Trial Outcomes & Findings for University of Alabama at Birmingham (UAB) Adult CBD Program (NCT NCT02700412)

NCT ID: NCT02700412

Last Updated: 2020-05-08

Results Overview

Severe adverse events (SAEs) were defined as increase in seizure frequency by more than 100% leading to emergency room visit or hospitalization. During study clinic and phone visits, adverse and severe adverse event monitoring and reporting were assessed among all participants. Data was recorded and stored in the UAB RedCap System.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

80 participants

Primary outcome timeframe

For 1 Year following Enrollment

Results posted on

2020-05-08

Participant Flow

Participants with treatment-resistant epilepsy in the state of Alabama were enrolled. Their primary treating neurologist provided the UAB CBD Treatment Approval Committee with the required information (found on www.uab.edu/cbd) to review. The committee either "approved/recommended" or "disapproved/not recommended" them for treatment in the study.

Of the total 129 participants with epilepsy ages 18 years and older screened, 80 were enrolled in this single-center, open-label study. This study was not randomized.

Participant milestones

Participant milestones
Measure
Epidiolex
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Overall Study
STARTED
80
Overall Study
COMPLETED
47
Overall Study
NOT COMPLETED
33

Reasons for withdrawal

Reasons for withdrawal
Measure
Epidiolex
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Overall Study
Adverse Event
6
Overall Study
Death
1
Overall Study
Lack of Efficacy
19
Overall Study
Protocol Violation
5
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

University of Alabama at Birmingham (UAB) Adult CBD Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Age, Continuous
32.8125 years
STANDARD_DEVIATION 13.5787 • n=93 Participants
Sex: Female, Male
Female
36 Participants
n=93 Participants
Sex: Female, Male
Male
44 Participants
n=93 Participants
Race/Ethnicity, Customized
Black or African American
6 Participants
n=93 Participants
Race/Ethnicity, Customized
White
74 Participants
n=93 Participants

PRIMARY outcome

Timeframe: For 1 Year following Enrollment

Population: Per protocol, after all participants have been enrolled and followed for 1 year.

Severe adverse events (SAEs) were defined as increase in seizure frequency by more than 100% leading to emergency room visit or hospitalization. During study clinic and phone visits, adverse and severe adverse event monitoring and reporting were assessed among all participants. Data was recorded and stored in the UAB RedCap System.

Outcome measures

Outcome measures
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Number of Participants With Severe Adverse Events (SAEs) (Increase in Seizure Frequency by More Than 100% Leading to Emergency Room Visit or Hospitalization).
0 Participants

PRIMARY outcome

Timeframe: For 1 Year following Enrollment

Population: Per protocol, after all participants have been enrolled and followed for 1 year.

During study clinic visits, participant vital signs, including blood pressure and heart rate, were collected. Data was recorded and stored in the UAB RedCap System. Clinically significant was determined by using the Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03. Adverse events categorized as a grade 3 or above were considered clinically significant. Adverse events grade 4 or above were considered severe adverse events.

Outcome measures

Outcome measures
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Number of Participants With Change in Resting Blood Pressure or Heart Rate by 25% if Considered Significant by Managing Neurologist.
Blood Pressure
0 Participants
Number of Participants With Change in Resting Blood Pressure or Heart Rate by 25% if Considered Significant by Managing Neurologist.
Heart Rate
0 Participants

PRIMARY outcome

Timeframe: For 1 Year following Enrollment

Population: Per protocol, after all participants have been enrolled and followed for 1 year.

During study clinic visits, participants received laboratory testing to assess for side effects and toxicity. Data was recorded and stored in the UAB RedCap System. Laboratory testing included Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP; included Liver Function Tests (LFTs) mainly looking at alanine aminotransferase (ALT) and aspartate aminotransferase (AST)), Urine Analysis (UA), and Antiepileptic Drug (AED) levels. Clinically significant was determined by using the Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03. Adverse events categorized as a grade 3 or above were considered clinically significant. Adverse events grade 4 or above were considered severe adverse events.

Outcome measures

Outcome measures
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: White Blood Cell (WBC) Count
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Red Blood Cell (RBC) Count
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Hemoglobin
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Hematocrit
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Platelet
2 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Absolute (ABS) Neutrophils
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: ABS Lymphocytes
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: ABS Monocytes
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Neutrophils
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CBC: Lymphocytes
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Serum Creatinine
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Creatinine Clearance
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: ALT (SGPT)
3 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: AST (SGOT)
2 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Total Bilirubin
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Direct Bilirubin
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Blood Urea Nitrogen (BUN)
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Albumin
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Alkaline Phosphate
2 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Glucose
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Calcium
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Carbon Dioxide
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Chloride
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Potassium
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
CMP: Sodium
1 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Specific Gravity
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: PH
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Leukocyte Esterase
42 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Nitrite
6 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Protein
32 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Glucose
5 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Ketones
19 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Urobilinogen
1 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Bilirubin
1 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
UA: Blood
22 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Phenobarbital Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Primidone Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Klonopin Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Clobazam Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Desmethylclobazam Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Lorazepam Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Phenytoin Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Carbamazepine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Clorazepate Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Valproate Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Felbamate Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Gabapentin Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Lamotrigine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Levetiracetam Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Oxcarbazepine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Ethosuximide Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Tiagabine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Topiramate Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Vigabatrin Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Zonisamide Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Eslicarbazepine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Ezogabine Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Pregabalin Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Perampanel Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Rufinamide Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Brivaracetam Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Lacosamide Level
0 Participants
Number of Participants With Change in Laboratory Tests Considered by Managing Neurologists as Clinically Significant.
AED: Diazepam Level
0 Participants

SECONDARY outcome

Timeframe: For 1 Year following Enrollment

Population: Per protocol, after all participants have been enrolled and followed for 1 year. Number of participants analyzed differed because: 1) Those who responded to a certain CBD dose had fewer monthly visits; 2) Those who decided to continue on the same CBD dose had fewer monthly visits; or 3) Withdrawal prior to 1 year following enrollment.

Participants were given seizure diary logs and dairy data collection was done at study clinic visits. Data was recorded and stored in the UAB RedCap System. The analysis plan was to assess the pattern of change in seizure frequency over time, relative to baseline, following CBD exposure. Since the baseline measure was reported at the time of screening, there was some tendency to overestimate the frequency of seizures in the historically reported interval. This was examined by comparing the initial study visits improvement versus the pattern of control over time, and was assessed using graphic techniques and summary statistics.

Outcome measures

Outcome measures
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 1 vs Baseline
0.73 number of seizures/month
Interval 0.68 to 0.79
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 2 vs Baseline
0.56 number of seizures/month
Interval 0.49 to 0.64
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 3 vs Baseline
0.47 number of seizures/month
Interval 0.4 to 0.55
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 4 vs Baseline
0.44 number of seizures/month
Interval 0.37 to 0.52
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 5 vs Baseline
0.44 number of seizures/month
Interval 0.38 to 0.52
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 6 vs Baseline
0.47 number of seizures/month
Interval 0.4 to 0.54
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 7 vs Baseline
0.48 number of seizures/month
Interval 0.41 to 0.56
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 8 vs Baseline
0.49 number of seizures/month
Interval 0.42 to 0.56
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 9 vs Baseline
0.49 number of seizures/month
Interval 0.42 to 0.56
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 10 vs Baseline
0.48 number of seizures/month
Interval 0.41 to 0.56
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 11 vs Baseline
0.48 number of seizures/month
Interval 0.4 to 0.57
Change in Seizure Frequency as Measured in Total Number of Seizures Per Month.
Month 12 vs Baseline
0.47 number of seizures/month
Interval 0.38 to 0.58

SECONDARY outcome

Timeframe: For 1 Year following Enrollment

Population: Per protocol, after all participants have been enrolled and followed for 1 year. Number of participants analyzed differed because: 1) Those who responded to a certain CBD dose had fewer monthly visits; 2) Those who decided to continue on the same CBD dose had fewer monthly visits; or 3) Withdrawal prior to 1 year following enrollment.

Seizure severity was collected during study clinic and phone visits using the Chalfont Seizure Severity Scale (CSSS) (Duncan \& Sander, 1991, JNNP) through verbal reporting. The CSSS measured components of seizures most disturbing or disruptive to the participants. The total scores for a given seizure type was its severity score. High scores indicated high severity of the seizures (no fixed maximum value), while a score of zero indicated low severity. Scores were recorded and stored in the UAB RedCap System. The analysis plan was to assess the pattern of change in seizure severity scores over time, relative to baseline, following CBD exposure. Since the baseline measure was reported at the time of screening, there was some tendency to overestimate the severity of seizures in the historically reported interval. This was examined by comparing the initial study visits improvement versus the pattern of control over time, and was assessed using graphic techniques and summary statistics.

Outcome measures

Outcome measures
Measure
Epidiolex
n=80 Participants
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 1 vs Baseline
0.53 scores on a scale
Interval 0.47 to 0.61
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 2 vs Baseline
0.32 scores on a scale
Interval 0.25 to 0.4
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 3 vs Baseline
0.23 scores on a scale
Interval 0.17 to 0.31
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 4 vs Baseline
0.22 scores on a scale
Interval 0.16 to 0.29
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 5 vs Baseline
0.24 scores on a scale
Interval 0.18 to 0.32
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 6 vs Baseline
0.28 scores on a scale
Interval 0.21 to 0.36
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 7 vs Baseline
0.29 scores on a scale
Interval 0.22 to 0.38
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 8 vs Baseline
0.28 scores on a scale
Interval 0.22 to 0.36
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 9 vs Baseline
0.25 scores on a scale
Interval 0.2 to 0.33
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 10 vs Baseline
0.22 scores on a scale
Interval 0.17 to 0.29
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 11 vs Baseline
0.19 scores on a scale
Interval 0.14 to 0.25
Change in Seizure Severity Measured by the Chalfont Seizure Severity Scale (Duncan & Sander, 1991, JNNP).
Month 12 vs Baseline
0.16 scores on a scale
Interval 0.11 to 0.23

Adverse Events

Epidiolex

Serious events: 14 serious events
Other events: 73 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Epidiolex
n=80 participants at risk
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Blood and lymphatic system disorders
Abnormal liver function panel
2.5%
2/80 • Number of events 8 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Hypokalemia
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Esophageal spasm
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Hospital admission
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Weight loss
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Vomiting
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Nausea
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Injury, poisoning and procedural complications
Fracture (seizure-related)
3.8%
3/80 • Number of events 14 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Metabolism and nutrition disorders
Dehydration
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Status epilepticus
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Rash
3.8%
3/80 • Number of events 5 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Diarrhea
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.

Other adverse events

Other adverse events
Measure
Epidiolex
n=80 participants at risk
The participants (or their caregivers) self-administered CBD 100mg/mL oral solution at a starting dose of 5 mg/kg/day in twice daily dosing and titrated by 5 mg/kg/2 weeks up to 25 mg/kg/day. Additional increases in dosing, by 5 mg/kg/day up to a maximum of 50 mg/kg/day, was instituted at the discretion of the treating PI.
Blood and lymphatic system disorders
Pancytopenia
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Hyperglycemia
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Abnormal liver function panel
5.0%
4/80 • Number of events 13 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Leukopenia
1.2%
1/80 • Number of events 18 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Hyponatremia
5.0%
4/80 • Number of events 12 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Increased International Normalized Ratio (INR)
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Blood and lymphatic system disorders
Hypokalemia
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Eye disorders
Conjuntivitis
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Eye disorders
Allergic conjunctivitis
1.2%
1/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Diarrhea
66.2%
53/80 • Number of events 428 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Constipation
2.5%
2/80 • Number of events 6 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Dyspepsia
1.2%
1/80 • Number of events 5 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Belching
1.2%
1/80 • Number of events 5 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Gastrointestinal disorders
Hemorrhoid fissure
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Emergency room visit
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Weight loss
17.5%
14/80 • Number of events 51 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Weight gain
2.5%
2/80 • Number of events 16 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Hair loss
8.8%
7/80 • Number of events 34 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Investigational product complaint
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Arachnidism
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Friction burn
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
General disorders
Cyst
2.5%
2/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Anorexia
1.2%
1/80 • Number of events 13 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Decreased appetite
12.5%
10/80 • Number of events 49 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Abdominal pain
5.0%
4/80 • Number of events 24 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Hepatobiliary disorders
Nausea
8.8%
7/80 • Number of events 14 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Mycoplasma
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Flu
2.5%
2/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Viral gastroenteritis
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Common cold
12.5%
10/80 • Number of events 18 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Ear infection
3.8%
3/80 • Number of events 6 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Fever
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Upper respiratory tract infection
5.0%
4/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Strep throat
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Sinusitis
6.2%
5/80 • Number of events 10 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Staph infection of the skin
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Injury, poisoning and procedural complications
Fracture (seizure-related)
1.2%
1/80 • Number of events 9 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Metabolism and nutrition disorders
B-12 deficiency
1.2%
1/80 • Number of events 7 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Musculoskeletal and connective tissue disorders
Lower body pain
3.8%
3/80 • Number of events 9 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Musculoskeletal and connective tissue disorders
Muscle soreness
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Musculoskeletal and connective tissue disorders
Osteoporosis
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Sedation
18.8%
15/80 • Number of events 73 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Insomnia
5.0%
4/80 • Number of events 12 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Dizziness
11.2%
9/80 • Number of events 22 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Eyes rolling back
1.2%
1/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Sleep disturbance
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Ataxia
2.5%
2/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Double vision
3.8%
3/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Lethargic
7.5%
6/80 • Number of events 27 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Hand tremors
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Fall (seizure-related)
5.0%
4/80 • Number of events 6 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Fall (unrelated to seizure)
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Nervous system disorders
Increased seizure frequency
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Psychiatric disorders
Depression/mood issues
7.5%
6/80 • Number of events 27 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Renal and urinary disorders
Kidney stones
1.2%
1/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Renal and urinary disorders
Urinary tract infection
6.2%
5/80 • Number of events 8 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Respiratory, thoracic and mediastinal disorders
Pneumonia
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Respiratory, thoracic and mediastinal disorders
Seasonal allergies
1.2%
1/80 • Number of events 12 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Rash
2.5%
2/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Acne
1.2%
1/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Worsening uticaria
1.2%
1/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Ecchymosis
5.0%
4/80 • Number of events 10 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Ingrown toenail
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Buttock contusion
1.2%
1/80 • Number of events 2 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Pressure ulcer
1.2%
1/80 • Number of events 4 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Surgical and medical procedures
Gallbladder removal
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Vascular disorders
Headaches
11.2%
9/80 • Number of events 31 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Infections and infestations
Gastroenteritis
2.5%
2/80 • Number of events 3 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Lacerations
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Skin and subcutaneous tissue disorders
Folliculitis
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.
Metabolism and nutrition disorders
Dehydration
1.2%
1/80 • Number of events 1 • For 1 Year following Enrollment
Adverse events and severe adverse events were collected and reported in all enrolled participants who received study drug. The Common Toxicity Criteria for Adverse Events (CTCAE) Version 4.03 was used to determine clinical significance. Adverse events categorized as a grade 3 or above was considered clinically significant. Adverse events grade 4 or above was considered severe adverse events.

Additional Information

Dr. Jerzy Szaflarski, MD, PhD

University of Alabama at Birmingham

Phone: 205-934-3866

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place