This study is designed to optimize the dosing regimen and evaluate the preliminary safety and efficacy of Intravenous (IV) ganaxolone as adjuvant therapy for participants with ESE receiving initial IV antiepileptic drug (AED) according to currently practiced standard of care (SOC). The study will be composed of 2 phases: an initial, open-label, dose optimization phase followed by IV ganaxolone versus placebo double-blind phase.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
IV Ganaxolone will be administered.
IV Placebo will be administered
Absence of electrographic (rapid electroencephalography [EEG]) evidence of status epilepticus or recurrence of convulsions at 1 hour after the first IP bolus administration without the use of any additional medications with anti-seizure properties
Time frame: At 1 hour
Percentage of participants with no escalation of care for Status epilepticus (SE) during investigational product (IP) infusion
Time frame: Up to Day 7
Time to clinical seizure and electrographic SE cessation
Time frame: Up to Day 7
Percentage of participants with no escalation of care (including re-administration of IP) at any point within 24 hours from the initial IP bolus administration
Time frame: Up to 24 hours
Percentage of participants with no escalation to IV anesthesia for treatment of seizures during IP infusion
Time frame: Up to Day 7
Percentage of participants with no escalation to IV anesthesia for treatment of seizures within 24 hours of the initial IP bolus
Time frame: Up to 24 hours
Time to clinical or electrographic seizure recurrence within 24 hours from the initiation of the first IP bolus
Time frame: Up to 24 hours
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