New hope for dravet syndrome: phase 3 trial of EPX-100 aims to cut seizures
NCT ID NCT04462770
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 4 times
Summary
This study tests an experimental drug called EPX-100 (clemizole) in 150 children and adults with Dravet syndrome, a severe form of epilepsy. The goal is to see if adding EPX-100 to current treatments can safely reduce the number of motor seizures. Participants will be randomly assigned to receive either the drug or a placebo for 20 weeks.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2020
- Expected to finish
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May 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
55 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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All India Institute of Medical Sciences (AIIMS)
RECRUITINGNew Delhi, National Capital Territory of Delhi, 110029, India
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Amrita Institute of Medical Sciences & Research Center
RECRUITINGKochi, Kerala, 682041, India
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Ann & Robert H. Lurie Children's Hospital of Chicago
TERMINATEDChicago, Illinois, 60611, United States
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Arkansas Children's Hospital
RECRUITINGLittle Rock, Arkansas, 72202, United States
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Cardiff and Vale University Health Board
ACTIVE_NOT_RECRUITINGCardiff, CF14 4XW, United Kingdom
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Central India Cardiology Hospital and Research Institute
RECRUITINGNagpur, Maharashtra, 440015, India
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Child Neurology Consultants of Austin
RECRUITINGAustin, Texas, 78757, United States
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Children's Hospital of Eastern Ontario Research Institute Inc.
RECRUITINGOttawa, Ontario, K1H 8L1, Canada
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Children's Hospital of Los Angeles
TERMINATEDLos Angeles, California, 90027, United States
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Children's Nebraska
RECRUITINGOmaha, Nebraska, 68114, United States
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Christian Medical College
RECRUITINGVellore, Tamil Nadu, 632004, India
Contact Email: •••••@•••••
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Cincinnati Children's Hospital Medical Center
RECRUITINGCincinnati, Ohio, 45229, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Clinical Integrative Research Center of Atlanta (CIRCA)
WITHDRAWNAtlanta, Georgia, 30328, United States
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Conci Carpinella - Santa Rosa N° 748
NOT_YET_RECRUITINGCórdoba, Argentina
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Duke University Health System
RECRUITINGDurham, North Carolina, 27710, United States
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Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto Hospital de Base - PPDS
NOT_YET_RECRUITINGSão José do Rio Preto, Brazil
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Fundación Para La Lucha Contra Las Enfermedades Neurológicas de La Infancia - FLENI
NOT_YET_RECRUITINGBuenos Aires, Argentina
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Great Ormond Street Hospital For Children
ACTIVE_NOT_RECRUITINGLondon, WC1N 1EH, United Kingdom
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Hospital Infantil Universitario Niño Jesús
RECRUITINGMadrid, Madrid Provincia, 28009, Spain
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Hospital São Paulo da Universidade Federal de Sao Paulo - Escola Paulista de Medicina UNIFESP-EPM
NOT_YET_RECRUITINGSão Paulo, Brazil
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Hospital Universitário da Universidade Estadual de Campinas - UNICAMP
NOT_YET_RECRUITINGCampinas, Brazil
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, 08025, Spain
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Institute of Mother and Child
RECRUITINGWarsaw, 01-211, Poland
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Institute of Neurology and Neuropsychology LTD
RECRUITINGTbilisi, 0186, Georgia
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Instituto Médico Rivarola (GIEN SRL)
NOT_YET_RECRUITINGSan Luis, Argentina
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Instituto Privado Kremer
NOT_YET_RECRUITINGCórdoba, Argentina
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Instituto de Psiquiatria HC FMUSP
NOT_YET_RECRUITINGSão Paulo, Brazil
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Jaslok Hospital & Research Centre
RECRUITINGMumbai, Maharashtra, 400026, India
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KEM Hospital Research Centre
NOT_YET_RECRUITINGPune, Maharashta, 411011, India
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KLES Dr Prabhakar Kore Hospital and Medical Research Centre
NOT_YET_RECRUITINGBelagavi, Karnataka, 590010, India
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Le Bonheur Children's Hospital
TERMINATEDMemphis, Tennessee, 38103, United States
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Medi Club Georgia LLC
RECRUITINGTbilisi, 0160, Georgia
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Medical Centre Plejady
RECRUITINGKrakow, 30-363, Poland
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Medical College of Wisconsin, Children's Wisconsin
NOT_YET_RECRUITINGMilwaukee, Wisconsin, 53266, United States
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National Institute of Mental Health and Neurosciences (NIMHANS)
NOT_YET_RECRUITINGBengaluru, Karnataka, 560029, India
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Nationwide Children's Hospital
WITHDRAWNColumbus, Ohio, 43205, United States
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Neurology Center for Epilepsy and Seizures
ACTIVE_NOT_RECRUITINGMarlboro, New Jersey, 07746, United States
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Northeast Regional Epilepsy Group
TERMINATEDHackensack, New Jersey, 07601, United States
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Northwell Health - Lenox Hill Hospital
NOT_YET_RECRUITINGNew York, New York, 10075, United States
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Norton Children's Research Institute
RECRUITINGLouisville, Kentucky, 40202, United States
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Pediatric Neurology and Epilepsy Specialists
RECRUITINGWinter Park, Florida, 32789, United States
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Rainbow Children's Hospital
NOT_YET_RECRUITINGHyderabad, Andhra Pradesh, 500034, India
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Rare Disease Research FL
RECRUITINGKissimmee, Florida, 34746, United States
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SRCC Children's Hospital
RECRUITINGMahālakshmi, Mumbai, 400034, India
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Saachi Children's Hospital
RECRUITINGSurat, Gujarat, 395002, India
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Science 37
ACTIVE_NOT_RECRUITINGMorrisville, North Carolina, 27560, United States
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Seattle Children's Hospital
RECRUITINGSeattle, Washington, 98105, United States
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Semmelweis University
RECRUITINGBudapest, 1094, Hungary
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Sheffield Children's Hospital
ACTIVE_NOT_RECRUITINGSheffield, S102TH, United Kingdom
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Tbilisi State Medical University, Givi Zhvania Academic, Clinic of Pediatry
RECRUITINGTbilisi, 0159, Georgia
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The Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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The Hospital for Sick Children
RECRUITINGToronto, Ontario, M5G 1X8, Canada
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The Nemours Foundation
TERMINATEDWilmington, Delaware, 19803, United States
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Toronto Western Hospital, University Health Network
RECRUITINGToronto, Ontario, M5T 2S8, Canada
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UBC Children's Hospital Research Institute
RECRUITINGVancouver, British Columbia, V6H 3V1, Canada
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UCSF Medical Center
RECRUITINGSan Francisco, California, 94158, United States
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UT Southwestern/Children's Health
WITHDRAWNDallas, Texas, 75207, United States
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University Clinical Center in Gdansk, Division of Developmental Neurology
RECRUITINGGdansk, 80-952, Poland
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University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35233, United States
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University of California Irvine
RECRUITINGOrange, California, 92868, United States
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University of Debrecen
RECRUITINGDebrecen, 4032, Hungary
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University of Michigan- Mott Children's Hospital
TERMINATEDAnn Arbor, Michigan, 48109, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84112, United States
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Wake Forest Baptist Medical Center
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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Weill Cornell Medical Center
RECRUITINGNew York, New York, 10021, United States
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Yale School of Medicine - Yale-New Haven Hospital
RECRUITINGNew Haven, Connecticut, 06511, United States
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Yale University School of Medicine
NOT_YET_RECRUITINGNew Haven, Connecticut, 06510, United States
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Yashoda Hospitals Hitec City
NOT_YET_RECRUITINGHyderabad, Andhra Pradesh, 500081, India
Contact Email: •••••@•••••
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Newborn screening study aims to catch rare diseases at birth
- Virtual therapy helps kids with rare epilepsy gain daily living skills
- Could a repurposed drug tame seizures in adult dravet patients?
- New hope for rare epilepsy: fenfluramine made available for dravet patients
- New hope for kids with rare seizure disorder: ION337 trial launches
- Could a seizure drug also prevent sudden death in dravet syndrome?