A Phase 2 Study of Radiprodil in Subjects With Drug-resistant Infantile Spasms (IS)

Phase 2TerminatedNCT02829827

UCB Biopharma S.P.R.L.3 enrolled

Overview

The purpose of the study is to evaluate the safety and tolerability, the pharmacokinetics and the efficacy of radiprodil in abolishing clinical spasms in subjects with drug-resistant infantile spasms

The study is divided into 3 parts: Part A - exploratory, Part B - confirmatory, Part C - open label extension

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Infantile Spasms (IS)

Interventions

RadiprodilDRUG

Radiprodil at individualized doses.

Eligibility

Sex: ALLMin age: 2 MonthsMax age: 14 Months

Medical Language ↔ Plain English

Inclusion Criteria: Part A and B: * Subject is male or female between 2 and 14 months of age * The diagnosis of infantile spasms (IS) * Subject has drug-resistant IS Part C: * Subject participated in EP0078 Part A and received 2 radiprodil treatment cycles * Subject experienced a relapse of spasms during the down taper or within 5 half-lives (3 days) discontinuation of radiprodil treatment in Cycle 2 of Part A * Electroencephalogram (EEG) on baseline Part C is compatible with the diagnosis of infantile spasms Exclusion Criteria: Part A and B: * More than 6 months have passed since the diagnosis of Infantile Spasms (IS) * Current treatment with cannabinoids * Subject has hematocrit greater than 60 * Subject has any medical condition that, in the opinion of the Investigator, could jeopardize or would compromise the subject's ability to participate in this study * Subject has a history or current condition predisposing to respiratory dysfunction * Current treatment with felbamate * Current treatment with perampanel * Ketogenic diet * Clinically significant lab abnormalities * Clinically significant abnormality on ECG that, in the opinion of the Investigator, increases the safety risks of participating in the study * Subject has a lethal or potentially lethal condition other than IS, with a significant risk of death before 18 months of age such as non-ketotic hyperglycinemia * Body weight is below 4 kg * Known history of severe anaphylactic reaction secondary to medication intake or serious blood dyscrasias Part C: * Subject experienced any acute tolerability issues in either treatment cycle in Part A which the investigator and the sponsor medical monitor consider a risk for further participation * Subject met any withdrawal criteria in Part A * Subject has experienced any adverse effects or developed any new medical conditions since enrollment in Part A which the investigator considers could significantly increase the safety risks of participating in Part C

Locations (1)

Ep0078 401

Paris, France

Outcomes

Primary Outcomes

Percentage of subjects with clinical response on Day 14 of treatment with the maintenance dose of radiprodil

Clinical response is defined as no spasms on Day 14 of treatment with the maintenance dose of radiprodil. This is the primary efficacy variable for Part A.

Time frame: Day 14, counting from the first day of radiprodil at maintenance dose

Estimates of exposure generated from a population-Pharmacokinetic modelling

This is a primary variable for Part A.

Time frame: Samples will be taken at baseline (time during Day -14 to -1 prior to dosing) and 3, 4, 5 & 12hr after the 1st dose on Day 1 of radiprodil low, mid & high dose. Blood samples will be taken at same timepoints after 1st dose on Day 2 of radiprodil low dose

Percentage of subjects with electro-clinical response on Day 14 of treatment with the maintenance dose of radiprodil

Electro-clinical response is defined as no spasms and resolution of hypsarrythmia on Day 14 of treatment with the maintenance dose of radiprodil. This is the primary efficacy variable for Part B.

Time frame: Day 14, counting from the first day of radiprodil at maintenance dose

Incidence of Adverse Events (AEs) during the study

An AE is any untoward medical occurrence in a subject or trial subject that is administered a drug or biologic (medicinal product) or that is using a medical device. The event does not necessarily have a causal relationship with that treatment or usage. This is a primary variable for all parts.

Time frame: From Baseline (Day -1) to the end of the Post-treatment Period (28 days post last dosing)

Secondary Outcomes

Percentage of subjects with electro-clinical response on Day 14 of treatment with the maintenance dose of radiprodil

Electro-clinical response is defined as no spasms and resolution of hypsarrythmia on Day 14 of treatment with the maintenance dose of radiprodil. This is the secondary efficacy variable for Part A.

Data from ClinicalTrials.gov

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Time frame: Day 14, counting from the first day of radiprodil at maintenance dose

Percentage of subjects with clinical response on Day 14 of treatment with the maintenance dose of radiprodil

Clinical response is defined as no spasms on Day 14 of treatment with the maintenance dose of radiprodil. This is the secondary efficacy variable for Part B.

Time frame: Day 14, counting from Day 14 of treatment with the maintenance dose of radiprodil

Estimates of exposure generated from a population-Pharmacokinetic modelling

This is a secondary variable for Part B.

Time frame: Pharmacokinetic samples will be collected on Day 1 of radiprodil low dose, mid dose and high dose. Additionally, blood samples will be taken after 1st dose on Day 2 of radiprodil low dose.

Time to cessation of spasms

Time to cessation of spasms for clinical responders on Day 14 of treatment with the maintenance dose of radiprodol. This is a secondary efficacy variable for parts A and B.

Time frame: During the first 14 days of treatment with radiprodil

Percentage of responders with clinical relapse

The percentage of clinical responders on Day 14 of treatment with the maintenance dose of radiprodil with clinical relapse within 12 months. This is a secondary efficacy variable for parts A and B.

Time frame: 12 months, counting from Day 14 of treatment with the maintenance dose of radiprodil

Time to clinical relapse from the day of spasm cessation

This is a secondary efficacy variable for parts A and B.

Time frame: From day of spasms cessation up to 42 months of age

Percentage of electro-clinical responders with electro-clinical relapse

The percentage of electro-clinical responders on Day 14 of treatment with the maintenance dose of radiprodil with electro-clinical relapse within 12 months. This is a secondary efficacy variable for parts A and B.

Time frame: 12 months, counting from Day 14 of treatment with the maintenance dose of radiprodil

Time to electro-clinical relapse from the day of spasm cessation

This is a secondary efficacy variable for parts A and B.

Time frame: From day of spasms cessation up to 42 months of age

Percentage of subjects with extended clinical response

Extended clinical response is defined as no spasms for 28 consecutive days from Day 14 of treatment with the maintenance dose of radiprodil. This is a secondary efficacy variable for parts A and B.

Time frame: 28 days, counting from Day 14 (inclusive) of treatment with the maintenance dose of radiprodil

Percentage of subjects with extended electro-clinical response

Extended electro-clinical response is defined as no spasms and resolution of hypsarrythmia for 28 consecutive days from Day 14 of treatment with the maintenance dose of radiprodil. This is a secondary efficacy variable for parts A and B.

Time frame: 28 days, counting from Day 14 (inclusive) of treatment with the maintenance dose of radiprodil

Percentage of subjects with extended clinical response to each additional treatment cycle on Day 14 of treatment with the maintenance dose of radiprodil

Extended clinical response is defined as no spasms for 28 consecutive days from Day 14 of treatment with the maintenance dose of radiprodil. This is a secondary efficacy variable for part C.

Time frame: 28 days, counting from Day 14 (inclusive) of maintenance dose

Number of treatment cycles per subject

This is a secondary variable for Part C.

Time frame: During Part C (Day -1 to Day 28 of the Maintenance Period)

Percentage of subjects with electro-clinical response to each additional treatment cycle on Day 14 of treatment with the maintenance dose of radiprodil

Electro-clinical response is defined as no spasms and resolution of hypsarrythmia on Day 14 of treatment with the maintenance dose of radiprodil. This is a secondary efficacy variable for Part C.

Time frame: Day 14, counting from the first day of maintenance dose

Time to clinical relapse from the first day of no witnessed spasms for each treatment cycle

This is a secondary efficacy variable for part C.

Time frame: From day of no witnessed spasms up to 42 months of age