Trial Outcomes & Findings for Study of Adjunctive Ganaxolone Treatment in Female Children With Protocadherin 19 (PCDH19)-Related Epilepsy (Violet Study) (NCT NCT03865732)

NCT ID: NCT03865732

Last Updated: 2023-06-26

Results Overview

Summary of 28-Day Seizure Frequency for Seizure Types through 17 week Post-Baseline Phase (Median Percent Change)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

End of the double-blind 17 week treatment period

Results posted on

2023-06-26

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks Ganaxolone: active drug
Overall Study
STARTED
11
10
Overall Study
COMPLETED
11
9
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks Ganaxolone: active drug
Overall Study
Adverse Event
0
1

Baseline Characteristics

Study of Adjunctive Ganaxolone Treatment in Female Children With Protocadherin 19 (PCDH19)-Related Epilepsy (Violet Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=11 Participants
placebo suspension 3x's /day for 17 weeks Placebo: non-active drug
Ganaxolone
n=10 Participants
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks Ganaxolone: active drug
Total
n=21 Participants
Total of all reporting groups
Age, Continuous
7.5 years
STANDARD_DEVIATION 3.93 • n=5 Participants
6.7 years
STANDARD_DEVIATION 3.40 • n=7 Participants
7.1 years
STANDARD_DEVIATION 3.62 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
7 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Netherlands
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
Region of Enrollment
Hungary
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
12 participants
n=5 Participants
Region of Enrollment
Poland
0 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
Region of Enrollment
Italy
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: End of the double-blind 17 week treatment period

Population: ITT Population

Summary of 28-Day Seizure Frequency for Seizure Types through 17 week Post-Baseline Phase (Median Percent Change)

Outcome measures

Outcome measures
Measure
Placebo
n=11 Participants
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
n=10 Participants
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks
Summary of 28-day Seizure Frequency Through 17 Week Post-Baseline Phase (Median Percent Change)
-23.97 Median % Change in Number of Seizures
Interval -88.24 to 4.89
-61.52 Median % Change in Number of Seizures
Interval -95.85 to -33.4

SECONDARY outcome

Timeframe: [Time Frame: End of the double-blind 17 week treatment period]

Population: ITT Population specific to subjects in the Biomarker-positive Stratum

Summary of 28-day Seizure Frequency for Seizure Types for Subjects in the Biomarker-positive Stratum through 17 weeks (Median Percent Change)

Outcome measures

Outcome measures
Measure
Placebo
n=7 Participants
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
n=6 Participants
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks
Summary of 28-day Seizure Frequency for Subjects in the Biomarker-positive Stratum (Median Percent Change)
-18.71 Median % Change in Number of Seizures
Interval -85.74 to 70.73
-35.90 Median % Change in Number of Seizures
Interval -86.48 to -24.32

SECONDARY outcome

Timeframe: End of the double-blind 17 week treatment period

Population: ITT Population

Percent of subjects experiencing a greater than or equal to 50% reduction in 28-day primary seizure frequency relative to the 12-week baseline

Outcome measures

Outcome measures
Measure
Placebo
n=11 Participants
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
n=10 Participants
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks
50% Primary Seizure Reduction
4 Participants
5 Participants

Adverse Events

Placebo

Serious events: 5 serious events
Other events: 11 other events
Deaths: 0 deaths

Ganaxolone

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=11 participants at risk
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
n=10 participants at risk
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks Ganaxolone: active drug
Psychiatric disorders
Psychogenic Seizure
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Nervous system disorders
Febrile Convulsion
9.1%
1/11 • Number of events 3 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Seizure
27.3%
3/11 • Number of events 4 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Seizure Cluster
18.2%
2/11 • Number of events 2 • Screening through Week 17
0.00%
0/10 • Screening through Week 17

Other adverse events

Other adverse events
Measure
Placebo
n=11 participants at risk
Placebo suspension 3x's/day for 17 weeks
Ganaxolone
n=10 participants at risk
ganaxolone suspension (50 mg/ml) 3x's /day for 17 weeks Ganaxolone: active drug
Psychiatric disorders
Aggression
9.1%
1/11 • Number of events 1 • Screening through Week 17
20.0%
2/10 • Number of events 2 • Screening through Week 17
Psychiatric disorders
Agitation
0.00%
0/11 • Screening through Week 17
20.0%
2/10 • Number of events 2 • Screening through Week 17
Psychiatric disorders
Behavior Disorder
9.1%
1/11 • Number of events 1 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Psychiatric disorders
Insomnia
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Psychiatric disorders
Irritability
9.1%
1/11 • Number of events 1 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Psychiatric disorders
Psychogenic Seizure
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Psychiatric disorders
Restlessness
9.1%
1/11 • Number of events 1 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Psychiatric disorders
Disinhibition
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Somnolence
27.3%
3/11 • Number of events 3 • Screening through Week 17
40.0%
4/10 • Number of events 4 • Screening through Week 17
Nervous system disorders
Ataxia
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Nervous system disorders
Lethargy
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 2 • Screening through Week 17
Nervous system disorders
Dizziness
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Febrile Convulsion
9.1%
1/11 • Number of events 3 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Headache
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Seizure
36.4%
4/11 • Number of events 5 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Nervous system disorders
Seizure Cluster
18.2%
2/11 • Number of events 2 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Gastrointestinal disorders
Constipation
9.1%
1/11 • Number of events 1 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Gastrointestinal disorders
Dental Caries
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Gastrointestinal disorders
Diarrhoea
18.2%
2/11 • Number of events 2 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Gastrointestinal disorders
Eructation
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Gastrointestinal disorders
Abdominal Pain
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Gastrointestinal disorders
Abdominal Pain Upper
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Gastrointestinal disorders
Vomiting
18.2%
2/11 • Number of events 2 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
General disorders
Fatigue
18.2%
2/11 • Number of events 2 • Screening through Week 17
20.0%
2/10 • Number of events 2 • Screening through Week 17
General disorders
Gait Disturbance
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Investigations
Alanine Aminotransferase Increased
0.00%
0/11 • Screening through Week 17
20.0%
2/10 • Number of events 2 • Screening through Week 17
Investigations
Protein Urine Present
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/11 • Screening through Week 17
20.0%
2/10 • Number of events 2 • Screening through Week 17
Infections and infestations
Upper Respiratory Tract Infection
9.1%
1/11 • Number of events 1 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Infections and infestations
Impetigo
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Infections and infestations
Pharyngitis Streptococcal
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Infections and infestations
Vulvovaginal Candidiasis
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Skin and subcutaneous tissue disorders
Papule
0.00%
0/11 • Screening through Week 17
10.0%
1/10 • Number of events 1 • Screening through Week 17
Skin and subcutaneous tissue disorders
Dermatitis
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Skin and subcutaneous tissue disorders
Rash
18.2%
2/11 • Number of events 2 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Injury, poisoning and procedural complications
Eye Injury
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Injury, poisoning and procedural complications
Skin Laceration
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Musculoskeletal and connective tissue disorders
Arthralgia
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17
Renal and urinary disorders
Pollakiuria
9.1%
1/11 • Number of events 1 • Screening through Week 17
0.00%
0/10 • Screening through Week 17

Additional Information

Marinus Clinical Trials Submission Manager

Marinus Pharmaceuticals, Inc.

Phone: 484-801-4670

Results disclosure agreements

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