A Study to Evaluate the Pharmacodynamic Activity of E2082 in Adult Participants With Photosensitive Epilepsy
Condition: Photosensitive Epilepsy
MeSH terms: Epilepsy; Epilepsy, Reflex
Intervention: Placebo; E2082
Intervention description: Participants will receive E2082-matched placebo tablets orally.; Participants will receive E2082 tablets orally.
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Crossover Assignment
Intervention model description: The study consists of a crossover design in Treatment Periods 1, 2, and 3, followed by an open-label Treatment Period 4.
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking description: The study consists of a randomized double-blind design in Treatment Periods 1, 2, and 3, followed by an open-label Treatment Period 4.
Enrollment: 8.0
Sex: All
Minimum age: 18 Years
Maximum age: 60 Years
Healthy volunteers: No
Keywords: E2082; Epilepsy; Photosensitive; Anti-epileptic; Seizures; Photoparoxysmal response; PPR

Summary:

      The primary purpose of the study is to assess pharmacodynamic (PD) activity of E2082 as
      measured by suppression of epileptic photoparoxysmal response (PPR) in the participant's most
      sensitive eye condition in participants with photosensitive epilepsy, compared to placebo.
    

Eligibility criteria:

        1. Diagnosis and/or history of a PPR on EEG.

          2. If currently being treated with antiepileptic drug (AED), up to a maximum of 3
             concomitant AEDs is allowed provided that doses must have remained stable for at least
             4 weeks (or at least 8 weeks if recently initiated) before screening.

          3. Reproducible IPS-induced PPR on EEG of at least 3 points on the SPR scale in at least
             1 eye condition (eye closure, eyes closed, eyes open) on at least 3 of the EEGs
             performed at screening.

          4. Body mass index (BMI) between 18 to 35 kilogram per square meter (kg/m^2) (inclusive)
             and a total body weight greater than or equal to (>=) 45 kilogram (kg) at screening.

          5. Agrees to refrain from strenuous exercise and alcohol consumption during the 24-hour
             period before screening and before each treatment day.

        Exclusion Criteria:

          1. Females who are breastfeeding or pregnant at screening or baseline.

          2. Male participants who have not had a successful vasectomy, they and their female
             partners not of childbearing potential, or practicing highly effective contraception
             throughout the study period and for 28 days after study drug discontinuation. No sperm
             donation is allowed during the study period and for 28 days after study drug
             discontinuation.

          3. History of nonepileptic seizures (example, metabolic, structural, or pseudoseizures)
             while on any antiepileptic medication.

          4. History of status epilepticus while on any antiepileptic medication(s) within 2 years
             before screening.

          5. Ongoing or history of generalized tonic-clonic seizures (GTCS) within 6 months before
             screening.

          6. Participants who had developed a clinical seizure during previous PPR assessment, or
             who experiences a clinical seizure during the Screening IPS procedure.

          7. Frequent spontaneous background burst or current evidence of proconvulsive activity on
             EEG (example, increase in spike-wave activity) at screening.

          8. Inability to follow restriction on watching television, or use of any device(s) with
             an animated screen (example, computer, video games, tablets, or smart phone) from the
             time of arrival at the study center until study procedures are completed for that day.

          9. Use of perampanel within 6 weeks before screening.

         10. Use of felbamate for less than 2 years or where the dose has not been stable for at
             least 8 weeks before Visit 1.

         11. Use of vigabatrin within 5 months before screening and/or documented evidence of
             vigabatrin associated clinically significant abnormality in a visual perimetry test.

         12. Use of benzodiazepines for non-epilepsy related indications. Intermittent use of
             benzodiazepines as rescue medication or stable dosage (greater than 4 weeks before
             screening) for epilepsy indications is allowed.

         13. Concomitant use of cannabinoids.

         14. Use of concomitant potent cytochrome P450 (CYP)3A inducers or inhibitors within 4
             weeks or 5 half-lives, whichever is longer.

         15. Vagus nerve stimulation (VNS) implanted within 5 months or changes in parameter within
             4 weeks before screening.

         16. On a ketogenic diet for which the diet is not a stable regimen for at least 4 weeks
             before screening.

         17. Participants with rare hereditary problems of galactose intolerance, the Lapp lactase
             deficiency or glucose-galactose malabsorption.

         18. A history of prolonged QT syndrome or risk factors for torsade de pointes, or the use
             of concomitant medications that cause QT prolongation as demonstrated on screening
             electrocardiogram (ECG).

         19. Any suicidal ideation with intent with or without a plan within 6 months before or
             during screening, and/or any lifetime suicidal behavior.

         20. Any psychotic disorder(s) or unstable recurrent affective disorders.