Expanded Access Use of Stiripentol in Dravet Syndrome or Sodium Channel Mutation Epileptic Encephalopathies
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ClinicalTrials.gov Identifier: NCT02239276 |
Expanded Access Status :
No longer available
First Posted : September 12, 2014
Last Update Posted : February 5, 2020
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Condition or disease | Intervention/treatment |
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Dravet Syndrome Epileptic Encephalopathies Associated With SCN1A Mutations | Drug: Stiripentol |
The initial dose of Stiripentol will be determined by the prescribing neurologist and titrated up to an initial goal dose of 50 mg/kg/day divided into 2 to 3 doses per day. Further dose increases by 10-20 mg/kg/day increments up to a max of 100 mg/kg/day or 4000 mg total daily dose may be necessary for improved seizure control.
Stiripentol is available as gelatin capsules and powder sachets (250 mg, 500 mg). The same granule formulation (i.e. active, PVP and portion of sodium starch glycolate) used for the capsule is used in the final powder blend with a few additional excipients. Depending upon patient weight, the 250 mg or 500 mg formulation will be utilized for each participant.
Caretakers will be queried about common adverse effects including drowsiness, tremor, ataxis, nausea, anorexia, weight loss, and emesis. Intolerable adverse effects will prompt dose reduction or withholding medication.
Monitoring of these and other potential AEs will occur during study visits and participant-initiated telephone calls throughout the study. Safety events and tolerability will be recorded as adverse events (AE) or serious adverse events (SAE).
Physical examination, weight, vital signs, and laboratory tests (cbc, complete metabolic panel, and AED levels) will be conducted at baseline and at least every 6 months and as clinically warranted.
Study Type : | Expanded Access |
Official Title: | Expanded Access Use of Stiripentol in Participants With Dravet Syndrome or Epileptic Encephalopathies Associated With Sodium Channel Mutations |

- Drug: Stiripentol
The initial dose of Stiripentol will be determined by the prescribing neurologist and titrated up to an initial goal dose of 50 mg/kg/day divided into 2 to 3 doses per day. Further dose increases by 10-20 mg/kg/day increments up to a max of 100 mg/kg/day or 4000 mg total daily dose may be necessary for improved seizure control.Other Name: Diacomit

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Ages Eligible for Study: | 6 Months to 18 Years (Child, Adult) |
Sexes Eligible for Study: | All |
Inclusion Criteria:
- 6 months and older
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Diagnosis of Dravet Syndrome or epileptic encephalopathies associated with SCN1A mutations defined as:
- A documented gene mutation reported to result in Dravet syndrome phenotype; OR
- Clinical confirmation of Dravet syndrome by two pediatric neurologists; OR
- Clinical confirmation of other epileptic encephalopathies associated with sodium channel mutations
- Failure of at least 2 therapeutic anticonvulsants (excluding Na Channel blockers) indicative of intractable seizures
Exclusion Criteria:
- Hypersensitivity to the active substance or to any of the excipients
- Past history of psychoses in the form of episodes of delirium
- Impaired hepatic and/or renal function, defined as creatinine >2 and/or transaminase >4xULN

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02239276
United States, Texas | |
Cook Children's Medical Center | |
Fort Worth, Texas, United States, 76104 |
Principal Investigator: | Scott Perry, MD | Cook Children's Health Care System |
Responsible Party: | Cook Children's Health Care System |
ClinicalTrials.gov Identifier: | NCT02239276 |
Other Study ID Numbers: |
2014-047 |
First Posted: | September 12, 2014 Key Record Dates |
Last Update Posted: | February 5, 2020 |
Last Verified: | January 2020 |
Stiripentol Dravet syndrome Epilepsy Epileptic Encephalopathies |
Syndrome Epileptic Syndromes Stiripentol Brain Diseases Epilepsy Epilepsies, Myoclonic |
Disease Pathologic Processes Central Nervous System Diseases Nervous System Diseases Epilepsy, Generalized Anticonvulsants |