Primary Generalized Tonic-Clonic Seizure Study

Is your child suffering from partial-onset (focal) seizures and between the ages of 2 and 5?

If so, your child may qualify for a study being conducted by SK Life Science to find the safest and best dose of cenobamate for children. The study is also looking to determine if cenobamate helps reduce or stop partial onset (focal) seizures for patients ages 2 to 5 years old.

What are partial onset seizures?

Partial onset seizures, also known as focal seizures, are a type of seizure that originates in a specific area or network of neurons in the brain. Unlike generalized seizures, which involve the entire brain from the onset, partial seizures begin in one part of the brain. These seizures are categorized into two main types based on how they impact consciousness:

Simple partial seizures
(without loss of consciousness):

During these seizures, the child remains fully conscious and aware. They may experience sensory symptoms (such as tingling, flashing lights, or strange tastes or smells) or motor symptoms (such as twitching or jerking of a body part).

Complex partial seizures
(with loss of consciousness):

These seizures involve a change or loss of consciousness during the episode. The child may appear confused or dazed and may perform repetitive movements such as lip-smacking, chewing, or fidgeting. They may not remember the seizure afterward.

What is the drug being investigated in this study?

The drug being investigated in this study is called cenobamate. Cenobamate, a treatment taken by mouth, belongs to a class of drugs called antiseizure medications, commonly referred to today as “ASMs”. In the past, ASMs were called antiepileptic drugs or “AEDs”. These medications are used in the treatment of epileptic seizures.

Cenobamate is not approved for medical use in children. Cenobamate was approved for medical use in the United States in 2019, for the treatment of partial-onset seizures in adults (18 years of age and older). In the European Union, it was approved for use in 2021, for the adjunctive treatment of focal-onset seizures with or without secondary generalization in adults with epilepsy (18 years of age and older) who have not been adequately controlled despite a history of treatment with at least two antiseizure medications.

Study overview:

The objective of this study is to assess the levels of cenobamate in the blood as well as to determine the safety and tolerability of cenobamate in pediatric patients with partial-onset (focal) seizures following single and multiple-dosing.

A total of approximately 12 patients between 2 and 5 years of age will be enrolled in this open-label study. An open-label study means that all investigators and participants know which study treatment is being given to participants. In this study, all participants will be dosed with cenobamate.

The study will run for up to 144 days. At the end of study, participants can opt-in to enroll in what is called an open-label extension study. This open-label extension study would allow the participant to continue receiving the medication provided an informed consent form is signed by the parent or guardian. As an alternative, participants can enter a four-week period to taper the participant off the medication.

Inclusion criteria:

Inclusion criteria are the characteristics that a study participant must meet to be included in the study. A list of some of the inclusion criteria for this study is included below. At the patient’s screening visit, additional information will be collected and evaluated to confirm all inclusion criteria are met before your child is confirmed as eligible to participate in the study.

KEY INCLUSION CRITERIA

  • Diagnosis of epilepsy with partial-onset seizures (POS) with or without secondarily generalized seizures
  • Child is currently being treated with stable doses of at least 1 and up to a maximum of 3 approved antiseizure medications (ASMs)
  • Children with an implanted vagal nerve stimulator will be allowed to enroll in this study if the vagal nerve stimulator was implanted at least 5 months prior to the screening that will take place during the study’s first visit
  • Children following a ketogenic diet will be allowed to enroll in this study, as long as the diet has been stable for at least 30 days prior to the screening that will take place during the study’s first visit

KEY EXCLUSION CRITERIA

Exclusion criteria are the characteristics that prevent potential participants from taking part in this study. A list with some of the exclusion criteria for this study is included below. At the patient’s screening visit, additional information will be collected and evaluated before your child is confirmed as eligible to participate in the study.

  • Progressive neurological disease, including degenerative central nervous system (CNS) diseases and progressive tumors
  • Evidence of clinically significant disease or any medical condition that would compromise the subject’s ability to safely complete the study
    • Among others, this may include hepatic or renal failure, ischemic disease, human immunodeficiency virus (HIV) infection, active sexually transmitted disease (STD), active viral
      hepatitis, or malignancy.
  • Treatment with an investigational drug or device (other than VNS) ≤ 30 days before the study’s first visit
  • Scheduled surgery that will take place during the study
  • Have a history of status epilepticus that required hospitalization during the 6 months before the study’s first visit
  • Use of phenytoin and/or clobazam and/or felbamate within 30 days prior to the study’s first visit
  • Use of vigabatrin within 5 months before the study’s first visit; and no evidence of vigabatrin-associated clinically significant abnormality in a visual perimetry test
  • A history of intermittent use of rescue benzodiazepines more than twice within the 30 days prior to the visit in which the study’s screening will take place

Frequently Asked Questions

What is a study?
A study (also called a clinical trial) is a medical investigation that helps to answer important questions about an investigational medication. This may include research to determine how well the medication works for a certain condition and how safe and tolerable the medication is among a specific patient group. All medications must be tested in clinical research studies before they can be approved by regulatory authorities and prescribed to patients.
Why are studies important?
Studies are important because they facilitate a process through which investigational medications, interventions, and treatments are researched prior to being offered to the general public. By enrolling in a study, you have the opportunity to possibly help both your child as well as other children who have the same medical condition.
What is the purpose of this study?
The purpose of this study is to determine the safest and best dose of cenobamate for children. The study is also looking to determine if cenobamate helps to reduce or stop partial-onset (focal) seizures for patients ages 2 to 5 years old.
Will compensation for travel be provided to those who participate in this study?
Caregivers of children who qualify to participate in this study will be reimbursed for reasonable travel and accommodation costs incurred by taking part in the study. Caregivers should discuss this with the study team who will be caring for their child.
Is there a cost to participate in this study?
There is no cost to participate in the study. If your child is eligible and you decide to participate, your child will receive study-related care from a team of experienced doctors and nurses throughout the study.

All study-related visits, tests, assessments, and investigational medication will be provided at no cost to you.

What else do I need to consider?
The research team at the study site nearest you will explain in detail what the study will involve. Participation in this study is voluntary, and you will decide whether your child participates. Your decision to participate or not participate will have no effect on the medical care your child receives now or in the future. If your child is eligible for this study and you choose to have them participate, you can still change your mind afterward without providing any reason.
Where are the study sites located?
The study is being conducted across several study sites in the United States, Hungary, South Korea and Spain. We recommend finding the study site location that is closest to where you live.

Investigator Locator

Contact the site closest to you to learn if your child is eligible. There are study sites located in the United States, as well as South Korea. View the study sites by location to determine which is closest to you. If there is no location near you please reach out to us at cenobamatePOS@sklsi.com for more information.

The Study
Is Taking
Place Now!

Northeast Regional Epilepsy Group (NEREG)

SITE CONTACTS:
20 Prospect Ave, Suite 801
Hackensack, NJ 07601

Eric Segal
Principal Investigator

Hardik Rana, MBBS
Telephone: +1 551-497-5000
Email: hrana@epilepsygroup.com

Northeast Regional Epilepsy Group (NEREG)

SITE CONTACTS:
95 Madison Ave, Suite 306
Morristown, NJ 07960

Rajeshwari Mahalingam, MD
Principal Investigator

Hardik Rana, MBBS
Telephone: +1 551-497-5000
Email: hrana@epilepsygroup.com

Duke University Medical Center

SITE CONTACTS:
3024 Pickett Road
Durham, NC 27705

Muhammad Shahzad Zafar
Principal Investigator

Gloria Pinero
Study Coordinator
Telephone: +1 919-613-0767
Email: gloria.pinero@dm.duke.edu

Le Bonheur Children's Hospital

SITE CONTACTS:
848 Adams Ave.
Memphis, TN 38103

James Wheless, MD
Principal Investigator

Misha Webb, RN
Study Coordinator
Telephone: +1 901-287-5330
Email: Misha.Webb@Lebonheur.org

Sites Comintg Soon

For interim contact information
please reach out to us at
cenobamatePOS@sklsi.com