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Seizure in Participants With Tuberous Sclerosis ComplexPhase 3NCT04485104

Assessment of Adjunctive Cannabidiol Oral Solution (GWP42003-P) in Children With Tuberous Sclerosis Complex (TSC), Dravet Syndrome (DS), or Lennox-Gastaut Syndrome (LGS) Who Experience Inadequately-controlled Seizures

A Phase 3 study testing GWP42003-P in people with Seizure in Participants With Tuberous Sclerosis Complex and Seizure in Participants With Dravet Syndrome, run by Jazz Pharmaceuticals at 11 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study will be conducted to evaluate the safety, pharmacokinetics (PK), and efficacy of adjunctive GWP42003-P in participants < 2 years of age with tuberous sclerosis complex (TSC), Lennox-Gastaut syndrome (LGS), or Dravet syndrome (DS). Read more about this study

Who is it for?
Ages 1 month to 23 months
What is being tested?
GWP42003-P
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
11 sitesin 3 countries
Study dates
19 May 2021to 28 Jan 2025
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 1 month to 23 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participants with TSC (1 month to < 2 years of age), or DS (1 year to < 2 years of age), or LGS (1 year to < 2 years of age) within the specified age range at the time of initial informed consent.
  • Parent(s)/legal representative is/are willing and able to give informed consent for participation in the study.
  • Parent(s)/legal representative is/are willing and able (in the investigator's opinion) to comply with all study requirements (including accurate electronic participant-reported outcome [ePRO] diary completion).
  • Participants with TSC must have a diagnosis per the 2012 International Tuberous Sclerosis Complex Consensus Conference. Participants with LGS or DS must have a diagnosis that is consistent with International League Against Epilepsy (ILAE) guidelines and confirmed by the Epilepsy Study Consortium (ESCI).
  • Participants who have uncontrolled seizures, and who are currently receiving 1 or more antiseizure medication (ASMs).
  • A suitable VEEG, as available in the medical record, within 1 year of Visit 1. When a historical VEEG is not available, and if clinically indicated and appropriate (due to uncertainties or new seizures), a VEEG will be completed and read to confirm diagnosis prior to Visit 3. All VEEGs are to be read at baseline by the investigator and by an independent reviewer.
  • Has seizures which are not adequately controlled through their current ASMs, defined as ≥ 1 seizure reported on the seizure diary during the screening/baseline period

Who cannot join

  • Has tumor growth which, in the opinion of the investigator, could affect participant safety.
  • Has clinically significant abnormal laboratory values, in the investigator's opinion, at screening/baseline.
  • Has clinically significant abnormalities in the electrocardiogram (ECG) measured at screening/baseline.
  • Has any concurrent cardiovascular conditions, that will, in the investigator's opinion, interfere with the ability to assess their ECGs.
  • Has any known or suspected hypersensitivity to cannabinoids or any of the excipients of the study intervention such as sesame seed oil.
  • Has significantly impaired hepatic function prior to Visit 3, defined as:
Show all 16Show fewer
  • Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3 × upper limit of normal (ULN) and (total bilirubin [TBL] > 2 × ULN or international normalized ratio [INR] > 1.5).
  • Serum ALT or AST > 5 × ULN.
  • Serum ALT or AST > 3 × ULN with the presence of fatigue, nausea, vomiting, right upper quadrant pain or tenderness, fever, rash, and/or eosinophilia (> 5%).
  • Elevated ALT or AST should be discussed with the medical monitor prior to Visit 3; the medical monitor may allow for a confirmatory re-draw prior to Visit 3.
  • Has received another study intervention within 4 weeks prior to Visit 1 or plans to take another study intervention during the study.
  • Has any other clinically significant disease or disorder which, in the opinion of the investigator, may either put the participant, other participants, or site staff at risk because of participation in the study, may influence the result of the study, or may affect the participant's ability to take part in the study.
  • Any clinically significant abnormalities identified following a physical examination of the participant that, in the opinion of the investigator, would jeopardize the safety of the participant if they took part in the study.
  • Has previously been enrolled into this study.
  • Has plans to travel outside their country of residence during the study, unless the participant has confirmation that the study intervention is permitted in the destination country.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

11 sites in 3 countries.

11 sites in 3 countries

United States6 sites
  • Clinical Trial Site

    Boston, Massachusetts, 02114

  • Clinical Trial Site

    Chicago, Illinois, 60611

  • Clinical Trial Site

    Cincinnati, Ohio, 45229

  • Clinical Trial Site

    Houston, Texas, 77030

  • Clinical Trial Site

    Little Rock, Arkansas, 72202

  • Clinical Trial Site

    Los Angeles, California, 90095

Other trials in United States

Italy3 sites
  • Clinical Trial Site

    Florence, 50139

  • Clinical Trial Site

    Genova, 16147

  • Clinical Trial Site

    Rome, 00165

Other trials in Italy

Spain2 sites
  • Clinical Trial Site

    Barcelona, 08950

  • Clinical Trial Site

    Madrid, 28034

Other trials in Spain

About this study

Official title: An Open-label, Single-arm Study to Assess the Safety, Pharmacokinetics, and Efficacy of Adjunctive Cannabidiol Oral Solution (GWP42003-P) in Participants With Tuberous Sclerosis Complex (Age 1 Month to < 2 Years of Age), Dravet Syndrome (1 Year to < 2 Years of Age), or Lennox-Gastaut Syndrome (1 Year to < 2 Years of Age) Who Experience Inadequately-controlled Seizures

This study will be conducted to evaluate the safety, pharmacokinetics (PK), and efficacy of adjunctive GWP42003-P in participants < 2 years of age with tuberous sclerosis complex (TSC), Lennox-Gastaut syndrome (LGS), or Dravet syndrome (DS).

Read the detailed description

The study duration will be up to approximately 62 weeks, including a 4-week screening/baseline period, a 52-week dose optimization treatment period (which includes a fixed 2-week titration period followed by flexible dose optimization), a 10-day taper period, and a safety follow-up period (4 weeks after the end-of-taper visit).

Being tested
GWP42003-P
Keywords
Epilepsy, Seizures, Infantile Spasms, Pediatric, Children, Infants, Cannabidiol oral solution, GWP42003-P, Tuberous Sclerosis Complex, TSC, Tuberous Sclerosis, Cannabidiol, Epidiolex, CBD, Seizure, Child, TSC1, TSC2, Tuberous Sclerosis 1, Tuberous Sclerosis 2
Medical subject headings
Epilepsy, Seizures, Spasms, Infantile, Tuberous Sclerosis, Tuberous Sclerosis 1, Tuberous Sclerosis 2, Lennox Gastaut Syndrome, Epilepsies, Myoclonic

What participants receive

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

  • GWP42003-PDrug

    Also called Cannabidiol, Epidiolex, Epidyolex

    Oral Solution

Study groups in NCT04485104
Study groupRoleWhat they receive
GWP42003-PExperimentalThe 52-week treatment period includes a fixed 2-week titration schedule followed by flexible dose optimization. Day 1: 5 mg/kg/day (2.5 mg/kg twice daily (b.i.d.)) Day 8: 10 mg/kg/day (5 mg/kg b.i.d.) Day 15 to Week 52: Flexible dosing based on the participant's observed efficacy, safety, and tolerability per the investigator's clinical judgement. Up to a maximum of 20 mg/kg/day (10 mg/kg b.i.d.) for LGS and DS or 25 mg/kg/day (12.5 mg/kg b.i.d.) for TSC, in maximum weekly increments of 5 mg/kg/day (≤ 2.5 mg/kg b.i.d.).
Receives: Drug: GWP42003-P

What is being measured

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

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Measured: From start of treatment to the post-treatment safety follow-up visit, up to 62 weeks

  2. Mean Change From Baseline in Blood Pressure

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  3. Mean Change From Baseline in Pulse Rate

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  4. Mean Change From Baseline in Respiratory Rate

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  5. Mean Change From Baseline in Body Temperature

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  6. Mean Change From Baseline in Height

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  7. Mean Change From Baseline in Body Weight

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  8. Mean Change From Baseline in Heart Rate

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  9. Mean Change From Baseline in RR Interval

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  10. Mean Change From Baseline in PR Interval

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  11. Mean Change From Baseline in QRS Duration

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  12. Mean Change From Baseline in QT Interval

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  13. Mean Change From Baseline in QTcB and QTcF

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  14. Number of Participants With a Clinically Significant Change in Laboratory Parameters

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  15. Number of Participants With Emergence of New Types of Seizures

    Measured: From baseline up to the end of taper follow-up visit (Visit 20), up to 62 weeks

  16. Plasma Concentrations of GWP42003-P and Its Major Metabolites

    Measured: Predose, 3 hours and 6 hours post dose at End of Treatment (Week 52)

  17. Number of Participants Based on Percentage Change From Baseline in Indication-Specific Total Countable Seizures as Recorded by Caregivers

    Measured: Day 1 up to Taper Period, up to Week 52

  18. Clinician Global Impression of Severity (CGI/S) Score

    The CGIC/S is a comprehensive neurodevelopmental assessment that covers the following domains: sensory, motor, cognition, emotional/behavioral health, communication, social, and adaptive functioning. This assessment is a 2-question survey per domain to be completed by the clinician. Individual domain scores are reported.

    The severity of impairment in each domain is rated by the clinician in a scale of 1 through 7 where 1 = Normal, not at all ill; 2 = Borderline ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Among the most extremely ill. Higher scores indicate poor clinical outcome.

    Measured: At Day 365 (EOT)

  19. Clinician Global Impression of Change (CGI/C) Score

    The CGI/C is a comprehensive neurodevelopmental assessment that covers the following domains: sensory, motor, cognition, emotional/behavioral health, communication, social, and adaptive functioning. This assessment is a 2-question survey per domain to be completed by the clinician. Individual domain scores are reported.

    The severity of impairment in each domain is rated by the clinician in a scale of 1 through 7 where 1 = Normal, not at all ill; 2 = Borderline ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Among the most extremely ill. Higher scores indicate poor clinical outcome.

    Measured: At Day 365 (EOT)

Secondary outcomes (3)
  1. Number of Treatment Responders

    Treatment Responders are defined as participants with ≥ 50% reduction from baseline in caregiver-reported total countable seizures

    Measured: Day 1 up to the taper period, up to Week 52

  2. Number of Participants Who Achieved Seizure-Free Status

    Measured: Week 12, and every 4 weeks thereafter, up to date of withdrawal or Week 24, whichever occurs first

  3. Percentage of Participants Still Receiving GWP42003-P

    Measured: Week 12, and every 4 weeks thereafter, up to date of withdrawal or Week 24, whichever occurs first

Timeline

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

  1. First posted24 Jul 2020
  2. Study start19 May 2021
  3. Primary completion28 Jan 2025
  4. Study completion28 Jan 2025

Why it stopped: The study was terminated by the Sponsor due to low patient enrollment.

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
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04485104
Sponsor's protocol ID
GWEP17005
Other IDs
2020-002132-67
Status last verified
Oct 2025
First submitted
21 Jul 2020
Last updated
31 Oct 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: In accordance with ICMJE requirements, Jazz Pharmaceuticals may provide qualified external researchers access to individual participant data (IPD) and clinical trial data that underlie the results of this trial upon request. Qualified researchers can submit a request on https://www.jazzpharma.com/science/clinical-trial-data-sharing/ as outlined. Jazz Pharmaceuticals reserves the right not to consider a request. For inquiries about Jazz's data sharing policy contact clinicaldatasharing@jazzpharma.com.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GWP42003-P in people with Seizure in Participants With Tuberous Sclerosis Complex and Seizure in Participants With Dravet Syndrome, run by Jazz Pharmaceuticals at 11 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 7 inclusion and 16 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: stopped early, as of the sponsor's last update on 31 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Italy, 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. 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 31 Oct 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?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (time frame: From start of treatment to the post-treatment safety follow-up visit, up to 62 weeks). The study lists 19 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 31 Oct 2025.

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