A Trial of Two Fixed Doses of ZX008 (Fenfluramine HCl) in Children and Young Adults With Dravet Syndrome

Last updated: September 20, 2023
Sponsor: Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc.
Overall Status: Completed

Phase

3

Condition

Dravet Syndrome

Epilepsy

Epilepsy (Pediatric)

Treatment

ZX008 (Fenfluramine Hydrochloride)

Matching Placebo

Clinical Study ID

NCT02682927
ZX008-1501
ZX008-1502
  • Ages 2-18
  • All Genders

Study Summary

Study 1 and Study 3 are the prospective, merged analyses of 2 identical double-blind, placebo-controlled studies, ZX008-1501 and ZX008-1502, to assess the efficacy, safety, and pharmacokinetics of ZX008 when used as adjunctive therapy in pediatric and young adult subjects with Dravet syndrome. Study 1501 and Study 1502 were conducted in parallel; Study 1501 was conducted at approximately 30 study sites in North America; Study 1502 was conducted at approximately 30 study sites in Europe, Asia and Australia. Upon completion of the Baseline Period after initial Screening and Baseline charting of seizure frequency, subjects who qualified for the studies were randomized (1:1:1) in a double-blind manner to receive either 1 of 2 doses of ZX008 (0.2 mg/kg/day or 0.8 mg/kg/day; maximum dose: 30 mg/day) or placebo. Randomization was stratified by age group (< 6 years, ≥6 to 18 years) to achieve balance across treatment arms, with the target of 25% of subjects in each age group. All subjects were titrated to their randomized dose over a 14-day Titration Period. Following titration, subjects continued treatment at their randomly assigned dose over a 12-week Maintenance Period. Subjects exiting the study underwent a 2-week taper, unless they enrolled in a follow-on study. Subjects were followed for post-study safety monitoring.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Male or non-pregnant, non-lactating female, age 2 to 18 years, inclusive as of the dayof the Screening Visit.
  • Clinical diagnosis of Dravet syndrome, where convulsive seizures are not completelycontrolled by current antiepileptic drugs.
  • Must have a minimum # of convulsive seizures per 4-week period for past 12 weeks priorto screening.
  • All medications or interventions for epilepsy must be stable for at least 4 weeksprior to screening and expected to remain stable throughout the study.
  • No cardiovascular or cardiopulmonary abnormality based on ECHO, ECG or physicalexamination.
  • Parent/caregiver is willing and able to be compliant with diary completion, visitschedule and study drug accountability.

Exclusion

Key Exclusion Criteria:

  • Pulmonary arterial hypertension.
  • Current or past history of cardiovascular or cerebrovascular disease, such as cardiacvalvulopathy, myocardial infarction or stroke.
  • Current or past history of glaucoma.
  • Moderate or severe hepatic impairment.
  • Receiving concomitant therapy with: anorectic agents; monoamine-oxidase inhibitors;medications that act via serotonin including serotonin reuptake inhibitors;atomoxetine, or other centrally-acting noradrenergic agonist; or cyproheptadine.
  • Currently receiving or has received stiripentol in the past 21 days prior toScreening.
  • Currently taking carbamazepine, oxcarbamazepine, eslicarbazepine, phenobarbital, orphenytoin, or has taken any of these within the past 30 days.
  • Positive result on tetrahydrocannabinol (THC) or cannabidiol (CBD) test at theScreening Visit.
  • A clinically significant medical condition,that would interfere with studyparticipation, collection of study data, or pose a risk to the subject.

Study Design

Total Participants: 262
Treatment Group(s): 2
Primary Treatment: ZX008 (Fenfluramine Hydrochloride)
Phase: 3
Study Start date:
January 15, 2016
Estimated Completion Date:
July 29, 2020

Connect with a study center

  • Melbourne Brain Centre Austin Hospital

    Melbourne,
    Australia

    Site Not Available

  • Children's Health Queensland Hospital and Health Service at Lady Cilento Children's Hospital

    South Brisbane,
    Australia

    Site Not Available

  • The Children's Hospital Westmead Dept. of Neurology and Neurosurgery

    Westmead,
    Australia

    Site Not Available

  • Universitair Ziekenhuis Antwerpen

    Antwerp,
    Belgium

    Site Not Available

  • Alberta Children's Hospital Childrens Comprehensive Epilepsy Centre

    Calgary, Alberta T3B6A8
    Canada

    Site Not Available

  • British Columbia Children's Hospital BCCH

    Vancouver, British Columbia V6H3V4
    Canada

    Site Not Available

  • British Columbia Children's Hospital BCCH

    British Columbia, V6H3V4
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire Sainte-Justine

    Montreal, H3T 1C5
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire Sainte-Justine

    Montréal, H3T 1C5
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire Sainte-Justine

    Quebec, H3T 1C5
    Canada

    Site Not Available

  • Danish National Epilepsy Centre

    Dianalund,
    Denmark

    Site Not Available

  • French Ref centre Necker Hospital Paris

    Paris,
    France

    Site Not Available

  • Epilepsiezentrum / Neuropädiatrie Hedwig-von-Rittberg-Zentrum Für Kinder und Jugendliche

    Berlin,
    Germany

    Site Not Available

  • Krankenhaus Mara Epilepsie-Zentrum Bethel

    Bielefeld,
    Germany

    Site Not Available

  • Epilepsiezentrum Freiburg

    Freiburg,
    Germany

    Site Not Available

  • Universitaetsklinikum Jena Klinik fuer Kinder- und Jugendmedizin Neuropaediatrie

    Jena,
    Germany

    Site Not Available

  • Klinik für Neuropädiatrie Universitätsklinikum Schleswig Holstein Campus Kiel

    Kiel,
    Germany

    Site Not Available

  • Kleinwachau Saechsisches Epilepsiezentrum Radeberggemeinnuetzige GmbH

    Radeberg,
    Germany

    Site Not Available

  • Universitaetsklinik fuer Kinder- und Jugendmedizin Abteilung III

    Tübingen,
    Germany

    Site Not Available

  • Schoen Klinik Vogtareuth Neuropaediatrie und Neurologische Rehabilitation, Epilepsiezentrum fuer Kinder und Jugendlische,Tagesklinik fuer Neuropaediatrie

    Vogtareuth,
    Germany

    Site Not Available

  • AOU Anna Meyer

    Firenze, 50139
    Italy

    Site Not Available

  • Istituto Pediatrico Giannina Gaslini Dipartimento di Neurologia

    Genova,
    Italy

    Site Not Available

  • A.O Carlo Poma

    Mantova, 46100
    Italy

    Site Not Available

  • Instituto Neurologica Carlo Besta

    Milano, 20133
    Italy

    Site Not Available

  • Ospedale Fatebenefratelli e Oftalmico

    Milano,
    Italy

    Site Not Available

  • U.O. Neurologia Dipartimento di Neuroscienze Ospedale Pediatrico Bambino Gesù, IRCS

    Roma, 00165
    Italy

    Site Not Available

  • Ospedal Policlinico Giambattista Rossi diBorga Roma

    Verona, 37134
    Italy

    Site Not Available

  • Okayama University Hospital

    Okayama-shi, Okayama
    Japan

    Site Not Available

  • Saitama Children's Medical Center

    Saitama-shi, Saitama
    Japan

    Site Not Available

  • National Epilepsy Center Shizuoka Institute

    Shizuoka-city, Shizuoka
    Japan

    Site Not Available

  • Tokyo Women's Medical University Hospital

    Shinjuku-ku, Tokyo
    Japan

    Site Not Available

  • Hospital Sant Joande Déu

    Barcelona,
    Spain

    Site Not Available

  • Hospital Ruber Internacional Primera Planta Servicio de Neurologia

    Madrid,
    Spain

    Site Not Available

  • Clinica Universitaria de Navarra Fase 4. Segunda planta, Consulta de Pediatria

    Pamplona,
    Spain

    Site Not Available

  • Birmingham Children Hospital

    Birmingham,
    United Kingdom

    Site Not Available

  • Institute of Neurosciences Queens Elizabeth University Hospital

    Glasgow,
    United Kingdom

    Site Not Available

  • Alder Hey Hospital

    Liverpool,
    United Kingdom

    Site Not Available

  • Evelina Hospital

    London,
    United Kingdom

    Site Not Available

  • Great Ormonnd Street Hospital for Children NHS Foundation Trust

    London,
    United Kingdom

    Site Not Available

  • Sheffield Children's Hospital

    Sheffield,
    United Kingdom

    Site Not Available

  • Phoenix Children's

    Phoenix, Arizona 85016
    United States

    Site Not Available

  • Center for Neurosciences - Tucson

    Tucson, Arizona 85718
    United States

    Site Not Available

  • Arkansas Children's Research Institute

    Little Rock, Arkansas 72202
    United States

    Site Not Available

  • Children's Hospital Los Angeles

    Los Angeles, California 90027
    United States

    Site Not Available

  • Sutter Health - Sacramento

    Sacramento, California 95746
    United States

    Site Not Available

  • Rady Children's Hospital San Diego

    San Diego, California 92123
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • The Children's Hospital Colorado

    Aurora, Colorado 80045
    United States

    Site Not Available

  • NW FL Clinical Research Group, LLC

    Gulf Breeze, Florida 32561
    United States

    Site Not Available

  • Miami Children's Hospital Brain Institute

    Miami, Florida 33155
    United States

    Site Not Available

  • Neurology and Epilepsy Research Center

    Orlando, Florida 32819
    United States

    Site Not Available

  • Panda Neurology

    Atlanta, Georgia 30328
    United States

    Site Not Available

  • Children's Hospital of Chicago

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston, Massachusetts 02467
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Northeast Regional Epilepsy Group

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Saint Barnabas Medical Center

    Livingston, New Jersey 07039
    United States

    Site Not Available

  • OnSite Clinical Solutions, LLC

    Charlotte, North Carolina 28203
    United States

    Site Not Available

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Cook Children's Medical Center

    Fort Worth, Texas 76087
    United States

    Site Not Available

  • Texas Children's Hospital

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84113
    United States

    Site Not Available

  • Seattle Children's Hospital

    Seattle, Washington 98105
    United States

    Site Not Available

  • MultiCare Institute for Research & Innovation

    Tacoma, Washington 98405
    United States

    Site Not Available

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