Fenfluramine for Adult Dravet Patients
NCT05560282 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 7
Last updated 2026-05-05
Summary
Full Title: Fenfluramine for the treatment of refractory Epilepsy in Adult Dravet patients
Short Title: Fenfluramine for Adult Dravet patients
Clinical Phase: Phase III
Sample Size: A total of 15 participants will be included in the study.
Study Population: Adult patients (18 years and older) with drug-resistant epilepsy (maintained on their existing medications, with exception of cannabidiol) and genetically confirmed Dravet syndrome will be recruited to participate in the study.
Accrual Period: 12 months Study Design: Open label, non-randomized and uncontrolled add-on trial in adults (18 years of age and older) residing in Ontario, with refractory motor seizures and maintained on their existing antiepileptic medications, with exception of cannabidiol.
Study Duration:
• Treatment period: 12 months Study duration: 28 months
Study Agent/ Intervention/ Procedure:
Name of study drug: fenfluramine (FINTEPLA)
Dose and frequency: starting at 0.1 mg/kg twice daily, maximum 26 mg/day, in patients not taking concomitant stiripentol; starting at 0.1 mg/kg twice daily, maximum of 17 mg/day in patients taking concomitant stiripentol. All doses are divided to twice a day.
Duration:
Baseline phase: 4 weeks (no study drug) Titration phase: 2 weeks (if not taking stiripentol) to 3 weeks (if the patient is taking stiripentol) Treatment phase: 12 weeks Extension phase: up to 38 weeks, for patients who had at least a 50% decrease in seizure frequency Post-trial washout phase: 2 weeks (if not taking stiripentol) to 3 weeks (if the patient is taking stiripentol)
Route of administration:
Oral
Efficacy and safety points of interest
* Monthly convulsive seizure frequency (MCSF) reduction ≥ 50%
* Improvement in motor function
* Improvement in Cognition and Behavior
* Improvement in Quality of Sleep
* Improvement in Quality of life
* Determination of Cardiovascular safety in adults
* Responder analysis (≥25%, ≥75%, or 100% reduction in mean MCSF)
* Longest period of seizure freedom
* Number of Emergency room visits
* Use of rescue medication (number of days in 28 day-periods)
* Duration of post-ictal stage
* Frequency of other seizure types
* Body weight changes
* Patient's global functioning prior to and after study (Clinical Global Impressions Scale)
Trial registration:
www.clinicaltrials.gov
Conditions
- Dravet Syndrome
- Dravet Syndrome, Intractable
Interventions
- DRUG
-
Fenfluramine
FINTEPLA oral solution contains 2.2 mg/mL fenfluramine, equivalent to 2.5 mg/mL of the hydrochloride salt. The active ingredient, fenfluramine hydrochloride, is designated chemically as N-ethyl-α- methyl-3-(trifluoromethyl) phenethylamine hydrochloride. Fenfluramine hydrochloride is a white to off-white crystalline solid. The pKa of fenfluramine is 10.2. FINTEPLA is a clear, colorless solution, pH 5.
Sponsors & Collaborators
-
Zogenix, Inc.
collaborator INDUSTRY -
University Health Network, Toronto
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-11
- Primary Completion
- 2025-05-13
- Completion
- 2025-05-13
- FDA Drug
- Yes
Countries
- Canada
Study Locations
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