Stereotypical Prolonged SeizuresPhase 3NCT05077904
A Study to Test the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
A Phase 3 study testing Staccato alprazolam in people with Stereotypical Prolonged Seizures, run by UCB Biopharma SRL at 183 sites in 13 countries.
Trial summary
The purpose of the study is to assess the success of a single administration of Staccato alprazolam compared with placebo both in rapidly terminating a seizure episode within 90 seconds and with no recurrence of seizure(s) up to 2 hours after investigational medicinal product (IMP) administration. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Stereotypical Prolonged Seizures
- What is being tested?
- Staccato alprazolam
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 350 participants
- Where
- 183 sitesin 13 countries
- Study dates
- 7 Dec 2021to 29 Mar 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 must be ≥12 years of age at the Baseline/Randomization Visit
- Participant must have a study caregiver ≥18 years of age at the Screening Visit; the study caregiver(s) must be a relative, partner, friend, or legally authorized representative (LAR) of the participant, or a person who provides daily care to the participant and has a significant personal relationship with the participant; the study caregiver(s) must be able to recognize and observe the participant's seizures
- Participants with an established diagnosis of focal or generalized epilepsy or combined focal and generalized epilepsy with a documented history of stereotypical episodes of prolonged seizures that includes at least 1 of the following:
- Generalized seizure episodes starting with a flurry of absence seizures or myoclonic seizures with a minimum total duration of 5 minutes
- Episodes of a focal seizure with a minimum duration of 3 minutes
- Episodes of a focal seizure or a flurry of myoclonic seizures for at least 90 seconds followed by a generalized/bilateral tonic-clonic seizure with a minimum total duration of 3 minutes
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- Prior to the Screening Visit, participant has experienced ≥4 stereotypical episodes of prolonged seizures in the past 6 months, and the last 2 stereotypical episodes of prolonged seizures must have occurred within the 3 months prior to the Screening Visit
- Participant has had a documented brain computerized tomography or magnetic resonance imaging review, performed after diagnosis of epilepsy and within the 5 years prior to the Screening Visit, that confirms the absence of a progressive neurological disorder
- Participant is receiving a regimen of antiseizure medications (ASMs) that has been stable (ie, no addition or removal of ASM[s]; dose adjustments are permitted to ASM[s]; dose adjustments are not permitted for benzodiazepines) for 30 days prior to the Screening Visit
- Male and female participants:
- A male participant must agree to use contraception during the Outpatient Treatment Period and for at least 7 days after IMP administration and refrain from donating sperm during this period
- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:
- Not a woman of childbearing potential (WOCBP) OR ii) A WOCBP who agrees to follow the contraceptive guidance during the Outpatient Treatment Period and for at least 30 days after IMP administration
- Participant is capable of giving signed informed consent (or giving assent, where required), which includes compliance with the requirements and restrictions listed in the informed consent form (ICF), the protocol, and the individualized participant management plan (iPMP). The ICF or a specific assent form, where required, will be signed and dated by minors
- The participant's study caregiver(s) must be capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF, the protocol, and the iPMP
Who cannot join
- Participant has a current history of alcohol or drug use disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders 5, within the previous 1 year
- Participant has a known hypersensitivity to any components of the IMP or comparable drugs (and/or an investigational device) as stated in this protocol or to albuterol (or similar bronchospasm rescue medication if needed to meet country-specific requirements)
- Participant has a diagnosis of atrial fibrillation or mitral stenosis
- Participant has a history of convulsive (generalized tonic-clonic) status epilepticus in the 8 weeks prior to the Screening Visit
- Participant has a history or presence of known nonepileptic seizures which cannot be distinguished from qualifying epileptic seizures
- Participant has a clinically significant known airway hypersensitivity (eg, bronchospasm to known allergens, such as pollen, animals, or food) and/or acute respiratory signs/symptoms (eg, shortness of breath, wheezing on lung auscultation)
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- Participant has a clinically significant chronic pulmonary disorder other than mild asthma (eg, chronic obstructive pulmonary disease, restrictive lung diseases [including idiopathic pulmonary fibrosis]) and/or recent history or presence of hemoptysis or pneumothorax
- Participant has had a positive antigen test for acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and experienced moderate to severe signs/symptoms of respiratory distress necessitating hospitalization or outpatient treatment such as ambulatory oxygen, extensive treatment with inhaler medications, and/or oral medications for a duration of 4 weeks or more, unless full resolution occurred at least 6 months prior to Screening
- Participant has experienced a upper respiratory tract infection within 4 weeks or bronchitis/pneumonia within 3 months before the Screening Visit
- Participant has a history or presence of acute narrow-angle glaucoma
- Participant has a condition for which oral alprazolam is contraindicated (eg, myasthenia gravis, severe respiratory insufficiency, and sleep apnea syndrome)
- Participant has a history or presence of long QT syndrome, a family history of sudden death due to long QT syndrome, or unexplained syncope
- Chronic use of benzodiazepines for more than 3 days within a period of 7 days will be allowed for approximately 30 % of study participants
- Participant is taking any drug that is a strong CYP3A4 inhibitor, including azole antifungal agents (ketoconazole and itraconazole) and nefazodone
- Participant is taking any opioids (eg, fentanyl, oxycodone, morphine) or sedative hypnotics on a chronic basis
- Participant is taking nonselective beta blockers on a chronic basis
- Participant is taking pharmacotherapy for an active major psychiatric disorder where major changes in regimen are needed or anticipated during the study
- Participant has been treated with vagal nerve stimulation (VNS) for less than 6 months or VNS settings have changed within 30 days before the Screening Visit
- Participant has a clinically significant laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results, according to the judgment of the Investigator
- Participant has an oxygen saturation <95 % (or less than normal in regions of altitude >2500 meters) for greater than 30 seconds during the Screening Visit. In case of an out-of-range result, 1 repeat will be allowed. If the readings are out of range again, the study participant will be excluded
- Participant has >2.0x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >1.0xULN total bilirubin (≥1.5xULN total bilirubin if known Gilbert's syndrome or >2.0xULN total bilirubin for liver impairment)
- Participant has current unstable liver or biliary disease per Investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, persistent jaundice, or cirrhosis
- Participant has a QT interval corrected for heart rate (QTc) >450 msec (males), QTc interval >470 msec (females), or QTc interval >480 msec (participants with bundle branch block), PR interval ≥220 msec, or any other clinically significant electrocardiogram (ECG) abnormality according to the Investigator i) The QTc is the QT interval corrected for heart rate according to Fridericia's formula (QTcF). It is either machine-read or manually over-read
- Participant has a positive urine screen for drugs of abuse at the Screening Visit
- Participant has a blood pressure (BP) or heart rate (HR) outside the following range after 5 minutes rest: systolic BP: 90 mmHg to 150 mmHg; diastolic BP: 4 0mmHg to 95 mmHg; HR: 50 bpm to 100 bpm. In case of an out-of-range result, 1 repeat will be allowed. If the readings are out of range again, the study participant will be excluded
Trial locations and contacts
183 sites in 13 countries. Contact the study team or a site near you to ask about taking part.
183 sites in 13 countries
United States66 sites, 42 recruiting
- Withdrawn
Ep0162 50371
Akron, Ohio, 44308
- Completed
Ep0162 50110
Ann Arbor, Michigan, 48109
- Recruiting
Ep0162 50731
Austin, Texas, 78749
- Withdrawn
Ep0162 50093
Baltimore, Maryland, 21287
- Withdrawn
Ep0162 50488
Bethesda, Maryland, 20817
- Withdrawn
Ep0162 50721
Boca Raton, Florida, 33486
- Recruiting
Ep0162 50512
Boise, Idaho, 83702
- Recruiting
Ep0162 50615
Boston, Massachusetts, 02118
- Completed
Ep0162 50047
Boston, Massachusetts, 02215
- Recruiting
Ep0162 50497
Buffalo, New York, 14221
- Recruiting
Ep0162 50514
Charlotte, North Carolina, 28204
- Withdrawn
Ep0162 50487
Charlotte, North Carolina, 28207
- Recruiting
Ep0162 50700
Chattanooga, Tennessee, 37403
- Recruiting
Ep0162 50493
Chicago, Illinois, 60611
- Withdrawn
Ep0162 50528
Cleveland, Ohio, 44195
- Recruiting
Ep0162 50118
Downey, California, 90242
- Recruiting
Ep0162 50715
Durham, North Carolina, 27705
- Recruiting
Ep0162 50504
Fort Wayne, Indiana, 46804
- Completed
Ep0162 50515
Gulf Breeze, Florida, 32561
- Recruiting
Ep0162 50323
Honolulu, Hawaii, 96817
- Recruiting
Ep0162 50714
Houston, Texas, 77030
- Recruiting
Ep0162 50525
Houston, Texas, 77459
- Recruiting
Ep0162 50508
Jacksonville, Florida, 32209-6533
- Recruiting
Ep0162 50342
Jacksonville, Florida, 32224-1865
- Recruiting
Ep0162 50416
La Jolla, California, 92037
- Withdrawn
Ep0162 50499
Las Vegas, Nevada, 89128
- Withdrawn
Ep0162 50561
Lexington, Kentucky, 40536
- Completed
Ep0162 50494
Little Rock, Arkansas, 72205
- Recruiting
Ep0162 50702
Long Beach, California, 90806
- Withdrawn
Ep0162 50505
Los Angeles, California, 90095
- Recruiting
Ep0162 50513
Memphis, Tennessee, 38103-2800
- Recruiting
Ep0162 50199
Miami, Florida, 33136
- Recruiting
Ep0162 50676
Miami, Florida, 33176
- Recruiting
Ep0162 50103
Nashville, Tennessee, 37232
- Withdrawn
Ep0162 50626
Neptune City, New Jersey, 07753
- Recruiting
Ep0162 50299
New Brunswick, New Jersey, 08901
- Completed
Ep0162 50367
New Haven, Connecticut, 06519
- Completed
Ep0162 50625
New Hyde Park, New York, 11042
- Withdrawn
Ep0162 50395
New Orleans, Louisiana, 70121
- Recruiting
Ep0162 50517
New Orleans, Louisiana, 70122
- Recruiting
Ep0162 50298
New York, New York, 10016
- Recruiting
Ep0162 50490
New York, New York, 10029
- Recruiting
Ep0162 50518
New York, New York, 10075
- Completed
Ep0162 50492
Orange, California, 92868
- Completed
Ep0162 50509
Orlando, Florida, 32806
- Recruiting
Ep0162 50096
Philadelphia, Pennsylvania, 19104
- Recruiting
Ep0162 50364
Philadelphia, Pennsylvania, 19107
- Recruiting
Ep0162 50089
Philadelphia, Pennsylvania, 19140
- Recruiting
Ep0162 50506
Phoenix, Arizona, 85004
- Recruiting
Ep0162 50511
Pittsburgh, Pennsylvania, 15212
- Recruiting
Ep0162 50491
Pittsburgh, Pennsylvania, 15213
- Completed
Ep0162 50724
Portland, Oregon, 97227
- Withdrawn
Ep0162 50510
Portland, Oregon, 97239-3098
- Recruiting
Ep0162 50701
Portland, Oregon, 97239
- Withdrawn
Ep0162 50722
Poway, California, 92064
- Recruiting
Ep0162 50034
Rochester, New York, 14642
- Recruiting
Ep0162 50703
Rockledge, Florida, 32955
- Withdrawn
Ep0162 50496
Round Rock, Texas, 78681
- Recruiting
Ep0162 50716
Sacramento, California, 95817
- Recruiting
Ep0162 50473
Salt Lake City, Utah, 84132
- Recruiting
Ep0162 50720
Scottsdale, Arizona, 85253
- Withdrawn
Ep0162 50375
Springfield, Illinois, 62702
- Recruiting
Ep0162 50507
St Louis, Missouri, 63110
- Recruiting
Ep0162 50308
Tampa, Florida, 33606
- Recruiting
Ep0162 50088
Washington D.C., District of Columbia, 20037
- Recruiting
Ep0162 50726
Winchester, Virginia, 22601
China33 sites, 23 recruiting
- Withdrawn
Ep0162 20128
Beijing
- Recruiting
Ep0162 20246
Beijing
- Completed
Ep0162 20268
Beijing
- Recruiting
Ep0162 20299
Beijing
- Recruiting
Ep0162 20261
Changchun
- Recruiting
Ep0162 20133
Chengdu
- Recruiting
Ep0162 20137
Chengdu
- Withdrawn
Ep0162 20250
Chongqing
- Recruiting
Ep0162 20334
Chongqing
- Recruiting
Ep0162 20179
Fuzhou
- Recruiting
Ep0162 20124
Guangzhou
- Completed
Ep0162 20260
Guangzhou
- Completed
Ep0162 20264
Guangzhou
- Recruiting
Ep0162 20269
Guangzhou
- Recruiting
Ep0162 20300
Guangzhou
- Recruiting
Ep0162 20022
Hangzhou
- Recruiting
Ep0162 20320
Kunming
- Recruiting
Ep0162 20258
Lanzhou
- Withdrawn
Ep0162 20253
Nanchang
- Recruiting
Ep0162 20267
Nanjing
- Recruiting
Ep0162 20331
Nanning
- Recruiting
Ep0162 20333
Qingdao
- Withdrawn
Ep0162 20123
Shanghai
- Recruiting
Ep0162 20292
Shanghai
- Withdrawn
Ep0162 20332
Shenzhen
- Recruiting
Ep0162 20289
Shijiazhuang
- Recruiting
Ep0162 20119
Suzhou
- Recruiting
Ep0162 20257
Tianjin
- Recruiting
Ep0162 20025
Wenzhou
- Withdrawn
Ep0162 20252
Wuhan
- Withdrawn
Ep0162 20255
Yinchuan
- Recruiting
Ep0162 20262
Zhanjiang
- Recruiting
Ep0162 20251
Zhengzhou
Japan21 sites, 19 recruiting
- Recruiting
Ep0162 20248
Fukuoka
- Recruiting
Ep0162 20070
Hachioji-shi
- Withdrawn
Ep0162 20237
Hamamatsu
- Recruiting
Ep0162 20249
Hiroshima
- Recruiting
Ep0162 20236
Hōfu
- Recruiting
Ep0162 20239
Itami
- Recruiting
Ep0162 20143
Kodaira
- Recruiting
Ep0162 20315
Koshi-shi
- Recruiting
Ep0162 20147
Kyoto
- Completed
Ep0162 20243
Nagakute
- Recruiting
Ep0162 20235
Nagoya
- Recruiting
Ep0162 20238
Niigata
- Recruiting
Ep0162 20241
Ōmura
- Recruiting
Ep0162 20302
Osaka
- Recruiting
Ep0162 20316
Sapporo
- Recruiting
Ep0162 20337
Shimotsuga-gun
- Recruiting
Ep0162 20297
Shinjuku-ku
- Recruiting
Ep0162 20240
Shizuoka
- Recruiting
Ep0162 20242
Suita
- Recruiting
Ep0162 20266
Tōon
- Recruiting
Ep0162 20244
Yamagata
Poland9 sites, 4 recruiting
- Recruiting
Ep0162 40707
Bydgoszcz
- Recruiting
Ep0162 40677
Gdansk
- Withdrawn
Ep0162 40219
Krakow
- Completed
Ep0162 40502
Krakow
- Recruiting
Ep0162 40842
Krakow
- Completed
Ep0162 40676
Lublin
- Recruiting
Ep0162 40091
Nowa Sól
- Withdrawn
Ep0162 40153
Poznan
- Completed
Ep0162 40678
Świdnik
France8 sites, 4 recruiting
- Recruiting
Ep0162 40681
Bron
- Withdrawn
Ep0162 40688
Bron
- Withdrawn
Ep0162 40680
Dijon
- Withdrawn
Ep0162 40130
Marseille
- Withdrawn
Ep0162 40019
Paris
- Recruiting
Ep0162 40682
Paris
- Recruiting
Ep0162 40201
Rennes
- Recruiting
Ep0162 40199
Strasbourg
Germany8 sites, 5 recruiting
- Withdrawn
Ep0162 40577
Aachen
- Recruiting
Ep0162 40683
Berlin
- Recruiting
Ep0162 40685
Bielefeld
- Recruiting
Ep0162 40023
Erlangen
- Recruiting
Ep0162 40645
Frankfurt am Main
- Completed
Ep0162 40689
Kehl-kork
- Recruiting
Ep0162 40529
Marburg
- Withdrawn
Ep0162 40724
München
Spain8 sites, 7 recruiting
- Recruiting
Ep0162 40160
Barcelona
- Recruiting
Ep0162 40157
L'Hospitalet de Llobregat
- Recruiting
Ep0162 40540
Madrid
- Recruiting
Ep0162 40352
Pamplona
- Recruiting
Ep0162 40668
Seville
- Recruiting
Ep0162 40453
Terrassa
- Recruiting
Ep0162 40230
Valencia
- Completed
Ep0162 40667
Valladolid
Italy6 sites, 4 recruiting
- Withdrawn
Ep0162 40690
Catanzaro
- Recruiting
Ep0162 40674
Genova
- Recruiting
Ep0162 40144
Milan
- Recruiting
Ep0162 40477
Pavia
- Recruiting
Ep0162 40257
Roma
- Completed
Ep0162 40675
Roma
United Kingdom6 sites, 5 recruiting
- Recruiting
Ep0162 40686
Birmingham
- Withdrawn
Ep0162 40300
Cardiff
- Recruiting
Ep0162 40735
Glasgow
- Recruiting
Ep0162 40833
London
- Recruiting
Ep0162 40163
Oxford
- Recruiting
Ep0162 40108
Salford
Bulgaria5 sites, 2 recruiting
- Recruiting
Ep0162 40650
Blagoevgrad
- Recruiting
Ep0162 40708
Pazardzhik
- Completed
Ep0162 40665
Pleven
- Completed
Ep0162 40709
Pleven
- Completed
Ep0162 40651
Sofia
Czechia5 sites, 4 recruiting
- Recruiting
Ep0162 40670
Brno
- Recruiting
Ep0162 40672
Ostrava - Poruba
- Completed
Ep0162 40063
Prague
- Recruiting
Ep0162 40671
Prague
- Recruiting
Ep0162 40714
Prague
Australia4 sites, 2 recruiting
- Recruiting
Ep0162 30016
Fitzroy
- Recruiting
Ep0162 30030
Herston
- Withdrawn
Ep0162 30027
Melbourne
- Active, not recruiting
Ep0162 30031
South Brisbane
Hungary4 sites, 4 recruiting
- Recruiting
Ep0162 40666
Balassagyarmat
- Recruiting
Ep0162 40673
Budapest
- Recruiting
Ep0162 40704
Budapest
- Recruiting
Ep0162 40653
Debrecen
About this study
Official title: A Double-Blind, Randomized, Placebo-Controlled, Multicenter, Outpatient, Parallel-Group Study to Assess the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
The purpose of the study is to assess the success of a single administration of Staccato alprazolam compared with placebo both in rapidly terminating a seizure episode within 90 seconds and with no recurrence of seizure(s) up to 2 hours after investigational medicinal product (IMP) administration.
- Conditions
- Stereotypical Prolonged Seizures
- Being tested
- Staccato alprazolam, Placebo
- Keywords
- Stereotypical prolonged seizures, Phase 3, Staccato alprazolam
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Staccato alprazolamDrug
Also called UCB7538
Route of administration: Inhalation
Participants will receive one dose of Staccato alprazolam during the Treatment Period.
PlaceboOther
Route of administration: Inhalation
Participants will receive one dose of placebo during the Treatment Period.
| Study group | Role | What they receive |
|---|---|---|
| Staccato alprazolam Arm | Experimental | Participants randomized to this arm will receive a single dose of Staccato alprazolam by inhalation. Receives: Drug: Staccato alprazolam |
| Placebo Arm | Placebo comparator | Participants randomized to this arm will receive a single dose of placebo by inhalation. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Treatment success for the treated seizure within 90 seconds after investigational medicinal product (IMP) administration
Treatment success for the treated seizure is defined as termination of the seizure within 90 seconds after IMP administration.
Measured: From start of IMP treatment through 6 hours
Treatment success for the treated seizure with no recurrence up to 2 hours
Treatment success for the treated seizure is defined as termination of the treated seizure within 90 seconds after IMP administration and no recurrence of seizure(s) from IMP administration to 2 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 2 hours after IMP administration.
Measured: From start of IMP treatment through 2 hours
Secondary outcomes (6)
Treatment success for treated seizure with no recurrence after 4 hours
Treatment success defined as termination of the treated seizure within 90 seconds after IMP administration, with no recurrence of seizure(s) up to 4 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 4 hours after IMP administration.
Measured: From start of IMP treatment through 4 hours
Treatment success for treated seizure with no recurrence after 6 hours
Treatment success defined as termination of the treated seizure within 90 seconds after IMP administration, with no recurrence of seizure(s) up to 6 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 6 hours after IMP administration.
Measured: From start of IMP treatment through 6 hours
Time from IMP administration to cessation of the treated seizure
The time will be assessed from IMP administration to cessation of the treated seizure (taking administration of seizure rescue treatment as censoring point).
Measured: From start of IMP treatment through 6 hours
Frequency of respiratory treatment emergent adverse events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP.
Measured: From start of IMP treatment up to the Safety Follow-up Visit (Week 19)
Number of subsequent seizure(s) up to 2 hours after IMP administration
The number of subsequent seizure(s) will be assessed up to 2 hours after IMP administration.
Measured: From start of IMP treatment through 2 hours
Time to first subsequent seizure up to 2 hours after IMP administration
The time to first subsequent seizure will be assessed up to 2 hours after IMP administration and is defined as time from end of IMP treated seizure to start of first subsequent seizure.
Measured: From start of IMP treatment through 2 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2021
- Study start7 Dec 2021
- Primary completion29 Mar 2027 (estimated)
- Study completion29 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Stereotypical Prolonged SeizuresStudies of the same condition, open and under way.
- More trials run by UCB Biopharma SRLThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 350 participants (estimated)
Sponsor and investigators
- Lead sponsor
- UCB Biopharma SRL
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- UCB Cares, Study director, 001 844 599 2273 (UCB)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05077904
- Sponsor's protocol ID
- EP0162
- Other IDs
- 2021-002686-18, U1111-1303-2588, 2024-510950-29
- Status last verified
- Nov 2026
- First submitted
- 30 Sep 2021
- Last updated
- 6 Nov 2026
- Results posted
- No
- 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 reidentifying 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.
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind, Randomized, Placebo-Controlled, Multicenter, Outpatient, Parallel-Group Study to Assess the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
- ClinicalTrials.gov ID
- NCT05077904
- Acronym / sponsor ID
- EP0162
- Conditions
- Stereotypical Prolonged Seizures
- Keywords
- Stereotypical prolonged seizures, Phase 3, Staccato alprazolam
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 350 participants (estimated)
- Lead sponsor
- UCB Biopharma SRLIndustry (pharma, biotech, devices)
- Study start
- 7 Dec 2021 (actual)
- Primary completion
- 29 Mar 2027 (estimated)
- Study completion
- 29 Mar 2027 (estimated)
- First posted
- 14 Oct 2021 (actual)
- 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.
The purpose of the study is to assess the success of a single administration of Staccato alprazolam compared with placebo both in rapidly terminating a seizure episode within 90 seconds and with no recurrence of seizure(s) up to 2 hours after investigational medicinal product (IMP) administration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Staccato alprazolam Arm | Experimental | Drug: Staccato alprazolamParticipants randomized to this arm will receive a single dose of Staccato alprazolam by inhalation. |
| Placebo Arm | Placebo comparator | Other: PlaceboParticipants randomized to this arm will receive a single dose of placebo by inhalation. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (15 listed)
- Participant must be ≥12 years of age at the Baseline/Randomization Visit
- Participant must have a study caregiver ≥18 years of age at the Screening Visit; the study caregiver(s) must be a relative, partner, friend, or legally authorized representative (LAR) of the participant, or a person who provides daily care to the participant and has a significant personal relationship with the participant; the study caregiver(s) must be able to recognize and observe the participant's seizures
- Participants with an established diagnosis of focal or generalized epilepsy or combined focal and generalized epilepsy with a documented history of stereotypical episodes of prolonged seizures that includes at least 1 of the following:
- Prior to the Screening Visit, participant has experienced ≥4 stereotypical episodes of prolonged seizures in the past 6 months, and the last 2 stereotypical episodes of prolonged seizures must have occurred within the 3 months prior to the Screening Visit
- Participant has had a documented brain computerized tomography or magnetic resonance imaging review, performed after diagnosis of epilepsy and within the 5 years prior to the Screening Visit, that confirms the absence of a progressive neurological disorder
Key exclusion criteria (25 listed)
- Participant has a current history of alcohol or drug use disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders 5, within the previous 1 year
- Participant has a known hypersensitivity to any components of the IMP or comparable drugs (and/or an investigational device) as stated in this protocol or to albuterol (or similar bronchospasm rescue medication if needed to meet country-specific requirements)
- Participant has a diagnosis of atrial fibrillation or mitral stenosis
- Participant has a history of convulsive (generalized tonic-clonic) status epilepticus in the 8 weeks prior to the Screening Visit
- Participant has a history or presence of known nonepileptic seizures which cannot be distinguished from qualifying epileptic seizures
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 |
|---|---|---|
| Staccato alprazolamAlso: UCB7538Route of administration: Inhalation Participants will receive one dose of Staccato alprazolam during the Treatment Period. | Drug | Staccato alprazolam Arm |
| PlaceboRoute of administration: Inhalation Participants will receive one dose of placebo during the Treatment Period. | Other | Placebo Arm |
Primary outcome
Treatment success for the treated seizure within 90 seconds after investigational medicinal product (IMP) administration
Time frame: From start of IMP treatment through 6 hours
Treatment success for the treated seizure is defined as termination of the seizure within 90 seconds after IMP administration.
Treatment success for the treated seizure with no recurrence up to 2 hours
Time frame: From start of IMP treatment through 2 hours
Treatment success for the treated seizure is defined as termination of the treated seizure within 90 seconds after IMP administration and no recurrence of seizure(s) from IMP administration to 2 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 2 hours after IMP administration.
6 secondary outcomes
Treatment success for treated seizure with no recurrence after 4 hours
Time frame: From start of IMP treatment through 4 hours
Treatment success for treated seizure with no recurrence after 6 hours
Time frame: From start of IMP treatment through 6 hours
Time from IMP administration to cessation of the treated seizure
Time frame: From start of IMP treatment through 6 hours
Frequency of respiratory treatment emergent adverse events (TEAEs)
Time frame: From start of IMP treatment up to the Safety Follow-up Visit (Week 19)
Number of subsequent seizure(s) up to 2 hours after IMP administration
Time frame: From start of IMP treatment through 2 hours
Time to first subsequent seizure up to 2 hours after IMP administration
Time frame: From start of IMP treatment through 2 hours
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
- Individual participant dataSharing planned: 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 reidentifying 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.
Related trials for Stereotypical Prolonged Seizures
Enrolling by invitationPhase 3
A Study to Test the Safety and Tolerability of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
Stereotypical Prolonged Seizures
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.
UCB Cares study director
001 844 599 2273 (UCB)
183 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Staccato alprazolam in people with Stereotypical Prolonged Seizures, run by UCB Biopharma SRL at 183 sites in 13 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 15 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 183 sites in United States, China, Japan, Poland, France and 8 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. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact UCB Cares (1-844-599-2273 (USA), UCBCares@ucb.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Treatment success for the treated seizure within 90 seconds after investigational medicinal product (IMP) administration (time frame: From start of IMP treatment through 6 hours). The study lists 2 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 6 Nov 2026.