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.
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
Czechia3 sites
Study site
Havířov
Study site
Hradec Králové
Study site
Rychnov nad Kněžnou
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.
- Conditions
- Epilepsy, Focal Seizures
- 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 group | Role | What they receive |
|---|---|---|
| Group 1a | Experimental | Subjects on inducer AEDs will administer GWP42006. Receives: Drug: GWP42006 |
| Group 2a | Active comparator | Subjects on inhibitor AEDs will administer GWP42006. Receives: Drug: GWP42006 |
| Group 3a | Experimental | Subjects on AEDs that are neither inducers nor inhibitors will administer GWP42006. Receives: Drug: GWP42006 |
| Group 1b | Placebo comparator | Matching placebo control for Group 1a. Receives: Drug: Placebo |
| Group 2b | Placebo comparator | Matching placebo control for Group 2a. Receives: Drug: Placebo |
| Group 3b | Placebo comparator | Matching 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.
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)
Safety and tolerability of GWP42006 (incidence of adverse events).
Measured: Day -14 to Day 43
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.
- First posted24 Feb 2015 (estimated)
- Study startMar 2015
- Primary completionOct 2015
- Study completionNov 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- 32 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
- 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
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
- NCT02369471
- Acronym / sponsor ID
- GWEP1330 Part A
- Conditions
- Epilepsy, Focal Seizures
- Keywords
- Cannabidivarin, CBDV, GWP42006
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Jazz PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Mar 2015
- Primary completion
- Oct 2015 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 24 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 evaluate the pharmacokinetics, safety and tolerability of GWP42006 compared with placebo, in the presence of other antiepileptic drugs (AEDs).
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Group 1a | Experimental | Drug: GWP42006Subjects on inducer AEDs will administer GWP42006. |
| Group 2a | Active comparator | Drug: GWP42006Subjects on inhibitor AEDs will administer GWP42006. |
| Group 3a | Experimental | Drug: GWP42006Subjects on AEDs that are neither inducers nor inhibitors will administer GWP42006. |
| Group 1b | Placebo comparator | Drug: PlaceboMatching placebo control for Group 1a. |
| Group 2b | Placebo comparator | Drug: PlaceboMatching placebo control for Group 2a. |
| Group 3b | Placebo comparator | Drug: PlaceboMatching placebo control for Group 3a. |
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 | Group 1a, Group 2a, Group 3a |
| Placebo | Drug | Group 1b, Group 2b, Group 3b |
Primary outcome
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
2 secondary outcomes
Safety and tolerability of GWP42006 (incidence of adverse events).
Time frame: Day -14 to Day 43
The plasma concentration of concomitant AEDs.
Time frame: Day 1 and Day 15
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.
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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.
9 sites in 3 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 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.