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EpilepsyPhase 2NCT02365610

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

A Phase 2 study testing GWP42006 in people with Epilepsy and Focal Seizures, run by Jazz Pharmaceuticals at 26 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Epilepsy, Focal Seizures
What is being tested?
GWP42006
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
162 participants
Where
26 sitesin 6 countries
Study dates
Mar 2016to Sep 2017
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

For inclusion in Part B of the study patients must fulfil ALL of the following criteria:

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

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

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

Trial locations and contacts

26 sites in 6 countries.

26 sites in 6 countries

Poland7 sites
  • Study site

    Bydgoszcz

  • Study site

    Elblag

  • Study site

    Golub-Dobrzyń

  • Study site

    Katowice

  • Study site

    Krakow

  • Study site

    Warsaw

  • Study site

    Wroclaw

Other trials in Poland

Hungary6 sites
  • Study site

    Budapest

  • Study site

    Esztergom

  • Study site

    Hódmezővásárhely

  • Study site

    Kecskemét

  • Study site

    Pécs

  • Study site

    Szombathely

Other trials in Hungary

Czechia4 sites
  • Study site

    Havířov

  • Study site

    Hradec Králové

  • Study site

    Prague

  • Study site

    Rychnov nad Kněžnou

Other trials in Czechia

United Kingdom4 sites
  • Study site

    Birmingham

  • Study site

    Glasgow

  • Study site

    Great Yarmouth

  • Study site

    Stoke-on-Trent

Other trials in United Kingdom

Italy3 sites
  • Study site

    Bologna

  • Study site

    Pavia

  • Study site

    Rome

Other trials in Italy

Spain2 sites
  • Study site

    Barcelona

  • Study site

    Madrid

Other trials in Spain

About this study

Official title: A Double Blind, Randomized, Placebo-controlled, Two-part Study to Investigate the Pharmacokinetics, Followed by Efficacy and Safety of GWP42006 as add-on Therapy in Patients With Inadequately Controlled Focal Seizures.

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

Read the detailed description

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

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

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

Being tested
GWP42006, Placebo Control
Keywords
Cannabidivarin, CBDV, GWP42006
Medical subject headings
Epilepsy, Seizures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GWP42006Drug

    Also called Cannabidivarin, CBDV

  • Placebo ControlDrug

    Also called Placebo

Study groups in NCT02365610
Study groupRoleWhat they receive
GWP42006ExperimentalGWP42006
Receives: Drug: GWP42006
Placebo controlPlacebo comparatorPlacebo
Receives: Drug: Placebo Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage change from baseline to the end of treatment in focal seizure frequency in subjects taking GWP42006 compared to placebo.

    Measured: Day -28 to Day 57

Secondary outcomes (8)
  1. Number of subjects considered treatment responders.

    Measured: Day -28 to Day 57

  2. Change from baseline in seizure subtypes frequency.

    Measured: Day -28 to Day 57

  3. Change from baseline in composite seizure score.

    Measured: Day -28 to Day 57

  4. Change from baseline in the number of focal seizure free days.

    Measured: Day -28 to Day 57

  5. Change from baseline in the usage of rescue medication.

    Measured: Day -28 to Day 57

  6. Subject Global Impression of Change (SGIC).

    Measured: Day 57

  7. Physician Global Impression of Change (PGIC) at the end of treatment.

    Measured: Day 57

  8. The incidence of adverse events as a measure of subject safety.

    Measured: Day -28 to Day 96

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Feb 2015 (estimated)
  2. Study startMar 2016
  3. Primary completionJul 2017
  4. Study completionSep 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02365610
Sponsor's protocol ID
GWEP1330 Part B
Other IDs
2014-002594-11, 2014
Status last verified
Dec 2022
First submitted
13 Feb 2015
Last updated
20 Dec 2022
Results posted
No
Data monitoring committee
Yes

Publications

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

    PubMed 33998885

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GWP42006 in people with Epilepsy and Focal Seizures, run by Jazz Pharmaceuticals at 26 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Poland, Hungary, Czechia, United Kingdom, Italy and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage change from baseline to the end of treatment in focal seizure frequency in subjects taking GWP42006 compared to placebo. (time frame: Day -28 to Day 57). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02365610, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2022.

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