Verified December 2016 by The Hospital for Sick Children

Sponsor:

Collaborator:

Tilray

Information provided by (Responsible Party):

Blathnaid McCoy, The Hospital for Sick Children

ClinicalTrials.gov Identifier:

NCT02983695

First received: November 17, 2016

Last updated: December 2, 2016

Last verified: December 2016

This is a Phase 1 trial to determine the tolerability and optimal dose of CBD rich cannabis extract as an adjunct treatment in children with severe drug resistant epilepsy due to Dravet Syndrome. This is an open label intervention. Study duration is 20 weeks to primary analysis with continued follow-up until 64 weeks completed.

Epilepsy Drug: TIL-TC150 Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Cannabinoid Therapy in Medically Refractory Pediatric Epilepsy – Phase 1: Dosing and Tolerability Study of a Cannabidiol-Rich Whole Plant Extract of Cannabis.

Primary Outcome Measures:

  • Establishment of tolerability of TIL-TC150 by measuring the number of participants with adverse events and / or abnormal laboratory values that are related to treatment [ Time Frame: 20-64 weeks ] [ Designated as safety issue: No ]

    During this study, the dose of TIL-TC150 will be titrated according to study protocol and participant tolerance. Tolerance will be assessed as documented in title, by evaluating for adverse events clinically and by parent report of adverse event every week during the first 20 weeks of the study, also by blood work at weeks 0, 4, and between 8-16 weeks.

    For those choose to continue the study drug after 20 week period of assessment, tolerance will be evaluated by assessing for adverse events at weeks 28, 40,52 and 64.

  • Establishment of tolerability of TIL-TC150 by standardised side effects questionnaire -pediatric epilepsy side effects questionnaire (PESQ) [ Time Frame: 16-64 weeks ] [ Designated as safety issue: No ]

    During this study, tolerance will also be assessed by the standardised side effects questionnaire- PESQ in clinic at weeks 2,4,8,12 and 16. For those choosing to continue therapy will be reassessed by PESQ in clinic at week 28,40,52 and 64.

Secondary Outcome Measures:

  • The impact of therapy on quality of life using the Quality of Life in Childhood Epilepsy (QOLCE) questionnaire [ Time Frame: 16-52 weeks ] [ Designated as safety issue: No ]

    The QOLCE will be completed by parents at clinic at first visit or baseline(week 0), at maximal dose (8 weeks) and at 16 weeks for primary analysis. For those choosing to continue therapy will be reassessed at 28 weeks and 52 weeks. Parents will be provided with a research report detailing the assessment findings at study completion.

  • The impact of therapy on everyday behaviours using the Vineland Adaptive Behavior Scales, Second Edition. [ Time Frame: 20-64 weeks ] [ Designated as safety issue: No ]

    Vineland Adaptive Behaviour Scale, Second Edition: is a standardized parent interview to complete either in person at the clinic or by telephone on week 0, prior to starting the TIL-TC150. The interview will also be completed again at the primary evaluation period anytime between weeks 16 and 20 and again for those choosing to continue the therapy will be reassessed during the longitudinal follow-up anytime between 52 and 64 weeks. This will be done by study team. Parents will be provided with a research report detailing the assessment findings at study completion.

  • change in seizure frequency from baseline [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: January 2017
Estimated Study Completion Date: July 2018
Estimated Primary Completion Date: June 2017 (Final data collection date for primary outcome measure)
Experimental: treatment

all participants will be in this arm and will receive study drug ‘Cannabidiol-Rich whole Plant Extract (TIL-TC150) to assess dosing and tolerability according to study protocol

Drug: TIL-TC150

Ages Eligible for Study:   1 Year to 18 Years   (Child, Adult)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Drug resistant epilepsy due to Dravet syndrome
  • Must have clinically apparent seizures
  • Must be able to tolerate administration of medication orally or enterally via gastrostomy tube

Exclusion Criteria:

  • Co-morbid liver or renal disease
  • Without clinically-apparent seizures
  • Current or previous therapy with cannabinoids

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02983695

The Hospital for Sick Children

Tilray

Principal Investigator: Blathnaid McCoy, MB BCh BAO The Hospital for Sick Children

Responsible Party: Blathnaid McCoy, Principal Investigator, The Hospital for Sick Children
ClinicalTrials.gov Identifier: NCT02983695     History of Changes
Other Study ID Numbers: 1000047417 
Study First Received: November 17, 2016
Last Updated: December 2, 2016
Health Authority: Canada: Health Canada
Canada: Ethics Review Committee
Individual Participant Data  
Plan to Share IPD: No

Additional relevant MeSH terms:

Epilepsy
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases

ClinicalTrials.gov processed this record on December 06, 2016