A Study of GWP42006 in People With Focal Seizures - Part B

NCT ID: NCT02365610

Last Updated: 2022-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2017-09-30

Brief Summary

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To investigate the potential antiepileptic effects of GWP42006 as add-on therapy in subjects with inadequately controlled focal seizures.

Detailed Description

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This is a double blind, randomized, placebo controlled, two-part study. Part B only will be described in this record.

Subjects who satisfy all inclusion and none of the exclusion criteria will enter a four-week baseline period, followed by a two-week dose escalation period (400 mg twice daily for one week, then 600 mg twice daily for one week), a six-week stable treatment period (800 mg twice daily) and a 12-day taper period. Subjects will be required to attend eight study visits. A follow-up phone call will take place four weeks after last dose.

Subjects will be randomized to receive in a 1:1 ratio, GWP42006 or placebo. Subjects will be required to record a daily diary with information about their seizures, investigational medicinal product (IMP) and concomitant antiepileptic drug (AED) administration.

Conditions

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Epilepsy Focal Seizures

Keywords

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Cannabidivarin CBDV GWP42006

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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GWP42006

GWP42006

Group Type EXPERIMENTAL

GWP42006

Intervention Type DRUG

Placebo control

Placebo

Group Type PLACEBO_COMPARATOR

Placebo Control

Intervention Type DRUG

Interventions

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GWP42006

Intervention Type DRUG

Placebo Control

Intervention Type DRUG

Other Intervention Names

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Cannabidivarin CBDV Placebo

Eligibility Criteria

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Inclusion Criteria

* Male or female aged between 18 and 65 years, inclusive.
* Well-documented history of focal epilepsy, compatible electroencephalogram and clinical history.
* Documented computerized tomography / magnetic resonance imaging that shows no progressive neurologic abnormality.
* Has focal seizures despite prior treatment with at least two AEDs (whether as monotherapies or in combination).
* Currently treated with one to three AEDs.
* All medications or interventions for epilepsy (including ketogenic diet) must have been stable for one month prior to screening and the subject is willing to maintain a stable regimen throughout the study.
* Subject is willing to keep any factors expected to affect seizures stable (such as the level of alcohol consumption and smoking).

The patient may not enter Part B of the study if ANY of the following apply:

* Time of onset of focal epilepsy treatment is less than two years prior to enrolment.
* Patient has seizures that are not of focal onset.
* Patient only has focal seizures without impairment of consciousness or awareness and without an observable motor component (even if autonomic component is present).
* Episode(s) of status epilepticus during one year prior to screening.
* History of pseudo-seizures.
* Vagus Nerve Stimulation, Deep Brain Stimulation, Responsive Neurostimulator System or other epilepsy neurostimulation device have been implanted or activated less than one year prior to screening, and/or stimulation parameters have been stable for less than one month, and/or battery life of unit not anticipated to extend for duration of trial.
* Had epilepsy surgery within one year of screening.
* Subject has clinically significant unstable medical conditions other than epilepsy.
* Subject has an illness in the four weeks prior to screening or randomization, other than epilepsy, which in the opinion of the investigator would affect seizure frequency.
* Subject has significantly impaired hepatic function at Visit 1.
* Active suicidal plan/intent in the past six months, or a history of suicide attempt in the last two years, or more than one lifetime suicide attempt .
* Subject is currently using or has in the past used recreational or medicinal cannabis, or cannabinoid based medications within the three months prior to screening and is unwilling to abstain for the duration for the study.
* Subject has taken St John's Wort in the last two weeks and/or is unwilling to abstain throughout the study.
* Subject has consumed grapefruit or grapefruit juice three days prior to randomization and/or unwilling to abstain in the three days prior to Visits B2 and B7.
* Any known or suspected hypersensitivity to cannabinoids, sesame oil or any of the excipients of the IMP(s).
* Subjects who have received an IMP within the 12 weeks prior to the screening visit.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jazz Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Havířov, , Czechia

Site Status

Hradec Králové, , Czechia

Site Status

Prague, , Czechia

Site Status

Rychnov nad Kněžnou, , Czechia

Site Status

Budapest, , Hungary

Site Status

Esztergom, , Hungary

Site Status

Hódmezővásárhely, , Hungary

Site Status

Kecskemét, , Hungary

Site Status

Pécs, , Hungary

Site Status

Szombathely, , Hungary

Site Status

Bologna, , Italy

Site Status

Pavia, , Italy

Site Status

Rome, , Italy

Site Status

Bydgoszcz, , Poland

Site Status

Elblag, , Poland

Site Status

Golub-Dobrzyń, , Poland

Site Status

Katowice, , Poland

Site Status

Krakow, , Poland

Site Status

Warsaw, , Poland

Site Status

Wroclaw, , Poland

Site Status

Barcelona, , Spain

Site Status

Madrid, , Spain

Site Status

Birmingham, , United Kingdom

Site Status

Glasgow, , United Kingdom

Site Status

Great Yarmouth, , United Kingdom

Site Status

Stoke-on-Trent, , United Kingdom

Site Status

Countries

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Czechia Hungary Italy Poland Spain United Kingdom

References

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Brodie MJ, Czapinski P, Pazdera L, Sander JW, Toledo M, Napoles M, Sahebkar F, Schreiber A; GWEP1330 Study Group. A Phase 2 Randomized Controlled Trial of the Efficacy and Safety of Cannabidivarin as Add-on Therapy in Participants with Inadequately Controlled Focal Seizures. Cannabis Cannabinoid Res. 2021 Dec;6(6):528-536. doi: 10.1089/can.2020.0075. Epub 2021 Feb 15.

Reference Type DERIVED
PMID: 33998885 (View on PubMed)

Other Identifiers

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2014-002594-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GWEP1330 Part B

Identifier Type: -

Identifier Source: org_study_id