Clinical trial • Phase III • Neurology

CENOBAMATE for Primary generalized tonic-clonic seizures

Phase III trial of CENOBAMATE for Primary generalized tonic-clonic seizures. open-label, none/not specified-controlled. 54 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Primary generalized tonic-clonic seizures
Trial Stage
Phase III
Drug Modality
Small molecule|Other
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
18-04-2024
First CTIS Authorization Date
10-05-2024

Trial design

open-label, none/not specified-controlled Phase III trial in Germany, Spain, Hungary and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
54
Trial Duration For Participant
385

Eligibility

Recruits 54 paediatric patients.

Vulnerable Population
Includes adolescents (12 to <18 years) and other vulnerable subjects. Written informed consent must be signed by the subject or legal guardian; if the legal guardian provides consent because the subject is unable to, a written or verbal assent from the subject must also be obtained. Country-specific regulations may require that only the subject may sign the ICF. Age-specific assent and ICF documents are provided (e.g. assent 12-17, adult-parent ICF).

Inclusion criteria

  • {"criterion_text":"- The subject must have successfully completed the Double-blind Treatment Period in the Core study.\n- Written informed consent signed by the subject or legal guardian, prior to entering the study, in accordance with the International Council for Harmonisation (ICH) Good Clinical Practice (GCP) guidelines. If the written informed consent is provided by the legal guardian because the subject is unable to do so, a written or verbal assent from the subject must also be obtained. As required by country-specific regulations, only the subject may sign the ICF in accordance with ICH guidelines."}

Exclusion criteria

  • {"criterion_text":"- Subject tests positive, via urine drug screen at Visit 14 of the Core study, for illicit drugs except for tetrahydrocannabinol and Cannabinoids.\n- Any significant changes to the subject's medical history that, in the opinion of the Principal Investigator, could affect the subject's safety or conduct of the study. Any potential exception to the inclusion as well as exclusion criteria allowing de minimis (clinically trivial and meaningless) variations must be approved by the Medical Monitor."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoints are safety measures: the incidences of adverse events (AEs) and serious adverse events (SAEs); summary statistics for clinical laboratory test results and vital signs; and physical examination, neurologic examination, and electrocardiogram (ECG) findings.","definition_or_measurement_approach":"Incidences of AEs and SAEs will be recorded; summary statistics will be produced for clinical laboratory test results and vital signs; findings from physical, neurologic examinations and ECGs will be collected and summarised."}

Secondary endpoints

  • {"endpoint_text":"- N/A","definition_or_measurement_approach":"N/A"}

Recruitment

Planned Sample Size
54
Recruitment Window Months
89
Consent Approach
Written informed consent is required and must be signed by the subject or legal guardian prior to entry. If consent is provided by the legal guardian because the subject is unable, a written or verbal assent from the subject must also be obtained. Age-specific ICFs and assent forms exist (e.g. assent 12-17, adult-parent ICF). Country-specific ICFs and documents are provided in local languages (examples in the submission: Hungarian, Polish, Slovak).

Geography

Total Number Of Sites
12
Total Number Of Participants
77

Germany

Earliest CTIS Part Ii Submission Date
14-05-2024
Latest Decision Or Authorization Date
14-05-2024
Number Of Sites
4
Number Of Participants
10

Sites

Site Name
Universitaetsklinikum Schleswig-Holstein AöR
Department Name
Klinik für Kinder- und Jugendmedizin II, Abteilung fuer Neuropädiatrie und Sozialpädiatrie
Principal Investigator Name
Hiltrud Muhle
Principal Investigator Email
Hiltrud.muhle@uksh.de
Contact Person Name
Hiltrud Muhle
Contact Person Email
Hiltrud.muhle@uksh.de
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Department of Pediatric Neurology
Principal Investigator Name
Angela Kaindl
Principal Investigator Email
Neuropaed-studie@charite.de
Contact Person Name
Angela Kaindl
Contact Person Email
Neuropaed-studie@charite.de
Site Name
Universitaetsklinikum Jena KöR
Department Name
Klinik für Neuropädiatrie
Principal Investigator Name
Ralf Husain
Principal Investigator Email
Neuropaed@med.uni-jena.de
Contact Person Name
Ralf Husain
Contact Person Email
Neuropaed@med.uni-jena.de
Site Name
Epilepsiezentrum Kleinwachau gGmbH
Department Name
Fachklinik für Neurologie
Principal Investigator Name
Nils Holert
Principal Investigator Email
l.burow@kleinwachau.de
Contact Person Name
Nils Holert
Contact Person Email
l.burow@kleinwachau.de

Spain

Earliest CTIS Part Ii Submission Date
10-05-2024
Latest Decision Or Authorization Date
10-05-2024
Number Of Sites
3
Number Of Participants
8

Sites

Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Neurology
Principal Investigator Name
Patricia Smeyers
Principal Investigator Email
nidrasmeyers@gmail.com
Contact Person Name
Patricia Smeyers
Contact Person Email
nidrasmeyers@gmail.com
Site Name
Hospital Clinico San Carlos
Department Name
Neurology
Principal Investigator Name
Adrián García Ron
Principal Investigator Email
drgarciaron@gmail.com
Contact Person Name
Adrián García Ron
Contact Person Email
drgarciaron@gmail.com
Site Name
Hospital Universitario Regional De Malaga
Department Name
Neurology
Principal Investigator Name
Rocio Calvo
Principal Investigator Email
rrro@hotmail.com
Contact Person Name
Rocio Calvo
Contact Person Email
rrro@hotmail.com

Hungary

Earliest CTIS Part Ii Submission Date
10-05-2024
Latest Decision Or Authorization Date
05-05-2025
Processing Time Days
360
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Semmelweis University
Department Name
Gyermekgyógyászati Klinika, Bókay utcai részleg
Principal Investigator Name
Márk Kristóf Farkas
Principal Investigator Email
kristofm.farkas@gmail.com
Contact Person Name
Márk Kristóf Farkas
Contact Person Email
kristofm.farkas@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
16-05-2024
Latest Decision Or Authorization Date
05-05-2025
Processing Time Days
354
Number Of Sites
2
Number Of Participants
24

Sites

Site Name
Niepubliczny Zakład Opieki Zdrowotnej - Centrum Neurologii Dziecięcej i Leczenia Padaczki
Department Name
NZOZ, Centrum Neurologii Dziecięcej i Leczenia Padaczki
Principal Investigator Name
Anna Gniatkowska-Nowakowska
Principal Investigator Email
ankagn@mp.pl
Contact Person Name
Anna Gniatkowska-Nowakowska
Contact Person Email
ankagn@mp.pl
Site Name
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.
Department Name
Centrum Medyczne Plejady
Principal Investigator Name
Marta Żołnowska
Principal Investigator Email
trials@plejady.com.pl
Contact Person Name
Marta Żołnowska
Contact Person Email
trials@plejady.com.pl

Slovakia

Earliest CTIS Part Ii Submission Date
10-05-2024
Latest Decision Or Authorization Date
15-05-2025
Processing Time Days
370
Number Of Sites
2
Number Of Participants
25

Sites

Site Name
Konzilium s.r.o.
Department Name
Neurology
Principal Investigator Name
Magdalena Perichtova
Principal Investigator Email
konzilium.med@gmail.com
Contact Person Name
Magdalena Perichtova
Contact Person Email
konzilium.med@gmail.com
Site Name
In Medic s.r.o
Department Name
Neurology
Principal Investigator Name
Jana Chamilova
Principal Investigator Email
jana.chamilova7@gmail.com
Contact Person Name
Jana Chamilova
Contact Person Email
jana.chamilova7@gmail.com

Sponsor

Primary sponsor

Full Name
Sk Life Science Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
sponsorDuties codes: 1,11,12,2,3,6,7,9; contact CTIS-Biotech@iconplc.com
Name
Iqvia Rds Ireland Limited
Responsibilities
sponsorDuties codes: 8; contact QPV_SKLSI_RegMailbox@quintiles.com
Name
MEDPACE LABORATORIES
Responsibilities
sponsorDuties codes: 4; contact RS-Advisor-Support@medpace.com

Third parties

  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"codes: 1,11,12,2,3,6,7,9; contact CTIS-Biotech@iconplc.com","organisation_type":"Pharmaceutical company"}
  • {"country":"Hungary","full_name":"Opt-X-Pense Kft.","duties_or_roles":"Travel reimbursement vendor in Hungary (code:15); contact info@opt-x-pense.com","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Njs Associates Company","duties_or_roles":"codes: 10; contact leonard.gold@njstat.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Travel reimbursement vendor in Spain (code:15); contact info@scoutclinical.com","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Germany","full_name":"PCI Pharma Services Germany GmbH","duties_or_roles":"codes: 14,15; IP QP Release site; contact info-berlin@pci.com","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Iqvia Rds Ireland Limited","duties_or_roles":"codes: 8; contact QPV_SKLSI_RegMailbox@quintiles.com","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"MEDPACE LABORATORIES","duties_or_roles":"codes: 4; contact RS-Advisor-Support@medpace.com","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"codes: 7; contact helpdesk@mdsol.com","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Cenobamate 12.5mg
Active Substance
CENOBAMATE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (prodAuthStatus:1)
Starting Dose
Adults: 200 mg/day (Open-label Maintenance Period start); Adolescents: adolescent equivalent based on weight via oral suspension
Dose Levels
12.5 mg tablet strength (also available: 25mg, 50mg, 100mg; oral suspension 10 mg/mL)
Frequency
Once daily (200 mg/day starting dose stated for adults)
Maximum Dose
200 mg/day (maxDailyDoseAmount: 200 mg for tablet formulations)
Investigational Product Name
Cenobamate 25mg
Active Substance
CENOBAMATE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (prodAuthStatus:1)
Starting Dose
Adults: 200 mg/day (Open-label Maintenance Period start); Adolescents: adolescent equivalent based on weight via oral suspension
Dose Levels
25 mg tablet strength (also available: 12.5mg, 50mg, 100mg; oral suspension 10 mg/mL)
Frequency
Once daily (200 mg/day starting dose stated for adults)
Maximum Dose
200 mg/day
Investigational Product Name
Cenobamate 50mg
Active Substance
CENOBAMATE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (prodAuthStatus:1)
Starting Dose
Adults: 200 mg/day (Open-label Maintenance Period start); Adolescents: adolescent equivalent based on weight via oral suspension
Dose Levels
50 mg tablet strength (also available: 12.5mg, 25mg, 100mg; oral suspension 10 mg/mL)
Frequency
Once daily (200 mg/day starting dose stated for adults)
Maximum Dose
200 mg/day
Investigational Product Name
Cenobamate 100mg
Active Substance
CENOBAMATE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (prodAuthStatus:1)
Starting Dose
Adults: 200 mg/day (Open-label Maintenance Period start); Adolescents: adolescent equivalent based on weight via oral suspension
Dose Levels
100 mg tablet strength (also available: 12.5mg, 25mg, 50mg; oral suspension 10 mg/mL)
Frequency
Once daily (200 mg/day starting dose stated for adults)
Maximum Dose
200 mg/day
Investigational Product Name
Cenobamate 10mg/mL (oral suspension)
Active Substance
CENOBAMATE
Modality
Small molecule
Routes Of Administration
Oral suspension (by weight for adolescents)
Route
Oral
Authorisation Status
Authorised (prodAuthStatus:1)
Starting Dose
Adolescents: adolescent equivalent based on weight via oral suspension; Adults: starting regimen described as 200 mg/day (tablets) for adults
Dose Levels
10 mg/mL oral suspension unit strength
Frequency
Once daily (adult equivalent dosing described)
Maximum Dose
Max daily dose for suspension expressed as 3 mg/kg/day (maxDailyDoseAmount for suspension: 3 mg/kg)
Investigational Product Name
Placebo matching with 12.5mg, 25mg, 50mg, 100mg cenobamate tablets and 10mg/kg cenobamate oral suspension unit strength
Modality
Other
Combination Treatment
Yes

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