subjects who have received any investigational drug within the previous thirty days.
  • Subjects with IQ < 70 as determined by the Peabody Picture Vocabulary Test.
  • Presence of HLA B*1502 in subjects of Asian descent; this will be obtained at screening in subjects of Asian descent.

Treatment and study plan

Eslicarbazepine

Drug

Healthy adults will be titrated onto Eslicarbazepine Acetate (800mg daily) . After four weeks maintenance they will be tapered off and enter washout period, then crossed over to 2nd drug.

Other names: Aptiom

carbamazepine

Drug

Healthy adults will be titrated onto Carbamazepine (400 mg bid). After four weeks maintenance they will be tapered off and enter washout period, then crossed over to 2nd drug.

Other names: Tegretol

Primary outcomes

  1. Overall Composite Z Score of Neuropsychological Battery as a Measure of Direct Comparison of the 2 Antiepileptic Drugs.

    Time frame: At the end of each 6-week drug treatment period.

    Z score of cognitive tests at end of each 6-week drug treatment period for each intervention (i.e., Eslicarbazepine and Carbamazepine). The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poor cognitive performance compared to the mean and positive numbers represent higher cognitive performance compared to the mean.

Secondary outcomes

  1. Overall Z-score for Executive Function.

    Time frame: At the end of each 6-week drug treatment period.

    Executive function consists of a composite of measures from the computerized cognitive tests. The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poor cognitive performance compared to the mean and positive numbers represent higher cognitive performance compared to the mean.

  2. MCG Paragraph Recall Scores.

    Time frame: Prior to treatment (non-drug condition average) and at the end of each six-week treatment period.

    Participants were read a paragraph and were asked to recall content immediately following and twenty minutes after hearing the reading. MCG = Medical College of Georgia.

    Assessments were performed prior to treatment (non-drug condition average) and at the end of each treatment period. Score range: 0 - 60, higher scores indicate better memory function.

  3. Dual Task Percent of Time in Box.

    Time frame: Prior to treatment (non-drug condition average) and at the end of each six-week treatment period.

    Participants were asked to use their computer mouse to keep the cursor inside a moving box on the computer screen while simultaneously responding with a button press when a number on the screen exceeded a certain value.

    Assessments were performed prior to treatment (non-drug condition average) and at the end of each treatment period.

  4. Profile of Mood States (POMS) Score.

    Time frame: Prior to treatment (non-drug condition average) and at the end of each six-week treatment period.

    Participants were asked to rate the extent to which they feel a variety of emotions/feelings. The overall score is presented.

    Assessments were performed prior to treatment (non-drug condition average) and at the end of each treatment period. Score range: -32 to 200. Lower scores correspond to better mood state.

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Collaborators

  • Sumitomo Pharma America, Inc.

Registry information

Official study title

Double-Blind, Randomized, Two Period Crossover Comparison of the Cognitive and Behavioral Effects of Eslicarbazepine Acetate and Carbamazepine in Healthy Adults

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Sep 23, 2016
Registry last updated
Jun 4, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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