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Serotonin Receptor Agonist

Fenfluramine for Infantile Spasms

Phase 2
Recruiting
Led By Shaun Hussain, MD
Research Sponsored by University of California, Los Angeles
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Children ages 12 to 36 months, inclusive
Clinical diagnosis of infantile spasms
Must not have
Implantation of a vagal nerve simulator within 14 days of screening
Significant preexisting cardiovascular disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months
Awards & highlights
All Individual Drugs Already Approved
No Placebo-Only Group

Summary

This trial will test if fenfluramine is an effective treatment for children with infantile spasms who have not responded to other treatments.

Who is the study for?
This trial is for children aged 1 to 3 with infantile spasms that haven't improved after treatment with ACTH and vigabatrin. Kids can't join if they have serious heart problems, used cannabinoids recently, started a new spasm treatment or diet, or got a vagal nerve stimulator in the last few weeks.
What is being tested?
The study tests fenfluramine's effectiveness and safety in treating stubborn infantile spasms. Over three weeks, kids will take the drug and have two video-EEGs before and after to see if it works. Responders may continue for six months.
What are the potential side effects?
While not specified here, fenfluramine could potentially cause appetite changes, mood swings, sleep disturbances, digestive issues or heart-related side effects based on its known profile.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My child is between 1 and 3 years old.
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My child has been diagnosed with infantile spasms.
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My seizures have not stopped despite treatment with ACTH and vigabatrin.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I had a vagal nerve stimulator implanted within the last 14 days.
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I have a serious heart condition.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Electroclinical response (Efficacy)
Secondary study objectives
Computational electroencephalography response (Efficacy)
Incidence of treatment emergent adverse events (Safety and tolerability)

Awards & Highlights

All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Fenfluramine treatmentExperimental Treatment1 Intervention
Open label treatment with fenfluramine. Dosage will be titrated to 0.8 mg/kg/day, for an initial duration of 21 days. Patients with favorable response will have an option to continue treatment for up to 6 months.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Fenfluramine
FDA approved

Find a Location

Who is running the clinical trial?

University of California, Los AngelesLead Sponsor
1,569 Previous Clinical Trials
10,314,279 Total Patients Enrolled
Children's Hospital of Orange CountyLead Sponsor
34 Previous Clinical Trials
5,267 Total Patients Enrolled
Shaun Hussain, MDPrincipal InvestigatorUniveristy of California, Los Angeles
Daniel Shrey, MDPrincipal InvestigatorChildren's Hospital of Orange County

Media Library

Fenfluramine (Serotonin Receptor Agonist) Clinical Trial Eligibility Overview. Trial Name: NCT04289467 — Phase 2
Infantile Spasms Research Study Groups: Fenfluramine treatment
Infantile Spasms Clinical Trial 2023: Fenfluramine Highlights & Side Effects. Trial Name: NCT04289467 — Phase 2
Fenfluramine (Serotonin Receptor Agonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04289467 — Phase 2
~0 spots leftby Dec 2024