A Study of Soticlestat as an Add-on Therapy in Children and Young Adults With Dravet Syndrome

Last updated: December 10, 2024
Sponsor: Takeda
Overall Status: Completed

Phase

3

Condition

Unverricht-lundborg Syndrome

Treatment

Soticlestat

Placebo

Clinical Study ID

NCT04940624
TAK-935-3001
2021-002480-22
jRCT2051210074
  • Ages 2-21
  • All Genders

Study Summary

The main aim of the study is to learn if soticlestat, when given as an add-on therapy, reduces the number of convulsive seizures in children and young adults with DS.

Participants will receive their standard antiseizure therapy, plus either a tablet of soticlestat or placebo for 16 weeks. A placebo looks just like soticlestat but will not have any medicine in it.

Participants may continue treatment in an extension study, based on the extension study's entry criteria. Those that want to stop treatment will have a gradual dose reduction during 1 week and then be followed up for 2 weeks.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Has documented clinical diagnosis of DS.

  2. Had ≥12 convulsive seizures over 12 weeks before screening based on the historicalinformation and has had ≥4 convulsive seizures per 28 days during the 4- to 6-weekprospective baseline period.

  3. Weighs ≥10 kg at the screening visit (Visit 1).

  4. Failure to control seizures despite appropriate trials of at least 1 ASM based onhistorical information and is currently on an antiseizure therapy or other treatmentoptions considered as SOC.

  5. Artisanal cannabidiols are allowed at a stable dose for at least 4 weeks before thescreening visit (Visit 1); the dosing regimen and manufacturer should remainconstant throughout the study (Artisanal cannabidiols will not be counted as ASMs.).

  6. Currently taking 0 to 4 ASMs at stable doses for at least 4 weeks before thescreening visit (Visit 1); benzodiazepines used chronically (daily) to treatseizures are considered ASMs. Fenfluramine and cannabidiol (Epidiolex) are allowedwhere available and should be counted as an ASM. ASM dosing regimen must remainconstant throughout the study.

Exclusion

Exclusion Criteria:

  1. Unstable, clinically significant neurologic (other than the disease being studied),psychiatric, cardiovascular, ophthalmologic, pulmonary, hepatic, renal, metabolic,gastrointestinal, urologic, immunologic, hematopoietic, endocrine disease,malignancy including progressive tumors, or other abnormality that may impact theability to participate in the study or that may potentially confound the studyresults. It is the responsibility of the investigator to assess the clinicalsignificance; however, consultation with the medical monitor may be warranted.

Study Design

Total Participants: 144
Treatment Group(s): 2
Primary Treatment: Soticlestat
Phase: 3
Study Start date:
October 28, 2021
Estimated Completion Date:
April 11, 2024

Study Description

The drug being tested in this study is called soticlestat (TAK-935). Soticlestat as an adjunctive therapy will be assessed for efficacy, safety, and tolerability in pediatric and adult participants with DS.

The study will enroll approximately 142 pediatric and young adult patients. Participants will be randomized at a 1:1 ratio to receive standard of care (SOC) plus one of the following adjunctive therapies:

  • Soticlestat or

  • Placebo

The total daily dose of study drug will be calculated based on body weight in the 4 weeks Titration Period. Following the Titration Period, participants will continue to receive the same dose in the 12-weeks Maintenance Period.

This multi-center trial will be conducted worldwide. The overall time to participate in the study will be from 22-25 weeks. At the end of the Full Treatment Period, participants have the option to either complete the study and taper off the investigational product or to enter the OLE if they meet eligibility requirements. If participants discontinue, they will be followed-up on phone call approximately 14 days after the last dose of study drug for safety.

Connect with a study center

  • Sydney Children's Hospital

    Randwick, New South Wales 2031
    Australia

    Site Not Available

  • Queensland Childrens Hospital

    South Brisbane, Queensland 4101
    Australia

    Site Not Available

  • Austin Hospital

    Heidelberg, Victoria 3084
    Australia

    Site Not Available

  • Austin Hospital

    Heidelberg West, Victoria 3081
    Australia

    Site Not Available

  • Alfred Hospital

    Melbourne, Victoria 3004
    Australia

    Site Not Available

  • UZ Antwerpen PIN

    Edegem, Antwerpen 2650
    Belgium

    Site Not Available

  • Hopital Universitaire des Enfants Reine Fabiola

    La Louviere, Hainaut 7100
    Belgium

    Site Not Available

  • Hopital Universitaire des Enfants Reine Fabiola

    Brussels,
    Belgium

    Site Not Available

  • Instituto de Neurologia de Curitiba (INC)

    Curitiba, Parana 81210-310
    Brazil

    Site Not Available

  • Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

    Porto Alegre, Rio Grande Do Sul 90610-000
    Brazil

    Site Not Available

  • Hospital das Clinicas - UNICAMP

    Campinas, Sao Paulo 13083-888
    Brazil

    Site Not Available

  • Universidade Federal de Sao Paulo

    Vila Clementino, Sao Paulo 04023-062
    Brazil

    Site Not Available

  • Universidade de Sao Paulo

    Sao Paulo, 04039-032
    Brazil

    Site Not Available

  • Alberta Childrens Hospital

    Calgary, Alberta T3B 6A8
    Canada

    Site Not Available

  • Child and Family Research Institute

    Vancouver, British Columbia V5Z 4H4
    Canada

    Site Not Available

  • Hospital For Sick Children

    Toronto, Ontario M5G 1X8
    Canada

    Site Not Available

  • Beijing Children's Hospital,Capital Medical University

    Beijing, Beijing 100045
    China

    Site Not Available

  • Peking University First Hospital

    Beijing, Beijing 100034
    China

    Site Not Available

  • Children's Hospital of Chongqing Medical University

    Chongqing, Chongqing 400014
    China

    Site Not Available

  • Guangzhou Women And Children's Medical Center

    Guangzhou, Guangdong 510623
    China

    Site Not Available

  • The Second Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong 510260
    China

    Site Not Available

  • Shenzhen Children's Hospital

    Shenzhen, Guangdong 518026
    China

    Site Not Available

  • Wuhan Childrens hospital

    Wuhan, Hubei 430010
    China

    Site Not Available

  • Xiangya Hospital Central South University

    Changsha, Hunan 410008
    China

    Site Not Available

  • The First Hospital of Jilin University

    Changchun, Jilin 130021
    China

    Site Not Available

  • Children's Hospital of Fudan University

    Shanghai, Shanghai 201102
    China

    Site Not Available

  • Children's Hospital of Shanghai

    Shanghai, Shanghai 200040
    China

    Site Not Available

  • CHRU Dijon Hopital General

    Dijon, Cote-d'Or 21079
    France

    Site Not Available

  • Hopital Roger Salengro

    Lille, Nord 59000
    France

    Site Not Available

  • Hopitaux de La Timone

    Marseille, 13386
    France

    Site Not Available

  • Hopitaux de La Timone

    Marseilles, 13386
    France

    Site Not Available

  • Hopital Necker - Enfants Malades

    Paris, 75015
    France

    Site Not Available

  • Hopital Robert Debre

    Paris, 75019
    France

    Site Not Available

  • Schon Klinik Vogtareuth

    Vogtareuth, Bayern 83569
    Germany

    Site Not Available

  • Klinikum der Johann-Wolfgang Goethe-Universitat

    Frankfurt am Main, Hessen 60528
    Germany

    Site Not Available

  • Krankenhaus Mara gGmbH - Epilepsiezentrum Bethel

    Bielefeld, Nordrhein-Westfalen 33617
    Germany

    Site Not Available

  • Kleinwachau Sachsisches Epilepsiezentrum Radeberg Gemeinnutzige Gmbh

    Radeberg, Sachse 1454
    Germany

    Site Not Available

  • Childrens' Hospital of Athens 'P. and A. Kyriakou'

    Athens, Attiki 115 27
    Greece

    Site Not Available

  • Attikon University General Hospital

    Chaidari, Attiki 124 62
    Greece

    Site Not Available

  • University General Hospital of Larissa

    Larisa, 411 10
    Greece

    Site Not Available

  • Hippokration Hospital

    Thessaloniki, 546 42
    Greece

    Site Not Available

  • Orszagos Mentalis, Ideggyogyaszati es Idegsebeszeti Intezet

    Budapest, 1145
    Hungary

    Site Not Available

  • Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak

    Budapest, 1023
    Hungary

    Site Not Available

  • Fondazione Policlinico Universitario A Gemelli

    Roma, Lazio 168
    Italy

    Site Not Available

  • IRCCS Ospedale Pediatrico Bambino Gesu - INCIPIT - PIN

    Roma, Lazio 164
    Italy

    Site Not Available

  • ASST di Mantova - Azienda Ospedaliera Carlo Poma

    Mantova, Lombardia 46100
    Italy

    Site Not Available

  • ASST di Pavia - Fondazione Istituto Neurologico Mondino IRCCS

    Pavia, Lombardia 27100
    Italy

    Site Not Available

  • Azienda Ospedaliero Universitaria A Meyer - INCIPIT - PIN

    Firenze, Toscana 50139
    Italy

    Site Not Available

  • Aichi Medical University Hospital

    Nagakute-Shi, Aiti 480-1195
    Japan

    Site Not Available

  • Fukuoka Children's Hospital

    Fukuoka-Shi, Hukuoka 813-0017
    Japan

    Site Not Available

  • Kanagawa Prefectural Hospital Organization Kanagawa Children's Medical Center

    Yokohama-Shi, Kanagawa 232-0066
    Japan

    Site Not Available

  • Kumamoto-Ezuko Medical Center for The Severely Disabled

    Kumamoto-Shi, Kumamoto 862-0947
    Japan

    Site Not Available

  • National Hospital Organization Nagasaki Medical Center

    Omura-Shi, Nagasaki 856-0835
    Japan

    Site Not Available

  • National Hospital Organization Nishi-Niigata Chuo National Hospital

    Niigata-Shi, Niigata 950-2074
    Japan

    Site Not Available

  • Okayama University Hospital

    Okayama-Shi, Okayama 700-0914
    Japan

    Site Not Available

  • Okayama University Hospital

    Okayama-city, Okayama 700-8558
    Japan

    Site Not Available

  • Yasuhara Childrens Clinic

    Neyagawa-Shi, Osaka 572-0085
    Japan

    Site Not Available

  • Osaka City General Hospital

    Osaka-Shi, Osaka 534-0021
    Japan

    Site Not Available

  • Osaka University Hospital

    Suita-Shi, Osaka 565-0871
    Japan

    Site Not Available

  • National Hospital Organization Shizuoka Institute of Epilepsy and Neurological Disorders

    Shizuoka-Shi, Sizuoka 420-0953
    Japan

    Site Not Available

  • Hokkaido University Hospital

    Chuo-Ku, Tokyo 104-0045
    Japan

    Site Not Available

  • National Center of Neurology and Psychiatry

    Kodaira-Shi, Tokyo 187-0031
    Japan

    Site Not Available

  • Aichi Medical University Hospital

    Nagakute, 480-1195
    Japan

    Site Not Available

  • Childrens University Hospital

    Riga, LV-1004
    Latvia

    Site Not Available

  • Hospital Civil Fray Antonio Alcalde

    Guadalajara, Jalisco 44280
    Mexico

    Site Not Available

  • Kempenhaeghe - PPDS

    Heeze, Noord-Brabant 5591 VE
    Netherlands

    Site Not Available

  • Stichting Epilepsie Instellingen Nederland

    Zwolle, Overijssel 8025 BV
    Netherlands

    Site Not Available

  • Centrum Medyczne Plejady

    Krakow, Malopolskie 30-363
    Poland

    Site Not Available

  • Dzieciecy Szpital Kliniczny im. Jozefa Polikarpa Brudzinskiego w Warszawie

    Warszawa, Mazowieckie 04-730
    Poland

    Site Not Available

  • Neurosphera SP. Z O.O

    Warszawa, Mazowieckie 02-952
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-952
    Poland

    Site Not Available

  • Szpital Kliniczny im. H.Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu

    Poznan, 60-355
    Poland

    Site Not Available

  • Russian National Research Medical University n.a. N.I.Pirogov

    Moscow, Moskva 117437
    Russian Federation

    Site Not Available

  • UGMK-Zdorojie, LLC

    Ekaterinburg, 620144
    Russian Federation

    Site Not Available

  • Krasnoyarsk State Medical University n.a. V.F. Voyno-Ysenetskiy

    Krasnoyarsk, 660022
    Russian Federation

    Site Not Available

  • Tyumen State Medical Academy

    Tyumen', 625023
    Russian Federation

    Site Not Available

  • Clinic for Neurology and Psychiatry for Children and Youth

    Belgrad, Belgrade 11000
    Serbia

    Site Not Available

  • Clinic for Neurology and Psychiatry for Children and Youth

    Beograd, Belgrade 11000
    Serbia

    Site Not Available

  • Clinic for Neurology and Psychiatry for Children and Youth

    Belgrade, 11000
    Serbia

    Site Not Available

  • Mother and Child Health Care Institute of Serbia Dr Vukan Cupic

    Belgrade, 11000
    Serbia

    Site Not Available

  • University Clinical Center Nis

    Nis, 18 000
    Serbia

    Site Not Available

  • Children and Youth Health Care Institute of Vojvodina

    Novi Sad, 21 000
    Serbia

    Site Not Available

  • Clinica Universidad Navarra

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Hospital Universitario Vall d'Hebron - PPDS

    Barcelona, 8035
    Spain

    Site Not Available

  • Hospital Vithas La Salud

    Granada, 18008
    Spain

    Site Not Available

  • Hospital Regional Universitario de Malaga Hospital General

    Malaga, 29010
    Spain

    Site Not Available

  • Centro de Neurologia Avanzada

    Sevilla, 41013
    Spain

    Site Not Available

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026
    Spain

    Site Not Available

  • Communal Non-profit Enterprise City Childrens Clinical Hospital #6 of DCC

    Dnipro, Dnipropetrovs'ka Oblast 49101
    Ukraine

    Site Not Available

  • Municipal Institution Dnipropetrovsk Regional Children Clinical Hospital of DRC

    Dnipro, Dnipropetrovs'ka Oblast 49100
    Ukraine

    Site Not Available

  • Communal Non-commercial Enterprise Iv-Frank Regional Childrens Clinical Hosp of Iv-Frank RC

    Ivano-Frankivsk, 76018
    Ukraine

    Site Not Available

  • CNPE Clinical Hospital Psychiatry of the Executive Body of the Kyiv City Council KCSA

    Kyiv, 4080
    Ukraine

    Site Not Available

  • SI Ukr. Med. Rehabilitation Center For Children With Organic Injury of Nervous System of MoH of Ukr

    Kyiv, 4209
    Ukraine

    Site Not Available

  • Phoenix Childrens Hospital

    Phoenix, Arizona 85016-7710
    United States

    Site Not Available

  • David Geffen School of Medicine at UCLA

    Los Angeles, California 90095-3075
    United States

    Site Not Available

  • University of California Benioff Children's Hospital

    San Francisco, California 94143-2350
    United States

    Site Not Available

  • NW FL Clinical Research Group, LLC - ClinEdge - PPDS

    Gulf Breeze, Florida 32561
    United States

    Site Not Available

  • Pediatric Neurology PA

    Winter Park, Florida 32789
    United States

    Site Not Available

  • Clinical Integrative Research Center of Atlanta

    Atlanta, Georgia 30328
    United States

    Site Not Available

  • Sunrise Pediatric Neurology

    Marietta, Georgia 30066
    United States

    Site Not Available

  • University of Iowa Hospitals & Clinics - (CRS)

    Iowa City, Iowa 52242-1009
    United States

    Site Not Available

  • NYU Comprehensive Epilepsy Center

    New York, New York 10016
    United States

    Site Not Available

  • Nationwide Children's Hospital

    Columbus, Ohio 43205
    United States

    Site Not Available

  • University of Toledo

    Toledo, Ohio 43606-3818
    United States

    Site Not Available

  • Oregon Health and Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29403
    United States

    Site Not Available

  • Cook Children's Medical Center

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Childrens National Medical Center - Fairfax

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Seattle Children's Hospital

    Seattle, Washington 98105-3901
    United States

    Site Not Available

  • Multicare Health System - Mary Bridge Pediatrics

    Tacoma, Washington 98405
    United States

    Site Not Available

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