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NCT04285346: TSC

Adjunctive Ganaxolone Treatment (Part A) in TSC Followed by Long-term Treatment (Part B)

Completed Phase 2 Results posted Last updated 4 April 2023
What this trial tests

Phase 2 trial testing Ganaxolone in Tuberous Sclerosis in 23 participants. Completed in 30 August 2022.

Timeline
8 April 2020
Primary endpoint
25 June 2021
30 August 2022

Quick facts

Lead sponsorMarinus Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment23
Start date8 April 2020
Primary completion25 June 2021
Estimated completion30 August 2022
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Marinus Pharmaceuticals — full company profile →

Who can join

Adults 2 to 65, any sex, with Tuberous Sclerosis. 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.

Percent Change From Baseline in 28-day Seizure Frequency Through the End of 12-Week Treatment Period Primary · Baseline and Up to Week 12

Primary seizures include atonic/drop, bilateral clonic, bilateral tonic, focal motor without impairment of consciousness or awareness, focal (motor or non-motor) with impairment of consciousness or awareness, focal to bilateral tonic-clonic, generalized tonic-clonic. Baseline 28-day seizure frequency was calculated as the total number of primary seizures in the Baseline period divided by the number of days with non-missing seizure data in the Baseline period, multiplied by 28. The Baseline Visit was defined as Week 0. Percent change from Baseline in 28-day seizure frequent was calculated as th

GroupValue95% CI
Treatment Period: Ganaxolone-16.61-56.40 – 14.86
Percentage of Participants Experiencing a >=50 Percent Reduction in 28-day Primary Seizure Frequency Through the End of the 12-week Treatment Period Compared to the Baseline Period Secondary · Baseline and up to 12 Weeks

Primary seizures include atonic/drop, bilateral clonic, bilateral tonic, focal motor without impairment of consciousness or awareness, focal (motor or non-motor) with impairment of consciousness or awareness, focal to bilateral tonic-clonic, generalized tonic-clonic. Percentage of participants reporting \>=50 percent reduction in seizure frequency has been presented.

GroupValue95% CI
Treatment Period: Ganaxolone30.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to Week 12 in Treatment period and From Week 12 to Week 38 in Open label period.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment Period: Ganaxolone
Serious: 3/23 (13%)
Deaths: 0/23
Open Label: Ganaxolone
Serious: 1/9 (11%)
Deaths: 0/9

Serious adverse events (4 terms)

ReactionSystemTreatment Period: GanaxoloneOpen Label: Ganaxolone
SeizureNervous system disorders
AspirationRespiratory, thoracic and mediastinal disorders
AngioedemaSkin and subcutaneous tissue disorders
Thalamic infarctionNervous system disorders
Other adverse events (38 terms — click to expand)

ReactionSystemTreatment Period: GanaxoloneOpen Label: Ganaxolone
SomnolenceNervous system disorders
SedationNervous system disorders
FatigueGeneral disorders
DizzinessNervous system disorders
AstheniaGeneral disorders
HyponatraemiaMetabolism and nutrition disorders
SeizureNervous system disorders
AtaxiaNervous system disorders
Balance disorderNervous system disorders
Coordination abnormalNervous system disorders
HydrocephalusNervous system disorders
InsomniaNervous system disorders
LethargyNervous system disorders
TremorNervous system disorders
Gait disturbanceGeneral disorders
CellulitisInfections and infestations
Ear infectionInfections and infestations
Gastroenteritis viralInfections and infestations
Viral infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
Gastrointestinal disorderGastrointestinal disorders
Lip dryGastrointestinal disorders
Duodenal ulcerGastrointestinal disorders
Burns second degreeInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
Skin woundInjury, poisoning and procedural complications
Tooth fractureInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Decreased appetiteMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Abnormal behaviourPsychiatric disorders
AggressionPsychiatric disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
DiplopiaEye disorders
Immunosuppressant drug level increasedInvestigations

Most-reported serious reactions: Seizure, Aspiration, Angioedema, Thalamic infarction.

Data from ClinicalTrials.gov NCT04285346 adverse events section.

Sponsor's own description

To assess preliminary safety and efficacy of ganaxolone as adjunctive therapy for the treatment of primary seizure types in patients with genetically- or clinically-confirmed TSC-related epilepsy through the end of the 12 week treatment period.

Publications & conference data

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

  1. Neurosteroids as Novel Anticonvulsants for Refractory Status Epilepticus and Medical Countermeasures for Nerve Agents: A 15-Year Journey to Bring Ganaxolone from Bench to Clinic.
    Reddy DS. · · 2024 · cited 21× · PMID 37977814 · DOI 10.1124/jpet.123.001816
  2. Insights and progress on the biosynthesis, metabolism, and physiological functions of gamma-aminobutyric acid (GABA): a review.
    Zhang Q, Zhu L, Li H, Chen Q, et al · · 2024 · cited 20× · PMID 39703920 · DOI 10.7717/peerj.18712
  3. Corticosteroids in childhood epilepsies: A systematic review.
    Becker LL, Kaindl AM. · · 2023 · cited 10× · PMID 36970534 · DOI 10.3389/fneur.2023.1142253

Verify or expand the search:

Other trials of Ganaxolone

Trials testing the same drug.

Other recruiting trials for Tuberous Sclerosis

Currently open trials in the same condition.

Other Marinus Pharmaceuticals trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04285346.

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