Clinical trial • Phase IV • Neurology
Fenfluramine hydrochloride for Myoclonic-astatic epilepsy (Doose syndrome)
Phase IV trial of Fenfluramine hydrochloride for Myoclonic-astatic epilepsy (Doose syndrome). open-label, none/not specified-controlled. 10 participants.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Myoclonic-astatic epilepsy (Doose syndrome)
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 14-10-2024
- First CTIS Authorization Date
- 24-10-2024
Trial design
open-label, none/not specified-controlled Phase IV trial across 3 sites in Germany.
- Open Label
- Yes
- Comparator
- None/Not specified
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 10
Eligibility
Recruits 10 paediatric patients.
- Vulnerable Population
- Includes children aged 1 (12 months) to 17 years. Informed consent must be obtained: "Subject and parents/caregiver have been informed of the nature of the study and written informed consent has been obtained from the patient and the legally responsible parents/caregiver". Age-specific participant information and consent/assent forms are provided (documents for parents, children 7-11, and children 8-17 are listed).
Inclusion criteria
- {"criterion_text":"- Subjects is currently enrolled in FFA-MAE-study"}
- {"criterion_text":"- Subject and parents/caregiver have been informed of the nature of the study and written informed consent has been obtained from the patient and the legally responsible parents/caregiver"}
- {"criterion_text":"- Subject is between 1 (12 months) and 17 years"}
- {"criterion_text":"- In the medical opinion of the Investigator, subject must be a candidate for continued treatment for an extended period of time with Fenfluramine (i.e. subject has demonstrated a clinically meaningful benefit with Fenfluramine in the prior trial (FFA-MAE), and benefits of continued treatment outweigh potential risks)"}
- {"criterion_text":"- Clinically meaningful benefit is defined as follows: at least 50% reduction of total number of seizures (sum of GTKA, TS, AS, AB, MS) compared to baseline in FFA-MAE-study"}
- {"criterion_text":"- Subjects receives >= 1 AED in addition to Fenfluramine"}
Exclusion criteria
- {"criterion_text":"- Subject has a known hypersensitivity to Fenfluramine hydrochloride or other components in the study formulation"}
- {"criterion_text":"- Weight loss of 10 percent or more compared to visit 2 (first intake of IMP) of the FFA-MAE study"}
- {"criterion_text":"- Certain drugs, as listed in the prohibited food & medication section in the protocol"}
- {"criterion_text":"- Intake of any investigational medicinal product (IMP) other than Fenfluramine"}
- {"criterion_text":"- Any cardiovascular abnormality"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Efficacy Endpoint. Change of individual (per subject) number and frequency of countable seizures compared to the baseline visit of the previous FFA-MAE study (before onset of Fenfluramine treatment)","definition_or_measurement_approach":"Change per subject in number and frequency of countable seizures compared to the baseline visit of the previous FFA-MAE study (before onset of Fenfluramine treatment); seizure counts and frequency measured relative to prior-study baseline."}
- {"endpoint_text":"- Safety: (Serious) Adverse Events; Laboratory measurements; Vital signs; Physical examination; 12-lead electrocardiogram (ECGs); Doppler echocardiogram (ECHOs); Body weight","definition_or_measurement_approach":"Monitoring and recording of (serious) adverse events, laboratory measurements, vital signs, physical examinations, 12-lead ECGs, Doppler echocardiograms (ECHOs), and body weight."}
Recruitment
- Planned Sample Size
- 10
- Recruitment Window Months
- 106
- Consent Approach
- Written informed consent must be obtained from the patient and the legally responsible parents/caregiver. Age-specific subject information and informed consent/assent materials are provided (documents listed for parents and for children aged 7-11 and 8-17).
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 10
Germany
- Earliest CTIS Part Ii Submission Date
- 10-10-2024
- Latest Decision Or Authorization Date
- 02-06-2025
- Processing Time Days
- 235
- Number Of Sites
- 3
- Number Of Participants
- 10
Sites
- Site Name
- Schoen Klinik Vogtareuth SE & Co. KG
- Department Name
- Department of Neuropaediatrics and Neurological Rehabilitation
- Contact Person Name
- Milka Pringsheim
- Contact Person Email
- mpringsheim@schoen-kliniken.de
- Site Name
- Krankenhaus Mara gGmbH
- Department Name
- Department for Epilepsy
- Contact Person Name
- Tilman Polster
- Contact Person Email
- tilman.polster@mara.de
- Site Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Department Name
- Department of Children and adolesce
- Contact Person Name
- Hiltrud Muhle
- Contact Person Email
- hiltrud.muhle@uksh.de
Sponsor
Primary sponsor
- Full Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Germany
Third parties
- {"country":"Belgium","full_name":"UCB Biopharma SRL, Belgium","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Fintepla 2.2 mg/ml oral solution
- Active Substance
- Fenfluramine hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised (marketing authorisation EU/1/20/1491/004)
- Orphan Designation
- Yes
- Starting Dose
- Minimum 0.2 mg/kg/day (given BID)
- Dose Levels
- 0.2 mg/kg/day BID up to 0.8 mg/kg/day BID (max 30.0 mg/day)
- Frequency
- BID (twice daily)
- Maximum Dose
- 0.8 mg/kg/day (or maximum 30.0 mg/day)
- Dose Escalation Increase
- Initial: 0.2 mg/kg/day (BID); can be adapted up to 0.8 mg/kg/day (BID)
- Combination Treatment
- Yes
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