New inhaler aims to stop prolonged seizures fast and safely
NCT ID NCT05076617
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 4 times
Summary
This study tests the long-term safety of an inhaled medication called Staccato alprazolam for people aged 12 and older who have prolonged seizures. About 300 participants will use the inhaler when a seizure starts to see if it stops the seizure quickly and without serious side effects. The goal is to provide a fast-acting, easy-to-use treatment option for seizure emergencies.
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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 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Nov 2028
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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12 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.
Inclusion criteria: * Participant must be ≥12 years of age at the time of signing informed consent * Participant must have a study caregiver ≥18 years of age at the time of signing the informed consent; the study caregiver(s) must be able to recognize and observe the participant's seizures * Participants with an established diagnosis of focal or generalized epilepsy or combined focal and generalized epilepsy with a documented history of stereotypical episodes of prolonged seizures that includes at least 1 of the following: 1. Generalized seizure episodes starting with a flurry of absence seizures or myoclonic seizures with a minimum total duration of 5 minutes 2. Episodes of a focal seizure with a minimum duration of 3 minutes 3. Episodes of a focal seizure or a flurry of myoclonic seizures for at least 90 seconds followed by a generalized/bilateral tonic-clonic seizure with a minimum total duration of 3 minutes * Prior to the Screening Visit, participant completed a study using Staccato alprazolam (such as EP0162 (NCT05077904), ENGAGE-E-001 (NCT03478982), or UP0100 (NCT04857307)) Exclusion Criteria: * Participant has a current history of alcohol or drug use disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders 5, within the previous 1 year * Participant has a known hypersensitivity to any components of the investigational medicinal product (IMP) or comparable drugs (and/or an investigational device) as stated in this protocol or to albuterol (or similar bronchospasm rescue medication if needed to meet country-specific requirements) * Participant has a history of convulsive (generalized tonic-clonic) status epilepticus in the 8 weeks prior to the Screening Visit * Participant has a history or presence of known nonepileptic seizures which cannot be distinguished from qualifying epileptic seizures * Participant has a clinically significant known airway hypersensitivity (eg, bronchospasm to known allergens, such as pollen, animals, or food) and/or acute respiratory signs/symptoms (eg, shortness of breath, wheezing on lung auscultation). NOTE: Participants with mild asthma who qualify for inclusion in the are allowed to be enrolled even though they have known airway hypersensitivity * Participant has a clinically significant chronic pulmonary disorder other than mild asthma (eg, chronic obstructive pulmonary disease, restrictive lung diseases \[including idiopathic pulmonary fibrosis\]) and/or recent history or presence of hemoptysis or pneumothorax * Participant has had a positive antigen test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and experienced moderate to severe signs/symptoms of respiratory distress necessitating hospitalization or outpatient treatment such as ambulatory oxygen, extensive treatment with inhaler medications, and/or oral medications for a duration of 4 weeks or more, unless full resolution occurred at least 6 months prior to Screening * Participant has experienced a severe upper respiratory tract infection within 4 weeks or severe bronchitis/pneumonia within 3 months before the Screening Visit * Participant has a history or presence of acute narrow-angle glaucoma * Participant has a condition for which oral alprazolam is contraindicated as per the regional labeling * Participant is taking any drug that is a strong CYP3A4 inhibitor, including azole antifungal agents (ketoconazole and itraconazole) and nefazodone * Participant is taking any opioids or sedative hypnotics on a chronic basis * Participant is taking nonselective beta blockers on a chronic basis
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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 places running it
137 sites in 12 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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
Locations
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Ep0165 20022
Hangzhou, China
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Ep0165 20025
Wenzhou, China
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Ep0165 20070
Hachioji-shi, Japan
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Ep0165 20119
Suzhou, China
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Ep0165 20124
Guangzhou, China
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Ep0165 20133
Chengdu, China
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Ep0165 20137
Chengdu, China
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Ep0165 20143
Kodaira, Japan
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Ep0165 20147
Kyoto, Japan
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Ep0165 20179
Fuzhou, China
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Ep0165 20236
Hōfu, Japan
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Ep0165 20238
Niigata, Japan
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Ep0165 20239
Itami, Japan
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Ep0165 20240
Shizuoka, Japan
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Ep0165 20241
Ōmura, Japan
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Ep0165 20242
Suita, Japan
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Ep0165 20244
Yamagata, Japan
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Ep0165 20246
Beijing, China
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Ep0165 20248
Fukuoka, Japan
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Ep0165 20249
Hiroshima, Japan
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Ep0165 20251
Zhengzhou, China
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Ep0165 20257
Tianjin, China
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Ep0165 20258
Lanzhou, China
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Ep0165 20261
Changchun, China
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Ep0165 20262
Zhanjiang, China
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Ep0165 20264
Guangzhou, China
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Ep0165 20266
Tōon, Japan
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Ep0165 20267
Nanjing, China
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Ep0165 20268
Beijing, China
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Ep0165 20269
Guangzhou, China
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Ep0165 20289
Shijiazhuang, China
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Ep0165 20292
Shanghai, China
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Ep0165 20297
Shinjuku-ku, Japan
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Ep0165 20299
Beijing, China
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Ep0165 20300
Guangzhou, China
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Ep0165 20302
Osaka, Japan
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Ep0165 20315
Koshi-shi, Japan
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Ep0165 20316
Sapporo, Japan
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Ep0165 20320
Kunming, China
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Ep0165 20331
Nanning, China
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Ep0165 20333
Qingdao, China
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Ep0165 20334
Chongqing, China
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Ep0165 20337
Shimotsuga-gun, Japan
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Ep0165 30016
Fitzroy, Australia
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Ep0165 30030
Herston, Australia
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Ep0165 30031
South Brisbane, Australia
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Ep0165 40023
Erlangen, Germany
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Ep0165 40063
Prague, Czechia
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Ep0165 40091
Nowa Sól, Poland
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Ep0165 40108
Salford, United Kingdom
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Ep0165 40144
Milan, Italy
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Ep0165 40157
L'Hospitalet de Llobregat, Spain
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Ep0165 40160
Barcelona, Spain
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Ep0165 40163
Oxford, United Kingdom
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Ep0165 40230
Valencia, Spain
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Ep0165 40257
Roma, Italy
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Ep0165 40352
Pamplona, Spain
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Ep0165 40453
Terrassa, Spain
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Ep0165 40477
Pavia, Italy
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Ep0165 40529
Marburg, Germany
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Ep0165 40540
Madrid, Spain
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Ep0165 40645
Frankfurt am Main, Germany
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Ep0165 40650
Blagoevgrad, Bulgaria
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Ep0165 40651
Sofia, Bulgaria
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Ep0165 40653
Debrecen, Hungary
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Ep0165 40665
Pleven, Bulgaria
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Ep0165 40666
Balassagyarmat, Hungary
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Ep0165 40667
Valladolid, Spain
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Ep0165 40668
Seville, Spain
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Ep0165 40670
Brno, Czechia
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Ep0165 40671
Prague, Czechia
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Ep0165 40672
Ostrava - Poruba, Czechia
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Ep0165 40673
Budapest, Hungary
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Ep0165 40674
Genova, Italy
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Ep0165 40675
Roma, Italy
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Ep0165 40676
Lublin, Poland
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Ep0165 40677
Gdansk, Poland
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Ep0165 40678
Świdnik, Poland
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Ep0165 40683
Berlin, Germany
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Ep0165 40685
Bielefeld, Germany
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Ep0165 40686
Birmingham, United Kingdom
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Ep0165 40689
Kehl, Germany
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Ep0165 40704
Budapest, Hungary
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Ep0165 40707
Bydgoszcz, Poland
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Ep0165 40708
Pazardzhik, Bulgaria
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Ep0165 40714
Prague, Czechia
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Ep0165 40735
Glasgow, United Kingdom
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Ep0165 40833
London, United Kingdom
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Ep0165 40842
Krakow, Poland
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Ep0165 50034
Rochester, New York, 14642, United States
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Ep0165 50047
Boston, Massachusetts, 02215, United States
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Ep0165 50088
Washington D.C., District of Columbia, 20037, United States
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Ep0165 50089
Philadelphia, Pennsylvania, 19140, United States
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Ep0165 50096
Philadelphia, Pennsylvania, 19104, United States
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Ep0165 50103
Nashville, Tennessee, 37232, United States
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Ep0165 50118
Downey, California, 90242, United States
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Ep0165 50199
Miami, Florida, 33136, United States
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Ep0165 50298
New York, New York, 10016, United States
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Ep0165 50299
New Brunswick, New Jersey, 08901, United States
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Ep0165 50308
Tampa, Florida, 33606, United States
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Ep0165 50323
Honolulu, Hawaii, 96817, United States
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Ep0165 50342
Jacksonville, Florida, 32224, United States
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Ep0165 50364
Philadelphia, Pennsylvania, 19107, United States
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Ep0165 50416
La Jolla, California, 92037, United States
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Ep0165 50473
Salt Lake City, Utah, 84132, United States
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Ep0165 50490
New York, New York, 10029, United States
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Ep0165 50491
Pittsburgh, Pennsylvania, 15213, United States
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Ep0165 50493
Chicago, Illinois, 60611, United States
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Ep0165 50494
Little Rock, Arkansas, 72205, United States
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Ep0165 50497
Amherst, New York, 14226, United States
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Ep0165 50504
Fort Wayne, Indiana, 46845, United States
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Ep0165 50506
Phoenix, Arizona, 85004, United States
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Ep0165 50507
St Louis, Missouri, 63110, United States
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Ep0165 50508
Jacksonville, Florida, 32209-6533, United States
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Ep0165 50509
Orlando, Florida, 32806, United States
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Ep0165 50511
Pittsburgh, Pennsylvania, 15212, United States
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Ep0165 50512
Boise, Idaho, 83702, United States
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Ep0165 50513
Memphis, Tennessee, 38103-2800, United States
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Ep0165 50514
Charlotte, North Carolina, 28204, United States
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Ep0165 50515
Gulf Breeze, Florida, 32561, United States
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Ep0165 50517
New Orleans, Louisiana, 70122, United States
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Ep0165 50518
New York, New York, 10075, United States
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Ep0165 50525
Houston, Texas, 77459, United States
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Ep0165 50615
Boston, Massachusetts, 02118, United States
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Ep0165 50625
New Hyde Park, New York, 11042, United States
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Ep0165 50676
Miami, Florida, 33176, United States
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Ep0165 50700
Chattanooga, Tennessee, 37403, United States
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Ep0165 50701
Portland, Oregon, 97239, United States
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Ep0165 50702
Long Beach, California, 90806, United States
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Ep0165 50703
Rockledge, Florida, 32955, United States
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Ep0165 50714
Houston, Texas, 77030, United States
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Ep0165 50715
Durham, North Carolina, 27705, United States
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Ep0165 50716
Sacramento, California, 95817, United States
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Ep0165 50720
Scottsdale, Arizona, 85253, United States
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Ep0165 50722
Poway, California, 92064, United States
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Ep0165 50726
Winchester, Virginia, 22601, United States
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Ep0165 50731
Austin, Texas, 78749, United States
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Other studies related to the condition(s) this trial covers.
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