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EpilepsyPhase 2NCT02369471

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

A Phase 2 study testing GWP42006 in people with Epilepsy and Focal Seizures, run by Jazz Pharmaceuticals at 9 sites in 3 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 evaluate the pharmacokinetics, safety and tolerability of GWP42006 compared with placebo, in the presence of other antiepileptic drugs (AEDs). 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
32 participants
Where
9 sitesin 3 countries
Study dates
Mar 2015to Nov 2015
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 A 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, with focal seizures as the primary seizure type, 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 as follows:
  • Group 1 - subjects on inducer AEDs (and not on inhibitor AEDs)
  • Group 2 - subjects on inhibitor AEDs (and no on inducer AEDs)
  • Group 3 - subjects on AEDs that are neither inducers nor inhibitors.
  • All medications or interventions for epilepsy (including ketogenic diet and any neurostimulation devices for epilepsy) must have been stable for two weeks prior to screening and the patient 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 A of the study if ANY of the following apply:

  • Time of onset of epilepsy treatment is less than two years prior to enrolment.
  • Episode(s) of status epilepticus during one year prior to screening.
  • History of pseudo-seizures.
  • 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 A2 and A4.
  • 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

9 sites in 3 countries.

9 sites in 3 countries

United Kingdom5 sites
  • Study site

    Birmingham

  • Study site

    Dundee

  • Study site

    Glasgow

  • Study site

    Great Yarmouth

  • Study site

    Stoke-on-Trent

Other trials in United Kingdom

Czechia3 sites
  • Study site

    Havířov

  • Study site

    Hradec Králové

  • Study site

    Rychnov nad Kněžnou

Other trials in Czechia

Spain1 site
  • Study site

    Barcelona

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 evaluate the pharmacokinetics, safety and tolerability of GWP42006 compared with placebo, in the presence of other antiepileptic drugs (AEDs).

Read the detailed description

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

Subjects who satisfy all inclusion and none of the exclusion criteria will begin a 14-day baseline observation period followed by a 14-day treatment period. Subjects will be required to attend six study visits. A follow-up phone call will take place four weeks after last dose.

Part A will enroll three groups of 10 subjects:

  • Group 1 - subjects on inducer AEDs (and not on inhibitor AEDs)
  • Group 2 - subjects on inhibitor AEDs (and not on inducer AEDs)
  • Group 3 - subjects on AEDs that are neither inducers nor inhibitors.

In each of the three groups subjects will be randomized to receive, in a 4:1 ratio, GWP42006 400 mg twice daily or matching placebo. Pharmacokinetic (PK) profiles for GWP42006 and metabolites will be collected on the first and last day of treatment. Samples will also be collected 24h and 72h after the last day of treatment.

Subjects will be required to record a daily diary with information about their seizures, investigational medicinal product (IMP) and concomitant AED administration.

Being tested
GWP42006, Placebo
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

  • PlaceboDrug

Study groups in NCT02369471
Study groupRoleWhat they receive
Group 1aExperimentalSubjects on inducer AEDs will administer GWP42006.
Receives: Drug: GWP42006
Group 2aActive comparatorSubjects on inhibitor AEDs will administer GWP42006.
Receives: Drug: GWP42006
Group 3aExperimentalSubjects on AEDs that are neither inducers nor inhibitors will administer GWP42006.
Receives: Drug: GWP42006
Group 1bPlacebo comparatorMatching placebo control for Group 1a.
Receives: Drug: Placebo
Group 2bPlacebo comparatorMatching placebo control for Group 2a.
Receives: Drug: Placebo
Group 3bPlacebo comparatorMatching placebo control for Group 3a.
Receives: Drug: Placebo

What is being measured

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

  1. Pharmacokinetic parameters of GWP42006 and metabolites: Cmax, Cmin, tmax, AUC(0-t), AUC(0-inf) and t1/2, in the presence of other AEDs.

    Measured: Day 1 to Day 18

Secondary outcomes (2)
  1. Safety and tolerability of GWP42006 (incidence of adverse events).

    Measured: Day -14 to Day 43

  2. The plasma concentration of concomitant AEDs.

    Measured: Day 1 and Day 15

Timeline

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

  1. First posted24 Feb 2015 (estimated)
  2. Study startMar 2015
  3. Primary completionOct 2015
  4. Study completionNov 2015

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
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02369471
Sponsor's protocol ID
GWEP1330 Part A
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

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 9 sites in 3 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 9 sites in United Kingdom, Czechia, Spain. 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?

Pharmacokinetic parameters of GWP42006 and metabolites: Cmax, Cmin, tmax, AUC(0-t), AUC(0-inf) and t1/2, in the presence of other AEDs. (time frame: Day 1 to Day 18). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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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