Photosensitive Epilepsy Clinical Trial
Official title:
A Study of the Effects of JNJ-26489112 on the Photic Induced Paroxysmal Electroencephalogram Response in Patients With Photosensitive Epilepsy
The purpose of this study is to check the Effects of JNJ-26489112 on the Photic Induced Paroxysmal electroencephalogram (EEG) Response in Patients with Photosensitive Epilepsy.
This is a multicenter, non-randomized (participants are assigned deliberately), single-blind
(patients do not know which treatment they are receiving), within patient placebo-controlled
study. Up to 32 male or female patients will participate in this study. The duration of
subject participation is approximately 6 weeks.
Patients will receive the oral doses of study drug in the mornings of Days 1, 2, and 3. All
patients will receive a single dose of placebo on Day 1, a single dose of JNJ-26489112 on
Day 2, and a second single dose of placebo on Day 3. Blood samples will be taken for
evaluation of JNJ-26489112 drug concentrations in plasma and blood. Blood samples will also
be collected for laboratory safety assessments and measurement of antiepileptic drug
concentrations. Further safety will be assessed by the reporting of adverse events, vital
signs, 12-lead ECG, physical and neurological examinations. Patients will be discharged on
the evening of Day 3 after the pharmacokinetic samples have been collected, and after
assessment by the investigator, unless there are any ongoing adverse events which require
in-house monitoring. EEG tracings, recorded during intermittent photic stimulation sessions,
will be digitally recorded on a CD-ROM, coded and evaluated independently by one blinded
clinical expert to determine the effects on the photosensitivity range. If complete
suppression of photosensitivity or reduction of the photosensitivity range by at least 3
points on the photosensitivity scale in at least one eye condition (during closure, closed,
open) is not observed in at least 3 of the 4 patients and a maximum tolerated dose has been
reached, the study will be stopped. If reduction of the photosensitivity range by at least 3
points on the photosensitivity scale in at least one eye condition (during closure, closed,
open) is observed in at least 3 of the 4 patients (with complete suppression in at least 2
patients) in the first cohort, the dose level of JNJ-26489112 may be reduced in subsequent
cohorts until the reduction or suppression of photosensitivity is seen in fewer than 2 out
of 4 patients in one cohort. Once an effective dose has been reached an additional
open-label cohort may be enrolled in which no study drug (JNJ-26489112 or placebo) will be
administered to patients. Study drug (i.e., JNJ-26489112 or placebo) will be administered
orally as single doses on Days 1 to 3. Placebo will be administered on Days 1 and 3, and a
single dose of JNJ-26489112 will be administered on Day 2.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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