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Enrolling by invitation Phase 3

A Study to Investigate LP352 in Children and Adults With Developmental and Epileptic Encephalopathy (DEE)

NCT06908226 · tracked via the Priya Life Science Italy tracker
Phase
Phase 3
Started
2025-02-12
Last updated
2026-09-15

Condition(s) studied

Developmental and Epileptic Encephalopathy

Investigational drug(s) / intervention(s)

LP352 →

LP352: LP352 will be administered orally or through G-tube/ percutaneous endoscopic gastrostomy (PEG) tube.

Study summary

This (DEEp OLE Study) is a multicentre, open-label study to investigate the long-term safety, efficacy, tolerability, and pharmacokinetics (PK) of LP352 in the treatment of seizures in children and adults with DEE who completed Study LP352-301 or LP352-302. The study consists of 3 main phases: Screening, Titration period and Maintenance period, followed by a Taper period and Follow-Up. The total duration of the study will be approximately 14 months.

Eligibility

Sex
ALL
Min age
2 Years
Max age
66 Years
Healthy volunteers
No
Inclusion Criteria: * The participant has satisfactorily completed Study LP352-301 or LP352-302 Visit 8, and who, in the opinion of the investigator, may benefit from continued LP352 administration. * Diagnosis of DEE that includes Dravet Syndrome (DS), Lennox-Gastaut Syndrome (LGS), or DEE Other (as defined and evaluated in Study LP352-301 or LP352-302). * Participant has a body weight of ≥10 kg. * G-tubes/PEG tubes (if applicable) should be in stable and good working condition. Nasogastric tubes are not allowed except for short-term management. * Has at least one reliable and consistent parent, legal guardian, or caregiver during the study. * The participant must be willing and able to provide written informed consent; in instances where the participant is unable to provide consent, an appropriate LAR must provide informed consent and the participant will need to assent (as per local regulations) before participation in the study. If the participant cannot provide consent or assent (ie, due to developmental status), the investigator should document why it was not obtained. * The participant and/or authorized representative is willing to provide written consent or assent to allow the investigator and the investigator's staff to consult with the participant's medical caregivers and the medical monitor during Screening and during participation in the study. * All participants of childbearing potential must have a negative urine or serum pregnancy (human chorionic gonadotropin) test at Visit 8 from Study LP352-301 or LP352-302 and agrees to routinely use an acceptable effective method of contraception from the time of signing informed consent up to 48 hours after the last dose of study drug. * Participant and/or participant's caregiver(s) agree to not post any participant's personal medical data related to the study or information related to the study on any website or social media site until the study has been completed. * The participant, parent, or caregiver is willing and able (in the judgment of the investigator) to comply with completion of the diaries throughout the study. Exclusion Criteria: * The participant is receiving exclusionary medications. * Considered at risk of suicidal behavior based on the C-SSRS at Visit 8 of LP352-301 or LP352-302. If the participant is unable to complete the C-SSRS due to developmental status, the participant's LAR may not complete the C-SSRS. In these cases, the investigator may use clinical judgment to assess both the participant's status regarding suicidality and the ability to complete the scale, both of which must then be documented in the source document. * Has a PHQ-9 score of \>9 or a positive response to Question 9 at Visit 8 of LP352-301 or LP352-302. If the participant is unable to complete the PHQ-9, the participant's LAR may not complete the PHQ-9. In these cases, the investigator may use clinical judgment to assess both the participant's status and ability to complete the scale, both of which must then be documented in the source document. * Ongoing AE from LP352-301 or LP352-302 of severe depression, anorexia nervosa, or bulimia per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. * Has an abnormal and clinically significant 12-lead ECG at Visit 8 in LP352-301 or LP352-302 in the opinion of the investigator, for example, second- or third-degree heart block or a QTc of \>450 msec for adult males, \>470 msec for adult females, or \>440 msec for pediatric participants. * Ongoing AE in LP352-301 or LP352-302 of alcohol, opioid, or other drug use disorder, as per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. * Current use of any cannabis product or cannabidiol that is not in oral solution/capsule/tablet form, not obtained from a government-approved dispensary, or containing ≥50% THC. Cannabis product or cannabidiol should be used primarily to treat seizures and dose should not be adjusted for the duration of the study. Cannabis product or cannabidiol will count as a concurrent ASM. * Has a positive result on the urine drug screen at Visit 8 of LP352-301 or LP352-302, except for positive results related to prescribed controlled medications (eg, benzodiazepine) or Epidiolex®/government-approved cannabis product/cannabidiol used to treat seizures (eg, tetrahydrocannabinol). * Unstable, clinically significant neurologic (other than the disease being studied, eg, recurrent strokes), psychiatric, cardiovascular (eg, pulmonary arterial hypertension, cardiac valvulopathy, orthostatic hypotension/tachycardia) pulmonary, hepatic (severe hepatic impairment), renal (severe renal impairment), metabolic, gastrointestinal, urologic, immunologic, hematopoietic, or endocrine disease or other abnormality at Visit 8 of LP352-301 or LP352-302 which may impact the ability of the participant to participate or potentially confound the study results. * Is pregnant, breast-feeding, or intending to become pregnant during or within 48 hours after the last dose of study drug; or intending to donate ova during such time period. * Has a known hypersensitivity to any component of LP352 formulation or any history of serious drug-induced hypersensitivity, eg, toxic epidermal necrolysis or Drug Reaction with Eosinophilia and Systemic Symptoms. * Unwilling to abstain from donation of blood during and within 2 weeks after the study. * Is unable or unwilling to comply with any of the study requirements or timelines.

Primary outcome measure(s)

  • Number of participants reporting Treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) and AEs leading to discontinuation — Up to 61 Weeks
    An AE is defined as any untoward medical occurrence in a participant enrolled into this study, regardless of its causal relationship to the study drug. A treatment-emergent AE is defined as any event that is not present before exposure to study drug or any event or condition that is already present that worsens in either intensity or frequency after exposure to study drug. An SAE is defined as any event that: Results in death; Is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization. "Inpatient hospitalization" includes admission to an emergency room for observation and/or treatment that would have been insufficient in an outpatient setting; results in persistent or significant disability/incapacity; Is a congenital anomaly/birth defect or is an important medical event. An adverse event of special interest (AESI) is an AE or SAE is defined as an AE or SAE of scientific or medical concern specific to the sponsor's product or program.
  • Number of Participants With Clinically Significant Changes in Chemistry parameters — Up to 61 Weeks
  • Number of Participants With Clinically Significant Changes in Hematology parameters — Up to 61 Weeks
  • Number of Participants With Clinically Significant Changes in Urinalysis — Up to 61 Weeks
  • Number of participants with clinically significant changes in vital signs — Up to 61 Weeks
  • Number of participants with clinically significant changes in physical examinations — Up to 61 Weeks
  • Number of participants with clinically significant changes in growth parameters — Up to 61 Weeks
  • Number of participants with clinically significant changes in electrocardiogram (ECG) parameters — Up to 61 Weeks
  • Number of participants with postive responses to Columbia-Suicide Severity Rating Scale (C-SSRS) — Up to 61 Weeks
    C-SSRS was developed by researchers at Columbia University as a tool to help systematically assess suicidal ideation and behavior. It is composed of questions addressing suicidal ideation and suicidal behavior, as well as self-injurious behavior without suicidal intent. The tool will be administered by a trained operator/interviewer (investigator or designee) via interview with the participant at the study time points. If the participant is unable to complete the C-SSRS due to developmental status, the participant's legally acceptable representative may not complete the C SSRS. In these cases, the investigator may use clinical judgment to assess both the participant's status regarding suicidality and ability to complete the scale, both of which must then be documented in the source document.
  • Number of participants with positive responses to Patient Health Questionnaire-9 (PHQ-9) and Question 9 — Up to 61 Weeks
    The PHQ-9 is a multipurpose instrument for Screening, diagnosing, monitoring, and measuring the severity of depression. The scale is an easy-to-use participant questionnaire that is a self-administered version of the Primary Care Evaluation of Mental Disorders diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 Diagnostic and Statistical Manual of Mental Disorders IV, Text Revision criteria as "0" (not at all) to "3" (nearly every day). It has been validated for use in primary care. Participants with a depression score of greater than 9 (mild) on the PHQ-9 scale or a positive response to Question 9 should be excluded from the study. When there is a positive response to PHQ-9 Question 9 post randomization, the investigator should determine whether an AE has occurred.

Trial sites (83)

FacilityCityRegionStatus
Arkansas Children's Hospital - Cardiology Clinic Little Rock Arkansas
University of California Los Angeles (UCLA) - David Geffen School of Medicine - Global Health Pro... Los Angeles California
Stanford University - Stanford School of Medicine - Pulmonary and Cystic Fibrosis Center Palo Alto California
UCSF Benioff Children's Hospitals - San Francisco San Francisco California
Children's Hospital Colorado - Heart Institute Aurora Colorado
NW FL Clinical Research Group, LLC Gulf Breeze Florida
University of Miami Medical Group (UMMG) Miami Florida
Research Institute of Orlando LLC Orlando Florida
Pediatric Epilepsy & Neurology Specialists (PENS) Tampa Florida
University of South Florida (USF) - Tampa Campus Tampa Florida
Consultants in Epilepsy & Neurology, PLLC Boise Idaho
Mid-Atlantic Epilepsy and Sleep Center - Bethesda Bethesda Maryland
Massachusetts General Hospital (MGH) Boston Massachusetts
Mayo Clinic - Children's Center - Rochester Rochester Minnesota
Barnabas Health - Institute of Neurology and Neurosurgery Livingston New Jersey
Northeast Regional Epilepsy Group - Morristown Morristown New Jersey
NYU Langone Health-NYU Comprehensive Epilepsy Center New York New York
Oregon Health & Science University - Blood Brain Barrier and Neuro-Oncology Program Portland Oregon
Child Neurology Consultants of Austin - Austin Austin Texas
The University of Texas Medical School at Houston - UT Gastroenterology Houston Texas
Sydney Children's Hospital - Randwick Randwick New South Wales
The Children's Hospital-Westmead - Heart Centre for Children Westmead New South Wales
Royal Brisbane and Women's Hospital (RBWH) Brisbane Queensland
Queensland Children's Hospital (Lady Cilento Children's Hospital) Brisbane Queensland
Austin Hospital Heidelberg Victoria
The Royal Children's Hospital (RCH) Melbourne Parkville Victoria
Universitair Ziekenhuis Antwerpen (UZA) Edegem Antwerp
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg Leuven Flemish Brabant
Instituto de Neurologia de Curitiba (INC) Curitiba Paraná
Universidade de Sao Paulo (USP) - Hospital das Clinicas da Faculdade de Medicina (HCFMUSP) - Inst... São Paulo Brazil
Peking University First Hospital (Beida Hospital) Beijing Beijing Municipality
Capital Medical University-Beijing Children's Hospital Beijing Beijing Municipality
Guangzhou Medical University-The Second Affiliated Hospital Guangzhou Guangdong
Wuhan Children's Hospital Wuhan Hubei
Fudan University - Children's Hospital Shanghai Shi Shanghai Municipality
Hôpital de Hautepierre - Les Hôpitaux Universitaires de Strasbourg Strasbourg Ain
Hôpital Roger Salengro Lille Nord
Centre Hospitalier Universitaire de Lyon - Hôpital Pierre Wertheimer Bron France
AP-HM- Hôpital de La Timone Marseille France
AP-HP - Hôpital universitaire Necker-Enfants malades Paris France

+ 43 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06908226 on ClinicalTrials.gov ↗ ← All trials in Italy