A Study of Soticlestat as an Add-on Therapy in Children and Adults With Dravet Syndrome or Lennox-Gastaut Syndrome

NCT ID: NCT05163314

Last Updated: 2025-10-08

Study Results

Results pending

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

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

352 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-04

Study Completion Date

2025-09-24

Brief Summary

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The main aim of the study is to learn if soticlestat, when given as an add-on therapy, reduces the number of seizures in children and adults with Dravet Syndrome (DS) or Lennox-Gastaut Syndrome (LGS).

Participants will receive their standard anti-seizure therapy, plus tablets of soticlestat. There will be scheduled visits and follow-up phone calls throughout the study.

Detailed Description

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The drug being tested in this study is called soticlestat (TAK-935). Soticlestat administered long-term in pediatric and adult participants who participated in an antecedent soticlestat Phase 3 clinical study will be assessed for additional safety and tolerability data along with efficacy analysis, as well as palatability and acceptability of soticlestat in the pediatric population.

The study will enroll approximately 400 participants.

All participants will receive soticlestat based on their weight in the 2-week Titration Period (for participants who roll over from an antecedent double-blind study). Following the Titration Period, participants will continue to receive the same dose in the Maintenance Period. At the end of maintenance period, the dose will be down-tapered (unless already at the lowest dose) and then stopped. Participants not tolerating minimum dose of 100 mg twice a day (BID) will be discontinued from the study.

This multi-center trial will be conducted worldwide. The overall time to participate in the study will be approximately 4 years, or until the study is stopped at the discretion of the sponsor, or the product is approved and launched. Participants who discontinue study drug treatment before the completion of the study, will continue to be followed per protocol and maintain a daily seizure diary until the final follow-up phone call.

Conditions

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Dravet Syndrome (DS) Lennox Gastaut Syndrome (LGS)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Soticlestat

Participants with DS and LGS will receive:Participants weighing \<45kg:Soticlestat,mini-tablets,titrated from lower dose level(60mg to 140mg) to higher dose(100mg to 200mg) twice daily(BID),based on body weight,orally/via enteral feeding tubes including but not limited to nasogastric(NG)-tube,gastrostomy tube(G-tube),MIC-KEY button,upto 2 weeks in Titration Period. Will continue to receive dose they are on at end of Titration Period,for approximately 4 years in Maintenance Period.Dose will be tapered down to lower dose(not less than lowest dose level based on weight)every 3 days until study drug is discontinued(upto 1week) in Taper Period.Participants weighing ≥45kg/adults:Soticlestat mini-tablets/tablets with starting dose of 200mg BID followed by 300mg BID,up to 2 weeks in Titration Period.Will continue to receive 300mg BID for approximately 4 years in Maintenance Period.Dose will be tapered down upto 100mg every 3 days until study drug is discontinued(up to 1 week) in Taper Period.

Group Type EXPERIMENTAL

Soticlestat

Intervention Type DRUG

Soticlestat mini-tablets or tablets

Interventions

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Soticlestat

Soticlestat mini-tablets or tablets

Intervention Type DRUG

Other Intervention Names

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TAK-935

Eligibility Criteria

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Inclusion Criteria

1\. Participant must have:

* Been previously enrolled in a phase 3 soticlestat clinical study.

Exclusion Criteria

1. Unstable, clinically significant neurologic (other than the disease being studied), psychiatric, cardiovascular, ophthalmologic, pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, hematopoietic, endocrine disease, malignancy including progressive tumors, or other abnormality that may impact the ability to participate in the study or that may potentially confound the study results. It is the responsibility of the investigator to assess the clinical significance; however, consultation with the medical monitor may be warranted.
2. Abnormal and clinically significant ECG abnormality at Visit 1 including QT interval with Fridericia correction method (QTcF) \>450 milliseconds (ms) confirmed with a repeat ECG using manual measurement of QTcF.
3. Participant is considered by the investigator to be at imminent risk of suicide or injury to self, others, or property. Participants who have positive answers on item numbers 4 or 5 on the CSSRS before dosing are excluded. This scale will only be administered to participants aged ≥6 years.
Minimum Eligible Age

2 Years

Maximum Eligible Age

56 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Phoenix Childrens Hospital

Phoenix, Arizona, United States

Site Status

Center For Neurosciences

Tucson, Arizona, United States

Site Status

David Geffen School of Medicine at UCLA

Los Angeles, California, United States

Site Status

University of California Benioff Children's Hospital

San Francisco, California, United States

Site Status

Colorado Children's Hospital

Denver, Colorado, United States

Site Status

Pediatric Neurology PA

Winter Park, Florida, United States

Site Status

Clinical Integrative Research Center of Atlanta

Atlanta, Georgia, United States

Site Status

Sunrise Pediatric Neurology

Marietta, Georgia, United States

Site Status

University of Iowa Hospitals & Clinics - (CRS)

Iowa City, Iowa, United States

Site Status

Midatlantic Epilepsy and Sleep Center

Bethesda, Maryland, United States

Site Status

Minnesota Epilepsy Group PA

Saint Paul, Minnesota, United States

Site Status

Institute of Neurology and Neurosurgery at Saint Barnabas, LLC

Livingston, New Jersey, United States

Site Status

Boston Children's Health Physicians (BCHP)

New York, New York, United States

Site Status

Northwell Health Physician Partners - Neurology at Lenox Hill

New York, New York, United States

Site Status

NYU Comprehensive Epilepsy Center

New York, New York, United States

Site Status

University of Toledo

Toledo, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

St. Christopher's Hospital for Children

Philadelphia, Pennsylvania, United States

Site Status

WellSpan Oncology Research

York, Pennsylvania, United States

Site Status

Medical University of South Carolina Children Hospital - PIN

Charleston, South Carolina, United States

Site Status

Cook Children's Medical Center - Jane and John Justin Neurosciences Center

Fort Worth, Texas, United States

Site Status

University of Utah - Primary Children's Hospital - PPDS

Salt Lake City, Utah, United States

Site Status

Seattle Children's Hospital

Seattle, Washington, United States

Site Status

MultiCare Institute for Research & Innovation (Tacoma)

Tacoma, Washington, United States

Site Status

Sydney Children's Hospital

Randwick, New South Wales, Australia

Site Status

Queensland Childrens Hospital

Brisbane, Queensland, Australia

Site Status

Austin Hospital

Heidelberg, Victoria, Australia

Site Status

Alfred Hospital

Melbourne, Victoria, Australia

Site Status

UZ Antwerpen

Edegem, Antwerpen, Belgium

Site Status

Centre Neurologique William Lennox

Ottignies-Louvain-la-Neuve, Brabant Wallon, Belgium

Site Status

Hopital Universitaire des Enfants Reine Fabiola

Brussels, Brussels Capital, Belgium

Site Status

Instituto de Neurologia de Curitiba (INC)

Curitiba, Paraná, Brazil

Site Status

Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital das Clinicas - UNICAMP

Campinas, São Paulo, Brazil

Site Status

Universidade Federal de Sao Paulo

São Paulo, , Brazil

Site Status

Universidade de Sao Paulo

São Paulo, , Brazil

Site Status

Child and Family Research Institute

Vancouver, British Columbia, Canada

Site Status

Hospital For Sick Children

Toronto, Ontario, Canada

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Children's Hospital,Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Children's Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

The Second Affiliated Hospital of Guangzhou Medical Univeristy

Guangzhou, Guangdong, China

Site Status

Guangzhou Women And Children's Medical Center

Guangzhou, Guangdong, China

Site Status

Shenzhen Children's Hospital

Shenzhen, Guangdong, China

Site Status

Wuhan Childrens hospital

Wuhan, Hubei, China

Site Status

Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Jiangxi Provincial Children's Hospital

Nanchang, Jiangxi, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Children's Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Hopitaux de La Timone

Marseille, Bouches-du-Rhone, France

Site Status

CHRU Dijon Hopital General

Dijon, Cote-d'Or, France

Site Status

Hopital Roger Salengro

Lille, Nord, France

Site Status

Hopital Necker - Enfants Malades

Paris, , France

Site Status

Hopital Robert Debre

Paris, , France

Site Status

Alberta Childrens Hospital

Freiburg im Breisgau, Baden-Wurttemberg, Germany

Site Status

Klinikum der Johann-Wolfgang Goethe-Universitat

Frankfurt am Main, Hesse, Germany

Site Status

Krankenhaus Mara gGmbH - Epilepsiezentrum Bethel

Bielefeld, North Rhine-Westphalia, Germany

Site Status

Kleinwachau Sachsisches Epilepsiezentrum Radeberg Gemeinnutzige Gmbh

Radeberg, Saxony, Germany

Site Status

Childrens' Hospital of Athens 'P. and A. Kyriakou'

Athens, Attica, Greece

Site Status

Attikon University General Hospital

Chaïdári, Attica, Greece

Site Status

University General Hospital of Larissa

Larissa, , Greece

Site Status

Hippokration Hospital

Thessaloniki, , Greece

Site Status

Pecsi Tudomanyegyetem

Pécs, Baranya, Hungary

Site Status

Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak

Budapest, , Hungary

Site Status

Bethesda Gyermekkorhaz

Budapest, , Hungary

Site Status

Orszagos Klinikai Idegtudomanyi Intezet

Budapest, , Hungary

Site Status

Ospedale Bellaria

Rome, Lazio, Italy

Site Status

IRCCS Ospedale Pediatrico Bambino Gesu - INCIPIT - PIN

Rome, Lazio, Italy

Site Status

Fondazione Policlinico Universitario A Gemelli

Rome, Lazio, Italy

Site Status

ASST di Mantova - Azienda Ospedaliera Carlo Poma

Mantova, Lombardy, Italy

Site Status

ASST di Pavia - Fondazione Istituto Neurologico Mondino IRCCS

Pavia, Lombardy, Italy

Site Status

Azienda Ospedaliero Universitaria A Meyer - INCIPIT - PIN

Florence, Tuscany, Italy

Site Status

Aichi Medical University Hospital

Nagakute-Shi, Aiti, Japan

Site Status

Fukuoka Children's Hospital

Fukuoka, Hukuoka, Japan

Site Status

Kanagawa Prefectural Hospital Organization Kanagawa Children's Medical Center

Yokohama, Kanagawa, Japan

Site Status

Kumamoto-Ezuko Medical Center for The Severely Disabled

Kumamoto, Kumamoto, Japan

Site Status

National Hospital Organization Nagasaki Medical Center

Omura-Shi, Nagasaki, Japan

Site Status

National Hospital Organization Nishi-Niigata Chuo National Hospital

Niigata, Niigata, Japan

Site Status

Okayama University Hospital

Okayama, Okayama-ken, Japan

Site Status

Yasuhara Childrens Clinic

Neyagawa, Osaka, Japan

Site Status

Osaka City General Hospital

Osaka, Osaka, Japan

Site Status

Osaka University Hospital

Suita-Shi, Osaka, Japan

Site Status

National Hospital Organization Shizuoka Institute of Epilepsy and Neurological Disorders

Shizuoka, Shizuoka, Japan

Site Status

Hokkaido University Hospital

Chuo-Ku, Tokyo, Japan

Site Status

National Center of Neurology and Psychiatry

Kodaira-Shi, Tokyo, Japan

Site Status

Childrens University Hospital

Riga, , Latvia

Site Status

Hospital Civil Fray Antonio Alcalde

El Retiro, Jalisco, Mexico

Site Status

Kempenhaeghe - PPDS

Heeze, North Brabant, Netherlands

Site Status

Stichting Epilepsie Instellingen Nederland

Zwolle, Overijssel, Netherlands

Site Status

Centrum Medyczne Plejady

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Dzieciecy Szpital Kliniczny im. Jozefa Polikarpa Brudzinskiego w Warszawie

Warsaw, Masovian Voivodeship, Poland

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Szpital Kliniczny im. H.Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu

Poznan, , Poland

Site Status

Russian National Research Medical University n.a. N.I.Pirogov

Moscow, Moscow, Russia

Site Status

Krasnoyarsk State Medical University n.a. V.F. Voyno-Ysenetskiy

Krasnoyarsk, , Russia

Site Status

Russian National Research Medical University n.a. N.I.Pirogov

Moscow, , Russia

Site Status

Tyumen State Medical Academy

Tyumen, , Russia

Site Status

UGMK-Zdorojie, LLC

Yekaterinburg, , Russia

Site Status

Clinic for Neurology and Psychiatry for Children and Youth

Belgrade, , Serbia

Site Status

Mother and Child Health Care Institute of Serbia Dr Vukan Cupic

Belgrade, , Serbia

Site Status

University Clinical Center Nis

Niš, , Serbia

Site Status

Children and Youth Health Care Institute of Vojvodina

Novi Sad, , Serbia

Site Status

Clinica Universidad Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Regional Universitario de Malaga Hospital General

Almería, , Spain

Site Status

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, , Spain

Site Status

Hospital Vithas La Salud

Granada, , Spain

Site Status

Centro de Neurologia Avanzada

Seville, , Spain

Site Status

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status

Municipal Institution Dnipropetrovsk Regional Children Clinical Hospital of DRC

Dnipro, Dnipropetrovsk Oblast, Ukraine

Site Status

Communal Non-profit Enterprise Dnipro City Children Clinical Hospital #5 of DCC

Dnipro, Dnipropetrovsk Oblast, Ukraine

Site Status

Communal Non-commercial Enterprise Iv-Frank Regional Childrens Clinical Hosp of Iv-Frank RC

Ivano-Frankivsk, , Ukraine

Site Status

CNPE Clinical Hospital Psychiatry of the Executive Body of the Kyiv City Council KCSA

Kyiv, , Ukraine

Site Status

SI Ukr. Med. Rehabilitation Center For Children With Organic Injury of Nervous System of MoH of Ukr

Kyiv, , Ukraine

Site Status

Countries

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United States Australia Belgium Brazil Canada China France Germany Greece Hungary Italy Japan Latvia Mexico Netherlands Poland Russia Serbia Spain Ukraine

Related Links

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https://clinicaltrials.takeda.com/study-detail/f1ef0bf231f449b6?idFilter=%5B%22TAK-935-3003%22%5D

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Other Identifiers

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2021-002482-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

jRCT2051210182

Identifier Type: REGISTRY

Identifier Source: secondary_id

2022-502802-34-00

Identifier Type: CTIS

Identifier Source: secondary_id

TAK-935-3003

Identifier Type: -

Identifier Source: org_study_id

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