New drug LP352 aims to control seizures in severe epilepsy over the long term
NCT ID NCT06908226
First seen Jun 24, 2026 · Last updated Sep 16, 2026 · Updated 6 times
Summary
This phase 3 study is testing the long-term safety and effectiveness of LP352 (Bexicaserin) in 324 children and adults with developmental and epileptic encephalopathy (DEE), including Dravet and Lennox-Gastaut syndromes. Participants who completed earlier studies will receive LP352 orally or via feeding tube for about 14 months. The main goal is to track side effects, while also measuring changes in seizure frequency.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LP352 (Bexicaserin)
- What this could lead to
- If successful, this could provide a long-term treatment option to reduce seizure frequency in people with developmental and epileptic encephalopathy.
- What could go wrong
- This is an open-label study without a placebo, so results may be less reliable. Side effects and lack of efficacy are possible, and the study only includes people who completed earlier trials.
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 324 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Dec 2027
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 66 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.
Inclusion Criteria: * The participant has satisfactorily completed Study LP352-301 or LP352-302 Visit 8, and who, in the opinion of the investigator, may benefit from continued LP352 administration. * Diagnosis of DEE that includes Dravet Syndrome (DS), Lennox-Gastaut Syndrome (LGS), or DEE Other (as defined and evaluated in Study LP352-301 or LP352-302). * Participant has a body weight of ≥10 kg. * G-tubes/PEG tubes (if applicable) should be in stable and good working condition. Nasogastric tubes are not allowed except for short-term management. * Has at least one reliable and consistent parent, legal guardian, or caregiver during the study. * The participant must be willing and able to provide written informed consent; in instances where the participant is unable to provide consent, an appropriate LAR must provide informed consent and the participant will need to assent (as per local regulations) before participation in the study. If the participant cannot provide consent or assent (ie, due to developmental status), the investigator should document why it was not obtained. * The participant and/or authorized representative is willing to provide written consent or assent to allow the investigator and the investigator's staff to consult with the participant's medical caregivers and the medical monitor during Screening and during participation in the study. * All participants of childbearing potential must have a negative urine or serum pregnancy (human chorionic gonadotropin) test at Visit 8 from Study LP352-301 or LP352-302 and agrees to routinely use an acceptable effective method of contraception from the time of signing informed consent up to 48 hours after the last dose of study drug. * Participant and/or participant's caregiver(s) agree to not post any participant's personal medical data related to the study or information related to the study on any website or social media site until the study has been completed. * The participant, parent, or caregiver is willing and able (in the judgment of the investigator) to comply with completion of the diaries throughout the study. Exclusion Criteria: * The participant is receiving exclusionary medications. * Considered at risk of suicidal behavior based on the C-SSRS at Visit 8 of LP352-301 or LP352-302. If the participant is unable to complete the C-SSRS due to developmental status, the participant's LAR may not complete the C-SSRS. In these cases, the investigator may use clinical judgment to assess both the participant's status regarding suicidality and the ability to complete the scale, both of which must then be documented in the source document. * Has a PHQ-9 score of \>9 or a positive response to Question 9 at Visit 8 of LP352-301 or LP352-302. If the participant is unable to complete the PHQ-9, the participant's LAR may not complete the PHQ-9. In these cases, the investigator may use clinical judgment to assess both the participant's status and ability to complete the scale, both of which must then be documented in the source document. * Ongoing AE from LP352-301 or LP352-302 of severe depression, anorexia nervosa, or bulimia per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. * Has an abnormal and clinically significant 12-lead ECG at Visit 8 in LP352-301 or LP352-302 in the opinion of the investigator, for example, second- or third-degree heart block or a QTc of \>450 msec for adult males, \>470 msec for adult females, or \>440 msec for pediatric participants. * Ongoing AE in LP352-301 or LP352-302 of alcohol, opioid, or other drug use disorder, as per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. * Current use of any cannabis product or cannabidiol that is not in oral solution/capsule/tablet form, not obtained from a government-approved dispensary, or containing ≥50% THC. Cannabis product or cannabidiol should be used primarily to treat seizures and dose should not be adjusted for the duration of the study. Cannabis product or cannabidiol will count as a concurrent ASM. * Has a positive result on the urine drug screen at Visit 8 of LP352-301 or LP352-302, except for positive results related to prescribed controlled medications (eg, benzodiazepine) or Epidiolex®/government-approved cannabis product/cannabidiol used to treat seizures (eg, tetrahydrocannabinol). * Unstable, clinically significant neurologic (other than the disease being studied, eg, recurrent strokes), psychiatric, cardiovascular (eg, pulmonary arterial hypertension, cardiac valvulopathy, orthostatic hypotension/tachycardia) pulmonary, hepatic (severe hepatic impairment), renal (severe renal impairment), metabolic, gastrointestinal, urologic, immunologic, hematopoietic, or endocrine disease or other abnormality at Visit 8 of LP352-301 or LP352-302 which may impact the ability of the participant to participate or potentially confound the study results. * Is pregnant, breast-feeding, or intending to become pregnant during or within 48 hours after the last dose of study drug; or intending to donate ova during such time period. * Has a known hypersensitivity to any component of LP352 formulation or any history of serious drug-induced hypersensitivity, eg, toxic epidermal necrolysis or Drug Reaction with Eosinophilia and Systemic Symptoms. * Unwilling to abstain from donation of blood during and within 2 weeks after the study. * Is unable or unwilling to comply with any of the study requirements or timelines.
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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
83 sites in 15 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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AP-HM- Hôpital de La Timone
Marseille, 13005, France
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AP-HP - Hôpital universitaire Necker-Enfants malades
Paris, 75015, France
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AP-HP - Hôpital universitaire Robert-Debré
Paris, 75019, France
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Arkansas Children's Hospital - Cardiology Clinic
Little Rock, Arkansas, 72202-3500, United States
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Austin Hospital
Heidelberg, Victoria, 3084, Australia
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Azienda Ospedaliera Universitaria Integrata Verona - Centro Fibrosi Cistica di Verona (CFC Verona)
Verona, 37126, Italy
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Azienda Ospedaliero-Universitaria Meyer - Ospedale dei Bambini
Florence, Tuscany, 50139, Italy
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Barnabas Health - Institute of Neurology and Neurosurgery
Livingston, New Jersey, 07039-5817, United States
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Bernu Kliniska Universitates Slimnica (BKUS) (University Children's Hospital)
Riga, LV-1004, Latvia
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CHU de Toulouse - Hôpital Pierre-Paul Riquet
Toulouse, 31059, France
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Capital Medical University-Beijing Children's Hospital
Beijing, Beijing Municipality, 100045, China
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Cardiff and Vale University Health Board - University Hospital of Wales (UHW) - Noah's Ark Childr...
Cardiff, East Wales, CF14 4XW, United Kingdom
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Centre Hospitalier Universitaire de Lyon - Hôpital Pierre Wertheimer
Bron, 69500, France
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Centro Hospitalar Universitario de Santo Antonio - Centro Materno Infantil do Norte (CMIN)
Porto, 4050, Portugal
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Child Neurology Consultants of Austin - Austin
Austin, Texas, 78731-3157, United States
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Children's Hospital Colorado - Heart Institute
Aurora, Colorado, 80045-7106, United States
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Consultants in Epilepsy & Neurology, PLLC
Boise, Idaho, 83702-5029, United States
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Dokkyo Medical University Hospital
Mibu-Machi, Tochigi, 321-0293, Japan
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Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
Milan, 20133, Italy
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Fondazione Mondino, IRCCS Istituto Neurologico Nazionale a Carattere Scientifico
Pavia, 27100, Italy
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Fudan University - Children's Hospital
Shanghai Shi, Shanghai Municipality, 201102, China
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Gesellschaft fuer Epilepsieforschung e.V.
Bielefeld, North Rhine-Westphalia, 33617, Germany
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Great Ormond Street Hospital for Children NHS Foundation Trust
London, WC1N 3JH, United Kingdom
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Guangzhou Medical University-The Second Affiliated Hospital
Guangzhou, Guangdong, 510260, China
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Hospital Infantil Universitario Nino Jesus (HIUNJS)
Madrid, 28009, Spain
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Hospital Pediátrico de Coimbra
Coimbra, 3000-602, Portugal
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Hospital Regional Universitario de Malaga - Hospital General
Málaga, 29010, Spain
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Hospital Ruber Internacional
Madrid, 28034, Spain
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Hospital Sant Joan de Deu Barcelona (HSJDB)
Esplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)
Valencia, 46026, Spain
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Hospital Universitario Vithas Madrid La Milagrosa
Madrid, 28010, Spain
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Hospital Universitario de Navarra
Pamplona, Navarre, 31008, Spain
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Hospital de la Santa Creu I Sant Pau
Barcelona, 8041, Spain
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Hôpital Roger Salengro
Lille, Nord, 59000, France
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Hôpital de Hautepierre - Les Hôpitaux Universitaires de Strasbourg
Strasbourg, Ain, 67098, France
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Institut za Zdravstvenu Zastitu Majke i Deteta Srbije Dr Vukan Cupic
Belgrade, Beograd, 11070, Serbia
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Instituto Nacional de Pediatria (INP) (National Institute of Pediatrics)
Mexico City, Mexico City, 04530, Mexico
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Instituto de Neurologia de Curitiba (INC)
Curitiba, Paraná, 81210-310, Brazil
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International University of Health and Welfare - Narita Hospital
Narita-shi, Chiba, 286-8520, Japan
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Istituto Giannina Gaslini (Ospedale Pediatrico IRCCS) - Centro Malattie Rare
Genoa, 16147, Italy
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Massachusetts General Hospital (MGH)
Boston, Massachusetts, 02114, United States
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Mayo Clinic - Children's Center - Rochester
Rochester, Minnesota, 55905-0001, United States
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Mid-Atlantic Epilepsy and Sleep Center - Bethesda
Bethesda, Maryland, 20817-1844, United States
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NHS Greater Glasgow and Clyde-Glasgow Clinical Research Facility - Queen Elizabeth University Hos...
Glasgow, South Western Scotland, G51 4TF, United Kingdom
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NW FL Clinical Research Group, LLC
Gulf Breeze, Florida, 32561-4495, United States
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NYU Langone Health-NYU Comprehensive Epilepsy Center
New York, New York, 10016-4852, United States
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National Center of Neurology and Psychiatry-National Center Hospital
Kodaira-shi, Tokyo-To, 187-8551, Japan
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National Hospital Organization Nishi-Niigata Chuo National Hospital
Niigata, 950-2074, Japan
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National Hospital Organization Shizuoka Institute of Epilepsy and Neurological Disorders
Shizuoka, 420-0953, Japan
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Northeast Regional Epilepsy Group - Morristown
Morristown, New Jersey, 07960-6092, United States
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Okayama University Hospital
Okayama, Okayama-ken, 700-8558, Japan
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Oregon Health & Science University - Blood Brain Barrier and Neuro-Oncology Program
Portland, Oregon, 97239-3098, United States
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Osaka City General Hospital
Osaka, Osaka, 534-0021, Japan
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Ospedale Pediatrico Bambino Gesu - Gianicolo
Rome, 00165, Italy
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Pediatric Epilepsy & Neurology Specialists (PENS)
Tampa, Florida, 33609-4191, United States
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Peking University First Hospital (Beida Hospital)
Beijing, Beijing Municipality, 100034, China
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Queensland Children's Hospital (Lady Cilento Children's Hospital)
Brisbane, Queensland, 4101, Australia
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Research Institute of Orlando LLC
Orlando, Florida, 32806, United States
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Royal Brisbane and Women's Hospital (RBWH)
Brisbane, Queensland, 4006, Australia
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Saitama Prefectural Children's Medical Center
Saitama-shi, Saitama, 330-8777, Japan
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Stanford University - Stanford School of Medicine - Pulmonary and Cystic Fibrosis Center
Palo Alto, California, 94304-1511, United States
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Sydney Children's Hospital - Randwick
Randwick, New South Wales, 2031, Australia
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The Children's Hospital-Westmead - Heart Centre for Children
Westmead, New South Wales, 2145, Australia
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The Newcastle upon Tyne Hospitals NHS Foundation Trust - Royal Victoria Infirmary (RVI)
Newcastle upon Tyne, North East, NE1 4LP, United Kingdom
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The Royal Children's Hospital (RCH) Melbourne
Parkville, Victoria, 3052, Australia
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The University of Texas Medical School at Houston - UT Gastroenterology
Houston, Texas, 77030-1517, United States
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UCSF Benioff Children's Hospitals - San Francisco
San Francisco, California, 94158, United States
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Unidade Local de Saude Santa Maria, E.P.E (ULSSM)
Lisbon, 1649-035, Portugal
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Universidade de Sao Paulo (USP) - Hospital das Clinicas da Faculdade de Medicina (HCFMUSP) - Inst...
São Paulo, 05403-903, Brazil
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Universita Cattolica del Sacro Cuore - Fondazione Policlinico Universitario A Gemelli - Centro pe...
Rome, 00168, Italy
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Universitaetsklinikum Schleswig-Holstein (UKSH) - Campus Kiel - Klinik fuer Psychosomatik und Psy...
Kiel, Schleswig-Holstein, 24105, Germany
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Universitair Ziekenhuis Antwerpen (UZA)
Edegem, Antwerp, 2650, Belgium
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Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven, Flemish Brabant, 3000, Belgium
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University College London Hospitals NHS Foundation Trust (UCLH)
London, NW1 2PG, United Kingdom
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University of Belgrade-Faculty of Medicine - Clinic of Neurology and Psychiatry for Children and ...
Belgrade, Beograd, 112112, Serbia
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University of California Los Angeles (UCLA) - David Geffen School of Medicine - Global Health Pro...
Los Angeles, California, 90095, United States
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University of Miami Medical Group (UMMG)
Miami, Florida, 33136-2117, United States
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University of South Florida (USF) - Tampa Campus
Tampa, Florida, 33620, United States
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Universitätsklinikum Bonn
Bonn, North Rhine-Westphalia, 53127, Germany
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Universitätsklinikum Frankfurt - Klinikum der Goethe-Universität
Frankfurt am Main, 60596, Germany
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Univerzitetski Klinicki Centar Srbije - Klinika za Neurologiju
Belgrade, Beograd, 11000, Serbia
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Wuhan Children's Hospital
Wuhan, Hubei, 430016, China
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