A Trial of Two Fixed Doses of ZX008 (Fenfluramine HCl) as an Adjunctive Therapy in Children and Young Adults With Dravet Syndrome

Last updated: January 2, 2020
Sponsor: Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

Seizure Disorders (Pediatric)

Dravet Syndrome

Unverricht-lundborg Syndrome

Treatment

N/A

Clinical Study ID

NCT02826863
ZX008-1502
  • Ages 2-18
  • All Genders

Study Summary

This is a multicenter, double-blind, parallel-group, placebo-controlled, study to assess the efficacy, safety, and pharmacokinetics of ZX008 when used as adjunctive therapy in pediatric and young adult subjects with Dravet syndrome. Subjects who qualify for the study will be randomized (1:1:1) in a double-blind manner to receive 1 of 2 doses of ZX008 or placebo. All subjects will be titrated to their randomized dose over a 14-day Titration Period. Following titration, subjects will continue treatment at their randomly assigned dose over a 12-week Maintenance Period. Total treatment time from the beginning of the Titration Period through the end of the Maintenance Period is 14 weeks.

Eligibility Criteria

Inclusion

Key Inclusion Criteria

  • Male or non-pregnant, non-lactating female, age 2 to 18 years, inclusive as of the day of the Screening Visit.

  • Clinical diagnosis of Dravet syndrome, where convulsive seizures are not completely controlled by current antiepileptic drugs.

  • Must have a minimum # of convulsive seizures per 4-week period for past 12 weeks prior to screening.

  • All medications or interventions for epilepsy (including KD and VNS) must be stable for at least 4 weeks prior to screening and are expected to remain stable throughout the study.

  • Parent/caregiver is willing and able to be compliant with diary completion, visit schedule and study drug accountability.

Key Exclusion Criteria

  • Pulmonary arterial hypertension.

  • Current or past history of cardiovascular or cerebrovascular disease, such as cardiac valvulopathy, myocardial infarction or stroke.

  • Current or past history of glaucoma.

  • Moderate or severe hepatic impairment

  • Receiving concomitant therapy with: centrally-acting anorectic agents; monoamine-oxidase inhibitors; medications that act via serotonin including serotonin reuptake inhibitors; atomoxetine, or other centrally-acting noradrenergic agonist; cyproheptadine, and/or CYP 2D6/3A4/2B6 inhibitors/substrates.

  • Currently taking carbamazepine, oxcarbamazepine, eslicarbazepine, phenobarbital, or phenytoin, or has taken any of these within the past 30 days.

  • Subject is unwilling to refrain from large or daily servings of grapefruits and/or Seville oranges, and their juices beginning with the Baseline Period and throughout the study.

  • A clinically significant condition, or has had clinically relevant symptoms or a clinically significant illness in the 4 weeks prior to the Screening Visit, other than epilepsy, that would negatively impact study participation, collection of study data, or pose a risk to the subject.

  • Currently receiving an investigational product.

Study Design

Total Participants: 130
Study Start date:
July 15, 2016
Estimated Completion Date:
July 31, 2020

Connect with a study center

  • Melbourne Brain Centre Austin Hospital

    Melbourne,
    Australia

    Completed

  • Princes Margaret Hospital

    Perth,
    Australia

    Site Not Available

  • Children's Health Queensland Hospital and Health Service at Lady Cilento Children's Hospital

    South Brisbane,
    Australia

    Completed

  • The Children's Hospital Westmead Dept. of Neurology and Neurosurgery

    Westmead,
    Australia

    Completed

  • Universitair Ziekenhuis Antwerpen

    Antwerp,
    Belgium

    Completed

  • Danish National Epilepsy Centre

    Dianalund,
    Denmark

    Completed

  • French Ref centre Necker Hospital Paris

    Paris,
    France

    Completed

  • Epilepsiezentrum / Neuropädiatrie Hedwig-von-Rittberg-Zentrum Für Kinder und Jugendliche

    Berlin,
    Germany

    Completed

  • Krankenhaus Mara Epilepsie-Zentrum Bethel

    Bielefeld,
    Germany

    Completed

  • Epilepsiezentrum Freiburg

    Freiburg,
    Germany

    Completed

  • Universitaetsklinikum Jena Klinik fuer Kinder- und Jugendmedizin Neuropaediatrie

    Jena,
    Germany

    Completed

  • Klinik für Neuropädiatrie Universitätsklinikum Schleswig Holstein Campus Kiel

    Kiel,
    Germany

    Completed

  • Kleinwachau Saechsisches Epilepsiezentrum Radeberg gemeinnuetzige GmbH

    Radeberg,
    Germany

    Completed

  • Kleinwachau Saechsisches Epilepsiezentrum Radeberg gemeinnuetzige GmbH

    Radeberg (Sachsen),
    Germany

    Site Not Available

  • Universitaetsklinik fuer Kinder- und Jugendmedizin Abteilung III

    Tübingen,
    Germany

    Completed

  • Schoen Klinik Vogtareuth Neuropaediatrie und Neurologische Rehabilitation, Epilepsiezentrum fuer Kinder und Jugendlische, Tagesklinik fuer Neuropaediatrie

    Vogtareuth,
    Germany

    Completed

  • AOU Anna Meyer

    Firenze, 50139
    Italy

    Completed

  • Istituto Pediatrico Giannina Gaslini Dipartimento di Neurologia

    Genova,
    Italy

    Completed

  • A.O Carlo Poma

    Mantova, 46100
    Italy

    Completed

  • Instituto Neurologica Carlo Besta

    Milano, 20133
    Italy

    Completed

  • Ospedale Fatebenefratelli e Oftalmico

    Milano,
    Italy

    Completed

  • U.O. Neurologia Dipartimento di Neuroscienze Ospedale Pediatrico Bambino Gesù, IRCS

    Roma, 00165
    Italy

    Completed

  • Ospedal Policlinico Giambattista Rossi diBorga Roma

    Verona, 37134
    Italy

    Completed

  • Okayama University Hospital

    Okayama-shi, Okayama
    Japan

    Active - Recruiting

  • Saitama Children's Medical Center

    Saitama-shi, Saitama
    Japan

    Active - Recruiting

  • National Epilepsy Center Shizuoka Institute

    Shizuoka-city, Shizuoka
    Japan

    Active - Recruiting

  • Tokyo Women's Medical University Hospital

    Shinjuku-ku, Tokyo
    Japan

    Active - Recruiting

  • National Centre for Epilepsy Norway/Specialsykehuset for epilepsi Seksjon barn og ungdom

    Oslo,
    Norway

    Site Not Available

  • Hospital Sant Joan de Déu

    Barcelona,
    Spain

    Completed

  • Hospital Ruber Internacional Primera Planta Servicio de Neurologia

    Madrid,
    Spain

    Completed

  • Clinica Universitaria de Navarra Fase 4. Segunda planta, Consulta de Pediatria

    Pamplona,
    Spain

    Completed

  • Queen Silivia Children's Hospital

    Gothenburg,
    Sweden

    Site Not Available

  • Birmingham Children Hospital

    Birmingham,
    United Kingdom

    Completed

  • Institute of Neurosciences Queens Elizabeth University Hospital

    Glasgow,
    United Kingdom

    Completed

  • Alder Hey Hospital

    Liverpool,
    United Kingdom

    Completed

  • Evelina Hospital

    London,
    United Kingdom

    Completed

  • Great Ormonnd Street Hospital for Children NHS Foundation Trust

    London,
    United Kingdom

    Completed

  • Sheffield Children's Hospital

    Sheffield,
    United Kingdom

    Completed

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