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Serotonin Receptor Agonist

Fenfluramine for Dravet and Lennox-Gastaut Syndromes

Phase 3
Waitlist Available
Research Sponsored by Zogenix, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Must not have
Current clinically significant cardiac valvulopathy or pulmonary hypertension
Moderate or severe hepatic impairment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 36 months open-label
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial is testing a new drug for safety in people with Dravet syndrome, Lennox-Gastaut syndrome or epileptic encephalopathy.

Who is the study for?
This trial is for children and adults with rare seizure disorders like Dravet syndrome or Lennox-Gastaut syndrome, who have completed a prior Zogenix study. Participants must not be pregnant, breastfeeding, have serious liver issues, heart valve problems or pulmonary hypertension, nor take certain medications affecting serotonin within 14 days of the trial.
What is being tested?
The study tests the long-term safety of ZX008 (Fenfluramine Hydrochloride) oral solution in patients with specific epileptic encephalopathies. It's an international study where all participants receive the drug to see how it affects them over time.
What are the potential side effects?
While not explicitly listed here, potential side effects may include those related to fenfluramine's known risks such as heart-related issues, changes in mood or behavior, digestive disturbances and possible impacts on growth and weight.

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have a serious heart valve problem or high blood pressure in my lungs.
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My liver is not working well.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 36 months open-label
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 36 months open-label for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in Adverse Events and Serious Adverse Events leading to study withdrawal in subjects receiving open label ZX008
Change in body weight
Changes in blood pressure
+5 more
Secondary study objectives
Change in Behavioral CGI by Investigator
Change in Behavioral CGI by Parent/Caregiver
Change in Clinical Global Impression by Investigator
+6 more

Side effects data

From 2020 Phase 3 trial • 262 Patients • NCT02682927
26%
Decreased appetite
24%
Blood glucose decreased
24%
Echocardiogram abnormal
15%
Diarrhoea
11%
Somnolence
11%
Pyrexia
9%
Nasopharyngitis
7%
Gait disturbance
7%
Rhinorrhoea
7%
Blood pressure diastolic increased
7%
Ear infection
7%
Fatigue
7%
Upper respiratory tract infection
7%
Sinusitis
7%
Status epilepticus
7%
Viral infection
4%
Blood pressure increased
4%
Cough
4%
Constipation
4%
Asthenia
4%
Irritability
4%
Urinary tract infection
2%
Heart rate increased
2%
Blood prolactin increased
2%
Influenza
2%
Seizure
2%
Respiratory distress
2%
Croup infectious
2%
Skull fracture
2%
Tremor
2%
Gastroenteritis
2%
Lethargy
2%
Salivary hypersecretion
2%
Drooling
2%
Headache
2%
Seizure cluster
2%
Abnormal behaviour
2%
Weight decreased
100%
80%
60%
40%
20%
0%
Study treatment Arm
Study 3: ZX008 0.2 mg/kg/Day
Study 1: ZX008 0.2 mg/kg/Day
Study 1: ZX008 0.8 mg/kg/Day
Study 3: Placebo
Study 3: ZX008 0.8 mg/kg/Day
Study 1: Placebo

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

1Treatment groups
Experimental Treatment
Group I: ZX008 (Fenfluramine Hydrochloride)Experimental Treatment1 Intervention
ZX008 is supplied as an open-label oral solution.Doses will include up to 0.8 mg/kg/day divided into 2 daily doses, up to a maximum of 30 mg/day (subjects taking concomitant STP will receive up to 0.5 mg/kg/day, up to a maximum of 20 mg/day) in a concentration of 2.5 mg/mL.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
ZX008 (Fenfluramine Hydrochloride)
2016
Completed Phase 3
~730

Find a Location

Who is running the clinical trial?

Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc.Industry Sponsor
11 Previous Clinical Trials
1,333 Total Patients Enrolled
Zogenix, Inc.Lead Sponsor
24 Previous Clinical Trials
2,161 Total Patients Enrolled
UCB CaresStudy Director001 844 599 2273
215 Previous Clinical Trials
46,039 Total Patients Enrolled

Media Library

ZX008 (Fenfluramine Hydrochloride) (Serotonin Receptor Agonist) Clinical Trial Eligibility Overview. Trial Name: NCT03936777 — Phase 3
Epileptic Encephalopathy Research Study Groups: ZX008 (Fenfluramine Hydrochloride)
Epileptic Encephalopathy Clinical Trial 2023: ZX008 (Fenfluramine Hydrochloride) Highlights & Side Effects. Trial Name: NCT03936777 — Phase 3
ZX008 (Fenfluramine Hydrochloride) (Serotonin Receptor Agonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03936777 — Phase 3
~29 spots leftby Apr 2025