New drug shows promise for rare, severe childhood epilepsy
NCT ID NCT05066217
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 4 times
Summary
This study tests whether clemizole HCl (EPX-100) can safely reduce seizures when added to current treatments for Lennox-Gastaut syndrome, a severe form of epilepsy. About 260 children and adults aged 2 to 55 will receive either the drug or a placebo. The main goal is to measure changes in seizure frequency over the treatment period.
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
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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 260 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Nov 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 to 55 years
- 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. Males or females, ages ≥2 to ≤55 years, at the time of Screening. 2. Participant/parent/legal authorized representative (LAR) willing and able to give written informed consent/assent. 3. Diagnosis of LGS, including: * Evidence of at least one type of countable major motor seizure. * History of electroencephalogram (EEG) consistent with LGS (abnormal background activity, and one of the following: 1) slow spike-wave discharges \[\<2.5 Hz\], or 2) paroxysmal fast activity during sleep). * Abnormal cognitive development. * Onset of seizures at 11 years of age or younger. Key Exclusion Criteria: 1. Known sensitivity, allergy, or previous exposure to clemizole HCl. 2. Known history of long QT syndrome or any significant history of a serious abnormality of the electrocardiogram (ECG) (e.g., recent myocardial infarction, clinically significant arrhythmia). 3. Family history of sudden cardiac death, unexplained death, or death from a primary dysrhythmia potentially associated with QT prolongation in any family member. 4. Seizures secondary to illicit drug or alcohol use, infection, neoplasm, demyelinating disease, degenerative neurological disease, or progressive central nervous system disease, metabolic illness, recent anoxic episode within the last 6 months requiring resuscitation, or progressive degenerative disease or any other condition, which in the opinion of the investigator, could affect seizure control. 5. Epilepsy surgery planned during the study or epilepsy surgery within 6 months prior to Screening. 6. Concomitant use of fenfluramine. 7. Prior or concomitant use of lorcaserin.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Lennox Gastaut syndrome are added.
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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
54 sites in 7 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
Enter your email to view the contact information for this study.
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Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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AdventHealth Innovation Tower
RECRUITINGOrlando, Florida, 32804, United States
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Arkansas Children's Hospital
ACTIVE_NOT_RECRUITINGLittle Rock, Arkansas, 72202, United States
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Atrium Health STRIVE Research
RECRUITINGCharlotte, North Carolina, 28207, United States
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Azienda Ospedaliera Universitaria Renato Dulbecco - AO Mater Domini
RECRUITINGCatanzaro, 88100, Italy
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Azienda Ospedaliero Universitaria A Meyer
RECRUITINGFlorence, 50139, Italy
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Beijing Children's Hospital, Capital Medical University - PIN
RECRUITINGBeijing, 100045, China
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Centro de Neurologia Avanzada
RECRUITINGSeville, 41013, Spain
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Centrul National Clinic De Recuperare Neuropsihomotorie Copii Robanescu-Padure
RECRUITINGBucharest, 041408, Romania
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Centrum Medyczne Plejady Magdalena Celinska
RECRUITINGKrakow, Lesser Poland Voivodeship, 30-363, Poland
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Chengdu Women's and Children's Central Hospital
RECRUITINGChengdu, 610073, China
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Children and Youth Health Care Institute of Vojvodina
RECRUITINGNovi Sad, 21000, Serbia
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Children's Health Specialty Center
RECRUITINGDallas, Texas, 75235, United States
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Children's Hospital of Chongqing Medical University
RECRUITINGChongqing, 400014, China
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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Children's Nebraska
RECRUITINGOmaha, Nebraska, 68114, United States
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Childrens University Hospital
RECRUITINGBelgrade, 11000, Serbia
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Clinical Neurosciences Center
RECRUITINGSalt Lake City, Utah, 84132, United States
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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27705, United States
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Emergency University Hospital
RECRUITINGBucharest, 050098, Romania
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Fondazione IRCCS Istituto Neurologico Carlo Besta
RECRUITINGMilan, 20133, Italy
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Henry Ford Hospital
ACTIVE_NOT_RECRUITINGDetroit, Michigan, 48202, United States
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Hospital Infantil Universitario Niño Jesus - PIN
RECRUITINGMadrid, 28009, Spain
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Hospital Regional Universitario de Malaga - Hospital General
RECRUITINGMálaga, 29010, Spain
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Hospital Universitario Vall d'Hebron - PPDS
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario de Navarra
RECRUITINGPamplona, 31008, Spain
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Hospital de La Santa Creu i Sant Pau
RECRUITINGBarcelona, 08025, Spain
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Hunan Children's Hospital
RECRUITINGChangsha, 410007, China
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IRCCS Azienda Ospedaliera Metropolitan
RECRUITINGGenoa, Liguria, 16132, Italy
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IRCCS Istituto Neurologico Mediterraneo Neuromed
RECRUITINGPozzilli, Molise, 86077, Italy
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Jiangxi Provincial Children's Hospital
RECRUITINGNanchang, 330006, China
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Minnesota Epilepsy Group, P.A.
RECRUITINGRoseville, Minnesota, 55102, United States
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Mother and Child Health Care Institute of Serbia Dr Vukan Cupic
RECRUITINGBelgrade, 11000, Serbia
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NYU Comprehensive Epilepsy Center - BRANY - PPDS
RECRUITINGNew York, New York, 10016-4852, United States
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Neurosphera
RECRUITINGWarsaw, Masovian Voivodeship, 02-829, Poland
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Norton Children's Medical Center
RECRUITINGLouisville, Kentucky, 40202, United States
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On-Site Clinical Solution
RECRUITINGCharlotte, North Carolina, 28211, United States
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PPD Virtual-Science 37, Inc.
RECRUITINGMorrisville, North Carolina, 27560, United States
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Pediatric Neurology and Epilepsy Specialists
ACTIVE_NOT_RECRUITINGWinter Park, Florida, 32789, United States
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Peking University First Hospital - Changqiao Campus
RECRUITINGBeijing, 100034, China
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Peking University First Hospital - Daxing Campus
RECRUITINGBeijing, 100034, China
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Qilu Hospital of Shandong University
RECRUITINGJinan, 250012, China
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Rare Disease Research
SUSPENDEDOrlando, Florida, 34746, United States
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Re:Cognition Health
RECRUITINGChicago, Illinois, 60611, United States
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Sf. Maria Children Emergency Clinical Hospital Iasi
RECRUITINGIași, 700309, Romania
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Shenzhen Children's Hospital
RECRUITINGShenzhen, 518000, China
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Tekton Research
RECRUITINGMarlboro, New Jersey, 07746, United States
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The Affiliated Hospital of Guizhou Medical University
RECRUITINGGuiyang, 550004, China
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The First Hospital of Jilin University
RECRUITINGChangchun, 130021, China
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The Second Affiliated Hospital of Guangzhou Medical University
RECRUITINGGuangzhou, 510260, China
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The Second Affiliated Hospital of Xi'an Jiaotong University
RECRUITINGXi'an, 710004, China
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UC Irvine Medical Center
ACTIVE_NOT_RECRUITINGOrange, California, 92868, United States
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UTHealth Houston
RECRUITINGHouston, Texas, 77030, United States
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University Clinical Center Nis
RECRUITINGNiš, 18 000, Serbia
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University of Miami Miller School of Medicine
RECRUITINGMiami, Florida, 33136, United States
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Weill Cornell Medicine/New York Presbyterian Hospital
RECRUITINGNew York, New York, 10021, United States
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West China Second University Hospital, Sichuan University - Huaxi Campus
RECRUITINGChengdu, 610041, China
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Wuhan Children's Hospital
RECRUITINGWuhan, 430015, China
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Xuzhou Children's Hospital
RECRUITINGXuzhou, 221006, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug curb seizures in children with severe epilepsy?
- Which treatment tames LGS seizures better: surgery or more meds?
- Can a slow start with CBD oil tame Hard-to-Control seizures?
- Lifeline for kids with severe epilepsy: drug access extended
- Brain pacemaker shows promise for rare childhood epilepsy
- Brain implant shows promise for Hard-to-Treat seizures in rare epilepsy