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Status EpilepticusPhase 3RAISENCT04391569

Randomized Therapy In Status Epilepticus

A Phase 3 study testing Ganaxolone in people with Status Epilepticus, run by Marinus Pharmaceuticals at 74 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

This study evaluated the effectiveness and safety of an investigational product (IP), intravenous (IV) ganaxolone, to treat participants with status epilepticus (SE). Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Status Epilepticus
What is being tested?
Ganaxolone
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
74 sitesin 3 countries
Study dates
9 Dec 2020to 28 Apr 2024
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant, participant's parent, guardian, or legal authorized representative (LAR) must provide signed of informed consent/assent, and once capable (per institution guidelines), there must be documentation of consent/assent by the participant demonstrating they are willing and aware of the investigational nature of the study and related procedures. Where allowed by law, where the participant lacks the capacity to make informed decisions regarding his/her medical treatment options, the treating clinician may follow their deferred consenting practices. The clinician will make the final decision based on the best interests of the particiapant.
  • Male or females 12 years of age and older at the time of the first dose of IP
  • SE meeting the following criteria:
  • A diagnosis of SE with or without prominent motor features based on clinical and EEG findings:
  • Diagnosis is established by:
  • For SE with prominent motor features: Clinical and EEG seizure activity indicative of convulsive, myoclonic or focal motor SE.
Show all 20Show fewer
  • For SE without prominent motor features (nonconvulsive SE): Appropriate clinical features and an EEG indicative of non-convulsive status epilepticus (NCSE)
  • For any type of SE:
  • At least 6 minutes of cumulative seizure activity over a 30-minute period within the hour before IP initiation, AND
  • Seizure activity during the 30 minutes immediately prior to IP initiation
  • The treating clinician(s) anticipate that IV anesthesia is likely to be the next treatment for SE that persists following initiation of IP
  • Participants must have received any two or more of the following agents for treatment of the current episode of SE administered at an adequate dose and for a sufficient duration, in the judgment of the investigator, to demonstrate efficacy
  • Benzodiazepines,
  • IV Fosphenytoin/phenytoin,
  • IV Valproic acid,
  • IV Levetiracetam,
  • IV Lacosamide,
  • IV Brivaracetam, or
  • IV Phenobarbital
  • Body mass index (BMI) < 40 or, if BMI is not able to be calculated at screening, participant is assessed by investigator as not morbidly obese

Who cannot join

  • Life expectancy of less than 24 hours
  • Anoxic brain injury or an uncorrected rapidly reversable metabolic condition as the primary cause of SE (e.g., hypoglycemia < 50 milligram per deciliter [mg/dL] or hyperglycemia > 400 mg/dL)
  • Participants who have received high-dose IV anesthetics (e.g., midazolam, propofol, thiopental, or pentobarbital) during the current episode of SE for more than 18 hours, or who continue to have clinical or electrographic evidence of persistent seizures while receiving high-dose IV anesthetics.
  • Clinical condition or advance directive that would NOT permit use of IV anesthesia
  • Participants known or suspected to be pregnant
  • Participants with known allergy or sensitivity to progesterone or allopregnanolone medications/supplements
Show all 10Show fewer
  • Receiving a concomitant IV product containing Captisol®
  • Known or suspected hepatic insufficiency or hepatic failure leading to impaired synthetic liver function.
  • Known or suspected stage 3B (moderate to severe; estimated glomerular filtration rate [eGFR] 44-30 milliliter/minutes/1.73-meter square [mL/min/1.73m^2]), stage 4 (severe; eGFR 29-15 mL/min/1.73m^2), or stage 5 (kidney failure; eGFR < 15 mL/min/1.73m^2 or dialysis) kidney disease
  • Use of an investigational product for which less than 30 days or 5 half-lives have elapsed from the final product administration. Participation in a non-interventional clinical study does not exclude eligibility.

Trial locations and contacts

74 sites in 3 countries.

74 sites in 3 countries

United States64 sites
  • Marinus Research Site

    Albany, New York, 12208

  • Marinus Research Site

    Albuquerque, New Mexico, 87106

  • Marinus Research Site

    Ann Arbor, Michigan, 48109

  • Marinus Research Site

    Aurora, Colorado, 80045

  • Marinus Research Site #1

    Baltimore, Maryland, 21201

  • Marinus Research Site

    Baltimore, Maryland, 21201

  • Marinus Research Site

    Baltimore, Maryland, 21215

  • Marinus Research Site

    Birmingham, Alabama, 35233

  • Marinus Research Site

    Boston, Massachusetts, 02111

  • Marinus Research Site

    Boston, Massachusetts, 02114

  • Marinus Research Site

    Boston, Massachusetts, 02115

  • Marinus Research Site

    Boston, Massachusetts, 02118

  • Marinus Research Site

    Boston, Massachusetts, 02215

  • Marinus Research Site

    Brooklyn, New York, 11203

  • Marinus Research Site

    Chapel Hill, North Carolina, 27514

  • Marinus Research Site

    Charlotte, North Carolina, 28203

  • Marinus Research Site

    Chicago, Illinois, 60611

  • Marinus Research Site

    Chicago, Illinois, 60612

  • Marinus Research Site

    Cincinnati, Ohio, 45219

  • Marinus Research Site

    Cleveland, Ohio, 44195

  • Marinus Research Site

    Columbia, Missouri, 65212

  • Marinus Research Site

    Columbus, Ohio, 43210

  • Marinus Research Site

    Dallas, Texas, 75235

  • Marinus Research Site

    Denver, Colorado, 80204

  • Marinus Research Site

    Downey, California, 90242

  • Marinus Research Site

    Durham, North Carolina, 27710

  • Marinus Research Site

    Fort Worth, Texas, 76104

  • Marinus Research Site

    Gainesville, Florida, 32608

  • Marinus Research Site

    Grand Rapids, Michigan, 49503

  • Marinus Research Site

    Knoxville, Tennessee, 37920

  • Marinus Research Site

    La Jolla, California, 92037

  • Marinus Research Site

    Little Rock, Arkansas, 72205

  • Marinus Research Site

    Louisville, Kentucky, 40202

  • Marinus Research Site

    Madison, Wisconsin, 53792

  • Marinus Research Site

    Memphis, Tennessee, 38103

  • Marinus Research Site #1

    Miami, Florida, 33136

  • Marinus Research Site

    Miami, Florida, 33136

  • Marinus Research Site

    Miami, Florida, 33155

  • Marinus Research Site

    Murray, Utah, 84107

  • Marinus Research Site

    New Brunswick, New Jersey, 08901

  • Marinus Research Site

    New Haven, Connecticut, 06510

  • Marinus Research Site

    New Orleans, Louisiana, 70121

  • Marinus Research Site

    New York, New York, 10029

  • Marinus Research Site

    New York, New York, 10032

  • Marinus Research Site

    Orange, California, 92868

  • Marinus Research Site #1

    Philadelphia, Pennsylvania, 19104

  • Marinus Research Site #2

    Philadelphia, Pennsylvania, 19104

  • Marinus Research Site

    Philadelphia, Pennsylvania, 19104

  • Marinus Research Site

    Philadelphia, Pennsylvania, 19107

  • Marinus Research Site

    Philadelphia, Pennsylvania, 19140

  • Marinus Research Site

    Phoenix, Arizona, 85013

  • Marinus Research Site

    Pittsburgh, Pennsylvania, 15212

  • Marinus Research Site

    Port Saint Lucie, Florida, 34987

  • Marinus Research Site

    Portland, Oregon, 97225

  • Marinus Research Site

    Portland, Oregon, 97239

  • Marinus Research Site

    Richmond, Virginia, 23298

  • Marinus Research Site

    Rochester, New York, 14642

  • Marinus Research Site

    Sacramento, California, 95817

  • Marinus Research Site

    San Antonio, Texas, 78229

  • Marinus Research Site

    Shreveport, Louisiana, 71103

  • Marinus Research Site

    St Louis, Missouri, 63110

  • Marinus Research Site

    Tampa, Florida, 33606

  • Marinus Research Site

    Urbana, Illinois, 61801

  • Marinus Research Site

    Worcester, Massachusetts, 01655

Other trials in United States

Australia5 sites
  • Marinus Research Site

    Box Hill, Victoria, 3128

  • Marinus Research Site

    Melbourne, Victoria, 3004

  • Marinus Research Site

    Melbourne, Victoria, 3050

  • Marinus Research Site

    Randwick, New South Wales, 2031

  • Marinus Research Site

    South Brisbane, Queensland, 4101

Other trials in Australia

Canada5 sites
  • Marinus Research Site

    Calgary, Alberta, T2N 4Z6

  • Marinus Research Site

    Calgary, Alberta, T3B 6A8

  • Marinus Research Site

    Kingston, Ontario, K7L 2V7

  • Marinus Research Site

    Québec, Quebec, G1V 4G2

  • Marinus Research Site

    Saskatoon, Saskatchewan, S7N 0W8

Other trials in Canada

About this study

Official title: A Double-blind, Randomized, Placebo-controlled Study to Evaluate the Efficacy and Safety of Intravenous Ganaxolone in Status Epilepticus

This study evaluated the effectiveness and safety of an investigational product (IP), intravenous (IV) ganaxolone, to treat participants with status epilepticus (SE).

Read the detailed description

This is a double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of IV ganaxolone in status epilepticus. Investigational product was added to standard of care following failure of any two or more antiseizure medications (benzodiazepine and one IV antiepileptic drug (AED) or two IV AEDs. Participants were screened for inclusion/exclusion criteria prior to receiving investigational product by continuous IV infusion. Participants were followed for approximately 4 weeks. Participants who are known to be at risk for SE were consented or assented prior to an SE event.

Being tested
Ganaxolone, Placebo
Keywords
Seizure, Status Epilepticus, Convulsive Status Epilepticus, Non-Convulsive Status Epilepticus, Epilepsy
Medical subject headings
Status Epilepticus, Seizures, Epilepsy

What participants receive

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

  • GanaxoloneDrug

    Ganaxolone will be administered.

  • PlaceboDrug

    Placebo will be administered.

Study groups in NCT04391569
Study groupRoleWhat they receive
IV PlaceboPlacebo comparatorPlacebo bolus dose followed by continuous infusion for 36 hours, followed by 12 hour taper
Receives: Drug: Placebo
IV ganaxolone activeExperimentalGanaxolone bolus dose followed by continuous infusion for 36 hours, followed by 12 hour taper
Receives: Drug: Ganaxolone

What is being measured

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

  1. Percentage of Participants With SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SE

    SE cessation was determined by the investigator based on clinical and electroencephalography (EEG). Medications for the acute treatment of SE were defined as antiepileptic drugs (AEDs) administered to abort ongoing SE or prevent imminent recurrence of SE based on clinical or EEG evidence.

    Measured: Up to 30 minutes

  2. Percentage of Participants With no Progression to Intravenous (IV) Anesthesia for 36 Hours Following Investigational Product (IP) Initiation

    Percentage of participants with no progression to IV anesthesia for 36 hours following IP initiation SE cessation was based on investigator report with confirmation by assessment of concomitant medication data.

    Measured: Up to 36 hours after IP initiation

  3. Number of Participants With Treatment Emergent Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant who has been administered a pharmaceutical product; it does not necessarily have a causal relationship with this treatment. Treatment-emergent adverse event (TEAE) is defined as an AE that occurred or worsened at the time of or following IP initiation.

    Measured: Up to 4 weeks after IP initiation

Secondary outcomes (7)
  1. Percentage of Participants With no Progression to IV Anesthesia for 72 Hours Following IP Initiation

    Percentage of participants with no progression to IV anesthesia for 72 hours following IP initiation SE cessation was assessed by the investigator based on clinical and EEG features.

    Measured: Up to 72 hours after IP initiation

  2. Time to SE Cessation Following IP Initiation

    Time to SE cessation was assessed for the first 72 hours following IP using the Kaplan-Meier method.

    Measured: Up to 72 hours after IP initiation

  3. Percentage of Participants With Any Escalation of Treatment in the First 24 Hours Following IP Initiation

    SE cessation will be determined by the investigator based on clinical and EEG. Percentage of participants with any escalation of treatment in the first 24 hours following IP initiation, i.e. any medication other than IP administered for the acute treatment of SE in the first 24 hours following IP initiation was summarized

    Measured: Up to 24 hours after IP initiation

  4. Time to Treatment Escalation in the First 24 Hours Following IP Initiation

    For time to treatment escalation (any mediation used for acute treatment of SE), the estimates are based descriptive statistics on participants with treatment escalation in the first 24 hours following IP initiation. For participants without treatment escalation, the time to treatment escalation was censored at IP completion, or discontinuation from the study or death, whichever occurs earlier. The median time to treatment escalation has been presented.

    Measured: Up to 24 hours after IP initiation

  5. Time to Initiation of Anesthesia for SE Treatment Through the Final Study Follow-up Visit/Contact

    Time to initiation of anesthesia for SE treatment through the final study follow-up visit/contact, were calculated based on descriptive statistics. The estimate was censored at study discontinuation, death, or last follow-up of the participant, whichever occurs first. The median time to initiation of anesthesia has been presented.

    Measured: Up to 4 Weeks following IP initiation

  6. Percentage of Participants Who Develop Super Refractory Status Epilepticus (SRSE) Through the Final Study Follow-up Visit/Contact

    Percentage of participants who developed SRSE through the final study follow-up visit/contact was provided for each treatment group.

    Measured: Up to 4 Weeks following IP initiation

  7. Percent Change From Baseline in Seizure Burden Through 72 Hours Following IP Initiation

    The seizure burden through 72 hours following IP initiation is described as the percent of time during which there is electrographic seizure activity from IP initiation to 72 hours. The change from baseline of seizure burden was summarized using descriptive statistics by treatment group. The baseline seizure burden is defined for 30 minutes prior to IP initiation.

    Measured: Up to 72 hours after IP initiation

Timeline

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

  1. First posted18 May 2020
  2. Study start9 Dec 2020
  3. Primary completion30 Mar 2024
  4. Study completion28 Apr 2024

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
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04391569
Sponsor's protocol ID
1042-SE-3003
Acronym
RAISE
Status last verified
May 2025
First submitted
30 Apr 2020
Last updated
29 May 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ganaxolone in people with Status Epilepticus, run by Marinus Pharmaceuticals at 74 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?

The sponsor lists 20 inclusion and 10 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 29 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Australia, Canada. 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 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 29 May 2025). 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 SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SE (time frame: Up to 30 minutes). 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?
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 29 May 2025.

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