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NCT02954887

Phase 3 Trial of Cannabidiol (CBD; GWP42003-P) for Infantile Spasms: Open-label Extension Phase (GWPCARE7)

Completed Phase 3 Results posted Last updated 2 September 2022
What this trial tests

Phase 3 trial testing GWP42003-P in Infantile Spasms in 9 participants. Completed in 13 June 2019.

Timeline
12 May 2017
Primary endpoint
13 June 2019
13 June 2019

Quick facts

Lead sponsorJazz Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment9
Start date12 May 2017
Primary completion13 June 2019
Estimated completion13 June 2019
Sites7 locations across United States, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Jazz Pharmaceuticals — full company profile →

Who can join

Adults 1 Month to 24 Months, any sex, with Infantile Spasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Severe Treatment-emergent Adverse Events (TEAEs) Primary · From signing of informed consent up to Day 417

TEAEs were collected in members of the Safety Population, comprised of all participants who received at least 1 dose of GWP42003-P. TEAEs are defined as all adverse events not present prior to the first investigational medicinal product (IMP) or placebo administration or any event already present that worsened in severity or frequency following IMP.

GroupValue95% CI
GWP42003-P OS7
Number of Participants With Any Low or High Hematology Laboratory Parameter Value Primary · Days 19, 29, 43, 71, 127, 211, 295, 379, and 389
Day 19, Low
GroupValue95% CI
GWP42003-P OS3
Day 19, High
GroupValue95% CI
GWP42003-P OS4
Day 29, Low
GroupValue95% CI
GWP42003-P OS3
Day 29, High
GroupValue95% CI
GWP42003-P OS4
Day 43, Low
GroupValue95% CI
GWP42003-P OS1
Day 43, High
GroupValue95% CI
GWP42003-P OS2
Day 71, Low
GroupValue95% CI
GWP42003-P OS1
Day 71, High
GroupValue95% CI
GWP42003-P OS3
Number of Participants With Any Low or High Biochemistry Laboratory Parameter Value Primary · Days 19, 29, 43, 71, 127, 211, 295, 379, and 389
Day 19, Low
GroupValue95% CI
GWP42003-P OS6
Day 19, High
GroupValue95% CI
GWP42003-P OS7
Day 29, Low
GroupValue95% CI
GWP42003-P OS6
Day 29, High
GroupValue95% CI
GWP42003-P OS6
Day 43, Low
GroupValue95% CI
GWP42003-P OS4
Day 43, High
GroupValue95% CI
GWP42003-P OS5
Day 71, Low
GroupValue95% CI
GWP42003-P OS2
Day 71, High
GroupValue95% CI
GWP42003-P OS4
Number of Participants With Any Clinically Relevant Urinalysis Parameter Value Primary · Days 19, 29, 43, 71, 127, 211, 295, 379, and 389

Clinical relevance was determined by the investigator.

Day 19
GroupValue95% CI
GWP42003-P OS0
Day 29
GroupValue95% CI
GWP42003-P OS0
Day 43
GroupValue95% CI
GWP42003-P OS0
Day 71
GroupValue95% CI
GWP42003-P OS1
Day 127
GroupValue95% CI
GWP42003-P OS0
Day 211
GroupValue95% CI
GWP42003-P OS0
Day 295
GroupValue95% CI
GWP42003-P OS0
Day 379
GroupValue95% CI
GWP42003-P OS0
Number of Participants With Clinically Significant Electrocardiogram Findings Primary · From signing of informed consent up to Day 389

Clinical significance was determined by the investigator.

GroupValue95% CI
GWP42003-P OS0
Number of Participants With Clinically Significant Vital Sign Findings Primary · From signing of informed consent up to Day 389

Clinical significance was determined by the investigator.

GroupValue95% CI
GWP42003-P OS0
Number of Participants With Clinically Significant Physical Examination Findings Primary · From signing of informed consent up to Day 389

Clinical significance was determined by the investigator.

GroupValue95% CI
GWP42003-P OS0
Number of Participants Free of Clinical Spasms Secondary · Days 29, 43, 127, 211, 295, and 379

Clinical spasms were determined by video-electroencephalography (VEEG) for at least 8 hours and up to 24 hours.

Day 29
GroupValue95% CI
GWP42003-P OS1
Day 43
GroupValue95% CI
GWP42003-P OS2
Day 127
GroupValue95% CI
GWP42003-P OS1
Day 211
GroupValue95% CI
GWP42003-P OS1
Day 295
GroupValue95% CI
GWP42003-P OS1
Day 379
GroupValue95% CI
GWP42003-P OS3
Percentage of Participants Free of Clinical Spasms Secondary · Days 29, 43, 127, 211, 295, and 379

Clinical spasms were determined by VEEG for at least 8 hours and up to 24 hours.

Day 29
GroupValue95% CI
GWP42003-P OS11.1
Day 43
GroupValue95% CI
GWP42003-P OS22.2
Day 127
GroupValue95% CI
GWP42003-P OS11.1
Day 211
GroupValue95% CI
GWP42003-P OS11.1
Day 295
GroupValue95% CI
GWP42003-P OS11.1
Day 379
GroupValue95% CI
GWP42003-P OS33.3
Number of Participants With a Resolution of Hypsarrhythmia Secondary · Days 29, 43, 127, 211, 295, and 379

Resolution of hypsarrhythmia was determined by VEEG for at least 8 hours and up to 24 hours.

Day 29
GroupValue95% CI
GWP42003-P OS1
Day 43
GroupValue95% CI
GWP42003-P OS0
Day 127
GroupValue95% CI
GWP42003-P OS1
Day 211
GroupValue95% CI
GWP42003-P OS0
Day 295
GroupValue95% CI
GWP42003-P OS1
Day 379
GroupValue95% CI
GWP42003-P OS3
Percentage of Participants With a Resolution of Hypsarrhythmia Secondary · Days 29, 43, 127, 211, 295, and 379

Resolution of hypsarrhythmia was determined by VEEG for at least 8 hours and up to 24 hours.

Day 29
GroupValue95% CI
GWP42003-P OS11.1
Day 43
GroupValue95% CI
GWP42003-P OS0
Day 127
GroupValue95% CI
GWP42003-P OS11.1
Day 211
GroupValue95% CI
GWP42003-P OS0
Day 295
GroupValue95% CI
GWP42003-P OS11.1
Day 379
GroupValue95% CI
GWP42003-P OS33.3
Number of Participants Experiencing Spasms and Seizures by Subtype Secondary · Days 19, 29, 127, 211, 295, and 379

Caregivers recorded the participant's spasms and seizures by category in a daily diary. Subtypes of spasms and seizure included, clonic, tonic-clonic, myoclonic, focal, and absence.

Day 19, Clonic
GroupValue95% CI
GWP42003-P OS0
Day 19, Tonic-Clonic
GroupValue95% CI
GWP42003-P OS0
Day 19, Atonic
GroupValue95% CI
GWP42003-P OS0
Day 19, Myoclonic
GroupValue95% CI
GWP42003-P OS0
Day 19, Focal
GroupValue95% CI
GWP42003-P OS1
Day 19, Absence
GroupValue95% CI
GWP42003-P OS0
Day 19, Not Done
GroupValue95% CI
GWP42003-P OS0
Day 29, Clonic
GroupValue95% CI
GWP42003-P OS0

Adverse events — posted to ClinicalTrials.gov

Time frame: From signing of informed consent up to Day 417. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cannabidiol OS
Serious: 2/9 (22%)
Deaths: 0/9

Serious adverse events (15 terms)

ReactionSystemCannabidiol OS
Enterovirus infectionInfections and infestations
PneumoniaInfections and infestations
Rhinovirus infectionInfections and infestations
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Respiratory distressRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Urinary retentionRenal and urinary disorders
BronchiolitisInfections and infestations
Pneumonia bacterialInfections and infestations
Pneumonia klebsiellaInfections and infestations
Urinary tract infection bacterialInfections and infestations
Viral upper respiratory infectionInfections and infestations
Other adverse events (35 terms — click to expand)

ReactionSystemCannabidiol OS
Upper respiratory tract congestionRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
IrritabilityPsychiatric disorders
Blood triglycerides increasedInvestigations
AnaemiaBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
HypertensionVascular disorders
HypotensionVascular disorders
Drug toleranceGeneral disorders
Sleep disorderPsychiatric disorders
Adenoidal hypertrophyRespiratory, thoracic and mediastinal disorders
SomnolenceNervous system disorders
Myoclonic epilepsyNervous system disorders
Petit mal epilepsyNervous system disorders
Pupils unequalEye disorders
DeafnessEar and labyrinth disorders
Middle ear effusionEar and labyrinth disorders
Gingival painGastrointestinal disorders
Dermatitis diaperSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Skin irritationSkin and subcutaneous tissue disorders
ScoliosisMusculoskeletal and connective tissue disorders
Decreased appetiteMetabolism and nutrition disorders
Feeding intoleranceMetabolism and nutrition disorders
Fluid overloadMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Viral infectionInfections and infestations
BronchiolitisInfections and infestations
Ear infectionInfections and infestations
NasopharyngitisInfections and infestations
Otitis mediaInfections and infestations
PneumoniaInfections and infestations
SinusitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations

Most-reported serious reactions: Enterovirus infection, Pneumonia, Rhinovirus infection, Acute respiratory failure, Hypoxia, Pneumonia aspiration, Respiratory distress, Respiratory failure.

Data from ClinicalTrials.gov NCT02954887 adverse events section.

Sponsor's own description

This trial consists of 3 parts: a pilot safety phase, a pivotal randomized controlled phase, and an open-label extension phase. The open-label extension phase only will be described in this record. All participants will receive GWP42003-P.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Use of Cannabidiol in the Treatment of Epilepsy: Efficacy and Security in Clinical Trials.
    Silvestro S, Mammana S, Cavalli E, Bramanti P, et al · · 2019 · cited 114× · PMID 31013866 · DOI 10.3390/molecules24081459
  2. Medical Cannabis in Pediatric Oncology: Friend or Foe?
    Malach M, Kovalchuk I, Kovalchuk O. · · 2022 · cited 8× · PMID 35337156 · DOI 10.3390/ph15030359
  3. Parent-reported outcome measures evaluating communication in individuals with rare neurodevelopmental disorders: A systematic review.
    Saldaris JM, Ayalde J, Kankanange S, Keeley J, et al · · 2024 · cited 2× · PMID 39141588 · DOI 10.1111/1460-6984.13100

Verify or expand the search:

Other trials of GWP42003-P

Trials testing the same drug.

Other recruiting trials for Infantile Spasms

Currently open trials in the same condition.

Other Jazz Pharmaceuticals trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing