An Efficacy and Safety Study of Clemizole HCl in Patients With Lennox-Gastaut Syndrome

Last updated: June 27, 2025
Sponsor: Epygenix
Overall Status: Active - Recruiting

Phase

3

Condition

N/A

Treatment

Clemizole HCl

Placebo

Placebo to match EPX-100

Clinical Study ID

NCT05066217
EPX-100-003
  • Ages 2-55
  • All Genders

Study Summary

This is a multicenter, Phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of clemizole HCL (EPX-100) as adjunctive therapy in children and adult participants with Lennox-Gastaut syndrome (LGS).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Males or females, ages ≥2 to ≤55 years, at the time of Screening.

  2. Participant/parent/legal authorized representative (LAR) willing and able to givewritten informed consent/assent.

  3. Diagnosis of LGS, including:

  • Evidence of at least one type of countable major motor seizure.

  • History of electroencephalogram (EEG) consistent with LGS (abnormal backgroundactivity, and one of the following: 1) slow spike-wave discharges [<2.5 Hz], or

  1. paroxysmal fast activity during sleep).
  • Abnormal cognitive development.

  • Onset of seizures at 11 years of age or younger.

Exclusion

Key Exclusion Criteria:

  1. Known sensitivity, allergy, or previous exposure to clemizole HCl.

  2. Known history of long QT syndrome or any significant history of a seriousabnormality of the electrocardiogram (ECG) (e.g., recent myocardial infarction,clinically significant arrhythmia).

  3. Family history of sudden cardiac death, unexplained death, or death from a primarydysrhythmia potentially associated with QT prolongation in any family member.

  4. Seizures secondary to illicit drug or alcohol use, infection, neoplasm,demyelinating disease, degenerative neurological disease, or progressive centralnervous system disease, metabolic illness, recent anoxic episode within the last 6months requiring resuscitation, or progressive degenerative disease or any othercondition, which in the opinion of the investigator, could affect seizure control.

  5. Epilepsy surgery planned during the study or epilepsy surgery within 6 months priorto Screening.

  6. Concomitant use of fenfluramine.

  7. Prior or concomitant use of lorcaserin.

Study Design

Total Participants: 260
Treatment Group(s): 3
Primary Treatment: Clemizole HCl
Phase: 3
Study Start date:
April 09, 2025
Estimated Completion Date:
November 01, 2029

Study Description

This is a multicenter, Phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of clemizole HCl as adjunctive therapy in children and adult participants with LGS.

The study will consist of an Observational Period, a Double-Blind (DB) Period, and an optional Open-Label Extension (OLE) Period.

Connect with a study center

  • Rare Disease Research

    Kissimmee, Florida 34746
    United States

    Active - Recruiting

  • Minnesota Epilepsy Group, P.A.

    Roseville, Minnesota 55113
    United States

    Active - Recruiting

  • Neurology Center for Epilepsy and Seizures

    Marlboro, New Jersey 07746
    United States

    Active - Recruiting

  • On-Site Clinical Solution

    Raleigh, North Carolina 28211
    United States

    Active - Recruiting

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