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Phase 2 N=84 Randomized Triple-blind Prevention

Preventing Epilepsy Using Vigabatrin In Infants With Tuberous Sclerosis Complex

Tuberous Sclerosis Complex

Enrolled (actual)
84
Serious AEs
29.5%
Results posted
Aug 2024
Primary outcome: Primary: Cognitive Assessment Scores and Developmental Impact — 83.9; 80.9; 97.3; 85.0 score on a scale — p=0.8681

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Early Vigabatrin (Drug); Delayed Vigabatrin (Placebo) (Drug)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Martina Bebin
Primary completion
Apr 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Cognitive Assessment Scores and Developmental Impact
83.9; 80.9; 97.3; 85.0 0.8681
SECONDARY
Number of Subjects That Develop Seizures When Treated With Study Drug During the Randomized Phase of the Study.
19; 20 0.7375
SECONDARY
Time to the Subject's First Clinical Seizure From Randomization
2.77; 9.47 0.1174
SECONDARY
Count of Participants With Drug Resistant Epilepsy at 24 Months of Age.
14; 14 0.4653
SECONDARY
Evaluate Vineland II ABC Scores and Impact of Early Versus Late Treatment
86.9; 86.0; 97.8; 86.3; 90.6; 84.9 0.1697
SECONDARY
Evaluate Autism Diagnostic Observation Schedule 2nd Edition (ADOS2) Scores and Impact of Early Versus Late Treatment
SECONDARY
Number of Subjects With Vigabatrin Related Adverse Events and Severe Adverse Events
6; 2
SECONDARY
EEG Biomarker for Developing Epilepsy
19; 20; 0; 4

Summary

Study design is a Phase IIb prospective multi-center, randomized, placebo-controlled, double-blind clinical trial. The goal will be to enroll 80 infants with Tuberous Sclerosis Complex who are less than 6 months of age prior to the onset of their first seizure

Eligibility Criteria

Inclusion Criteria

  • less than or equal to 6 months of age
  • No history of seizures or infantile spasms, or evidence of subclinical electrographic seizures on a previous video EEG
  • Meet genetic or clinical diagnostic criteria for TSC, the latter based on current recommendations for diagnostic evaluation, such as physical exam, neuroimaging, echocardiogram

Exclusion Criteria

  • Is greater than 6 months of age
  • Has not been diagnosed with TSC
  • History of seizures or infantile spasms, or evidence of subclinical electrographic seizures on a previous video EEG
  • Has received any anticonvulsant medication including vigabatrin, other anti-seizure therapeutic agent including cannabidiol
  • Has received an oral mTOR inhibitor such as everolimus or sirolimus
  • Has taken an investigational drug, including but not limited to cannabidiol, as part of a research study 30 days prior to enrollment, or plans on taking an investigational drug at any time during the duration of the study
  • Is currently enrolled, or plans on enrolling at any time during the duration of the study, in an experimental behavioral early intervention study
  • Has a history of being born prematurely (born less than <30 weeks gestation at the time of delivery)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02849457). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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