NCT05128344

Brief Summary

The main purpose of this study is to evaluate the efficacy of AMZ002 compared to Vigabatrin in participants with newly diagnosed infantile spasms (IS).

Trial Health

37
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Apr 2023

Typical duration for phase_3

Geographic Reach
8 countries

41 active sites

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 9, 2021

Completed
13 days until next milestone

First Posted

Study publicly available on registry

November 22, 2021

Completed
1.4 years until next milestone

Study Start

First participant enrolled

April 1, 2023

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

April 20, 2023

Status Verified

April 1, 2023

Enrollment Period

2.2 years

First QC Date

November 9, 2021

Last Update Submit

April 18, 2023

Conditions

Keywords

AMZ002VigabatrinSeizuresElectroencephalogramsInfantile spasmsWest syndromeCentral Nervous System DiseasesEpileptic Syndrome

Outcome Measures

Primary Outcomes (2)

  • Proportion of Participants with Absence of Clinical Spasms as Assessed by Video Electroencephalogram (EEG) at Day 14

    At Day 14

  • Proportion of Participants with Resolution of Hypsarrhythmia or Significant Abnormality Compatible with Infantile Spasms (IS) as Assessed by Video EEG at Day 14

    At Day 14

Secondary Outcomes (4)

  • Time from Treatment Initiation to Absence of Clinical Spasms as Assessed by Parent/Guardian Diary

    Baseline up to Day 58

  • Proportion of Participants with Absence of Clinical Spasms as Assessed by Parent/Guardian Diary at Day 14

    At Day 14

  • Proportion of Participants with Recurrence of Clinical Spasms After Initial Response as Assessed by Video EEG/ by Parent/Guardian Diary

    From Day 14 up to Day 58

  • Time from Initial Response to Recurrence of Clinical Spasms

    From Day 14 up to Day 58

Study Arms (2)

AMZ002

EXPERIMENTAL
Drug: AMZ002 injectable solution, 0.5mg/mL

Vigabatrin

ACTIVE COMPARATOR
Drug: Vigabatrin, oral

Interventions

Injectable solution

AMZ002

Oral administration

Vigabatrin

Eligibility Criteria

Age2 Months - 24 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Participant has been diagnosed with IS within 6 weeks prior to Screening. Diagnostic criteria include both clinical spasms and an EEG pattern consistent with hypsarrhythmia or significant abnormality compatible with IS
  • Participant has normal renal function as defined by an estimated glomerular filtration rate (eGFR) greater than \[\>\] 60 milliliter/minute (mL/min)/1.73 m\^2, calculated as eGFR = 0.413 × (height \[Centimeter (cm)\]/serum creatinine \[milligrams per deciliter {mg/dL}\])
  • Participant's legally authorized representative (that is \[i.e.\], parent or guardian) must provide written informed consent obtained per Institutional Review Board (IRB) policy and requirements, consistent with the International Council for Harmonisation (ICH)
  • Participant's parent/guardian is able to understand and willing to comply with study procedures and restrictions

You may not qualify if:

  • Participant has been diagnosed with tuberous sclerosis
  • Participant has acute illness considered clinically significant by the Investigator within 30 days prior to Screening
  • Participant has a diagnosis of recent systemic fungal infection; history of ocular herpes simplex; history of or current peptic ulcer; uncontrolled hypertension or congestive heart failure; or any other condition that would be significantly impacted by the study drug
  • Participant has a preplanned surgery or procedure(s) that would interfere with the conduct of the study
  • Participant has received any prior treatment for IS
  • Participant has been previously treated with adrenocorticotropic hormone (ACTH), corticosteroids, or Vigabatrin for seizures;
  • Participant has been previously treated with a course of corticosteroids for an indication other than seizures within 30 days prior to Screening
  • Participant has a known or suspected allergy to ACTH or Vigabatrin or any component of AMZ002 or Vigabatrin
  • Participant has used any other investigational drug within 30 days or 5 half-lives prior to the first dose of AMZ002 or Vigabatrin (whichever is longer)
  • Participant' s parent/guardian is unable to provide written informed consent and/or to complete the daily diary
  • Participant has any other disease, condition, or therapy that, in the opinion of the Investigator, might compromise safety or compliance, preclude the participant from successfully completing the study, or interfere with the interpretation of the results

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (41)

The Childrens Hospital Colorado

Aurora, Colorado, 80045-7106, United States

Location

Miami Children's Hospital

Miami, Florida, 33155, United States

Location

Advent Health Orlando

Orlando, Florida, 32803, United States

Location

Arnold Palmer Hospital For Children

Orlando, Florida, 32806, United States

Location

Childrens Healthcare of Atlanta

Atlanta, Georgia, 30329, United States

Location

Ann and Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611, United States

Location

University of Kentucky Hospital

Lexington, Kentucky, 40536, United States

Location

Children's Brain Institute

Lexington, Massachusetts, 02420, United States

Location

Children's Hospital of Michigan

Detroit, Michigan, 48201-2119, United States

Location

Staten Island University Hospital, North

Staten Island, New York, 10305, United States

Location

Wake Forest Baptist Medical Center - PPDS

Winston-Salem, North Carolina, 27157, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75207, United States

Location

Fundacion para la Lucha contra las Enfermedades Neurologicas de la Infancia

Buenos Aires, Argentina

Location

Hospital Italiano de Buenos Aires

Buenos Aires, Argentina

Location

Paediatric Hospital Dr. Juan P. Garrahan

Buenos Aires, Argentina

Location

CHU Bordeaux - Hopital des Enfants

Bordeaux, 33076, France

Location

HFME-Hospices Civils de Lyon

Bron, 69500, France

Location

Hopital Roger Salengro - CHU de Lille

Lille, France

Location

Hopital Necker - Enfants Malades

Paris, France

Location

Hopital de Hautepierre

Strasbourg, France

Location

All India Institute of Medical Sciences

New Delhi, Dehli, 110029, India

Location

Indira Gandhi Institute of Child Health

Bangalore, Karnataka, 560029, India

Location

Amrita Advanced Centre for Epilepsy

Kochi, Kerala, 682041, India

Location

Bharati Vidyapeeth Deemed University - Bharati Hospital

Pune, Maharashtra, 411043, India

Location

Azienda Ospedaliero Universitaria

Ancona, Italy

Location

Pediatric Hospital G. Salesi

Ancona, Italy

Location

AOU Anna Meyer - Clinica di Neurologia Pediatrica

Florence, Italy

Location

Istituto Pediatrico Giannina Gaslini

Genova, Italy

Location

Ospedale dei Bambini Vittore Buzzi

Milan, Italy

Location

Universita degli Studi di Napoli Federico II

Naples, Italy

Location

Ospedale Pediatrico Bambino Gesu

Roma, Italy

Location

Policlinico Universitario A.Gemelli

Roma, Italy

Location

Azienda Ospedaliera Universitaria Integrata

Verona, Italy

Location

Neurociencias Estudios Clinicos S.C.

Culiacán, Mexico

Location

HSRT

Mexico City, Mexico

Location

Tecnologico De Monterrey - Hospital Zambrano Hellion - Instituto de Neurologia y Neurocirugia

Nuevo León, 66278, Mexico

Location

The University Clinical Center

Gdansk, Gdansk, Poland

Location

Provincial Specialist Children's Hospital st. Ludwika

Krakow, Krakow, Poland

Location

Medical University of Warsaw

Warsaw, 02-091, Poland

Location

Institute of Mother and Child

Warsaw, Poland

Location

Hospital de la Santa Creu i Sant Pau

Barcelona, 8041, Spain

Location

MeSH Terms

Conditions

Spasms, InfantileSeizuresCentral Nervous System DiseasesEpileptic Syndromes

Interventions

Vigabatrin

Condition Hierarchy (Ancestors)

Epilepsy, GeneralizedEpilepsyBrain DiseasesNervous System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

gamma-Aminobutyric AcidAminobutyratesButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsAmino AcidsAmino Acids, Peptides, and Proteins
0

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 9, 2021

First Posted

November 22, 2021

Study Start

April 1, 2023

Primary Completion

June 1, 2025

Study Completion

December 1, 2025

Last Updated

April 20, 2023

Record last verified: 2023-04

Locations