Cannabidiol oral solution for treating focal-onset seizures
A Phase 1b, Multicenter, Open-Label, Single-arm Study to Evaluate the Efficacy and Safety of Cannabidiol Oral Solution (CBD-OS [GWP42003-P, JZP926]) in Participants Aged 12 to 75 Years for the Treatment of Focal-Onset Seizures
We will test whether a cannabidiol oral solution (CBD-OS) can reduce focal-onset seizures in people aged 12 to 75 who are taking 1–4 stable antiseizure medications.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 12 Years to 75 Years |
| Sex | All |
| Sponsor | Jazz Pharmaceuticals Industry-sponsored |
| Locations | 24 sites (Phoenix, Arizona and 23 other locations) |
| Trial ID | NCT07233239 on ClinicalTrials.gov |
What this trial studies
This Phase 1 interventional study gives CBD-OS as an add-on to 1–4 stable antiseizure medications in participants aged 12–75 with focal-onset seizures and compares seizure frequency to each participant's baseline. The trial will collect safety data and pharmacokinetics while measuring changes in seizure frequency and other health outcome endpoints. A substudy will use fMRI and neuropsychological testing to explore potential predictors or mediators of treatment response. Participants will attend regular clinic visits at participating US sites for dosing, monitoring, and outcome assessments.
Who should consider this trial
Good fit: People aged 12–75 with a documented diagnosis of focal epilepsy who are on a stable regimen of 1–4 antiseizure medications are the intended participants for this study.
Not a fit: People with confirmed non-epileptic events, clinically unstable medical conditions, or those outside the age or medication criteria are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, CBD-OS could provide an additional treatment option to lower seizure frequency and improve quality of life for people with focal-onset seizures.
How similar studies have performed: Cannabidiol is already effective and approved for seizures in Lennox-Gastaut, Dravet, and TSC, but its effectiveness specifically for focal-onset seizures is less well established.
Eligibility criteria
Show full inclusion / exclusion criteria
Participants are eligible to be included in the main study only if all of the following criteria apply: 1. Participant has a documented diagnosis of focal epilepsy according to the ILAE Classification of Epilepsy, 2017, characterized by focal seizure types with typical interictal/ictal EEG findings (eg, history of an EEG with focal sharp waves or slowing). Participants with a documented diagnosis of focal epilepsy and a normal EEG are eligible for inclusion. 2. Participant is currently treated with at least 1, but no more than 4, antiseizure medications on a stable regimen. 3. Participant is aged 12 to 75 years old, inclusive, at Screening. Participants are excluded from the study if any of the following criteria apply: 1. Has a concurrent, confirmed diagnosis of non-epileptic seizures or events that can confound the assessment of the efficacy measures, in the opinion of the investigator. 2. Has clinically significant unstable medical condition(s), other than epilepsy. 3. History of suicidal behavior, current suicidal risk as determined from history, or presence of active suicidal ideation as indicated by a positive response to Item 4 or Item 5 on the C-SSRS or is considered at risk of suicide or self-harm based on the clinical judgement of the investigator following interview with the participant and/or caregiver. 4. Has known or suspected hypersensitivity to cannabinoids or any of the excipients of the study intervention, such as sesame oil. 5. Is currently treated with Epidiolex or received treatment with Epidiolex within 28 days prior to Screening (Visit 1). 6. Is currently using or has used recreational or medicinal cannabis, cannabinoid/CBD based medications, products, or supplements (botanical or synthetic) within 28 days prior to Screening (Visit 1) and/or is unwilling to abstain for the duration of the study. 7. Presence of only nonmotor focal aware seizures or primary generalized epilepsies.
Where this trial is running
Phoenix, Arizona and 23 other locations
- Banner University Medical Center-Phoenix — Phoenix, Arizona, United States (Not_yet_recruiting)
- UC San Diego — La Jolla, California, United States (Recruiting)
- Yale University — New Haven, Connecticut, United States (Recruiting)
- University of South Florida — Tampa, Florida, United States (Not_yet_recruiting)
- Emory University — Atlanta, Georgia, United States (Recruiting)
- Savannah Neurology Specialists — Savannah, Georgia, United States (Recruiting)
- Northwestern University — Chicago, Illinois, United States (Recruiting)
- Mid-Atlantic Epilepsy and Sleep Center — Bethesda, Maryland, United States (Recruiting)
- Wayne State University — Detroit, Michigan, United States (Not_yet_recruiting)
- Corewell Health — Grand Rapids, Michigan, United States (Not_yet_recruiting)
- Hackensack Meridian Neuroscience Institute at JFK University Medical Center — Edison, New Jersey, United States (Not_yet_recruiting)
- Saint Peter's University Hospital — New Brunswick, New Jersey, United States (Recruiting)
- Boston Children's Health Physicians — Hawthorne, New York, United States (Recruiting)
- Onsite Clinical Solutions — Charlotte, North Carolina, United States (Recruiting)
- Velocity Clinical Research at Raleigh Neurology — Raleigh, North Carolina, United States (Recruiting)
- Cincinnati Children's Hospital — Cincinnati, Ohio, United States (Not_yet_recruiting)
- University of Cincinnati, Gardner Neuroscience Institute — Cincinnati, Ohio, United States (Not_yet_recruiting)
- Oregon Health & Science University — Portland, Oregon, United States (Recruiting)
- Le Bonheur Children's Hospital — Memphis, Tennessee, United States (Recruiting)
- Child Neurology & Consultants of Austin — Austin, Texas, United States (Recruiting)
- ANESC Research — El Paso, Texas, United States (Recruiting)
- Intermountain Health — Murray, Utah, United States (Recruiting)
- Seattle Children's Hospital — Seattle, Washington, United States (Recruiting)
- William S Middleton Memorial Veterans Hospital — Madison, Wisconsin, United States (Not_yet_recruiting)
Study contacts
- Study coordinator: Clinical Trial Disclosure & Transparency
- Email: ClinicalTrialDisclosure@JazzPharma.com
- Phone: 215-832-3750
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.