A Study To Evaluate Safety And Effectiveness Of Ganaxolone To Treat Status Epilepticus

Overview

About this study

The purpose of this study is to establish the effectiveness and safety of IV ganaxolone for the treatment of Status Epilepticus (SE) after failure of first-line benzodiazepines and two second-line IV antiepileptic drugs (AEDs)

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Participant, participant’s parent, guardian, or LAR must provide signature of informed consent/assent, and once capable (per institution guidelines), there must be documentation of consent/assent by the participant demonstrating they are willing and aware of the investigational nature of the study and related procedures.
  • Male or females 12 years of age and older at the time of the first dose of IP.
  • Convulsive or nonconvulsive Status Epilepticus (SE) without a pattern toward improvement and at least 15 minutes of continuous or cumulative, intermittent seizure activity in the 30-minute period immediately prior to IP initiation, and either:  Convulsive SE: Clinical seizure activity or Nonconvulsive SE.
  • Participants must have received a benzodiazepine and two or more of the following second-line AEDs for treatment of the current episode of SE, administered at an adequate dose and duration to demonstrate efficacy, in the opinion of the investigator.
  • BMI < 35 or, if BMI is not able to be calculated at screening, participant is assessed by investigator as not morbidly obese.

Exclusion Criteria:

  • Life expectancy of less than 24 hours.
  • Anoxic brain injury or an uncontrolled metabolic condition as the primary cause of SE (e.g., hypoglycemia < 50 mg/dL or hyperglycemia > 400 mg/dL).
  • Treatment of the current SE episode with IV anesthetics (e.g., midazolam, propofol, thiopental, pentobarbital/phenobarbital or ketamine) at adequate doses and for an adequate duration to induce anesthesia.
  • IV anesthesia is medically contraindicated.
  • Participants with an advanced directive that would not allow the institution to administer their standard-of-care (SOC) for the treatment of SE.
  • Participants known or suspected to be pregnant.
  • Participants with known allergy or sensitivity to progesterone or allopregnanolone medications/supplements.
  • Receiving a concomitant IV product containing Captisol.
  • Known or suspected hepatic insufficiency or hepatic failure.
  • Known or suspected stage 3B (moderate to severe; eGFR 44-30), stage 4 (severe; eGFR 29-15), or stage 5 (kidney failure; eGFR < 15 or dialysis) kidney disease
  • Use of an investigational product for which less than 30 days or 5 half-lives, whichever is greater, have elapsed from the final product administration.
  • Known or suspected history or evidence of a medical condition that, in the investigator’s judgment, would expose participant to an undue risk of a significant adverse event or interfere with assessments of safety or effectiveness during the study.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

William Tatum, D.O.

Closed for enrollment

Rochester, Minn.

Mayo Clinic principal investigator

Katherine Nickels, M.D.

Closed for enrollment

Contact information:

Vanessa Morrow

5072666543

morrow.vanessa@mayo.edu

More information

Publications

Publications are currently not available