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New epilepsy drug tested as standalone treatment

NCT ID NCT06453213

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Aug 28, 2026 · Updated 5 times

Summary

This study tests whether cenobamate, already approved for epilepsy, works well when used alone in adults with partial-onset seizures. About 49 participants will take either 100 mg or 200 mg daily, and researchers will track how many become seizure-free for 26 weeks. The goal is to gather more data on its effectiveness as a monotherapy.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
cenobamate
What this could lead to
If successful, this could confirm cenobamate as a reliable monotherapy option for adults with partial-onset seizures, offering better seizure control.
What could go wrong
This is a small, open-label Phase 4 study with no placebo group, so results may be less definitive. Some people may still have seizures or side effects like dizziness or drowsiness.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 4

Runs after approval, following long-term safety and how well the treatment works in everyday use.

Participants

49 people

The number who actually took part.

Started

Oct 2024

Expected to finish

Jul 2027

An estimate. End dates often move.

Lead sponsor

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

18 to 74 years

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Be considered reliable and willing to be available for the study period and are able to record seizures and report adverse events (AEs) himself/herself or have a caregiver who can record seizures and report AEs for them. 2. Male or female subjects 18-74 years of age with a diagnosis of partial-onset seizures (POS) according to the 2017 ILAE Classification of Epileptic Seizures. Diagnosis will be established by clinical history and an electroencephalogram (EEG) consistent with POS. Subjects with a normal EEG could be included provided they met the other diagnostic criteria according to clinical history. 3. Subjects who are newly diagnosed or have recurrent epilepsy and have experienced: 1. At least 2 unprovoked seizures (at least \>24 hours apart) within the 1 year prior to Day 1 of the Treatment Period, of which, at least 1 unprovoked seizure (but below 20 seizures) occurred in the 12 weeks prior to Day 1 of the Treatment Period. OR 2. 1 unprovoked seizure within the 12 weeks prior to Day 1 of the Treatment Period with concomitant information to support an increased risk (\>60%) of a second seizure. In the absence of clear information about recurrence risk, or even knowledge of such information, the default definition of epilepsy originates at the second unprovoked seizure. Subjects who are newly diagnosed and have been prescribed a low dose of 1 ASM for ≤12 weeks can be included if the other ASM can be safely down-titrated/discontinued per Investigator discretion within 6 weeks after the 1st dose of cenobamate. For subjects with recurrent epilepsy, they must have relapsed at least 6 months after the end of the last ASM treatment but can have been prescribed a low dose of 1 ASM for ≤12 weeks if the other ASM can be safely down-titrated/discontinued per Investigator discretion within 6 weeks after the 1st dose of cenobamate. 4. Female subjects are either not of childbearing potential, defined as premenarchal, postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy), if of childbearing potential, must comply with an acceptable method of birth control during the study, for at least 4 weeks prior to study entry and for 2 weeks after last dose of study drug. 5. Subject and/or caregiver(s)/legal representative must be willing and able to give informed assent/consent for participation in the study. 6. Subject and their caregiver must be willing and able (in the investigator's opinion) to comply with all study requirements. Exclusion Criteria: 1. Subjects who have only simple partial-onset seizures (focal aware seizures) without motor signs. 2. Subjects who have seizure clusters where individual seizures cannot be counted. 3. Subjects who present with or have a history of Lennox-Gastaut syndrome. 4. Subjects who have a history of status epilepticus that required hospitalization within 1 year prior to Day 1 of the Treatment Period. 5. Subjects who have a history of psychogenic non-epileptic seizures within 2 years prior to Day 1 of the Treatment Period. 6. Subjects who have a history of active suicidal ideation within the last 6 months or suicide attempt within 2 years prior to Day 1 of Treatment Period. 7. Evidence of clinically significant disease (eg, cardiac, respiratory, gastrointestinal, psychiatric, other neurological) that in the opinion of the investigator(s) could affect the subject's safety or interfere with the study assessments. 8. History of Familial Short QT syndrome or prior subject diagnosis of Short QT syndrome. 9. Evidence of clinically significant active renal or hepatic disease. 10. Subjects taking a strong CYP3A inducer such as phenytoin, phenobarbital, carbamazepine, or rifampin within 12 weeks prior to the Pretreatment Period unless emergency care was needed due to the subject experiencing status epilepticus, uncontrolled seizures, or clusters of seizures. 11. Subjects who are taking more than one of the following centrally acting drugs: antipsychotic, antidepressant, or anxiolytic. The dose should be stable for the 12 weeks prior to the Pretreatment Period. 12. Subjects who have a history of any type of surgery for brain or central nervous system within 1 year prior to the Pretreatment Period. 13. Subjects who have a history of receiving any ASM (including ASM used as rescue treatment and ASMs used for indications other than epilepsy) for more than 12 weeks in total within 6 months prior to Day 1 of the Treatment Period. 14. Subjects who have used intermittent rescue medicine on 2 or more occasions within 12 weeks before the Pretreatment Period (1 to 2 doses over a 24-hour period considered one-time rescue). 15. Subjects who have a history of receiving any ASM polytherapy (\> 2 ASMs taken concurrently) during a previous episode of epilepsy. 16. Previous exposure to cenobamate or sensitivity/allergy to components of the oral tablets. 17. Subjects who have a history of drug or alcohol dependency or abuse within the last 2 years before the Pretreatment Period. 18. Subjects who have had multiple drug allergies or a severe drug reaction, including dermatological (eg, DRESS syndrome, Stevens-Johnson syndrome), hematological, or organ toxicity reactions. 19. Females who are breastfeeding or pregnant or planning to get pregnant in the Pretreatment Period or during the conduct of the study. 20. Subjects who have participated in a study involving administration of an investigational drug or device within 4 weeks before Visit 1, or within approximately 5 half-lives of the previous investigational compound, whichever is longer. 21. Subjects with dementia. 22. Subjects who have seizures due to a progressive CNS condition.

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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.

Contacts and locations

Locations

  • Arizona Neuroscience Research

    Phoenix, Arizona, 85032, United States

  • Bluegrass Epilepsy Research LLC

    Lexington, Kentucky, 40504, United States

  • Center For Neurosciences

    Tucson, Arizona, 85718, United States

  • Clinical Trials Inc

    Little Rock, Arkansas, 72205, United States

  • Consultants In Epilepsy and Neurology

    Boise, Idaho, 83702, United States

  • DHR Health Institute for Research and Development

    Edinburg, Texas, 78539, United States

  • Elite Clinical Research

    Miami, Florida, 33144, United States

  • Hartford Hospital

    Hartford, Connecticut, 06102, United States

  • Henry Ford Health System

    Detroit, Michigan, 48202, United States

  • Hoag Physician Partners

    Newport Beach, California, 92663, United States

  • John Hopkins Epilepsy Center

    Baltimore, Maryland, 21287, United States

  • Knight Neurology

    Rockledge, Florida, 32955, United States

  • Louisiana State University Health Sciences

    Shreveport, Louisiana, 71103, United States

  • Mount Sinai Hospital

    New York, New York, 10029, United States

  • NY Neurology Associates

    New York, New York, 10003, United States

  • Neuro Pain Medical Center

    Fresno, California, 93710, United States

  • University of Missouri Health Care

    Columbia, Missouri, 65212, United States

  • Wayne Neurology PLC

    Plymouth, Michigan, 48170, United States

  • Yale School of Medicine - Yale-New Haven Hospital

    New Haven, Connecticut, 06519, United States

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