E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
SCN8A Developmental and Epileptic Encephalopathy Syndrome (SCN8ADEE) |
Sindrome dell’encefalopatia epilettica e dello sviluppo correlata a SCN8A (SCN8A-DEE) |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10077380 |
E.1.2 | Term | Epileptic encephalopathy |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy of NBI-921352 as adjunctive therapy on the frequency of countable motor seizures |
Valutare l’efficacia di NBI-921352 come terapia aggiuntiva sulla frequenza delle crisi convulsive motorie |
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E.2.2 | Secondary objectives of the trial |
• To evaluate the efficacy of NBI-921352 using the Clinical and Parent/Caregiver Global Impression of Change scales and the Clinical and Parent/Caregiver Global Impression of Severity scales. • To characterize the pharmacokinetics of NBI-921352 and determine the effect of NBI-921352 on plasma levels of concomitant ASMs and evaluated metabolites. • To evaluate the safety and tolerability of NBI-921352. |
Valutare l’efficacia di NBI-921352 utilizzando la scala di impressione globale del cambiamento clinica e quella per genitori/caregiver e le scale di impressione globale di gravità da parte del genitore/caregiver e clinica. Caratterizzare la farmacocinetica (PK) di NBI-921352 e determinare l’effetto di NBI-921352 sui livelli plasmatici di farmaci antiepilettici (ASM) concomitanti e dei metaboliti valutati. Valutare la sicurezza e la tollerabilità di NBI-921352. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Be a male or female 12 to 21 years of age, inclusive. • Have a diagnosis of SCN8A-DEE supported by both clinical and genetic findings • Have on average at least 1 countable motor seizure per week and not be seizure-free for more than 20 consecutive days. • Being treated with at least 1 other ASM, but no more than 4 ASMs. • Have failed to achieve seizure freedom with at least 2 ASMs. • Must be using a nocturnal alerting system or practice consistent with standards of care at the time of screening and continue to use this for the duration of the study. • Must have an adequate rescue medication regimen per the investigator's judgment in place at the time of screening and for the duration of the study. • Have a body weight of at least 10 kg • The subject's parent/caregiver is able to accurately identify seizure types, especially countable motor seizures and is able to complet |
•Essere soggetti ambosessi di età tra 12 e 21 anni, compresi. •Avere una diagnosi di SCN8A-DEE supportata sia da risultati clinici che genetici •Il soggetto manifesta in media almeno 1 crisi convulsiva motoria numerabile ogni settimana e non presenta crisi convulsive per più di 20 giorni consecutivi. •Essere trattati con almeno 1 altro ASM, ma non più di 4 ASM. •Non sono riusciti a debellare le crisi convulsive nonostante il trattamento con almeno 2 ASM. •Devono utilizzare un sistema di allerta notturna o un processo in linea con gli standard di cura al momento dello screening e continuare a usare il sistema o il processo per tutta la durata dello studio. •Devono avere un adeguato regime farmacologico di soccorso in base al giudizio dello sperimentatore in vigore al momento dello screening e per la durata dello studio. •Devono presentare un peso corporeo di almeno 10 kg •Il genitore/la persona che assiste il soggetto deve essere in grado di identificare accuratamente i tipi di crisi convulsive, in particolare le crisi convulsive motorie numerabili, ed è in grado di compilare |
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E.4 | Principal exclusion criteria |
Have previously been enrolled in this study and received blinded treatment. • Have participated in an interventional clinical trial <30 days prior to screening. • Have symptoms that would be more consistent with another epilepsy disorder such as Dravet syndrome (eg, fever-induced episodes of status epilepticus, frequent myoclonic seizures, worsening on sodium channel blockers, absence seizures with generalized spike-and-wave EEG as the sole seizure type). • Are currently receiving cannabinoids or medical marijuana except Epidiolex/Epidyolex, unless approved by the Sponsor. • Are currently taking systemic steroids (excluding inhaled medication for asthma treatments). If subject has received these medications in the past, must be off these medications for at least 3 months prior to the screening visit and these drugs may not be initiated during the duration of the study. Intermittent steroids to treat nonepilepsy related diseases (such as allergies or dermatological conditions) are not exclusionary. • Have a history of moderate or severe head trauma or other neurological disorders or systemic medical diseases that are, in the investigator's opinion, likely to affect nervous system functioning. • Have a clinically significant medical condition or chronic disease that in the opinion of the investigator would preclude the subject from participating in and completing the study or that could confound interpretation of study outcome. • Have clinically significant abnormal vital signs at the screening visit as determined by the investigator. • Have one or more clinical laboratory test values outside the reference range, based on blood samples taken at the screening visit, that are of potential risk to the subject's safety • Have, at the screening visit, an ECG finding of a corrected QT interval using Fridericia's formula (QTcF) >450 msec or presence of any significant cardiac abnormality |
Essere stati precedentemente arruolati in questo studio e aver ricevuto un trattamento in cieco. •Aver partecipato a una sperimentazione clinica interventistica <30 giorni prima dello screening. •Presentare sintomi che sarebbero più coerenti con un altro disturbo dell’epilessia come la sindrome di Dravet (ad es. episodi indotti da febbre di stato epilettico, frequenti crisi convulsive miocloniche, peggioramento dei bloccanti dei canali del sodio,crisi convulsive di assenza con EEG punta-onda generalizzato come crisi convulsiva unica). •Ricevere attualmente cannabinoidi o marijuana per uso medico, ad eccezione di Epidiolex/Epidyolex, a meno che ciò non sia approvato dallo sponsor. •Assumere attualmente steroidi sistemici (esclusi farmaci per via inalatoria per i trattamenti dell’asma). Se il soggetto ha già ricevuto questi farmaci in passato, non deve averli assunti per almeno 3 mesi prima della visita di screening, e la somministrazione di questi farmaci non può essere iniziata nel corso dello studio. La terapia intermittente a base di steroidi per il trattamento di malattie non correlate ad epilessia (quali allergie o condizioni dermatologiche) non sono causa di esclusione. •Presentare un’anamnesi di trauma cranico moderato o grave o altri disturbi neurologici o patologie mediche sistemiche che, a giudizio dello sperimentatore, potrebbero influire sul funzionamento del sistema nervoso. •Presentare una condizione medica clinicamente significativa o una patologia cronica che, a giudizio dello sperimentatore, potrebbe impedire al soggetto di partecipare e completare lo studio o che potrebbe confondere l’interpretazione dell’esito dello studio. •Presentare segni vitali anomali clinicamente significativi alla visita di screening, secondo la valutazione dello sperimentatore. •Presentare uno o più valori dei test clinici di laboratorio al di fuori dell’intervallo di riferimento, sulla base dei campioni di sangue prelevati alla visita di screening, che costituiscono un potenziale rischio per la sicurezza del soggetto •Presentare, alla visita di screening, un risultato ECG di un intervallo QT corretto usando la formula di Fridericia (QTcF) >450 msec o una qualsiasi anomalia cardiaca significativa. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Percentage change from baseline in 28-day seizure frequency for countable motor seizures during the treatment period of the study. |
Variazione percentuale dal basale nella frequenza delle crisi convulsive ogni 28 giorni per le crisi convulsive computabili durante il periodo di trattamento dello studio. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Time Frame: Baseline, Treatment Period: Day 1 to Week 16 |
Finestra temporale: Basale, periodo di trattamento: dal giorno 1 alla settimana 16 |
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E.5.2 | Secondary end point(s) |
• Treatment response of = 50% decrease for countable motor seizures • Treatment response of = 25%, = 75%, or 100% decrease in countable motor seizures • Clinical Global Impression of Change (CGIC) at each study visit • Parent/Caregiver Global Impression of Change (GIC) at each study visit • Change from Baseline in Clinical Global Impression of Severity (CGIS) • Change from Baseline in Parent/Caregiver Global Impression of Severity (GIS) Other secondary endpoints (maintenance period): -Percentage Change from Baseline in 28-day Seizure Frequency for countable motor seizures -Treatment response of = 25%, = 50%, = 75%, or 100% decrease for countable motor seizures |
• Risposta al trattamento con una riduzione =50% per le crisi convulsive motorie computabili • Risposta al trattamento di =25%, =75% o riduzione del 100% delle crisi convulsive motorie computabili • Impressione clinica globale del cambiamento (CGIC) ad ogni visita dello studio • Impressione globale del cambiamento (GIC) del genitore/della persona che assiste il soggetto a ogni visita dello studio • Variazione rispetto al basale dell’impressione clinica globale della severità del genitore/tutore Altri endpoint secondari (periodo di mantenimento): - Variazione percentuale dal basale della frequenza delle crisi convulsive a 28 giorni delle le crisi convulsive motorie computabili - Risposta al trattamento di =25%, =50%, =75%, o riduzione del 100% per le crisi convulsive motorie computabili |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Time Frame: Baseline, Treatment Period: Day 1 to Week 16. Other secondary endpoints (maintenance period): Timeframe: Maintenance Period: Week 7 to Week 16 |
Finestra temporale: Basale, periodo di trattamento: Dal Giorno 1 alla Settimana 16. Altri endpoint secondari (periodo di mantenimento): Finestra temporale: Periodo di mantenimento: Dalla Settimana 7 alla Settimana 16 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Belgium |
Brazil |
Canada |
Czechia |
Denmark |
France |
Germany |
Italy |
Netherlands |
New Zealand |
Poland |
Portugal |
Spain |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 0 |