- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05077904
A Study to Test the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
A Double-Blind, Randomized, Placebo-Controlled, Multicenter, Outpatient, Parallel-Group Study to Assess the Efficacy and Safety of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: UCB Cares
- Phone Number: 1-844-599-2273 (USA)
- Email: ucbcares@ucb.com
Study Contact Backup
- Name: UCB Cares
- Phone Number: 0018445992273
- Email: ucbcares@ucb.com
Study Locations
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Fitzroy, Australia
- Recruiting
- Ep0162 30016
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Herston, Australia
- Recruiting
- Ep0162 30030
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Melbourne, Australia
- Recruiting
- Ep0162 30027
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South Brisbane, Australia
- Recruiting
- Ep0162 30031
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Blagoevgrad, Bulgaria
- Recruiting
- Ep0162 40650
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Pazardzhik, Bulgaria
- Recruiting
- Ep0162 40708
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Pleven, Bulgaria
- Recruiting
- Ep0162 40665
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Pleven, Bulgaria
- Recruiting
- Ep0162 40709
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Sofia, Bulgaria
- Recruiting
- Ep0162 40651
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Beijing, China
- Recruiting
- Ep0162 20128
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Beijing, China
- Recruiting
- Ep0162 20246
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Beijing, China
- Recruiting
- Ep0162 20268
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Beijing, China
- Recruiting
- Ep0162 20299
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Changchun, China
- Recruiting
- Ep0162 20261
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Chengdu, China
- Recruiting
- Ep0162 20133
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Chengdu, China
- Recruiting
- Ep0162 20137
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Chongqing, China
- Recruiting
- Ep0162 20250
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Guangzhou, China
- Recruiting
- Ep0162 20260
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Guangzhou, China
- Recruiting
- Ep0162 20264
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Guangzhou, China
- Recruiting
- Ep0162 20269
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Guangzhou, China
- Recruiting
- Ep0162 20300
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Guangzhou, China
- Recruiting
- Ep0162 20124
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Lanzhou, China
- Recruiting
- Ep0162 20258
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Nanchang, China
- Recruiting
- Ep0162 20253
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Nanjing, China
- Recruiting
- Ep0162 20267
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Shanghai, China
- Recruiting
- Ep0162 20123
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Shijiazhuang, China
- Recruiting
- Ep0162 20289
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Suzhou, China
- Recruiting
- Ep0162 20119
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Tianjin, China
- Recruiting
- Ep0162 20257
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Wenzhou, China
- Recruiting
- Ep0162 20025
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Wuhan, China
- Recruiting
- Ep0162 20252
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Yinchuan, China
- Recruiting
- Ep0162 20255
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Zhanjiang, China
- Recruiting
- Ep0162 20262
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Zhengzhou, China
- Recruiting
- Ep0162 20251
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Brno, Czechia
- Recruiting
- Ep0162 40670
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Ostrava - Poruba, Czechia
- Recruiting
- Ep0162 40672
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Praha 4, Czechia
- Recruiting
- Ep0162 40714
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Praha 5, Czechia
- Recruiting
- Ep0162 40063
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Praha 6, Czechia
- Recruiting
- Ep0162 40671
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Bron, France
- Recruiting
- Ep0162 40688
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Bron, France
- Recruiting
- Ep0162 40681
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Dijon, France
- Recruiting
- Ep0162 40680
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Marseille Cedex 5, France
- Recruiting
- Ep0162 40130
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Paris, France
- Recruiting
- Ep0162 40682
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Paris, France
- Recruiting
- Ep0162 40019
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Rennes, France
- Recruiting
- Ep0162 40201
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Strasbourg Cedex, France
- Recruiting
- Ep0162 40199
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Aachen, Germany
- Withdrawn
- Ep0162 40577
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Berlin, Germany
- Recruiting
- Ep0162 40683
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Bielefeld, Germany
- Recruiting
- Ep0162 40685
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Erlangen, Germany
- Recruiting
- Ep0162 40023
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Frankfurt Am Main, Germany
- Recruiting
- Ep0162 40645
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Kehl-kork, Germany
- Recruiting
- Ep0162 40689
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Marburg, Germany
- Recruiting
- Ep0162 40529
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München, Germany
- Recruiting
- Ep0162 40724
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Balassagyarmat, Hungary
- Recruiting
- Ep0162 40666
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Budapest, Hungary
- Recruiting
- Ep0162 40673
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Budapest, Hungary
- Recruiting
- Ep0162 40704
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Debrecen, Hungary
- Recruiting
- Ep0162 40653
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Catanzaro, Italy
- Recruiting
- Ep0162 40690
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Genova, Italy
- Recruiting
- Ep0162 40674
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Milano, Italy
- Recruiting
- Ep0162 40144
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Pavia, Italy
- Recruiting
- Ep0162 40477
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Roma, Italy
- Recruiting
- Ep0162 40257
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Roma, Italy
- Recruiting
- Ep0162 40675
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Fukuoka, Japan
- Recruiting
- Ep0162 20248
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Hamamatsu, Japan
- Recruiting
- Ep0162 20237
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Hiroshima-shi, Japan
- Recruiting
- Ep0162 20249
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Hofu, Japan
- Recruiting
- Ep0162 20236
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Itami, Japan
- Recruiting
- Ep0162 20239
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Kodaira, Japan
- Recruiting
- Ep0162 20143
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Koshi, Japan
- Recruiting
- Ep0162 20315
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Nagakute, Japan
- Recruiting
- Ep0162 20243
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Nagoya, Japan
- Recruiting
- Ep0162 20235
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Niigata, Japan
- Recruiting
- Ep0162 20238
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Omura, Japan
- Recruiting
- Ep0162 20241
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Osaka, Japan
- Recruiting
- Ep0162 20302
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Sapporo, Japan
- Recruiting
- Ep0162 20316
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Shinjuku-ku, Japan
- Recruiting
- Ep0162 20297
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Shizuoka, Japan
- Recruiting
- Ep0162 20240
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Suita, Japan
- Recruiting
- Ep0162 20242
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Toon, Japan
- Recruiting
- Ep0162 20266
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Yamagata, Japan
- Recruiting
- Ep0162 20244
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Bydgoszcz, Poland
- Recruiting
- Ep0162 40707
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Gdansk, Poland
- Recruiting
- Ep0162 40677
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Krakow, Poland
- Recruiting
- Ep0162 40502
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Krakow, Poland
- Withdrawn
- Ep0162 40219
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Lublin, Poland
- Recruiting
- Ep0162 40676
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Nowa Sol, Poland
- Recruiting
- Ep0162 40091
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Poznan, Poland
- Withdrawn
- Ep0162 40153
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Swidnik, Poland
- Recruiting
- Ep0162 40678
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Barcelona, Spain
- Recruiting
- Ep0162 40160
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Hospitalet de Llobregat, Spain
- Recruiting
- Ep0162 40157
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Madrid, Spain
- Recruiting
- Ep0162 40540
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Pamplona, Spain
- Recruiting
- Ep0162 40352
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Sevilla, Spain
- Recruiting
- Ep0162 40668
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Terrassa, Spain
- Recruiting
- Ep0162 40453
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Valencia, Spain
- Recruiting
- Ep0162 40230
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Valladolid, Spain
- Recruiting
- Ep0162 40667
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Birmingham, United Kingdom
- Recruiting
- Ep0162 40686
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Cardiff, United Kingdom
- Recruiting
- Ep0162 40300
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Oxford, United Kingdom
- Recruiting
- Ep0162 40163
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Salford, United Kingdom
- Recruiting
- Ep0162 40108
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Arizona
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Phoenix, Arizona, United States, 85004
- Recruiting
- Ep0162 50506
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Arkansas
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Little Rock, Arkansas, United States, 72205
- Recruiting
- Ep0162 50494
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California
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Downey, California, United States, 90242
- Recruiting
- Ep0162 50118
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Los Angeles, California, United States, 90095
- Recruiting
- Ep0162 50505
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Orange, California, United States, 92868
- Recruiting
- Ep0162 50492
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Connecticut
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New Haven, Connecticut, United States, 06519
- Recruiting
- Ep0162 50367
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District of Columbia
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Washington, District of Columbia, United States, 20037
- Recruiting
- Ep0162 50088
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Florida
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Gulf Breeze, Florida, United States, 32561
- Recruiting
- Ep0162 50515
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Jacksonville, Florida, United States, 32209
- Recruiting
- Ep0162 50508
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Jacksonville, Florida, United States, 32224-1865
- Recruiting
- Ep0162 50342
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Miami, Florida, United States, 33136
- Recruiting
- Ep0162 50199
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Orlando, Florida, United States, 32806
- Recruiting
- Ep0162 50509
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Tampa, Florida, United States, 33606
- Recruiting
- Ep0162 50308
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Hawaii
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Honolulu, Hawaii, United States, 96817
- Recruiting
- Ep0162 50323
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Idaho
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Boise, Idaho, United States, 83702
- Recruiting
- Ep0162 50512
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Illinois
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Chicago, Illinois, United States, 60611
- Recruiting
- Ep0162 50493
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Springfield, Illinois, United States, 62702
- Recruiting
- Ep0162 50375
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Indiana
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Fort Wayne, Indiana, United States, 46804
- Recruiting
- Ep0162 50504
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Kentucky
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Lexington, Kentucky, United States, 40536-0284
- Withdrawn
- Ep0162 50561
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Louisiana
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New Orleans, Louisiana, United States, 70121
- Recruiting
- Ep0162 50395
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New Orleans, Louisiana, United States, 70122
- Recruiting
- Ep0162 50517
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Maryland
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Baltimore, Maryland, United States, 21287
- Recruiting
- Ep0162 50093
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Bethesda, Maryland, United States, 20817
- Withdrawn
- Ep0162 50488
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Recruiting
- Ep0162 50047
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Michigan
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Ann Arbor, Michigan, United States, 48109-0944
- Recruiting
- Ep0162 50110
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Missouri
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Saint Louis, Missouri, United States, 63110
- Recruiting
- Ep0162 50507
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Nevada
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Las Vegas, Nevada, United States, 89128
- Withdrawn
- Ep0162 50499
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New Jersey
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New Brunswick, New Jersey, United States, 08901
- Recruiting
- Ep0162 50299
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New York
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Buffalo, New York, United States, 14221
- Recruiting
- Ep0162 50497
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New York, New York, United States, 10016
- Recruiting
- Ep0162 50298
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New York, New York, United States, 10029
- Recruiting
- Ep0162 50490
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New York, New York, United States, 10075
- Recruiting
- Ep0162 50518
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Rochester, New York, United States, 14642
- Recruiting
- Ep0162 50034
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Recruiting
- Ep0162 50514
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Charlotte, North Carolina, United States, 28207
- Recruiting
- Ep0162 50487
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Ohio
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Akron, Ohio, United States, 44308
- Recruiting
- Ep0162 50371
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Cleveland, Ohio, United States, 44195
- Recruiting
- Ep0162 50528
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Oregon
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Portland, Oregon, United States, 97239-3098
- Withdrawn
- Ep0162 50510
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Ep0162 50096
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Philadelphia, Pennsylvania, United States, 19107
- Recruiting
- Ep0162 50364
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Philadelphia, Pennsylvania, United States, 19140
- Recruiting
- Ep0162 50089
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Pittsburgh, Pennsylvania, United States, 15212
- Recruiting
- Ep0162 50511
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Pittsburgh, Pennsylvania, United States, 15213
- Recruiting
- Ep0162 50491
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Tennessee
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Memphis, Tennessee, United States, 38103
- Recruiting
- Ep0162 50513
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Nashville, Tennessee, United States, 37232
- Recruiting
- Ep0162 50103
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Texas
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Houston, Texas, United States, 77459
- Recruiting
- Ep0162 50525
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Round Rock, Texas, United States, 78681
- Withdrawn
- Ep0162 50496
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Utah
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Salt Lake City, Utah, United States, 84132
- Recruiting
- Ep0162 50473
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant must be ≥12 years of age at the Baseline/Randomization Visit
- Participant must have a study caregiver ≥18 years of age at the Screening Visit; the study caregiver(s) must be a relative, partner, friend, or legally authorized representative (LAR) of the participant, or a person who provides daily care to the participant and has a significant personal relationship with the participant; 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:
- Generalized seizure episodes starting with a flurry of absence seizures or myoclonic seizures with a minimum total duration of 5 minutes
- Episodes of a focal seizure with a minimum duration of 3 minutes
- 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 has experienced ≥4 stereotypical episodes of prolonged seizures in the past 6 months, and the last 2 stereotypical episodes of prolonged seizures must have occurred within the 3 months prior to the Screening Visit
- Participant has had a documented brain computerized tomography or magnetic resonance imaging review, performed after diagnosis of epilepsy and within the 5 years prior to the Screening Visit, that confirms the absence of a progressive neurological disorder
- Participant is receiving a regimen of antiseizure medications (ASMs) that has been stable (ie, no addition or removal of ASM[s]; dose adjustments are permitted to ASM[s]; dose adjustments are not permitted for benzodiazepines) for 30 days prior to the Screening Visit
Male and female participants:
- A male participant must agree to use contraception during the Outpatient Treatment Period and for at least 7 days after IMP administration and refrain from donating sperm during this period
- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:
i) Not a woman of childbearing potential (WOCBP) OR ii) A WOCBP who agrees to follow the contraceptive guidance during the Outpatient Treatment Period and for at least 30 days after IMP administration
- Participant is capable of giving signed informed consent (or giving assent, where required), which includes compliance with the requirements and restrictions listed in the informed consent form (ICF), the protocol, and the individualized participant management plan (iPMP). The ICF or a specific assent form, where required, will be signed and dated by minors
- The participant's study caregiver(s) must be capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF, the protocol, and the iPMP
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 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 diagnosis of atrial fibrillation or mitral stenosis
- 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)
- 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 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 upper respiratory tract infection within 4 weeks or 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 (eg, myasthenia gravis, severe respiratory insufficiency, and sleep apnea syndrome)
- Participant has a history or presence of long QT syndrome, a family history of sudden death due to long QT syndrome, or unexplained syncope
- Chronic use of benzodiazepines for more than 3 days within a period of 7 days will be allowed for approximately 30 % of study participants
- 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 (eg, fentanyl, oxycodone, morphine) or sedative hypnotics on a chronic basis
- Participant is taking nonselective beta blockers on a chronic basis
- Participant is taking pharmacotherapy for an active major psychiatric disorder where major changes in regimen are needed or anticipated during the study
- Participant has been treated with vagal nerve stimulation (VNS) for less than 6 months or VNS settings have changed within 30 days before the Screening Visit
- Participant has a clinically significant laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results, according to the judgment of the Investigator
- Participant has an oxygen saturation <95 % (or less than normal in regions of altitude >2500 meters) for greater than 30 seconds during the Screening Visit. In case of an out-of-range result, 1 repeat will be allowed. If the readings are out of range again, the study participant will be excluded
- Participant has >2.0x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), or >1.0xULN total bilirubin (≥1.5xULN total bilirubin if known Gilbert's syndrome or >2.0xULN total bilirubin for liver impairment)
- Participant has current unstable liver or biliary disease per Investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, persistent jaundice, or cirrhosis
- Participant has a QT interval corrected for heart rate (QTc) >450 msec (males), QTc interval >470 msec (females), or QTc interval >480 msec (participants with bundle branch block), PR interval ≥220 msec, or any other clinically significant electrocardiogram (ECG) abnormality according to the Investigator i) The QTc is the QT interval corrected for heart rate according to Fridericia's formula (QTcF). It is either machine-read or manually over-read
- Participant has a positive urine screen for drugs of abuse at the Screening Visit
- Participant has a blood pressure (BP) or heart rate (HR) outside the following range after 5 minutes rest: systolic BP: 90 mmHg to 150 mmHg; diastolic BP: 4 0mmHg to 95 mmHg; HR: 50 bpm to 100 bpm. In case of an out-of-range result, 1 repeat will be allowed. If the readings are out of range again, the study participant will be excluded
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Staccato alprazolam Arm
Participants randomized to this arm will receive a single dose of Staccato alprazolam by inhalation.
|
Route of administration: Inhalation Participants will receive one dose of Staccato alprazolam during the Treatment Period.
Other Names:
|
Placebo Comparator: Placebo Arm
Participants randomized to this arm will receive a single dose of placebo by inhalation.
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Route of administration: Inhalation Participants will receive one dose of placebo during the Treatment Period. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Treatment success for the treated seizure within 90 seconds after investigational medicinal product (IMP) administration
Time Frame: From start of IMP treatment through 6 hours
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Treatment success for the treated seizure is defined as termination of the seizure within 90 seconds after IMP administration.
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From start of IMP treatment through 6 hours
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Treatment success for the treated seizure with no recurrence up to 2 hours
Time Frame: From start of IMP treatment through 2 hours
|
Treatment success for the treated seizure is defined as termination of the treated seizure within 90 seconds after IMP administration and no recurrence of seizure(s) from IMP administration to 2 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 2 hours after IMP administration.
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From start of IMP treatment through 2 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Treatment success for treated seizure with no recurrence after 4 hours
Time Frame: From start of IMP treatment through 4 hours
|
Treatment success defined as termination of the treated seizure within 90 seconds after IMP administration, with no recurrence of seizure(s) up to 4 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 4 hours after IMP administration.
|
From start of IMP treatment through 4 hours
|
Treatment success for treated seizure with no recurrence after 6 hours
Time Frame: From start of IMP treatment through 6 hours
|
Treatment success defined as termination of the treated seizure within 90 seconds after IMP administration, with no recurrence of seizure(s) up to 6 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 6 hours after IMP administration.
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From start of IMP treatment through 6 hours
|
Time from IMP administration to cessation of the treated seizure
Time Frame: From start of IMP treatment through 6 hours
|
The time will be assessed from IMP administration to cessation of the treated seizure (taking administration of seizure rescue treatment as censoring point).
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From start of IMP treatment through 6 hours
|
Frequency of respiratory treatment emergent adverse events (TEAEs)
Time Frame: From start of IMP treatment up to the Safety Follow-up Visit (Week 19)
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An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP.
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From start of IMP treatment up to the Safety Follow-up Visit (Week 19)
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Number of subsequent seizure(s) up to 2 hours after IMP administration
Time Frame: From start of IMP treatment through 2 hours
|
The number of subsequent seizure(s) will be assessed up to 2 hours after IMP administration.
|
From start of IMP treatment through 2 hours
|
Time to first subsequent seizure up to 2 hours after IMP administration
Time Frame: From start of IMP treatment through 2 hours
|
The time to first subsequent seizure will be assessed up to 2 hours after IMP administration and is defined as time from end of IMP treated seizure to start of first subsequent seizure.
|
From start of IMP treatment through 2 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: UCB Cares, 001 844 599 2273 (UCB)
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neurologic Manifestations
- Seizures
- Status Epilepticus
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Tranquilizing Agents
- Psychotropic Drugs
- Hypnotics and Sedatives
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Alprazolam
Other Study ID Numbers
- EP0162
- 2021-002686-18 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Engage Therapeutics, Inc.CompletedEpilepsyAustralia, United States, Jamaica
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Alexza Pharmaceuticals, Inc.Completed
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Alexza Pharmaceuticals, Inc.Completed
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University of PadovaCompletedMyocardial Reperfusion InjuryItaly
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Alexza Pharmaceuticals, Inc.CompletedMigraine Headache, With or Without AuraUnited States
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Alexza Pharmaceuticals, Inc.Completed
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Alexza Pharmaceuticals, Inc.The Epilepsy Study ConsortiumCompleted