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临床试验/EUCTR2021-002686-18-DE
EUCTR2021-002686-18-DE进行中(未招募)1 期

A Double-Blind, Randomized, Placebo-Controlled, Multicenter, Outpatient, Parallel-Group Study to Assess the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures

CB Biopharma SR0 个研究点目标入组 250 人开始时间: 2021年8月12日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
250

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • - Participant must be =12 years of age at the Baseline/Randomization
  • - Participant must have a study caregiver =18 years of age at the
  • Screening Visit; the study caregiver(s) must be a relative, partner,
  • friend, or legally authorized representative (LAR) of the participant, or a person who provides daily care to the participant and has a significant personal relationship with the participant; the study caregiver(s) must be able to recognize and observe the participant's seizures
  • - Participants with an established diagnosis of focal or generalized epilepsy or combined focal and generalized epilepsy with a documented history of stereotypical episodes of prolonged seizures that includes at least 1 of the following:
  • a) Generalized seizure episodes starting with a flurry of absence
  • seizures or myoclonic seizures with a minimum total duration of 5
  • b) Episodes of a focal seizure with a minimum duration of 3 minutes
  • c) Episodes of a focal seizure or a flurry of myoclonic seizures for at least 90 seconds followed by a generalized/bilateral tonic-clonic seizure with a minimum total duration of 3 minutes
  • - Prior to the Screening Visit, participant has experienced =4
  • stereotypical episodes of prolonged seizures in the past 6 months, and the last 2 stereotypical episodes of prolonged seizures must have
  • occurred within the 3 months prior to the Screening Visit
  • - Participant has had a documented brain computerized tomography or magnetic resonance imaging review, performed after diagnosis of
  • epilepsy and within the 5 years prior to the Screening Visit, that
  • confirms the absence of a progressive neurological disorder
  • - Participant is receiving a regimen of antiseizure medications (ASMs)
  • that has been stable (ie, no addition or removal of ASM[s]; dose
  • adjustments are permitted to ASM[s]; dose adjustments are not
  • permitted for benzodiazepines) for 30 days prior to the Screening Visit
  • - Male and female participants:
  • a) A male participant must agree to use contraception during the
  • Outpatient Treatment Period and for at least 7 days after investigational medicinal product (IMP) administration and refrain from donating sperm during this period
  • b) A female participant is eligible to participate if she is not pregnant,
  • not breastfeeding, and at least 1 of the following conditions applies:
  • i) Not a woman of childbearing potential (WOCBP)
  • ii) A WOCBP who agrees to follow the contraceptive guidance during
  • the Outpatient Treatment Period and for at least 30 days after IMP
  • administration
  • - Participant is capable of giving signed informed consent (or giving
  • assent, where required), which includes compliance with the
  • requirements and restrictions listed in the informed consent form (ICF), the protocol, and the individualized participant management plan (iPMP). The informed consent form (ICF), or a specific assent form, where required, will be signed and dated by minors
  • - The participant's study caregiver(s) must be capable of giving signed
  • informed consent), which includes compliance with the requirements
  • and restrictions listed in the ICF, the protocol, and the individualized
  • participant management plan (iPMP)
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 44
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 187
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 19

排除标准

  • - Participant has a current history of alcohol or drug use disorder, as
  • defined in the Diagnostic and Statistical Manual of Mental Disorders 5,
  • within the previous 1 year
  • - Participant has a known hypersensitivity to any components of the IMP
  • or comparable drugs (and/or an investigational device) as stated in this
  • protocol or to albuterol (or similar bronchospasm rescue medication if
  • needed to meet country-specific requirements)
  • - Participant has a diagnosis of atrial fibrillation or mitral stenosis
  • - Participant has a history of convulsive (generalized tonic-clonic) status
  • epilepticus in the 8 weeks prior to the Screening Visit
  • - Participant has a history or presence of known nonepileptic seizures
  • which cannot be distinguished from qualifying epileptic seizures
  • - Participant has a clinically significant known airway hypersensitivity (eg, bronchospasm to known allergens, such as pollen, animals, or food)
  • and/or acute respiratory signs/symptoms (eg, shortness of breath,
  • wheezing on lung auscultation)
  • - Participant has a clinically significant chronic pulmonary disorder other
  • than mild asthma (eg, chronic obstructive pulmonary disease, restrictive
  • lung diseases [including idiopathic pulmonary fibrosis]) and/or recent
  • history or presence of hemoptysis or pneumothorax
  • - Participant has had a positive antigen test for SARS-CoV-2 and
  • experienced moderate to severe signs/symptoms of respiratory distress
  • necessitating hospitalization or outpatient treatment such as ambulatory
  • oxygen, extensive treatment with inhaler medications, and/or oral
  • medications for a duration of 4 weeks or more, unless full resolution
  • occurred at least 6 months prior to Screening
  • - Participant has experienced an upper respiratory tract infection within
  • 4 weeks or bronchitis/pneumonia within 3 months before the Screening
  • - Participant has a history or presence of acute narrow-angle glaucoma
  • - Participant has a condition for which oral alprazolam is contraindicated
  • (eg, myasthenia gravis, severe respiratory insufficiency, and sleep apnea
  • - Participant has a history or presence of long QT syndrome, a family
  • history of sudden death due to long QT syndrome, or unexplained
  • - Chronic use of benzodiazepines for more than 3 days within a period of
  • 7 days will be allowed for approximately 30 % of study participants
  • - Participant is taking any drug that is a strong CYP3A4 inhibitor,
  • including azole antifungal agents (ketoconazole and itraconazole) and
  • - Participant is taking any opioids(eg, fentanyl, oxycodone, morphine) or
  • sedative hypnotics on a chronic basis
  • - Participant is taking nonselective beta blockers on a chronic basis
  • - Participant is taking pharmacotherapy for an active major psychiatric
  • disorder where major changes in regimen are needed or anticipated
  • during the study
  • - Participant has been treated with vagal nerve stimulation (VNS) for
  • less than 6 months or VNS settings have changed within 30 days before
  • the Screening Visit
  • - Participant has a clinically significant laboratory abnormality that may
  • increase the risk associated with study participation or may interfere
  • with the interpretation of study results, according to the judgment of the
  • Investigator
  • - Participant has an oxygen saturation <95 % (or less than normal in
  • 另有 3 项未显示

研究者

发起方
CB Biopharma SR

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