EP1 cannabidiol enriched cannabis oil in refractory epilepsy

Phase 2

• Conditions: Paediatric medication-resistant epilepsy; Neurological - Epilepsy

• Registration Number: ACTRN12618001706268
• Lead Sponsor: Cann Pharmaceutical Australia Limited

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-10-16
• Last Update Posted: 10 February 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. Resident in NSW aged 2 to 15 years inclusive at the time Informed Consent is obtained, or resident elsewhere aged 2 to 18 years inclusive at the time Informed Consent is obtained.
2. Weight at screening is less than/or equal to 100 kg.
3. Diagnosed with drug resistant epilepsy, which has not
responded to at least 3 AEDs at therapeutic doses, including one trial of a combination of 2 concomitant drugs. Vagal nerve stimulation, responsive neurostimulation, deep brain stimulation, or the ketogenic diet can each be considered equivalent to an AED.
4. Baseline seizure frequency of at least 2 countable seizures per week (non-countable seizures includes absence and myoclonic seizures). Note: seizures to be classified according to the International League Against Epilepsy (ILAE) 2017 classification.
5. Treatment with between 1-3 baseline anti-seizure medications at stable doses for a minimum of 4 weeks prior to enrolment.
6. If being treated with vagal nerve stimulation, there has been no change of device setting in the 3 months prior to enrolment.
7. If being treated with a ketogenic diet or Aitkin's diet, there has been no change of the diet's parameters in the 3 months prior to enrolment.
8. Prepared to continue treatment with current AED therapy, with no change of dose, throughout the double blind study period. Note: AED use with dose (including changes to dose) will be recorded for the 3 months prior to screening.
9. Clinical laboratory (haematology and biochemistry) values within the normal limits as defined by the local clinical laboratory, unless the investigator decides that out-of-range values are not clinically significant.
10. An Independent Ethics Committee (IEC) approved written informed consent form is signed and dated by either the participant, where appropriate, or the parent or legal representative (guardian or person responsible).
11. Able to fully conform with all study procedures, including visit schedules, seizure reports, PK study and continuation of other AEDs taken during the baseline period.
12. Investigator can confirm consistent seizure count over the past 3 months. The subject will need to provide an updated diary at the time of enrolment.
13. Investigator is able to confirm consistent seizure count over the past 3 months. The subject will need to provide an updated diary at the time of enrolment.

Exclusion Criteria

1. Epilepsies associated with neurodegenerative diseases, such as Rasmussen encephalitis and malignant brain tumours.
2. Epilepsies associated with treatable inborn errors of metabolism.
3. Presence of any medical disorder (including cardiovascular, renal, hepatic or endocrine disorders) considered clinically significant in the opinion of the Investigator.
4. Non-epileptic seizures.
5. Presence of significant medical illness such as heart disease,
compromised renal function, abnormal liver function or an
endocrine disorder requiring medication.
6. Current treatment with clobazam at a dose > 20 mg/day.
7. A significant oral or gastrointestinal condition that, in the
opinion of the investigator, may affect the absorption of
EP1.
8. Allergy or sensitivity to CBD (or any cannabinoids), olive
oil or flavouring agents.
9. Clinically significant current infection.
10. Females of child bearing potential who are currently
pregnant or breastfeeding or planning on becoming pregnant
during the study or within 3 months of study completion.
11. Sexually active males who intend to father children or not
using acceptable forms of contraception during the study and for 3 months thereafter. The acceptable methods of birth control are abstinence or double barrier birth control (i.e., condom plus spermicide or a condom plus diaphragm).
12. Sexually active females of child-bearing potential who are not prepared to take effective contraception. The acceptable methods of birth control are abstinence (from 4 weeks prior to dosing) or double barrier birth control (i.e., condom plus spermicide or a condom plus diaphragm).
13. Currently participating in an investigational drug or device
study.
14. Use of any cannabis related product, (including hemp oil)
based product in the past 12 months as assessed by parental/caregiver questioning; negative screen for CBD and THC levels at Screening.
15. Past treatment with CBD.
16. History of uncontrolled diabetes or hypertension.
17. History of severe personality disorder, suicidal history or
other significant psychiatric disorder/psychosis.
18. History of substance abuse/addiction including within the
last year, or daily consumption of significant alcohol
quantities.
19. In Investigator’s judgement, active medical
condition/treatment that impacts study activities
20. In the opinion of the Investigator, the parent(s)/caregiver(s)
are unable to comply with study requirements, including follow-up visits and tests.

Study & Design

• Study Type: Interventional
• Study Design: Not specified