Recruiting
Phase 3

EPX-100

Sponsor:

Epygenix

Code:

NCT04462770

Conditions

Dravet Syndrome

Eligibility Criteria

Sex: All

Age: 2+

Healthy Volunteers: Not accepted

Interventions

Clemizole HCl

Placebo

Study Details

Brief summary:

This is a multicenter, Phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of clemizole hydrochloride (EPX-100) as adjunctive therapy in children and adult participants with Dravet syndrome (DS).

Conditions

Dravet Syndrome

Study ID

NCT04462770

Start date

Sep 15, 2020

Status verified date

Aug, 2026

Completion date

May, 2029

Anticipated

Primary completion date

Apr, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 2+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Male and female participants 2 years and older at time of consent.
2. Participant or parent/legally authorized representative (LAR) willing and able to provide written informed consent and assent (if applicable) prior to initiation of any study related procedures.
3. Clinical diagnosis of DS. Participants must have seizures which are not completely controlled by AEDs with the following criteria:

  • Onset of seizures prior to 18 months of age,
  • Normal development at onset,
  • History of at least one type of countable motor seizure (CMS),
  • Brain MRI without cortical malformation (not including mild atrophy associated with the natural progression of DS),
  • Genetic mutation of the SCN1A gene must be documented.

Key Exclusion Criteria:

1. Known sensitivity, allergy, or previous exposure to clemizole HCl.
2. Exposure to any investigational drug or device <90 days prior to screening or plans to participate in another drug or device trial at any time during the study.
3. Seizures secondary to illicit drug (this includes concomitant use of tetrahydrocannabinol \[THC\] and nonprescription cannabidiol preparations) or alcohol use, infection, neoplasm, demyelinating disease, degenerative neurological disease, or central nervous system disease deemed progressive, metabolic illness, or progressive degenerative disease.
4. Concurrent use of lorcaserin. Note: Prior use of lorcaserin is permitted if at least 30 days have passed since the last dose.
5. Concurrent use of fenfluramine.
6. Epilepsy surgery planned during the study or epilepsy surgery within 6 months prior to Screening.

Study Design

Enrollment

150 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Double-blind clemizole HCl

Participants will receive their first dose of study drug following randomization.

placebo comparator: Placebo

Participants will receive their first dose of study drug following randomization.

experimental: Open-label clemizole HCl

Eligible participants who complete the DB Period will have the option to continue in the OLE Period, during which they will receive clemizole HCL for up to 3 years.

Interventions

Clemizole HCl

Clemizole HCl will be administered as an oral solution.

Placebo

Placebo will be administered as an oral solution.

Primary outcome measure

  • Percent Change in Countable Motor Seizures Per 28 Days (CMS-28) in the Titration Plus Maintenance Periods Relative to Baseline [ Time Frame: From Baseline Period (Day 1) up to 16 weeks ]
  • European Union: Percent Change in Countable Motor Seizures Per 28 Days in the Maintenance Period Relative to Baseline [ Time Frame: From maintenance period Baseline (Day 29) up to Day 85 ]

Central Contacts and Locations

Locations

University of Alabama at Birmingham

Recruiting

Birmingham, Alabama, United States, 35233

Contacts

Principal Investigator:

Kathryn Lalor, MD

Arkansas Children's Hospital

Recruiting

Little Rock, Arkansas, United States, 72202

Contacts

Principal Investigator:

Debopam Samanta, MD

University of California Irvine

Recruiting

Orange, California, United States, 92868

Contacts

Principal Investigator:

David King-Stephens, MD

UCSF Medical Center

Recruiting

San Francisco, California, United States, 94158

Contacts

Principal Investigator:

Ernesto Gonzalez-Giraldo, MD

Yale School of Medicine - Yale-New Haven Hospital

Recruiting

New Haven, Connecticut, United States, 06511

Principal Investigator:

Aline Herlopian, MD

Rare Disease Research FL

Recruiting

Kissimmee, Florida, United States, 34746

Contacts

Principal Investigator:

Anthony Giordano, MD

Pediatric Neurology and Epilepsy Specialists

Recruiting

Winter Park, Florida, United States, 32789

Contacts

Principal Investigator:

Ronald Davis, MD

Norton Children's Research Institute

Recruiting

Louisville, Kentucky, United States, 40202

Contacts

Principal Investigator:

Dylan Brock, MD

Children's Nebraska

Recruiting

Omaha, Nebraska, United States, 68114

Contacts

Principal Investigator:

Sookyong Koh, MD, PhD

Weill Cornell Medical Center

Recruiting

New York, New York, United States, 10021

Contacts

Principal Investigator:

Zachary Grinspan, MD, MS

Duke University Health System

Recruiting

Durham, North Carolina, United States, 27710

Contacts

Principal Investigator:

Muhammad Zafar, MD

Wake Forest Baptist Medical Center

Recruiting

Winston-Salem, North Carolina, United States, 27157

Contacts

Principal Investigator:

Gautam S Popli, MD, MBA

Cincinnati Children's Hospital Medical Center

Recruiting

Cincinnati, Ohio, United States, 45229

Contacts

Samantha Ballard, BSN, RN, CPN

513-803-3177samantha.ballard@cchmc.org

Principal Investigator:

Gewalin Aungaroon, MD

Cleveland Clinic

Recruiting

Cleveland, Ohio, United States, 44195

Contacts

Honglian Huang, PhD

216-445-2366huangh2@ccf.org

Principal Investigator:

Elia Pestana Knight, MD

The Children's Hospital of Philadelphia

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Contacts

Principal Investigator:

Eric Marsh, MD, PhD

Child Neurology Consultants of Austin

Recruiting

Austin, Texas, United States, 78757

Contacts

Principal Investigator:

Karen Keough, MD

University of Utah

Recruiting

Salt Lake City, Utah, United States, 84112

Contacts

Principal Investigator:

Angela Peters, MD

Seattle Children's Hospital

Recruiting

Seattle, Washington, United States, 98105

Contacts

Principal Investigator:

Russell P Saneto, DO, PhD

UBC Children's Hospital Research Institute

Recruiting

Vancouver, British Columbia, Canada, V6H 3V1

Contacts

Principal Investigator:

Mary Connolly, MD

Children's Hospital of Eastern Ontario Research Institute Inc.

Recruiting

Ottawa, Ontario, Canada, K1H 8L1

Contacts

Aristhana Kathiresu

AKathiresu@cheo.on.ca

Principal Investigator:

Katherine Muir, MD, FRCPC

The Hospital for Sick Children

Recruiting

Toronto, Ontario, Canada, M5G 1X8

Contacts

Principal Investigator:

Elizabeth Donner, MD

Toronto Western Hospital, University Health Network

Recruiting

Toronto, Ontario, Canada, M5T 2S8

Contacts

Principal Investigator:

Danielle M Andrade, MD

More Information

Sponsor

Epygenix

Last update posted

Aug 13, 2026

Last verified

Aug, 2026

Keywords

  • Clemizole hydrochloride
  • Convulsive seizure
  • Pediatric epilepsy
  • Dravet syndrome

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Epygenix on 2026-08-13.