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Oxcarbazepine

Phase 4FDA approved

Epilepsy | Small Molecules | Neurology |Novartis AG|Trials Updated: Apr 18, 2018

Oxcarbazepine development status

FDA approval on record Jan 14, 2000
Approval holderNovartis
ApplicationNDA021014
Highest phase Phase 4 (NCT00154323)
Phase scored for NVSPhase 3
Registered trials 9 across 4 sponsors since Jan 2003

Label indication TRILEPTAL is indicated for use as monotherapy or adjunctive therapy in the treatment of partial-onset seizures in adults and as monotherapy in the treatment of partial-onset seizures in pediatric patients aged 4 years and above, and as adjunctive therapy in pediatric patients aged 2 years and above with partial-onset seizures. FDA label

Oxcarbazepine target and mechanism

Molecular targetSCN1A, SCN5A, SCN4A, SCN7A, SCN2A, SCN9A
Target classBlocker
ModalitySmall Molecules

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment256

FDA Designations

No designations recorded

Oxcarbazepine clinical trials

Oxcarbazepine · 3 trials · 3 indications

Phase 3 2Phase 2 1
NCT00050947Pediatric Epilepsy StudyEpilepsy
COMPLETED94 Analytics
NCT00050934Pediatric Epilepsy StudyEpilepsy
COMPLETED132 Analytics
PHASE3COMPLETED
Pediatric Epilepsy Study
EpilepsyUnlock trial analytics
PHASE3COMPLETED
Pediatric Epilepsy Study
EpilepsyUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to meeting one of the exit criteria starting from the first dose of oxcarbazepine on Day 3.
change in seizure frequency/24 hours (during the last 72 hours in the Treatment Phase compared to Baseline)
Relative reduction of CSF neurofilament light chain levels
From baseline to week 48

CSF obtained from lumbar punctures will be used to determine neurofilament light chain levels from baseline to 48 weeks between the active and placebo treated arms.

Secondary Endpoints

Percentage of patients meeting one of the exit criteria and the electrographic partial seizure frequency/24 hours during the treatment phase
% change in seizure frequency/24 hours; change in seizure frequency/24 hours; response to treatment (at least a 50%, 75%, or 100% reduction seizure frequency/24 hours).
Safety of Oxcarbazepine in multiple sclerosis patients
Ongoing throughout the trial
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Study Design & Arms

PurposeTREATMENT

Treatment Arms

ArmTypeDescription
OxCarbazepine TreatmentEXPERIMENTALTreated for 48 weeks with OxCarbazepine 150mg twice a day alongside current DMDs.
OxCarbazepine PlaceboPLACEBO_COMPARATORTreated for 48 weeks with matched placebo 1 tablet twice a day alongside current DMDs

Interventions

NameTypeDescription
oxcarbazepineDRUG -
PlaceboDRUGPlacebo in a matched capsule containing Microcrystalline Cellulose/Magnesium Stearate 1%.
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Eligibility Criteria

Age Range1 Month to 16 Years
SexALL
Healthy VolunteersNo
Study Sites30

INCLUSION CRITERIA: To enter this study, patients must: * Have a diagnosis of partial seizures * Have 2-30 seizures per week while on a stable dose of one anti-epileptic drug or be a patient recently diagnosed with partial seizures and currently receiving no seizure medication * Be willing to be ho...

Countries:United StatesBrazilGermanyMexicoUnited Kingdom
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Frequently asked questions about Oxcarbazepine

What is oxcarbazepine?

Oxcarbazepine is a small-molecule neurology drug developed by Novartis AG (ticker NVS). It has been studied in epilepsy and multiple sclerosis and is in Phase 3 development. It is given as an oral small molecule and has been evaluated in pediatric epilepsy trials as well as a multiple sclerosis study.

What does oxcarbazepine target?

Oxcarbazepine targets voltage-gated sodium channels, specifically SCN1A, SCN2A, SCN4A, SCN5A, SCN7A, and SCN9A, and acts as a blocker of these channels. Blocking sodium channels reduces neuronal excitability, which is the basis for its use in epilepsy and its investigation in multiple sclerosis.

Who makes oxcarbazepine?

Oxcarbazepine is developed by Novartis AG, which trades under the ticker NVS. Novartis is the sponsor associated with the clinical development program covering epilepsy and multiple sclerosis indications for this small-molecule neurology asset.

What phase is oxcarbazepine in?

Oxcarbazepine is in Phase 3 development. It is an investigational agent still in clinical development and is not described as FDA approved. Its completed trials include Phase 3 pediatric epilepsy studies and a Phase 2 multiple sclerosis study.

What clinical trials is oxcarbazepine in?

Oxcarbazepine has completed trials including NCT00050947 and NCT00050934, both Phase 3 pediatric epilepsy studies conducted in the United States, Brazil, Germany, and Mexico, and NCT02104661, a Phase 2 study of its protective role in multiple sclerosis in the United Kingdom. Total enrollment across these studies was 226 participants.

Is oxcarbazepine studied in multiple sclerosis?

Yes. Oxcarbazepine was evaluated in a completed Phase 2 trial, NCT02104661, titled Protective Role of Oxcarbazepine in Multiple Sclerosis, conducted in the United Kingdom with 30 participants. This study examined the drug in multiple sclerosis alongside its larger pediatric epilepsy program.