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.
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
Hungary6 sites
Study site
Budapest
Study site
Esztergom
Study site
Hódmezővásárhely
Study site
Kecskemét
Study site
Pécs
Study site
Szombathely
Czechia4 sites
Study site
Havířov
Study site
Hradec Králové
Study site
Prague
Study site
Rychnov nad Kněžnou
United Kingdom4 sites
Study site
Birmingham
Study site
Glasgow
Study site
Great Yarmouth
Study site
Stoke-on-Trent
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.
- Conditions
- Epilepsy, Focal Seizures
- 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 group | Role | What they receive |
|---|---|---|
| GWP42006 | Experimental | GWP42006 Receives: Drug: GWP42006 |
| Placebo control | Placebo comparator | Placebo Receives: Drug: Placebo Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
Number of subjects considered treatment responders.
Measured: Day -28 to Day 57
Change from baseline in seizure subtypes frequency.
Measured: Day -28 to Day 57
Change from baseline in composite seizure score.
Measured: Day -28 to Day 57
Change from baseline in the number of focal seizure free days.
Measured: Day -28 to Day 57
Change from baseline in the usage of rescue medication.
Measured: Day -28 to Day 57
Subject Global Impression of Change (SGIC).
Measured: Day 57
Physician Global Impression of Change (PGIC) at the end of treatment.
Measured: Day 57
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.
- First posted19 Feb 2015 (estimated)
- Study startMar 2016
- Primary completionJul 2017
- Study completionSep 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for EpilepsyStudies of the same condition, open and under way.
- More trials run by Jazz PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Jazz Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
Study at a glance
From the registry record, last updated by the sponsor on 20 Dec 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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.
- ClinicalTrials.gov ID
- NCT02365610
- Acronym / sponsor ID
- GWEP1330 Part B
- Conditions
- Epilepsy, Focal Seizures
- Keywords
- Cannabidivarin, CBDV, GWP42006
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 162 participants (actual)
- Lead sponsor
- Jazz PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Mar 2016 (actual)
- Primary completion
- Jul 2017 (actual)
- Study completion
- Sep 2017 (actual)
- First posted
- 19 Feb 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To investigate the potential antiepileptic effects of GWP42006 as add-on therapy in subjects with inadequately controlled focal seizures.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GWP42006 | Experimental | Drug: GWP42006GWP42006 |
| Placebo control | Placebo comparator | Drug: Placebo ControlPlacebo |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GWP42006Also: Cannabidivarin, CBDV | Drug | GWP42006 |
| Placebo ControlAlso: Placebo | Drug | Placebo control |
Primary outcome
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
8 secondary outcomes
Number of subjects considered treatment responders.
Time frame: Day -28 to Day 57
Change from baseline in seizure subtypes frequency.
Time frame: Day -28 to Day 57
Change from baseline in composite seizure score.
Time frame: Day -28 to Day 57
Change from baseline in the number of focal seizure free days.
Time frame: Day -28 to Day 57
Change from baseline in the usage of rescue medication.
Time frame: Day -28 to Day 57
Subject Global Impression of Change (SGIC).
Time frame: Day 57
Physician Global Impression of Change (PGIC) at the end of treatment.
Time frame: Day 57
The incidence of adverse events as a measure of subject safety.
Time frame: Day -28 to Day 96
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Dec 2022.
- Derived from this study: PubMed 33998885Brodie 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
26 sites in 6 countries: see every site and its status.
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.