Trial Outcomes & Findings for Cannabidiol Oral Solution as an Adjunctive Treatment for Treatment-resistant Seizure Disorder (NCT NCT02318602)
NCT ID: NCT02318602
Last Updated: 2018-07-26
Results Overview
An Adverse Event (AE) is any untoward medical occurrence in a subject administered a pharmaceutical product. It does not necessarily have a causal relationship with this treatment.
COMPLETED
PHASE3
52 participants
Up to Week 50
2018-07-26
Participant Flow
Participant milestones
| Measure |
Infants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
|---|---|---|---|
|
Overall Study
STARTED
|
9
|
26
|
17
|
|
Overall Study
COMPLETED
|
8
|
22
|
15
|
|
Overall Study
NOT COMPLETED
|
1
|
4
|
2
|
Reasons for withdrawal
| Measure |
Infants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
|---|---|---|---|
|
Overall Study
Adverse Event
|
0
|
1
|
1
|
|
Overall Study
Withdrawal by Subject
|
0
|
3
|
0
|
|
Overall Study
Death
|
1
|
0
|
0
|
|
Overall Study
Guardian decision to withdraw
|
0
|
0
|
1
|
Baseline Characteristics
Cannabidiol Oral Solution as an Adjunctive Treatment for Treatment-resistant Seizure Disorder
Baseline characteristics by cohort
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age.Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age.Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to \<17 years of age.Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Total
n=52 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
1.00 Years
STANDARD_DEVIATION 0.00 • n=99 Participants
|
6.7 Years
STANDARD_DEVIATION 2.84 • n=107 Participants
|
13.9 Years
STANDARD_DEVIATION 1.58 • n=206 Participants
|
8.1 Years
STANDARD_DEVIATION 5.07 • n=7 Participants
|
|
Sex: Female, Male
Female
|
4 Participants
n=99 Participants
|
11 Participants
n=107 Participants
|
9 Participants
n=206 Participants
|
24 Participants
n=7 Participants
|
|
Sex: Female, Male
Male
|
5 Participants
n=99 Participants
|
15 Participants
n=107 Participants
|
8 Participants
n=206 Participants
|
28 Participants
n=7 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
2 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
5 Participants
n=7 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
7 Participants
n=99 Participants
|
24 Participants
n=107 Participants
|
16 Participants
n=206 Participants
|
47 Participants
n=7 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
2 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
1 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
1 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
2 Participants
n=7 Participants
|
|
Race (NIH/OMB)
White
|
8 Participants
n=99 Participants
|
19 Participants
n=107 Participants
|
16 Participants
n=206 Participants
|
43 Participants
n=7 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
3 Participants
n=7 Participants
|
|
Region of Enrollment
United States
|
9 participants
n=99 Participants
|
26 participants
n=107 Participants
|
17 participants
n=206 Participants
|
52 participants
n=7 Participants
|
PRIMARY outcome
Timeframe: Up to Week 50An Adverse Event (AE) is any untoward medical occurrence in a subject administered a pharmaceutical product. It does not necessarily have a causal relationship with this treatment.
Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
n=52 Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Percentage of Participants With Adverse Events
|
88.9 Percentage of participants
|
92.3 Percentage of participants
|
88.2 Percentage of participants
|
90.4 Percentage of participants
|
PRIMARY outcome
Timeframe: Up to Week 50A serious adverse event is any untoward medical occurrence ( whether considered to be related to investigational product or not) that at any dose results in death, is life threatening, requires inpatient hospitalization, results in disability/incapacity, is a congenital abnormality/ birth defect, or medically significant as determined by an investigator.
Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
n=52 Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Percentage of Participants With Serious Adverse Events
|
77.8 Percentage of participants
|
38.5 Percentage of participants
|
0 Percentage of participants
|
32.7 Percentage of participants
|
PRIMARY outcome
Timeframe: Up to Week 50Laboratory values include chemistry and hematology, and urinary analysis.
Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Percentage of Participants With Clinically Significant Change From Baseline in Laboratory Values
Hematology
|
0 Percentage of participants
|
0 Percentage of participants
|
0 Percentage of participants
|
—
|
|
Percentage of Participants With Clinically Significant Change From Baseline in Laboratory Values
Blood Chemistry
|
0 Percentage of participants
|
0 Percentage of participants
|
0 Percentage of participants
|
—
|
|
Percentage of Participants With Clinically Significant Change From Baseline in Laboratory Values
Urinalysis
|
0 Percentage of participants
|
0 Percentage of participants
|
0 Percentage of participants
|
—
|
PRIMARY outcome
Timeframe: Up to Week 48Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Percentage of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Findings
|
0 Percentage of participants
|
0 Percentage of participants
|
0 Percentage of participants
|
—
|
PRIMARY outcome
Timeframe: Up to Week 50Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Percentage of Participants With Clinically Significant Change From Baseline in Vital Signs
|
0 Percentage of participants
|
0 Percentage of participants
|
0 Percentage of participants
|
—
|
PRIMARY outcome
Timeframe: Up to Week 50Population: Insufficient data was collected to perform study analysis.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Up to Week 48Population: The Safety Analysis Population (SAF) consisted of all participants in the enrolled population group (ENR) who received at least one dose of the investigational product.
The Vineland Adaptive Behavior Scales measures the personal and social skills of individuals from birth through adulthood. Because adaptive behavior refers to an individual's typical performance of the day-to-day activities required for personal and social sufficiency, these scales assess what a person actually does, rather than what he or she is able to do. The Vineland Adaptive Behavior Scales, Second Edition (Survey Interview Form) is a measure of adaptive behavior in children, adolescents and adults. It yields an overall standard score (Adaptive Behavior Composite, ABC) and age standard scores in four domains. The 4 domains are Communication, Daily Living Skills, Motor Skills, and Maladaptive Behaviour Index. ABC scores have a mean of 100 and a standard deviation of 15 (range = 20 to 160). Higher scores suggest a higher level of adaptive functioning. A rise in standard scores from Baseline indicates improvement. The VABS will be completed for all participants.
Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Interpersonal Relationships (Wk 48)
|
14.0 Score on a scale
Standard Deviation 12.62
|
33.3 Score on a scale
Standard Deviation 22.67
|
26.7 Score on a scale
Standard Deviation 24.35
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Fine (Week 48)
|
6.0 Score on a scale
Standard Deviation 8.67
|
32.2 Score on a scale
Standard Deviation 27.56
|
24.0 Score on a scale
Standard Deviation 25.21
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Coping Skills (Week 48)
|
3.1 Score on a scale
Standard Deviation 4.32
|
15.0 Score on a scale
Standard Deviation 17.08
|
15.9 Score on a scale
Standard Deviation 20.63
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Interpersonal Relationships (Day 1)
|
9.4 Score on a scale
Standard Deviation 10.14
|
28.9 Score on a scale
Standard Deviation 22.93
|
31.1 Score on a scale
Standard Deviation 25.41
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Expressive (Day 1)
|
6.8 Score on a scale
Standard Deviation 7.34
|
40.4 Score on a scale
Standard Deviation 37.53
|
40.3 Score on a scale
Standard Deviation 42.76
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Expressive (Week 36)
|
8.3 Score on a scale
Standard Deviation 9.03
|
51.7 Score on a scale
Standard Deviation 41.79
|
36.0 Score on a scale
Standard Deviation 41.63
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Expressive (Week 48)
|
9.9 Score on a scale
Standard Deviation 9.30
|
48.6 Score on a scale
Standard Deviation 38.91
|
34.3 Score on a scale
Standard Deviation 40.62
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Receptive (Day 1)
|
6.0 Score on a scale
Standard Deviation 7.35
|
17.4 Score on a scale
Standard Deviation 13.10
|
18.8 Score on a scale
Standard Deviation 14.88
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Receptive (Week 36)
|
8.6 Score on a scale
Standard Deviation 7.23
|
21.1 Score on a scale
Standard Deviation 13.15
|
15.7 Score on a scale
Standard Deviation 15.95
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Receptive (Week 48)
|
11.5 Score on a scale
Standard Deviation 8.73
|
20.6 Score on a scale
Standard Deviation 13.15
|
16.8 Score on a scale
Standard Deviation 14.62
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Written (Day 1)
|
0.0 Score on a scale
Standard Deviation 0.00
|
9.2 Score on a scale
Standard Deviation 13.47
|
12.9 Score on a scale
Standard Deviation 17.09
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Interpersonal Relationships (Wk 36)
|
11.9 Score on a scale
Standard Deviation 10.67
|
35.7 Score on a scale
Standard Deviation 21.85
|
25.8 Score on a scale
Standard Deviation 22.75
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Written (Week 36)
|
1.3 Score on a scale
Standard Deviation 2.31
|
11.8 Score on a scale
Standard Deviation 15.98
|
12.8 Score on a scale
Standard Deviation 17.33
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Communication: Written (Week 48)
|
0.0 Score on a scale
Standard Deviation 0.00
|
10.8 Score on a scale
Standard Deviation 13.88
|
10.5 Score on a scale
Standard Deviation 17.15
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Community (Day 1)
|
0.4 Score on a scale
Standard Deviation 1.33
|
13.8 Score on a scale
Standard Deviation 18.62
|
19.1 Score on a scale
Standard Deviation 26.03
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Community (Week 36)
|
0.6 Score on a scale
Standard Deviation 1.51
|
17.8 Score on a scale
Standard Deviation 19.99
|
18.8 Score on a scale
Standard Deviation 26.58
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Community (Week 48)
|
1.0 Score on a scale
Standard Deviation 2.14
|
16.6 Score on a scale
Standard Deviation 21.29
|
18.8 Score on a scale
Standard Deviation 29.07
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Domestic (Day 1)
|
0.4 Score on a scale
Standard Deviation 1.33
|
9.1 Score on a scale
Standard Deviation 11.85
|
9.7 Score on a scale
Standard Deviation 15.70
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Domestic (Week 36)
|
0.9 Score on a scale
Standard Deviation 2.27
|
9.6 Score on a scale
Standard Deviation 12.45
|
10.7 Score on a scale
Standard Deviation 16.42
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Domestic (Week 48)
|
0.8 Score on a scale
Standard Deviation 2.12
|
9.9 Score on a scale
Standard Deviation 13.43
|
9.2 Score on a scale
Standard Deviation 15.71
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Personal (Day 1)
|
3.6 Score on a scale
Standard Deviation 6.65
|
31.7 Score on a scale
Standard Deviation 29.37
|
28.6 Score on a scale
Standard Deviation 27.98
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Personal (Week 36)
|
5.0 Score on a scale
Standard Deviation 8.93
|
39.2 Score on a scale
Standard Deviation 29.64
|
26.2 Score on a scale
Standard Deviation 29.19
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Daily Living Skills: Personal (Week 48)
|
5.6 Score on a scale
Standard Deviation 8.09
|
36.2 Score on a scale
Standard Deviation 30.66
|
25.4 Score on a scale
Standard Deviation 29.78
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Coping Skills (Day 1)
|
2.1 Score on a scale
Standard Deviation 2.67
|
14.6 Score on a scale
Standard Deviation 18.34
|
16.9 Score on a scale
Standard Deviation 20.33
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Coping Skills (Week 36)
|
2.6 Score on a scale
Standard Deviation 3.99
|
16.2 Score on a scale
Standard Deviation 16.37
|
16.7 Score on a scale
Standard Deviation 20.81
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Play and Leisure Time (Day 1)
|
5.3 Score on a scale
Standard Deviation 9.53
|
20.5 Score on a scale
Standard Deviation 20.11
|
19.7 Score on a scale
Standard Deviation 20.62
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Play and Leisure Time (Week 36)
|
6.6 Score on a scale
Standard Deviation 10.55
|
24.4 Score on a scale
Standard Deviation 19.77
|
19.6 Score on a scale
Standard Deviation 22.71
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Socialization: Play and Leisure Time (Week 48)
|
6.4 Score on a scale
Standard Deviation 10.16
|
21.8 Score on a scale
Standard Deviation 18.96
|
17.9 Score on a scale
Standard Deviation 22.66
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Fine (Day 1)
|
4.2 Score on a scale
Standard Deviation 9.72
|
26.7 Score on a scale
Standard Deviation 27.29
|
23.1 Score on a scale
Standard Deviation 26.20
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Fine (Week 36)
|
5.1 Score on a scale
Standard Deviation 12.29
|
33.6 Score on a scale
Standard Deviation 27.38
|
20.9 Score on a scale
Standard Deviation 24.32
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Gross (Day 1)
|
8.0 Score on a scale
Standard Deviation 18.45
|
42.5 Score on a scale
Standard Deviation 31.90
|
31.0 Score on a scale
Standard Deviation 29.57
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Gross (Week 36)
|
11.0 Score on a scale
Standard Deviation 22.96
|
46.5 Score on a scale
Standard Deviation 32.43
|
31.9 Score on a scale
Standard Deviation 26.74
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Motor Skills: Gross (Week 48)
|
12.8 Score on a scale
Standard Deviation 22.42
|
46.6 Score on a scale
Standard Deviation 32.44
|
33.3 Score on a scale
Standard Deviation 29.03
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Externalizing (Day 1)
|
—
|
3.5 Score on a scale
Standard Deviation 3.51
|
3.5 Score on a scale
Standard Deviation 3.10
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Externalizing (Wk 36)
|
0.0 Score on a scale
Standard Deviation 0.00
|
4.5 Score on a scale
Standard Deviation 4.81
|
3.1 Score on a scale
Standard Deviation 3.42
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Externalizing (Wk 48)
|
0.0 Score on a scale
Standard Deviation 0.00
|
4.4 Score on a scale
Standard Deviation 4.10
|
2.2 Score on a scale
Standard Deviation 2.95
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Internalizing (Day 1)
|
—
|
5.2 Score on a scale
Standard Deviation 4.01
|
3.6 Score on a scale
Standard Deviation 3.24
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Internalizing (Wk 36)
|
0.0 Score on a scale
Standard Deviation 0.00
|
5.4 Score on a scale
Standard Deviation 3.06
|
3.7 Score on a scale
Standard Deviation 3.63
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Internalizing (Wk 48)
|
1.0 Score on a scale
Standard Deviation 2.00
|
5.3 Score on a scale
Standard Deviation 4.10
|
3.6 Score on a scale
Standard Deviation 3.62
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: MBI Score (Day 1)
|
—
|
14.8 Score on a scale
Standard Deviation 7.53
|
13.0 Score on a scale
Standard Deviation 8.75
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: MBI Score (Week 36)
|
0.0 Score on a scale
Standard Deviation 0.00
|
16.6 Score on a scale
Standard Deviation 8.65
|
10.8 Score on a scale
Standard Deviation 9.04
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: MBI Score (Week 48)
|
1.0 Score on a scale
Standard Deviation 2.00
|
16.1 Score on a scale
Standard Deviation 9.17
|
10.2 Score on a scale
Standard Deviation 8.47
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Other (Day 1)
|
—
|
6.2 Score on a scale
Standard Deviation 4.17
|
6.2 Score on a scale
Standard Deviation 4.76
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Other (Week 36)
|
0.0 Score on a scale
Standard Deviation 0.00
|
6.7 Score on a scale
Standard Deviation 4.01
|
4.1 Score on a scale
Standard Deviation 3.60
|
—
|
|
Vineland Adaptive Behavior Scales (VABS)
Maladaptive Behavior Index: Other (Week 48)
|
0.0 Score on a scale
Standard Deviation 0.00
|
6.5 Score on a scale
Standard Deviation 3.30
|
4.3 Score on a scale
Standard Deviation 3.88
|
—
|
SECONDARY outcome
Timeframe: Up to Week 50For subjects 7 years of developmental age or older, the Columbia-Suicide Severity Rating Scale (C-SSRS) will be administered to access suicidality. The appropriate adult version will be used in subjects 12 years of (developmental) age and older. The investigator will determine the participant's developmental age.
Outcome measures
| Measure |
Infants
n=9 Participants
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 Participants
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 Participants
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
All Participants
All participants who participated in the study.
|
|---|---|---|---|---|
|
Number of Participants With a Positive Response on the Columbia-Suicide Severity Rating Scale (C-SSRS)
Suicidal Ideation
|
0 Participants
|
0 Participants
|
0 Participants
|
—
|
|
Number of Participants With a Positive Response on the Columbia-Suicide Severity Rating Scale (C-SSRS)
Suicidal Behavior
|
0 Participants
|
0 Participants
|
0 Participants
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: through study completion, up to 48 weeks or marketing approval, whichever is earlierThe severity of the participant's illness is rated on a seven-point scale, where 1=normal, not at all ill, and 7=among the most extremely ill patients. This rating is based upon observed and reported symptoms, behavior, and function in the past seven days. The score reflects the average severity level across the seven days. The CGI-S will be completed for all participants, regardless of chronological and developmental age.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: through study completion, up to 48 weeks or marketing approval, whichever is earlierThe IPES assesses the impact on academic achievement, participation in activities, health, relationships with family and with peers and siblings, social activities, self-esteem, and the caregiver's hopes for their child's future. It takes about 3 minutes for the parent to complete. Each of the 11 items is given a severity score of 0 (not at all) to 3 (a lot). The higher the score, the higher is the impact of epilepsy on that item. The highest total score possible is 33 (range 0-33). The Impact of Pediatric Epilepsy Scale (IPES) is validated for subjects who are 2 to 16 years of age. Due to developmental delay characteristic of the study population, subjects through 18 years of chronological age will complete the IPES. Subjects over 18 years of chronological age will not complete the IPES.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: through study completion, up to 48 weeks or marketing approval, whichever is earlierThe participant's overall clinical condition is compared to the one week period just before the start of medication (the baseline visit). The participant's condition is compared to the patient's condition at admission to the project \[prior to starting treatment\] on a 7-point scale, where 1=very much improved since the initiation of treatment; and 7=very much worse since the initiation of treatment. The CGI-I will be completed for all participants, regardless of chronological and developmental age.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: through study completion, up to 48 weeks or marketing approval, whichever is earlierOutcome measures
Outcome data not reported
Adverse Events
Infants
Children
Adolescents
Serious adverse events
| Measure |
Infants
n=9 participants at risk
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 participants at risk
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 participants at risk
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
|---|---|---|---|
|
Nervous system disorders
Seizure
|
55.6%
5/9 • Up to Week 50
|
19.2%
5/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Status epilepticus
|
22.2%
2/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Ataxia
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Change in seizure presentation
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Adenovirus infection
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pneumonia
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pneumonia viral
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pulmonary sepsis
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pyelonephritis
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Respiratory syncytial virus infection
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Respiratory tract infection viral
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Sepsis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Tracheobronchitis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Mental status changes
|
11.1%
1/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Aggression
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Anxiety
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Skull fracture
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory distress
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory failure
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Status asthmaticus
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Gastrointestinal disorders
Constipation
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
General disorders
Multi-organ failure
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Social circumstances
Physical assault
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
Other adverse events
| Measure |
Infants
n=9 participants at risk
Participants 1 to \<2 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Children
n=26 participants at risk
Participants 2 to \<12 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
Adolescents
n=17 participants at risk
Participants 12 to ≤17 years of age. Participants who completed INS011-14-029 initiated this study on the dose with which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
Participants who enrolled from INS011-15-054 continued treatment with the dose at which they were being treated previously, and dose modifications were made at the Investigator's discretion if tolerability or efficacy issues were observed for a particular participant.
The total daily dose (mg/kg/day) will be evenly split between morning and evening doses (12 hours apart). If tolerability issues arise, the participant's dose may be changed at the investigator's discretion.
|
|---|---|---|---|
|
Infections and infestations
Upper respiratory tract infection
|
11.1%
1/9 • Up to Week 50
|
23.1%
6/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Nasopharyngitis
|
11.1%
1/9 • Up to Week 50
|
11.5%
3/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Otitis media
|
0.00%
0/9 • Up to Week 50
|
19.2%
5/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Influenza
|
11.1%
1/9 • Up to Week 50
|
11.5%
3/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Urinary tract infection
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
11.8%
2/17 • Up to Week 50
|
|
Infections and infestations
Escherichia urinary tract infection
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pharyngitis streptococcal
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pneumonia
|
0.00%
0/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Conjunctivitis
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Ear infection
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Folliculitis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Mycoplasma infection
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Otitis media acute
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Pharyngitis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Respiratory tract infection
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Respiratory tract infection viral
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Sepsis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Tracheobronchitis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Infections and infestations
Vestibulitis
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Infections and infestations
Viral upper respiratory tract infection
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Seizure
|
44.4%
4/9 • Up to Week 50
|
34.6%
9/26 • Up to Week 50
|
17.6%
3/17 • Up to Week 50
|
|
Nervous system disorders
Somnolence
|
22.2%
2/9 • Up to Week 50
|
15.4%
4/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Nervous system disorders
Ataxia
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Epilepsy
|
11.1%
1/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Status epilepticus
|
22.2%
2/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Change in seizure presentation
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Clumsiness
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Nervous system disorders
Dizziness
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Nervous system disorders
Fontanelle bulging
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Nervous system disorders
Partial seizures
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Nervous system disorders
Postictal paralysis
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Aggression
|
0.00%
0/9 • Up to Week 50
|
19.2%
5/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Insomnia
|
11.1%
1/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Psychiatric disorders
Irritability
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Psychiatric disorders
Mental status changes
|
11.1%
1/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Psychiatric disorders
Agitation
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Psychiatric disorders
Flat affect
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Psychiatric disorders
Head banging
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Psychiatric disorders
Restlessness
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Gastrointestinal disorders
Diarrhoea
|
0.00%
0/9 • Up to Week 50
|
19.2%
5/26 • Up to Week 50
|
11.8%
2/17 • Up to Week 50
|
|
Gastrointestinal disorders
Constipation
|
0.00%
0/9 • Up to Week 50
|
15.4%
4/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Gastrointestinal disorders
Haematochezia
|
11.1%
1/9 • Up to Week 50
|
3.8%
1/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Gastrointestinal disorders
Vomiting
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Gastrointestinal disorders
Inguinal hernia
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Gastrointestinal disorders
Haematemesis
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
0.00%
0/9 • Up to Week 50
|
11.5%
3/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Sleep apnea syndrome
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Adenoidal hypertrophy
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Apnoea
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Nasal congestion
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Hypoxia
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory distress
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory failure
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory tract congestion
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Sinus congestion
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Status asthmaticus
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract inflammation
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Respiratory, thoracic and mediastinal disorders
Wheezing
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Skin abrasion
|
0.00%
0/9 • Up to Week 50
|
11.5%
3/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Ligament sprain
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Injury, poisoning and procedural complications
Ankle fracture
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
General disorders
Pyrexia
|
33.3%
3/9 • Up to Week 50
|
15.4%
4/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
General disorders
Device expulsion
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
General disorders
Device failure
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
General disorders
Multi-organ failure
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Investigations
Weight increased
|
0.00%
0/9 • Up to Week 50
|
15.4%
4/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Investigations
Human rhinovirus test positive
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Investigations
Weight decreased
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Blood and lymphatic system disorders
Anaemia
|
0.00%
0/9 • Up to Week 50
|
23.1%
6/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Blood and lymphatic system disorders
Microcytic anaemia
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Skin and subcutaneous tissue disorders
Ecchymosis
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Skin and subcutaneous tissue disorders
Cold sweat
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Skin and subcutaneous tissue disorders
Decubitus ulcer
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Skin and subcutaneous tissue disorders
Dermatitis diaper
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Skin and subcutaneous tissue disorders
Rash
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Metabolism and nutrition disorders
Decreased appetite
|
0.00%
0/9 • Up to Week 50
|
11.5%
3/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Musculoskeletal and connective tissue disorders
Pain in extremity
|
0.00%
0/9 • Up to Week 50
|
7.7%
2/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Renal and urinary disorders
Nephrolithiasis
|
0.00%
0/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
5.9%
1/17 • Up to Week 50
|
|
Cardiac disorders
Bradycardia
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Cardiac disorders
Pulmonary valve incompetence
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Cardiac disorders
Tachycardia
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Cardiac disorders
Tricuspid valve incompetence
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Congenital, familial and genetic disorders
Atrial septal defect
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
|
Congenital, familial and genetic disorders
Cryptorchism
|
11.1%
1/9 • Up to Week 50
|
0.00%
0/26 • Up to Week 50
|
0.00%
0/17 • Up to Week 50
|
Additional Information
Director, Clinical Development
Insys Therapeutics, Inc.
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place