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

Last updated: April 13, 2026
Sponsor: Epygenix
Overall Status: Active - Recruiting

Phase

3

Condition

N/A

Treatment

Clemizole HCl

Placebo to match EPX-100

Placebo

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

  • Arkansas Children's Hospital

    Little Rock, Arkansas 72202
    United States

    Site Not Available

  • UC Irvine Medical Center

    Orange, California 92868
    United States

    Site Not Available

  • UCI Center for Innovative Health Therapies

    Orange, California 92868
    United States

    Active - Recruiting

  • Nemours Children's Health

    Wilmington, Delaware 19803
    United States

    Site Not Available

  • Rare Disease Research

    Kissimmee, Florida 34746
    United States

    Suspended

  • University of Miami Miller School of Medicine

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Pediatric Neurology and Epilepsy Specialists

    Winter Park, Florida 32789
    United States

    Site Not Available

  • Rare Disease Research

    Kissimmee 4160983, Florida 4155751 34746
    United States

    Site Not Available

  • Re:Cognition Health

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Norton Children's Medical Center

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • Henry Ford Hospital

    Detroit, Michigan 48202
    United States

    Site Not Available

  • Minnesota Epilepsy Group, P.A.

    Roseville, Minnesota 55102
    United States

    Site Not Available

  • Minnesota Epilepsy Group, P.A.

    Roseville 5043799, Minnesota 5037779 55113
    United States

    Site Not Available

  • Children's Nebraska

    Omaha, Nebraska 68114
    United States

    Site Not Available

  • Neurology Center for Epilepsy and Seizures

    Marlboro, New Jersey 07746
    United States

    Active - Recruiting

  • Tekton Research

    Marlboro, New Jersey 07746
    United States

    Active - Recruiting

  • Neurology Center for Epilepsy and Seizures

    Marlboro 5100886, New Jersey 5101760 07746
    United States

    Site Not Available

  • Weill Cornell Medicine/New York Presbyterian Hospital

    New York, New York 10021
    United States

    Active - Recruiting

  • Atrium Health STRIVE Research

    Charlotte, North Carolina 28207
    United States

    Site Not Available

  • On-Site Clinical Solution

    Charlotte, North Carolina 28211
    United States

    Site Not Available

  • Duke University Medical Center

    Durham, North Carolina 27705
    United States

    Active - Recruiting

  • PPD Virtual-Science 37, Inc.

    Morrisville, North Carolina 27560
    United States

    Site Not Available

  • On-Site Clinical Solution

    Raleigh, North Carolina 28211
    United States

    Site Not Available

  • On-Site Clinical Solution

    Charlotte 4460243, North Carolina 4482348 28211
    United States

    Site Not Available

  • UTHealth Houston

    Houston, Texas 77030
    United States

    Site Not Available

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.