Safety and Efficacy Study of IV Ganaxolone as Adjuvant Therapy for Established Status Epilepticus (ESE)

Status Epilepticus Clinical Trial

Official title:

A Study to Optimize the Dosing Regimen and Assess Safety and Efficacy of IV Ganaxolone as Adjuvant Therapy for Established Status Epilepticus

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT05757544
• Other study ID #: 1042-SE-2002
• Status: Withdrawn
• Phase: Phase 2
• Start date: April 1, 2023
• Est. completion date: February 2026

Study information

• Verified date: May 2024
• Source: Marinus Pharmaceuticals
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: February 2026
• Est. primary completion date: February 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Males or females at least 18 years of age at the time of the first IP bolus dose.

2. Has received benzodiazepines before or after arrival to the ED for generalized convulsive seizures lasting more than 5 minutes.

3. Has received the last dose of benzodiazepine more than 5 minutes prior to the first IP bolus initiation.

4. Ongoing or recurrent convulsions, or evidence of electrographic SE on rapid EEG immediately prior to the first IP bolus initiation.

5. The participant has not yet received a second-line IV AED for the treatment of the current episode of SE or the first IP bolus can be initiated within 15 minutes before or 10 minutes after the administration of such IV AED(s).

Exclusion Criteria:

1. The participant is intubated or the decision to proceed with intubation has been made.

2. The cause of SE is acute anoxic brain injury, cardiac arrest, acute trauma, hyper- or hypo-glycemia, or eclampsia.

3. The participant is known or suspected to be pregnant.

4. The participant is incarcerated at the time of SE occurrence.

5. Participants who pre-emptively opted out of the study.

6. A known allergy or sensitivity to progesterone or allopregnanolone medications/ supplements.

7. Receiving a concomitant IV product containing Captisol®.

8. Known estimated glomerular filtration rate (eGFR) <30 milliliters per minute (mL/min) and not receiving dialysis (may initiate first IP bolus prior to acute labs).

9. Individual weighing or suspected to weigh <40 kilograms (kg).

10. Hypotension requiring 2 or more vasopressors.

11. An individual who, in the opinion of the investigator has a life expectancy of less than 24 hours.

12. Use of an investigational product for which less than 30 days or 5 half-lives have elapsed from the final product administration. Participation in a non-interventional clinical study does not exclude eligibility.

13. Known or suspected history or evidence of a medical condition that, in the investigator's judgment, would expose participant to an undue risk of a significant adverse event or interfere with assessments of safety or efficacy during the study.

Related Conditions & MeSH terms

• Status Epilepticus

Intervention

Drug:
• IV Ganaxolone
IV Ganaxolone will be administered.
• IV Placebo
IV Placebo will be administered

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Marinus Pharmaceuticals

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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		At 1 hour
Secondary	Percentage of participants with no escalation of care for Status epilepticus (SE) during investigational product (IP) infusion		Up to Day 7
Secondary	Time to clinical seizure and electrographic SE cessation		Up to Day 7
Secondary	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		Up to 24 hours
Secondary	Percentage of participants with no escalation to IV anesthesia for treatment of seizures during IP infusion		Up to Day 7
Secondary	Percentage of participants with no escalation to IV anesthesia for treatment of seizures within 24 hours of the initial IP bolus		Up to 24 hours
Secondary	Time to clinical or electrographic seizure recurrence within 24 hours from the initiation of the first IP bolus		Up to 24 hours