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To evaluate the safety, tolerability and efficacy of oral administration of PTL101 (cannabidiol) for the treatment for pediatric intractable epilepsy.
Study will include a 4-week observation period ,12 weeks of treatment and 2 weeks of follow up.
This is an open-label, single-center study recruiting approximately 15 male or female pediatric (ages 2-15, inclusive) patients with, intractable epilepsy, on stable doses of antiepileptic drugs (AEDs). The study comprised of the following period: 4 weeks observation period, followed by a 2-week dose titration period, 10-week maintenance treatment period, and a 2-week follow-up of which 1 week is a tapering-off period. Seizures will be recorded by the legal guardian/caregiver in seizure diaries throughout the first 16 weeks of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PLT101 | Experimental | PTL101 capsules (50 or 100 mg CBD per capsule) up to 25 mg/kg/day or up to 450 mg/day, the lower of the two. Twice daily (morning and evening). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PLT101 | Drug | PTL 101 (Cannabidiol, CBD) Two piece hard capsules filled with seamless gelatin matrix green beads containing CBD (50 or 100 mg CBD per capsule) The beads should be administered following a meal, mixed with food |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of study treatment related adverse events (AEs) | 12 weeks of treatment + 2 weeks follow up | |
| Percent change in mean countable monthly seizure frequency | 12 week treatment period |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of all adverse events (AEs) | 12 weeks of treatment + 2 weeks follow up | |
| assessment of Caregiver Global Impression of Improvement using a 5-point rating scale | after 5 weeks of maintenance dose and at end of treatment |
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Inclusion Criteria:
Pediatric subjects with refractory epilepsy
2-15 years old (inclusive), male or female
History of the any of the following seizure types: tonic, clonic, tonic-clonic in the form of partial seizures, partial seizures secondarily generalized or primary generalized, complex partial seizures and drop attacks (tonic/atonic).
At least four clinically countable seizures within 4 weeks of study entry [tonic, clonic, tonic-clonic in the form of partial seizures, partial seizures secondarily generalized or primary generalized and/or complex partial seizures and drop attacks (tonic/atonic)]
Subject on a stable regimen of 1-4 concomitant antiepileptic drugs (AEDs) for a minimum of 4 weeks prior to enrollment
History of treatment with at least four AEDs, including one trial of a combination of two concomitant drugs, without successful seizure control
Subjects with vagal nerve stimulation system must be on stable settings for a minimum of 6 months prior to enrollment
For subjects undergoing dietary treatment (e.g., ketogenic or modified Atkins diet):
the fat to carbohydrate ratio must be stable for a minimum of eight weeks prior to enrollment
The subject's legal guardian voluntarily provides consent for participation in the study and signs an Informed Consent Form
Completed seizures diary for four weeks (±3 days) prior to initiation of the dose titration period (visit 2). Subject will be considered a screen failure if seizures diary was not appropriately completed.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pediatric Epilepsy department- Souraskey Medical center | Tel Aviv | Israel |
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| assessment of Caregiver Global Impression of Seizure Severity using a 5-point rating scale | after 5 weeks of maintenance dose and at end of treatment |
| ID | Term |
|---|---|
| D000069279 | Drug Resistant Epilepsy |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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