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Dravet SyndromePhase 3NCT02823145

An Open-Label Extension Trial to Assess the Long-Term Safety of ZX008 (Fenfluramine Hydrochloride HCl) Oral Solution in Children and Young Adults With Dravet Syndrome

A Phase 3 study testing ZX008 (Fenfluramine Hydrochloride) in people with Dravet Syndrome, run by Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc. at 67 sites in 12 countries.

Completed

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

Official record
Search all trials

Trial summary

This is an international, multicenter, open-label, long-term safety study of ZX008 in subjects with Dravet syndrome. Read more about this study

Who is it for?
Ages 2 to 35 years
Conditions the study is for
Dravet Syndrome
What is being tested?
ZX008 (Fenfluramine Hydrochloride)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
375 participants
Where
67 sitesin 12 countries
Study dates
8 Jun 2016to 27 Jan 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 2 to 35 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Male or non-pregnant, non-lactating female, age 2 to 18 years, inclusive as of the day of the core study Screening Visit.
  • Satisfactory completion of the core study in the opinion of the investigator and the sponsor.
  • Subjects who are >18 to ≤35 years of age at the time of screening and did not participate in one of the core studies may be eligible for participation.
  • A documented medical history to support a clinical diagnosis of Dravet syndrome, where convulsive seizures are not completely controlled by current antiepileptic drugs.
  • Parent/caregiver is willing and able to be compliant with diary completion, visit schedule and study drug accountability.
  • Subject's parent/caregiver has been compliant with diary completion during the core study, in the opinion of the investigator (eg, at least 90% compliant).

Who cannot join

  • Current or past history of cardiovascular or cerebrovascular disease, myocardial infarction or stroke.
  • Current cardiac valvulopathy or pulmonary hypertension that is clinically significant and warrants discontinuation of study medication.
  • Current or past history of glaucoma.
  • Moderate or severe hepatic impairment.
  • Receiving concomitant therapy with: centrally-acting anorectic agents; monoamineoxidase inhibitors; any centrally-acting compound with clinically appreciable amount of serotonin agonist or antagonist properties, including serotonin reuptake inhibition; atomoxetine, or other centrally-acting noradrenergic agonist; cyproheptadine, and/or cytochrome P450 (CYP) 2D6/3A4/2B6 inhibitors/substrates.
  • Currently taking carbamazepine, oxcarbamazepine, eslicarbazepine, phenobarbital, or phenytoin, or has taken any of these within the past 30 days, as maintenance therapy.
  • A clinically significant condition, or has had clinically relevant symptoms or a clinically significant illness at Visit 1, other than epilepsy, that would negatively impact study participation, collection of study data, or pose a risk to the subject.

Trial locations and contacts

67 sites in 12 countries.

67 sites in 12 countries

United States24 sites
  • Clinical Integrative Research Center of Atlanta, Panda Neurology

    Atlanta, Georgia, 30328

  • The Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Ann and Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44103

  • Children's Hospital Of Michigan

    Detroit, Michigan, 48201

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • NW FL Clinical Research Group, LLC

    Gulf Breeze, Florida, 32561

  • Institute of Neurology and Neurosurgery at St. Barnabus

    Livingston, New Jersey, 07039

  • Le Bonheur Children's Hospital

    Memphis, Tennessee, 38103

  • Miami Children's Hospital Brain Institute

    Miami, Florida, 33155

  • Children's Hospital of Orange County

    Orange, California, 92868

  • Neurology and Epilepsy Research Center

    Orlando, Florida, 32819

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Minnesota Epilepsy Group, P.A.

    Saint Paul, Minnesota, 55102

  • University of Utah

    Salt Lake City, Utah, 84113

  • Rady Children's Hospital San Diego

    San Diego, California, 92123

  • University of California San Francisco

    San Francisco, California, 94158

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • MultiCare Institute for Research & Innovation

    Tacoma, Washington, 98405

  • Center for Neurosciences - Tucson

    Tucson, Arizona, 85718

Other trials in United States

Germany8 sites
  • DRK Kliniken Berlin - Westend Epilepsiezentrum / Neuropaediatrie

    Berlin

  • Krankenhaus Mara Epilepsie-Zentrum Bethel

    Bielefeld

  • Universitaetsklinikum Freiburg Zentrum fuer Kinder- und Jugendmedizin

    Freiburg im Breisgau

  • Universitaetsklinikum Jena Klinik fuer Kinder- und Jugendmedizin Neuropaediatrie

    Jena

  • Universitaetsklinikum Schleswig-Holstein Campus Kiel Klinik fuer Neuropaediatrie

    Kiel

  • Kleinwachau Saechsisches Epilepsiezentrum Radeberg gemeinnuetzige GmbH

    Radeberg

  • Universitaetsklinik fuer Kinder- und Jugendmedizin Abteilung III

    Tübingen

  • Schoen Klinik Vogtareuth Neuropaediatrie und Neurologische Rehabilitation, Epilepsiezentrum fuer Kinder und Jugendlische, Tagesklinik fuer Neuropaediatrie

    Vogtareuth

Other trials in Germany

Italy8 sites
  • AOU Anna Meyer Clinica di Neurologia Pediatrica

    Florence

  • Istituto Pediatrico Giannina Gaslini Dipartimento di Neurologia

    Genova

  • A.O. Carlo Poma

    Mantua

  • Istituto Neurologica Carlo Besta

    Milan

  • Ospedale Fatebenefratelli e Oftalmico

    Milan

  • Policlinico A. Gemelli

    Roma

  • U.O. Neurologia Dipartimento di Neuroscienze Ospedale Pediatrico Bambino Gesù

    Roma

  • Ospedale Civile Maggiore di Borgo Trento - Ospedale della Donna e del Bambino

    Verona

Other trials in Italy

France6 sites
  • CHU Amiens-Picardie Service De Neurologie Pediatrique

    Amiens

  • CHU De Bordeaux Service De Pédiatrie Médicale

    Bordeaux

  • CHRU Lille Antenne Pédiatrique Du CIC - Hôpital Jeanne De Flandre

    Lille

  • HOPITAL DEL LA TIMONE - HOPITAL HENRI GASTAUT Hôpital De La Timone Neurologie Pédiatrique Pneumologie Pédiatrique Et Médecine Infantile

    Marseille

  • Hôpital Robert Debré Pôle: Pédiatrie Médicale Service: Neurologie Et Maladies Métaboliques

    Paris

  • Hôpital Universitaire Necker-Enfants Malades Service de neurologie pédiatrique Centre de référence épilepsies rares (CReER)

    Paris

Other trials in France

United Kingdom6 sites
  • Birmingham Children Hospital NHS Foundation Trust

    Birmingham

  • Institute of Neurosciences Queen Elizabeth University Hospital

    Glasgow

  • Alder Hey Hospital

    Liverpool

  • Great Ormond Street Hospital for Children NHS Foundation Trust

    London

  • St. Thomas Hospital

    London

  • Sheffield Children's Hospital

    Sheffield

Other trials in United Kingdom

Australia3 sites
  • Melbourne Brain Centre Austin Hospital

    Heidelberg

  • Children's Health Queensland Hospital and Health Service at Lady Cilento Children's Hospital

    South Brisbane

  • The Children's Hospital Westmead Dept. of Neurology and Neurosurgery

    Westmead

Other trials in Australia

Japan3 sites
  • Saitama Children's Medical Center

    Saitama

  • National Epilepsy Center Shizuoka Institute of Epilepsy and Neurological Disorders

    Shizuoka

  • Tokyo Women's Medical University Hospital

    Tokyo

Other trials in Japan

Spain3 sites
  • Hospital Sant Joan de Déu

    Barcelona

  • Hospital Ruber Internacional Primera Planta Servicio de Neurologia

    Madrid

  • Clinica Universitaria de Navarra Fase 4. Segunda planta, Consulta de Pediatria

    Pamplona

Other trials in Spain

Canada2 sites
  • Centre Hospitalier Universitaire Sainte-Justine

    Montreal

  • British Columbia Children's Hospital

    Vancouver

Other trials in Canada

Netherlands2 sites
  • Kempenhaeghe

    Heeze

  • Stichting Epilepsie Instellingen Nederland

    Zwolle

Other trials in Netherlands

Belgium1 site
  • Universitair Ziekenhuis Antwerpen

    Edegem

Other trials in Belgium

Denmark1 site
  • Danish National Epilepsy Centre

    Dianalund

Other trials in Denmark

About this study

Official title: An Open-Label Extension Trial to Assess the Long-Term Safety of ZX008 (Fenfluramine Hydrochloride HCl) Oral Solution as an Adjunctive Therapy in Children and Young Adults With Dravet Syndrome

This is an international, multicenter, open-label, long-term safety study of ZX008 in subjects with Dravet syndrome.

Read the detailed description

This is an international, multicenter, open-label, long-term safety study of ZX008 in pediatric and young adult subjects with Dravet syndrome who participated in one of the core studies (ZX008-1501 and ZX008-1502) and are candidates for continuous treatment for an extended period of time. This trial will consist of a 36-month Open-Label Extension (OLE) Treatment Period and a 2-week Post-Dosing Period.

Conditions
Dravet Syndrome
Being tested
ZX008 (Fenfluramine Hydrochloride)
Keywords
seizure, tonic clonic, epilepsy, myoclonic, encephalopathy
Medical subject headings
Epilepsies, Myoclonic, Seizures, Epilepsy, Brain Diseases

What participants receive

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

  • ZX008 (Fenfluramine Hydrochloride)Drug

Study groups in NCT02823145
Study groupRoleWhat they receive
ZX008ExperimentalZX008 is supplied as an oral solution in a concentration of 2.5 mg/mL. Subjects will be titrated to an effective dose beginning with 0.2 mg/kg/day (maximum: 30 mg/day).
Receives: Drug: ZX008 (Fenfluramine Hydrochloride)

What is being measured

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

  1. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the Open-label Extension (OLE) Treatment Period

    Treatment-emergent adverse events (TEAE) were defined as any AEs that based on start date information occurs after the first intake of study treatment.

    Measured: From Day 1 to End of OLE Treatment Period - End of Study (EOS) Visit (Month 42)

  2. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal From Investigational Medicinal Product (IMP) During the OLE Treatment Period

    A TEAE was defined as any AE that based on start date information occurs after the first intake of study treatment. Percentage of participants with TEAEs leading to withdrawal from IMP during OLE Treatment Period were reported.

    Measured: From Day 1 to End of OLE Treatment Period - EOS Visit (Month 42)

  3. Percentage of Participants With Serious Treatment-emergent Adverse Events (TEAEs) During the OLE Treatment Period

    Serious Adverse event (SAE) was defined as any untoward medical occurrence that at any dose: • results in death, • is life-threatening threatening, • results in initial inpatient hospitalization or prolongation of hospitalization, •results in persistent or significant disability or incapacity, • results in a congenital anomaly/birth defect, • results in any medically significant event that did not meet any of the other 5 SAE criteria, but which was judged by a physician to potentially jeopardize the participant or require medical or surgical intervention to prevent one of the above outcomes listed as an SAE criterion.

    Measured: From Day 1 to End of OLE Treatment Period - EOS Visit (Month 42)

Secondary outcomes (5)
  1. Change From Baseline (Core) in Convulsive Seizure Frequency Per 28 Days From Day 1 to End of Study (EOS) Visit (Month 42) in the OLE Treatment Period

    Baseline (Core) was defined as Baseline prior to double-blind treatment in the core studies (ZX008-1501/ZX008-1502, and ZX008-1504 Cohort 2). Participants in 1504- Cohort 1 and de novo participants (who entered 1503 without having been in any of the core studies) did not have a Baseline (Core), and were not included in the analysis of this outcome measure. The total number of convulsive seizures from Day 1 to EOS was divided by the total number of days from Day 1 to EOS with nonmissing diary data and the result was then multiplied by 28 to get a 28-day convulsive seizure frequency (CSF). The change from Baseline for any individual participant was calculated by subtracting the Baseline (Core) from the post-baseline value. Monthly (28 day) CSF was based on electronic diary data obtained for each participant.

    Measured: From Day 1 to End of OLE Treatment Period (EOS Visit - up to Month 42), compared to Baseline (Core)

  2. Change From Baseline (Core) in Convulsive Seizure Frequency Per 28 Days From Month 2 to EOS (Month 42) in the OLE Treatment Period

    Baseline (Core) was defined as Baseline prior to double-blind treatment in the core studies. Participants in 1504-Cohort 1 and de novo participants did not have a Baseline (Core), and were not included in the analysis of this outcome measure. The total number of convulsive seizures from Month 2 to EOS was divided by the total number of days from Month 2 to EOS with nonmissing diary data and the result was then multiplied by 28 to get a 28-day CSF. The change from Baseline for any individual participant was calculated by subtracting the Baseline (Core) from the post-baseline value. Monthly (28 day) CSF was based on electronic diary data obtained for each participant.

    Measured: From Month 2 to End of OLE Treatment Period (EOS Visit - up to Month 42), compared to Baseline (Core)

  3. Convulsive Seizure Frequency (CSF) Per 28 Days During the OLE Treatment Period (to Month 36)

    Monthly (28 day) CSF was based on electronic diary data obtained for each participant. The total number of convulsive seizures in the ith interval (CSF in OLE, where, i=1, 2, 3, … , 14 ) was divided by the total number of days in the ith interval with nonmissing diary data and the result was then multiplied by 28 to get a 28-day CSF of OLE.

    Measured: At Month 1, Month 2, Month 3, Month 4-6, Month 7-9, Month 10-12, Month 13-15, Month 16-18, Month 19-21, Month 22-24, Month 25-27, Month 28-30, Month 31-33, and Month 34-36

  4. Convulsive Seizure Frequency (CSF) by Mean Daily Dose During the Overall OLE Treatment Period

    Convulsive seizure frequency over time, reported as per 28 days was analyzed by the actual dose administered. Participants were grouped into low (0.2 to <0.4 mg/kg), medium (0.4 to <0.6 mg/kg), and high dose (>0.6 mg/kg) groups depending on their mean daily doses of ZX008 during the OLE Treatment period. For each participant, the seizure frequency per 28 days was calculated as the number of seizures recorded during the period, divided by the number of days in the period and multiplied by 28. The convulsive seizure frequency was calculated from all available data collected.

    Measured: From Day 1 to End of OLE Treatment Period - End of Study (EOS) Visit (Month 42)

  5. Percentage of Participants With Changes in Antiepileptic Drug (AED) Medications During First 6 Months of OLE Treatment Period

    Participants in the study were required to be on stable background therapy for the first 6 months of treatment, after which background AEDs could be reduced or withdrawn so long as one background AED remained. The percentage of participants who had changes in dose or type of concomitant AED medications during the first, second, third, fourth, fifth, and sixth months were analyzed and reported.

    Measured: At Month 1, 2, 3, 4 , 5, and 6 of OLE Treatment Period

Timeline

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

  1. First posted6 Jul 2016 (estimated)
  2. Study start8 Jun 2016
  3. Primary completion27 Jan 2023
  4. Study completion27 Jan 2023

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
375 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02823145
Sponsor's protocol ID
ZX008-1503
Other IDs
2016-002804-14, 2016
Status last verified
Jul 2025
First submitted
13 Jun 2016
Last updated
14 Jul 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe, or global development is discontinued, and 18 months after trial completion. Investigators may request access to anonymized individual patient-level data and redacted trial documents which may include: analysis-ready datasets, study protocol, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a prespecified time, typically 12 months, on a password protected portal. This plan may change if the risk of re-identifying trial participants is determined to be too high after the trial is completed; in this case and to protect participants, individual patient-level data would not be made available.

Publications

  • Scheffer IE, Nabbout R, Lagae L, Devinsky O, Auvin S, Thiele EA, Wirrell EC, Polster T, Specchio N, Pringsheim M, Imai K, Lock MD, Langlois M, Roper RZ, Lothe A, Sullivan J. Long-term safety and effectiveness of fenfluramine in children and adults with Dravet syndrome. Epilepsia. 2025 Jun;66(6):1919-1932. doi: 10.1111/epi.18342. Epub 2025 Mar 12.

    PubMed 40072476
  • Cross JH, Galer BS, Gil-Nagel A, Devinsky O, Ceulemans B, Lagae L, Schoonjans AS, Donner E, Wirrell E, Kothare S, Agarwal A, Lock M, Gammaitoni AR. Impact of fenfluramine on the expected SUDEP mortality rates in patients with Dravet syndrome. Seizure. 2021 Dec;93:154-159. doi: 10.1016/j.seizure.2021.10.024. Epub 2021 Nov 2.

    PubMed 34768178

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ZX008 (Fenfluramine Hydrochloride) in people with Dravet Syndrome, run by Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc. at 67 sites in 12 countries.

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

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. 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 14 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in United States, Germany, Italy, France, United Kingdom and 7 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Sep 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 of Participants With Treatment-emergent Adverse Events (TEAEs) During the Open-label Extension (OLE) Treatment Period (time frame: From Day 1 to End of OLE Treatment Period - End of Study (EOS) Visit (Month 42)). The study lists 3 primary outcomes in all. 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 NCT02823145, which also lists 2 linked publications.

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 14 Jul 2025.

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