Trial Outcomes & Findings for A Study to Investigate the Long-Term Safety of ZX008 (Fenfluramine Hydrochloride) Oral Solution in Children and Adults With Epileptic Encephalopathy Including Dravet Syndrome and Lennox-Gastaut Syndrome (NCT NCT03936777)

NCT ID: NCT03936777

Last Updated: 2025-11-17

Results Overview

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can, therefore, be any unfavorable and unintended sign (including an abnormal, clinically significant laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment-emergent. The percentage of participants was rounded to one decimal place.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

412 participants

Primary outcome timeframe

From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)

Results posted on

2025-11-17

Participant Flow

The study started to enroll participants in April 2019 and concluded in May 2025.

The Participant Flow refers to the Safety analysis set.

Participant milestones

Participant milestones
Measure
Any ZX008 Open Label Dose
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Overall Study
STARTED
412
Overall Study
COMPLETED
360
Overall Study
NOT COMPLETED
52

Reasons for withdrawal

Reasons for withdrawal
Measure
Any ZX008 Open Label Dose
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Overall Study
Adverse Event
3
Overall Study
Death
3
Overall Study
Lack of Efficacy
24
Overall Study
Lost to Follow-up
3
Overall Study
Physician Decision
1
Overall Study
Withdrawal by Subject
11
Overall Study
Subjected Weaned of ZX008
1
Overall Study
Missing
6

Baseline Characteristics

A Study to Investigate the Long-Term Safety of ZX008 (Fenfluramine Hydrochloride) Oral Solution in Children and Adults With Epileptic Encephalopathy Including Dravet Syndrome and Lennox-Gastaut Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Any ZX008 Open Label Dose
n=412 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Age, Continuous
14.1 Years
STANDARD_DEVIATION 6.8 • n=202 Participants
Age, Customized
2 - <12 years
168 Participants
n=202 Participants
Age, Customized
12 - <18 years
117 Participants
n=202 Participants
Age, Customized
18 - <65 years
127 Participants
n=202 Participants
Sex: Female, Male
Female
191 Participants
n=202 Participants
Sex: Female, Male
Male
221 Participants
n=202 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
4 Participants
n=202 Participants
Race/Ethnicity, Customized
Asian
19 Participants
n=202 Participants
Race/Ethnicity, Customized
Black or African American
11 Participants
n=202 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Participants
n=202 Participants
Race/Ethnicity, Customized
White
327 Participants
n=202 Participants
Race/Ethnicity, Customized
Other or Mixed
4 Participants
n=202 Participants
Race/Ethnicity, Customized
Not Reported
42 Participants
n=202 Participants
Race/Ethnicity, Customized
Unknown
7 Participants
n=202 Participants
Race/Ethnicity, Customized
Hispanic or Latino
60 Participants
n=202 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
303 Participants
n=202 Participants

PRIMARY outcome

Timeframe: From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)

Population: Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can, therefore, be any unfavorable and unintended sign (including an abnormal, clinically significant laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment-emergent. The percentage of participants was rounded to one decimal place.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=412 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
75.5 percentage of participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The Clinical Global Impression-Improvement (CGI-I) scale is used to assess the severity of illness and global improvement in patients. Global function is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The global CGI-I assessment was conducted by the Parent/Caregiver. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=401 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Very much improved
39 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Much improved
88 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Minimally improved
87 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: No change
124 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Minimally worse
23 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Much worse
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 6: Very much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Very much improved
42 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Much improved
65 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Minimally improved
56 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: No change
77 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Minimally worse
17 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Much worse
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 12: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Very much improved
34 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Much improved
43 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Minimally improved
60 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: No change
67 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Minimally worse
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 18: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Very much improved
33 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Much improved
46 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Minimally improved
41 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: No change
59 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Minimally worse
8 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Very much improved
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Much improved
41 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Minimally improved
34 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: No change
47 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Minimally worse
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 30: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Very much improved
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Much improved
31 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Minimally improved
29 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: No change
39 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Minimally worse
10 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Month 36: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much improved
71 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much improved
109 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally improved
85 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: No change
108 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally worse
21 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much worse
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much worse
0 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Global function is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The global CGI-I assessment was conducted by the Investigator. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=401 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Very much improved
23 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Much improved
86 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Minimally improved
85 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: No change
141 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Minimally worse
26 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Much worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 6: Very much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Very much improved
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Much improved
63 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Minimally improved
66 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: No change
87 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Minimally worse
17 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 12: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Very much improved
23 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Much improved
45 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Minimally improved
58 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: No change
86 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Minimally worse
12 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 18: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Very much improved
20 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Much improved
54 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Minimally improved
37 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: No change
72 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Minimally worse
5 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Very much improved
11 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Much improved
44 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Minimally improved
34 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: No change
56 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Minimally worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 30: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Very much improved
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Much improved
33 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Minimally improved
25 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: No change
52 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Minimally worse
5 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Month 36: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Very much improved
33 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Much improved
108 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Minimally improved
101 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: No change
134 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Minimally worse
19 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Much worse
5 Participants
Clinical Global Impression-Improvement in Participants, Subscale Global: Assessment by Investigator
Last On-Treatment Visit: Very much worse
1 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The modified Intent-to-Treat (mITT) analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the open-label extension (OLE) in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Cognitive function is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of cognition was conducted by the Parent/Caregiver. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=401 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: No change
49 Participants
Interval 29.8 to 47.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Very much improved
6 Participants
Interval 1.7 to 9.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Much improved
32 Participants
Interval 17.8 to 33.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Minimally improved
29 Participants
Interval 15.7 to 30.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Minimally worse
11 Participants
Interval 4.4 to 14.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Much worse
1 Participants
Interval 0.0 to 4.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Much improved
35 Participants
Interval 13.3 to 24.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Minimally worse
6 Participants
Interval 1.2 to 6.8
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Much improved
43 Participants
Interval 14.3 to 25.0
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Minimally improved
69 Participants
Interval 24.8 to 37.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: No change
86 Participants
Interval 32.0 to 45.1
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Minimally worse
6 Participants
Interval 1.0 to 5.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Much worse
2 Participants
Interval 0.1 to 3.2
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Very much worse
0 Participants
Interval 0.0 to 1.6
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Very much improved
26 Participants
Interval 4.6 to 10.1
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Much improved
75 Participants
Interval 16.3 to 24.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Minimally improved
87 Participants
Interval 19.3 to 28.2
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: No change
161 Participants
Interval 38.4 to 48.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Minimally worse
15 Participants
Interval 2.3 to 6.6
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Much worse
4 Participants
Interval 0.3 to 2.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 6: Very much worse
2 Participants
Interval 0.1 to 1.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Very much improved
17 Participants
Interval 3.8 to 10.1
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Much improved
54 Participants
Interval 15.7 to 25.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Minimally improved
78 Participants
Interval 24.0 to 35.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: No change
108 Participants
Interval 34.8 to 46.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Minimally worse
5 Participants
Interval 0.6 to 4.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Much worse
3 Participants
Interval 0.2 to 3.3
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 12: Very much worse
0 Participants
Interval 0.0 to 1.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 18: Very much improved
18 Participants
Interval 4.8 to 12.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Very much improved
14 Participants
Interval 4.1 to 12.2
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Minimally improved
59 Participants
Interval 24.8 to 38.5
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: No change
73 Participants
Interval 31.8 to 46.2
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Much worse
1 Participants
Interval 0.0 to 2.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 24: Very much worse
0 Participants
Interval 0.0 to 1.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Very much improved
7 Participants
Interval 1.9 to 9.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Much improved
31 Participants
Interval 14.6 to 28.2
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Minimally improved
41 Participants
Interval 20.5 to 35.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: No change
62 Participants
Interval 33.6 to 50.0
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Minimally worse
6 Participants
Interval 1.5 to 8.6
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Much worse
1 Participants
Interval 0.0 to 3.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 30: Very much worse
1 Participants
Interval 0.0 to 3.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Month 36: Very much worse
0 Participants
Interval 0.0 to 2.8
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much improved
33 Participants
Interval 5.7 to 11.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much improved
98 Participants
Interval 20.3 to 28.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally improved
101 Participants
Interval 21.0 to 29.7
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: No change
148 Participants
Interval 32.2 to 41.8
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally worse
16 Participants
Interval 2.3 to 6.4
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much worse
5 Participants
Interval 0.4 to 2.9
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much worse
0 Participants
Interval 0.0 to 0.9

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Behavior is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of behavior was conducted by the Parent/Caregiver. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=401 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Much worse
12 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Very much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Very much improved
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Much improved
46 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Very much improved
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Very much improved
8 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Much improved
26 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Minimally worse
15 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Minimally improved
75 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: No change
174 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Much worse
11 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Minimally worse
35 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Minimally improved
51 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: No change
120 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 12: Minimally worse
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Much improved
37 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Minimally improved
42 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: No change
100 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Minimally worse
27 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Much worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 18: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Very much improved
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Much improved
31 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Minimally worse
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Much worse
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Minimally improved
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: No change
58 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Minimally worse
10 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Very much improved
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Much improved
51 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 6: Very much improved
20 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Much improved
18 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Much worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: Minimally improved
36 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 24: No change
83 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: Minimally improved
27 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 30: No change
69 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Much worse
6 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Month 36: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much improved
24 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much improved
73 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally improved
83 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: No change
169 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally worse
36 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much worse
15 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much worse
1 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Motor abilities function is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of motor abilities was conducted by the Parent/Caregiver. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=401 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Very much improved
17 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Much improved
45 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Minimally improved
86 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: No change
190 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Minimally worse
26 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Much worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 6: Very much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Very much improved
14 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Much improved
31 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Minimally improved
65 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: No change
134 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Minimally worse
14 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Much worse
6 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 12: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Very much improved
10 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Much improved
31 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Minimally improved
48 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: No change
114 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Minimally worse
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Much worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 18: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Very much improved
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Much improved
19 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Minimally improved
42 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: No change
97 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Minimally worse
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Very much improved
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Much improved
22 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Minimally improved
27 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: No change
77 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Minimally worse
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 30: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Very much improved
6 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Much improved
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Minimally improved
22 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: No change
67 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Minimally worse
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Much worse
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Month 36: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much improved
24 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much improved
55 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally improved
94 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: No change
191 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Minimally worse
25 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Much worse
12 Participants
Clinical Global Impression-Improvement in Participants, Subscale Motor Abilities: Assessment by Parent/Caregiver
Last On-Treatment Visit: Very much worse
0 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Cognitive function is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of cognition was conducted by the Investigator. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=399 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Very much improved
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Much improved
54 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Minimally improved
101 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: No change
184 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Minimally worse
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 6: Very much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Very much improved
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Much improved
39 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Minimally improved
79 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: No change
128 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Minimally worse
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 12: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Very much improved
13 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Much improved
32 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Minimally improved
53 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: No change
118 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Minimally worse
10 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 18: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Very much improved
9 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Much improved
33 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Minimally improved
55 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: No change
88 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Minimally worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Very much improved
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Much improved
25 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Minimally improved
36 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: No change
81 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Minimally worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 30: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Very much improved
4 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Much improved
14 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Minimally improved
34 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: No change
65 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Minimally worse
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Month 36: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Very much improved
16 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Much improved
64 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Minimally improved
103 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: No change
201 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Minimally worse
12 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Cognition: Assessment by Investigator
Last On-Treatment Visit: Very much worse
2 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Behavior is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of behavior was conducted by the Investigator. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=399 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Very much improved
10 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Much improved
42 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Minimally improved
80 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: No change
200 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Minimally worse
27 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Much worse
5 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 6: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Very much improved
11 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Much improved
35 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Minimally improved
54 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: No change
144 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Minimally worse
17 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 12: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Very much improved
7 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Much improved
32 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Minimally improved
41 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: No change
122 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Minimally worse
20 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 18: Very much worse
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Very much improved
11 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Much improved
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Minimally improved
36 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: No change
95 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Minimally worse
17 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 24: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Very much improved
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Much improved
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Minimally improved
25 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: No change
77 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Minimally worse
15 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 30: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Very much improved
1 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Much improved
19 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Minimally improved
28 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: No change
63 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Minimally worse
11 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Much worse
2 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Month 36: Very much worse
0 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Very much improved
14 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Much improved
57 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Minimally improved
74 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: No change
229 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Minimally worse
20 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Much worse
3 Participants
Clinical Global Impression-Improvement in Participants, Subscale Behavior: Assessment by Investigator
Last On-Treatment Visit: Very much worse
2 Participants

SECONDARY outcome

Timeframe: Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The CGI-I scale is used to assess the severity of illness and global improvement in patients. Motor abilities is one of the domains assessed by the CGI-I scale. The CGI-I is rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse) as follows: 1=Very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse, where higher score indicates worse outcome. The CGI-I assessment of motor abilities was conducted by the Investigator. The number of participants in each of the 7 categories of the CGI-I for each visit is reported.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=399 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Very much improved
10 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Much improved
33 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Minimally improved
81 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: No change
221 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Minimally worse
17 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Much worse
1 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 6: Very much worse
2 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Very much improved
13 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Much improved
29 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Minimally improved
52 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: No change
159 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Minimally worse
10 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Much worse
0 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 12: Very much worse
2 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Very much improved
9 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Much improved
19 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Minimally improved
42 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: No change
133 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Minimally worse
21 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Much worse
2 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 18: Very much worse
0 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Very much improved
7 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Much improved
24 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Minimally improved
43 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: No change
99 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Minimally worse
13 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Much worse
3 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 24: Very much worse
0 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Very much improved
4 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Much improved
19 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Minimally improved
29 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: No change
86 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Minimally worse
9 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Much worse
1 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 30: Very much worse
1 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Very much improved
2 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Much improved
9 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Minimally improved
27 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: No change
74 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Minimally worse
8 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Much worse
4 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Month 36: Very much worse
0 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Very much improved
12 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Much improved
39 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Minimally improved
89 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: No change
238 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Minimally worse
16 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Much worse
4 Participants
Clinical Global Impression Improvement in Participants, Subscale Motor Abilities: Assessment by Investigator
Last On-Treatment Visit: Very much worse
1 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1), Months 6, 12, 18, 24, 30, 36, Last On-Treatment Visit (Up to Month 49)

Population: The mITT analysis set consisted of all participants who received at least 1 dose of ZX008 and had at least one valid efficacy assessment during the OLE in the study EP0215 (ZX008-1900). Here, number of participants analyzed signifies participants who were evaluable for this outcome measure. Here, number analyzed signifies participants who were evaluable at specified time points.

The change in seizure burden from the previous visit was assessed by the investigator using following categories: \<25%, ≥25%, ≥50%, ≥75%, 100% (i.e., seizure-free) improvement. Improvement in seizure burden at Baseline was based on comparison with the participant's last visit in the feeder studies (ZX008-1601, ZX008-1503, and ZX008-1602). Number of participants in each of the 5 categories is reported for each visit as compared to last visit.

Outcome measures

Outcome measures
Measure
Any ZX008 Open Label Dose
n=410 Participants
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Last On-Treatment Visit: >=50%
29 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Baseline: <25%
242 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Baseline: >=25%
67 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Baseline: >=50%
42 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Baseline: >=75%
35 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Baseline: 100%
12 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 6: <25%
262 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 6: >=25%
51 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 6: >=50%
39 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 6: >=75%
21 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 6: 100%
8 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 12: <25%
191 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 12: >=25%
33 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 12: >=50%
31 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 12: >=75%
11 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 12: 100%
6 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 18: <25%
175 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 18: >=25%
22 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 18: >=50%
26 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 18: >=75%
3 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 18: 100%
6 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 24: <25%
144 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 24: >=25%
24 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 24: >=50%
15 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 24: >=75%
6 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 24: 100%
4 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 30: <25%
115 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 30: >=25%
14 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 30: >=50%
11 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 30: >=75%
7 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 30: 100%
1 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 36: <25%
99 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 36: >=25%
13 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 36: >=50%
9 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 36: >=75%
6 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Month 36: 100%
1 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Last On-Treatment Visit: <25%
315 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Last On-Treatment Visit: >=25%
41 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Last On-Treatment Visit: >=75%
17 Participants
Number of Participants With Improvement in Seizure Burden as Assessed by the Investigator
Last On-Treatment Visit: 100%
8 Participants

Adverse Events

Any ZX008 Open Label Dose

Serious events: 67 serious events
Other events: 204 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Any ZX008 Open Label Dose
n=412 participants at risk
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Blood and lymphatic system disorders
Thrombocytopenia
0.24%
1/412 • Number of events 3 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Cardiac disorders
Cardiac arrest
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Congenital, familial and genetic disorders
Non-compaction cardiomyopathy
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Congenital, familial and genetic disorders
Pyloric stenosis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Eye disorders
Vision blurred
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Gastrointestinal disorders
Abdominal distension
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Gastrointestinal disorders
Constipation
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Gastrointestinal disorders
Diarrhoea
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Gastrointestinal disorders
Intestinal obstruction
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Asthenia
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Complication associated with device
0.24%
1/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Gait disturbance
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Gait inability
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Influenza like illness
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Pyrexia
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Hepatobiliary disorders
Cholelithiasis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Pneumonia
1.9%
8/412 • Number of events 8 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Appendicitis
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Corona virus infection
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Pneumonia viral
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Urinary tract infection
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Sepsis
0.24%
1/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Cellulitis of male external genital organ
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Clostridium difficile colitis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Dengue haemorrhagic fever
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Ear infection
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Legionella infection
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Nasal abscess
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Pneumonia bacterial
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Pneumonia mycoplasmal
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Tonsillitis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Upper respiratory tract infection
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Animal bite
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Craniocerebral injury
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Craniofacial fracture
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Extradural haematoma
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Jaw fracture
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Lower limb fracture
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Spinal column injury
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Spinal compression fracture
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Traumatic renal injury
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Injury, poisoning and procedural complications
Upper limb fracture
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Investigations
Weight decreased
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Metabolism and nutrition disorders
Dehydration
0.73%
3/412 • Number of events 3 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Metabolism and nutrition disorders
Hypophagia
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Seizure
4.1%
17/412 • Number of events 22 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Status epilepticus
2.2%
9/412 • Number of events 10 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Seizure cluster
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Epilepsy
0.24%
1/412 • Number of events 4 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Altered state of consciousness
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Generalised tonic-clonic seizure
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Haemorrhage intracranial
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Headache
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Parkinsonism
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Petit mal epilepsy
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Somnolence
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Thalamus haemorrhage
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Tremor
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Psychiatric disorders
Aggression
0.49%
2/412 • Number of events 2 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Psychiatric disorders
Agitation
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Psychiatric disorders
Hallucination
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Psychiatric disorders
Intentional self-injury
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Psychiatric disorders
Psychotic disorder
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Renal and urinary disorders
Nephrolithiasis
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
1.2%
5/412 • Number of events 11 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Skin and subcutaneous tissue disorders
Angioedema
0.24%
1/412 • Number of events 1 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.

Other adverse events

Other adverse events
Measure
Any ZX008 Open Label Dose
n=412 participants at risk
Participants continued to receive ZX008 dose prescribed at last visit in ZX008-1503/EP0212 (NCT02823145), ZX008-1601/EP0214 Part 2 (NCT03355209), or ZX008-1602/EP0207 (NCT03467113) and had volume adjusted according to weight. In this Open Label Extension (OLE) study, participants who were not receiving concomitant Stiripentol (STP), dose could be titrated in increments of 0.2 mg/kg/day (milligram per kilogram per day) up to maximum of 0.8 mg/kg/day (not exceeding 30 mg/day). For participants receiving concomitant STP, dose could be adjusted to 0.4 mg/kg/day initially and increased to 0.5 mg/kg/day (not exceeding 20 mg/day). Participants continued ZX008 until one of following occurred: approval of ZX008 obtained from regulatory authorities for participants indication; managed access program established as per country-specific requirements, legal and regulatory guidelines in participants country of residence; or investigational product development for participants indication stopped by Sponsor.
Gastrointestinal disorders
Diarrhoea
7.0%
29/412 • Number of events 36 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
General disorders
Pyrexia
12.9%
53/412 • Number of events 86 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Corona virus infection
20.4%
84/412 • Number of events 99 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Nasopharyngitis
11.9%
49/412 • Number of events 69 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Infections and infestations
Upper respiratory tract infection
5.6%
23/412 • Number of events 28 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Metabolism and nutrition disorders
Decreased appetite
6.1%
25/412 • Number of events 30 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.
Nervous system disorders
Seizure
12.6%
52/412 • Number of events 69 • From First dose of ZX008 (in study EP0215 [ZX008-1900]) to Cardiac Follow-up after ZX008 treatment (Up to 6 Years, 17 Days)
TEAEs were defined as AE that began on or after the first day of treatment with ZX008 in Study EP0215 (ZX008-1900) (NCT03936777) or that occurred prior to first ZX008 treatment in Study EP0215 (ZX008-1900) but increased in severity after treatment in Study EP0215 (ZX008-1900) began. Events recorded at Follow-up/Cardiac Follow-up were considered treatment emergent. Safety analysis set consisted of participants who received at least one dose of ZX008 during the open label extension.

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