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NCT04462770PHASE3Recruiting

A Study of EPX-100 (Clemizole Hydrochloride) in Participants With Dravet Syndrome

Epygenix

Start Date

9/15/2020

Completion Date

5/1/2029

Summary

This is a multicenter, Phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of clemizole hydrochloride (EPX-100) as adjunctive therapy in children and adult participants with Dravet syndrome (DS).

Detailed Description

This is a global, multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of clemizole hydrochloride as adjunctive therapy in children and adult participants with DS. The study consists of a 4-week Observational Period, a 16-week Double-Blind (DB) Period and an Open-Label Extension (OLE) Period.

Eligibility Criteria

Age Range: 2 years to No maximum

Key Inclusion Criteria: 1. Male and female participants 2 years and older at time of consent. 2. Participant or parent/legally authorized representative (LAR) willing and able to provide written informed consent and assent (if applicable) prior to initiation of any study related procedures. 3. Clinical diagnosis of DS. Participants must have seizures which are not completely controlled by AEDs with the following criteria: * Onset of seizures prior to 18 months of age, * Normal development at onset, * History of at least one type of countable motor seizure (CMS), * Brain MRI without cortical malformation (not including mild atrophy associated with the natural progression of DS), * Genetic mutation of the SCN1A gene must be documented. Key Exclusion Criteria: 1. Known sensitivity, allergy, or previous exposure to clemizole HCl. 2. Exposure to any investigational drug or device \<90 days prior to screening or plans to participate in another drug or device trial at any time during the study. 3. Seizures secondary to illicit drug (this includes concomitant use of tetrahydrocannabinol \[THC\] and nonprescription cannabidiol preparations) or alcohol use, infection, neoplasm, demyelinating disease, degenerative neurological disease, or central nervous system disease deemed progressive, metabolic illness, or progressive degenerative disease. 4. Concurrent use of lorcaserin. Note: Prior use of lorcaserin is permitted if at least 30 days have passed since the last dose. 5. Concurrent use of fenfluramine. 6. Epilepsy surgery planned during the study or epilepsy surgery within 6 months prior to Screening.

Interventions

DRUG

Clemizole HCl

DRUG

Placebo

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Conditions

Dravet Syndrome

Locations

University of Alabama at Birmingham

Birmingham, Alabama 35233

United States

Arkansas Children's Hospital

Little Rock, Arkansas 72202

United States

Children's Hospital of Los Angeles

Los Angeles, California 90027

United States

University of California Irvine

Orange, California 92868

United States

UCSF Medical Center

San Francisco, California 94158

United States

Yale University School of Medicine

New Haven, Connecticut 06510

United States

Yale School of Medicine - Yale-New Haven Hospital

New Haven, Connecticut 06511

United States

The Nemours Foundation

Wilmington, Delaware 19803

United States

Rare Disease Research FL

Kissimmee, Florida 34746

United States

Pediatric Neurology and Epilepsy Specialists

Winter Park, Florida 32789

United States

Clinical Integrative Research Center of Atlanta (CIRCA)

Atlanta, Georgia 30328

United States

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois 60611

United States

Norton Children's Research Institute

Louisville, Kentucky 40202

United States

University of Michigan- Mott Children's Hospital

Ann Arbor, Michigan 48109

United States

Children's Nebraska

Omaha, Nebraska 68114

United States

Northeast Regional Epilepsy Group

Hackensack, New Jersey 07601

United States

Neurology Center for Epilepsy and Seizures

Marlboro, New Jersey 07746

United States

Weill Cornell Medical Center

New York, New York 10021

United States

Northwell Health - Lenox Hill Hospital

New York, New York 10075

United States

Duke University Health System

Durham, North Carolina 27710

United States

Science 37

Morrisville, North Carolina 27560

United States

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina 27157

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

Nationwide Children's Hospital

Columbus, Ohio 43205

United States

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania 19104

United States

Le Bonheur Children's Hospital

Memphis, Tennessee 38103

United States

Child Neurology Consultants of Austin

Austin, Texas 78757

United States

UT Southwestern/Children's Health

Dallas, Texas 75207

United States

University of Utah

Salt Lake City, Utah 84112

United States

Seattle Children's Hospital

Seattle, Washington 98105

United States

Medical College of Wisconsin, Children's Wisconsin

Milwaukee, Wisconsin 53266

United States

UBC Children's Hospital Research Institute

Vancouver, British Columbia V6H 3V1

Canada

Children's Hospital of Eastern Ontario Research Institute Inc.

Ottawa, Ontario K1H 8L1

Canada

The Hospital for Sick Children

Toronto, Ontario M5G 1X8

Canada

Toronto Western Hospital, University Health Network

Toronto, Ontario M5T 2S8

Canada

Tbilisi State Medical University, Givi Zhvania Academic, Clinic of Pediatry

Tbilisi, 0159

Georgia

Medi Club Georgia LLC

Tbilisi, 0160

Georgia

Institute of Neurology and Neuropsychology LTD

Tbilisi, 0186

Georgia

Semmelweis University

Budapest, 1085

Hungary

University of Debrecen

Debrecen, 4032

Hungary

Saachi Children's Hospital

Surat, Gujarat 395002

India

National Institute of Mental Health and Neurosciences (NIMHANS)

Adugodi, Karnatka 560029

India

Central India Cardiology Hospital and Research Institute

Nagpur, Maharashtra 44015

India

All India Institute of Medical Sciences (AIIMS)

New Delhi, National Capital Territory of Delhi 110029

India

Christian Medical College

Vellore, Tamil Nadu 632004

India

Rainbow Children's Hospital

Hyderabad, 500034

India

Amrita Institute of Medical Sciences & Research Center

Kochi, 682041

India

Jaslok Hospital & Research Centre

Mumbai, 400026

India

SRCC Children's Hospital by NH

Mumbai, 400034

India

All India Institute of Medical Sciences

New Delhi,

India

University Clinical Center in Gdansk, Division of Developmental Neurology

Gdansk,

Poland

Medical Centre Plejady

Krakow, 30-363

Poland

Institute of Mother and Child

Warsaw, 01-211

Poland

"Prof. Dr. Al. Obregia" Psychiatry Clinical Hospital

Bucharest, 041914

Romania

Hospital Infantil Universitario Niño Jesús

Madrid, Madrid Provincia 28009

Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, 08025

Spain

Cardiff and Vale University Health Board

Cardiff, CF14 4XW

United Kingdom

Great Ormond Street Hospital For Children

London, WC1N 1EH

United Kingdom

Sheffield Children's Hospital

Sheffield, S102TH

United Kingdom