Treatment of Drug Resistant Epilepsy
Cannabidiol
Physician Expanded Access to Investigational New Drug Cannabidiol for the Treatment of Drug Resistant Epilepsy
2 other identifiers
expanded_access
N/A
1 country
2
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.
Trial Health
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2 active sites
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 1, 2015
CompletedFirst Posted
Study publicly available on registry
June 3, 2015
CompletedJanuary 22, 2019
January 1, 2019
June 1, 2015
January 18, 2019
Conditions
Keywords
Interventions
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.
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.
Eligibility Criteria
You may qualify if:
- 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.
- 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,
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Flordia CRC
Gainesville, Florida, 32610, United States
Nicklaus Children's Hospital, Miami Children's Health System
Miami, Florida, 33155, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Steven Winesett, MD
University of Florida
Study Design
- Study Type
- expanded access
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 1, 2015
First Posted
June 3, 2015
Last Updated
January 22, 2019
Record last verified: 2019-01