ClinicalTrials.gov
ClinicalTrials.gov Menu
Trial record 4 of 1488 for:    "Epilepsy"

Treatment of Drug Resistant Epilepsy (Cannabidiol)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02461706
Expanded Access Status : No longer available
First Posted : June 3, 2015
Last Update Posted : May 22, 2018
Sponsor:
Collaborator:
James and Esther King Biomedical Research Program
Information provided by (Responsible Party):
University of Florida

Brief Summary:
The main goal of this study is to provide treatment with cannabidiol (CBD) to children with drug resistant epilepsy through a Physician Expanded Access Investigation New Drug protocol. As the controlled therapeutic use of CBD in children is novel, the primary objective of this study is to evaluate the safety and efficacy of CBD when administered as adjunctive therapy in children that have exhausted the majority of FDA approved antiepileptic drug treatment options.

Condition or disease Intervention/treatment
Epilepsy Drug: cannabidiol Other: Blood Test

Detailed Description:
Fifty, (50) children will be provided CBD as part of the Principal Investigator's Physician Expanded Access IND. CBD will be administered as an adjunct to all current antiepileptic drugs. After the screening visit, a 4 week baseline period will be followed and seizures will be recorded in the seizure diary given to the patient at this time. The patients will be clinically evaluated at baseline, once a month for three months and once every three months thereafter. For the first week after study initiation, patients will be called at day 3 to review any changes in condition and again at day 7 to review any changes in condition and to determine whether an increase in dosing is required. Subsequently, patients will be called each week during the titration period to review any changes in condition and determine whether an increase in dosing is required. Maximal dose titration should be achieved in most patients within 5 weeks. In order to ensure safe use at higher doses, patients who receive more than 600 mg of daily CBD will be evaluated at least monthly until they achieve steady state at their final fixed maintenance dose. The investigator will be available by telephone or email throughout the initial four months of the study in between the visits.

Study Type : Expanded Access
Official Title: Physician Expanded Access to Investigational New Drug Cannabidiol for the Treatment of Drug Resistant Epilepsy

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Epilepsy


Intervention Details:
  • Drug: cannabidiol
    All subjects will have a dosing titration starting with 25 mg/kg/day and will be titrated weekly as tolerated based on clinical response. All subjects will be clinically evaluated at baseline, once a month for three months and every three months thereafter. In order to ensure safe use at higher doses, patients receiving more than 600 mg of daily CBD will be evaluated at least monthly until they achieve steady state at the final fixed maintenance dose.
    Other Name: CBD
  • Other: Blood Test
    All subjects will have the following clinical laboratory tests including changes in bone marrow (CBC), liver (AST, ALT), and kidney function (creatinine, electrolytes, BUN) will be assessed at baseline, each month during months 1 to 3, and every 3 months thereafter.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   2 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Criteria

Inclusion Criteria:

  • history of a trial of at least four drugs, including one trial of a combination of two concomitant drugs, without successful seizure control.
  • Vagal nerve stimulation: VNS must be on stable settings for a minimum of 1 month,
  • RNS deep brain stimulation, or
  • the ketogenic diet can be considered equivalent to a drug trial and must be on a stable ratio for a minimum of 3 months.
  • anti-epileptic drugs at stable doses for a minimum of 4 weeks prior to enrollment.
  • 4 clinically countable seizures per month: Seizure history to include a documented history of generalized seizures (drop attacks, atonic, tonic-clonic and/or myoclonic), focal seizures without loss of consciousness with a motor component, focal seizures with loss of consciousness, or focal seizures with secondary generalization,

Exclusion Criteria:

  • Use of CBD based product within the previous 30 days.
  • Initiation of felbamate within 6 months.
  • Allergy to CBD or any cannabinoid.
  • Unable to comply with study visits/requirements.
  • Diagnosis of Dravet Syndrome or Lennox-Gastaut syndrome will be excluded completely from this trial.
  • Cannabidiol is contraindicated in pregnancy. Female subjects who are pregnant will be excluded from the study. If a female subject is able to become pregnant, she will be given a serum pregnancy test before entry into the study. Female subjects will be informed not become pregnant while taking cannabidiol. Female subjects must tell the investigator and consult an obstetrician or maternal-fetal specialist if they become pregnant during the study.

Information from the National Library of Medicine

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): NCT02461706


Locations
United States, Florida
University of Flordia CRC
Gainesville, Florida, United States, 32610
Nicklaus Children's Hospital, Miami Children's Health System
Miami, Florida, United States, 33155
Sponsors and Collaborators
University of Florida
James and Esther King Biomedical Research Program
Investigators
Principal Investigator: Steven Winesett, MD University of Florida

Responsible Party: University of Florida
ClinicalTrials.gov Identifier: NCT02461706     History of Changes
Other Study ID Numbers: IRB201401013
FLGV ( Other Grant/Funding Number: Florida Department of Health )
First Posted: June 3, 2015    Key Record Dates
Last Update Posted: May 22, 2018
Last Verified: May 2018

Keywords provided by University of Florida:
Drug resistant epilepsy

Additional relevant MeSH terms:
Epilepsy
Drug Resistant Epilepsy
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases