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Trial Title: Open-label Study of Adjunctive GNX Treatment in Children and Adults With TSC-related Epilepsy

NCT ID: NCT05604170

Condition: Tuberous Sclerosis Complex

Conditions: Official terms:
Tuberous Sclerosis
Epilepsy
Sclerosis
Ganaxolone

Conditions: Keywords:
Tuberous Sclerosis Complex-Related Epilepsy
Ganaxolone
Adjunctive

Study type: Interventional

Study phase: Phase 3

Overall status: Enrolling by invitation

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: This is an open-label, single arm study with no blinding as all participants will receive adjunctive GNX

Intervention:

Intervention type: Drug
Intervention name: Ganaxolone
Description: GNX will be administered.
Arm group label: Ganaxolone (GNX) oral suspension, 3 times a day (TID)

Summary: This is a Phase 3, global, open-label extension (OLE) study of adjunctive GNX treatment in children and adults with TSC who previously participated in either Study 1042-TSC-3001 or Study 1042-TSC-2001

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Completion of Study 1042-TSC-3001 or participants who continue to meet study requirements in Study 1042-TSC-2001. 2. Participant/parent(s)/LAR(s) willing and able to give written informed consent/assent, after being properly informed of the nature and risks of the study and prior to engaging in any study-related procedures. If the participant is not qualified or able to provide written informed consent based on age, developmental stage, intellectual capacity, or other factors, parent(s)/LAR(s) must provide assent for study participation, if appropriate. 3. Parent(s)/caregiver(s) is (are) willing and able to maintain an accurate and complete daily seizure diary for the duration of the study. 4. Willing and able to take Investigational product (IP) (suspension) as directed with food TID. 5. Women of childbearing potential (WOCBP) must be using a medically acceptable method of birth control and have a negative quantitative serum beta-human chorionic growth hormone (β-HCG) test collected at the initial visit. Childbearing potential is defined as a female who is biologically capable of becoming pregnant. Medically acceptable methods of birth control include intrauterine devices (that have been in place for at least 1 month prior to the screening visit), hormonal contraceptives (eg, combined oral contraceptives, patch, vaginal ring, injectables, and implants), and surgical sterilization (such as oophorectomy or tubal ligation). When used consistently and correctly, "double-barrier" methods of contraception can be used as an effective alternative to highly effective contraception methods. Contraceptive measures such as Plan B™, sold for emergency use after unprotected sex, are not acceptable methods for routine use 6. Male participants must agree to use highly effective contraceptive methods during the study and for 30 days after the last dose of IP. Highly effective methods of contraception include surgical sterilization (such as a vasectomy) and adequate "double-barrier" methods. Exclusion Criteria: 1. Pregnant or breastfeeding. 2. An active Central nervous system (CNS) infection, demyelinating disease, or degenerative neurological disease. 3. History of psychogenic nonepileptic seizures. 4. Any disease or condition (other than TSC) at the initial visit that could compromise the hematologic, cardiovascular (including any cardiac conduction defect), pulmonary, renal, gastrointestinal, or hepatic systems; or other conditions that might interfere with the absorption, distribution, metabolism, or excretion of the IP, or would place the participant at increased risk or interfere with the assessment of safety/efficacy. This may include any illness in the past 4 weeks which in the opinion of the investigator may affect seizure frequency. 5. Unwillingness to avoid excessive alcohol use or cannabis use throughout the study. 6. Have active suicidal plan/intent or have had active suicidal thoughts in the past 6 months or a suicide attempt in the past 6 months. 7. Known sensitivity or allergy to any component in the IP(s), progesterone, or other related steroid compounds. 8. Exposed to any other investigational drug (except for GNX in Study 1042-TSC-2001 or Study 1042-TSC-3001) or investigational device within 30 days or fewer than 5 half-lives prior to Visit 1 (first visit of the OLE). For therapies in which half-life cannot be readily established, the Sponsor's medical monitor should be consulted.

Gender: All

Minimum age: 1 Year

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Arkansas Children's Research Institute

Address:
City: Little Rock
Zip: 72202
Country: United States

Facility:
Name: UCLA Mattel Children's Hospital, TSC Center

Address:
City: Los Angeles
Zip: 90095
Country: United States

Facility:
Name: Children's Hospital of Orange County

Address:
City: Orange
Zip: 92868
Country: United States

Facility:
Name: Children's Hospital Colorado

Address:
City: Aurora
Zip: 80045
Country: United States

Facility:
Name: Mid-Atlantic Epilepsy and Sleep Center

Address:
City: Bethesda
Zip: 20817
Country: United States

Facility:
Name: Mayo Clinic - Rochester

Address:
City: Rochester
Zip: 55905
Country: United States

Facility:
Name: University of Rochester Medical Center

Address:
City: Rochester
Zip: 14642
Country: United States

Facility:
Name: University of North Carolina at Chapel Hill

Address:
City: Chapel Hill
Zip: 27599
Country: United States

Facility:
Name: Atrium Health/Levine Children's Hospital

Address:
City: Charlotte
Zip: 28207
Country: United States

Facility:
Name: Duke University Medical Center

Address:
City: Durham
Zip: 27712
Country: United States

Facility:
Name: Penn State Children's Hospital

Address:
City: Hershey
Zip: 17033
Country: United States

Facility:
Name: Children's Hospital of Philadelphia

Address:
City: Philadelphia
Zip: 19104
Country: United States

Facility:
Name: Medical University of South Carolina

Address:
City: Charleston
Zip: 29425
Country: United States

Facility:
Name: Le Bonheur Children's Hospital

Address:
City: Memphis
Zip: 38103
Country: United States

Facility:
Name: Child Neurology Consultants of Austin (CNCA)

Address:
City: Austin
Zip: 78757
Country: United States

Facility:
Name: McGovern Medical School at the University of Texas Health Science Center

Address:
City: Houston
Zip: 77030
Country: United States

Facility:
Name: Austin Health

Address:
City: Heidelberg
Zip: VIC 3084
Country: Australia

Facility:
Name: Alfred Health

Address:
City: Melbourne
Zip: VIC 3004
Country: Australia

Facility:
Name: Royal Melbourne Hospital

Address:
City: Parkville
Zip: VIC 3050
Country: Australia

Facility:
Name: The Royal Children's Hospital Melbourne

Address:
City: Parkville
Zip: VIC 3052
Country: Australia

Facility:
Name: Hôtel Dieu de Montréal - CHUM

Address:
City: Montréal
Zip: H2X 0C2
Country: Canada

Facility:
Name: CHU Sainte-Justine

Address:
City: Montréal
Zip: H3T 1C5
Country: Canada

Facility:
Name: The Hospital for Sick Children

Address:
City: Toronto
Zip: M5G 1X8
Country: Canada

Facility:
Name: Toronto Western Hospital

Address:
City: Toronto
Zip: M5T 2S8
Country: Canada

Facility:
Name: BC Children's Hospital

Address:
City: Vancouver
Zip: V6H 3V4
Country: Canada

Facility:
Name: Peking University First Hospital

Address:
City: Beijing
Zip: 100034
Country: China

Facility:
Name: Beijing Children Hospital, Capital Medical University

Address:
City: Beijing
Zip: 100045
Country: China

Facility:
Name: Chinese PLA General Hospital

Address:
City: Beijing
Zip: 100080
Country: China

Facility:
Name: The Affiliated Hospital of Guizhou Medical University

Address:
City: Beijing
Zip: 550004
Country: China

Facility:
Name: First Hospital of Jilin University

Address:
City: Jilin
Zip: 130028
Country: China

Facility:
Name: Chengdu's Women and Children's Central Hospital

Address:
City: Qingyang
Zip: 610000
Country: China

Facility:
Name: University Hospital of Lyon

Address:
City: Bron
Zip: 69229
Country: France

Facility:
Name: Robert-Debré Hospital

Address:
City: Paris
Zip: 75019
Country: France

Facility:
Name: Hôpital de la Pitié-Salpêtrière

Address:
City: Paris
Zip: 75651
Country: France

Facility:
Name: University Hospital of Rennes

Address:
City: Rennes
Zip: 35700
Country: France

Facility:
Name: University of Strasbourg

Address:
City: Strasbourg
Zip: 67084
Country: France

Facility:
Name: Epilepsie-Zentrum Bethel - Krankenhaus Mara

Address:
City: Bielefeld
Zip: 33617
Country: Germany

Facility:
Name: University Hospital Bonn

Address:
City: Bonn
Zip: 53127
Country: Germany

Facility:
Name: ZNN - Epilepsiezentrum Frankfurt am Main

Address:
City: Frankfurt
Zip: 60528
Country: Germany

Facility:
Name: Universitäts Krankenhaus Freiburg

Address:
City: Freiburg
Zip: 79106
Country: Germany

Facility:
Name: Gemeinschaftskrankenhaus Herdecke

Address:
City: Herdecke
Zip: 58313
Country: Germany

Facility:
Name: Epilepsiezentrum Kleinwachau gGmbH

Address:
City: Radeberg
Zip: 1454
Country: Germany

Facility:
Name: Soroka University Medical Center

Address:
City: Be'er Sheva
Zip: 8410100
Country: Israel

Facility:
Name: Schneider Children´s Medical Center

Address:
City: Petah Tikva
Zip: 4920235
Country: Israel

Facility:
Name: Tel-Aviv Sourasky Medical Center

Address:
City: Tel Aviv
Zip: 64239
Country: Israel

Facility:
Name: Azienda Ospedaliero-Universitaria Meyer

Address:
City: Firenze
Zip: 50139
Country: Italy

Facility:
Name: Pediatric Neurology and Muscular Diseases Unit - University of Genoa

Address:
City: Genova
Zip: 16147
Country: Italy

Facility:
Name: Policlinico Umberto I

Address:
City: Rome
Zip: 00185
Country: Italy

Facility:
Name: Hospital de la Santa Creu i Sant Pau

Address:
City: Barcelona
Zip: 8025
Country: Spain

Facility:
Name: Hospital Universitari Vall d'Hebron

Address:
City: Barcelona
Zip: 8035
Country: Spain

Facility:
Name: Hospital Sant Joan de Déu

Address:
City: Barcelona
Zip: 8950
Country: Spain

Facility:
Name: Hospital Infantil Universitario Niño Jesús

Address:
City: Madrid
Zip: 28009
Country: Spain

Facility:
Name: Hospital Ruber International

Address:
City: Madrid
Zip: 28034
Country: Spain

Facility:
Name: Hospital Regional Universitario de Málaga

Address:
City: Málaga
Zip: 29010
Country: Spain

Facility:
Name: Hospital Universitario y Politécnico La Fe

Address:
City: Valencia
Zip: 46026
Country: Spain

Facility:
Name: Bristol Royal Hospital for Children

Address:
City: Bristol
Zip: BS2 8AE
Country: United Kingdom

Facility:
Name: NHS acute tertiary referral centre, John Radcliffe Hospital

Address:
City: Oxford
Zip: OX3 9DU
Country: United Kingdom

Facility:
Name: Salford Royal Hospital

Address:
City: Salford
Zip: M6 8HD
Country: United Kingdom

Facility:
Name: Sheffield Children's Hospital

Address:
City: Sheffield
Zip: S10 2TH
Country: United Kingdom

Start date: May 16, 2022

Completion date: June 2027

Lead sponsor:
Agency: Marinus Pharmaceuticals
Agency class: Industry

Source: Marinus Pharmaceuticals

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05604170

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