ClinicalTrials.gg
CompletedNCT03371836Updated Mar 4, 2021Results posted

Use of Clobazam for Epilepsy and Anxiety

A Phase 4 interventional study of Clobazam in Epilepsy and Anxiety, sponsored by Hugo W. Moser Research Institute at Kennedy Krieger, Inc.. Completed at 1 site in United States. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2021-03-04.

Sponsored by Hugo W. Moser Research Institute at Kennedy Krieger, Inc. · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
6 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 793 studies in Epilepsy with a site in United States — 162 open to participants now, 195 under way, 17 of them phase 3. Epilepsy · United States.

Enrollment
403rd of 588
20 · median 40
Started
2017
with 30 others
Phase 4
51 of 793
6 open now
Registered
458th of 793
by date

Among the 793 studies in Epilepsy with a site in United States, this one is the 403rd largest by enrollment of the 588 interventional ones that give a count, is one of 31 that started in 2017, is one of 51 in phase 4, and was the 458th registered.

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 420 are open to participants now.

Browse Epilepsy studies →

Open to participants now

162 of the 793 studies in Epilepsy with a site in United States are open now. Recruiting first, the newest first:

157 more — sign in →

All 162 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 283 Epilepsy studies recruiting now, 112 (40%) set no upper age limit and 148 (52%) stop at 75 or younger; 140 take children under 18; 55 take healthy volunteers.

This study: 6 Years to 17 Years · all sexes · no healthy volunteers.

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02

Study summary

This study is an open label, adjunctive, proof of concept, pilot clinical trial. Pediatric patients with epilepsy and clinically significant anxiety will be recruited and if enrolled will receive active treatment, involving flexible dose titration of clobazam and will be monitored for a period of four months. The study will be monitored and overseen by the Johns Hopkins Hospital Institutional Review Board.

03

Conditions studied

  • Epilepsy
  • Anxiety

Keywords

  • pediatrics
04

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Established diagnosis of epilepsy, characterized by focal seizures with suspected or documented localization in the temporal lobe. All participants will have active epilepsy that requires treatment with anticonvulsant medication.

    • Although it is not necessary to be seizure free, a seizure baseline period will be established in the 60 days prior to enrollment into the study.
    • Current regimen of anticonvulsant drugs must have been stable for 30 days prior to entry into the study.
  • No episodes of seizure clusters of status epilepticus within 30 days prior to entry into the study.
  • Established symptoms of anxiety with functional impairment.
  • A diagnosis of an anxiety disorder based on the administration of the K-SADS Male or female participants equal to or above age 6 and below age 18 at the start of the study. No exclusion will be made on the basis of gender or minority status.
  • Male or female participants equal to or above age 6 and below age 18 at the start of the study. No exclusion will be made on the basis of gender or minority status.
  • Good general health as determined by medical history and physical examination.
  • Ability to swallow pills (participant will receive pill swallowing instruction if necessary). The medicine may be cut into pieces and/or mixed with applesauce.
  • If female of childbearing age, a negative urine or serum pregnancy test must be established or assured at baseline. Additionally, the participant must agree to use abstinence or appropriate methods or be otherwise incapable of pregnancy for the duration of the study. Pregnancy test results will be shared with parent or guardian. Pregnancy status (or prevention) and abstinence or contraception methods will be addressed throughout the study for females of childbearing age as well as for post-pubertal males.
  • Previous subjects who failed at any point to meet continuation criteria and withdrew early may be considered for re-enrollment by the PI on a case-by-case basis.
  • Participant or legal caregiver capable of providing and fully capable of monitoring the subject's disease process and compliance with treatment.

Exclusion criteria

Exclusion criteria:

  • Previous allergic or reactions to Onfi® or benzodiazepines
  • Active substance abuse or dependence within 30 days of enrollment
  • diagnosis of psychotic illness or imminent risk of harm to self or others.
  • Current standing use of benzodiazepines (except as "rescue" medicine)
  • Serious or unstable medical or neurologic conditions such as , liver or kidney disease, cancer or diabetes.
  • Participation in a previous experimental drug study within 30 days of baseline visit.
  • Estimated IQ\<70 as indicated by initial clinical assessment (rendering rating scales invalid)
  • Insufficient capacity of caregiver or legal guardian to understand and appropriately consent for study procedures
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Other
    Clobazam

    open label (single treatment arm)

    Drug: Clobazam

Interventions

  • Clobazam is used as an adjunct medicine for all participants.

    Also known as: Onfi

06

What researchers measure

Primary outcomes

  1. CGI-I

    Mean of Clinical Global Impression-Improvement from baseline. (1-7 point scale; lower score equals a better outcome; 1 is the maximum improvement, 7 is the minimum improvement)

    Time frame: 14-18 weeks

07

Results

Posted Mar 4, 2021

Participant flow

Participant flow — Overall Study
MilestoneClobazam
Started20
Completed18
Not completed2

Outcome measures

PrimaryCGI-I

Mean of Clinical Global Impression-Improvement from baseline. (1-7 point scale; lower score equals a better outcome; 1 is the maximum improvement, 7 is the minimum improvement)

Time frame:
14-18 weeks
Reported as:
Mean · units on a scale
CGI-I
units on a scaleClobazam
CGI-I2 (1 to 7)

Adverse events

Collected over up to 18 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Open Label Single Treatment Arm0/20 (0%)0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Open Label Single Treatment Arm
<=18 years20
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(years)Open Label Single Treatment Arm
Mean13.8 (6 to 17)
Sex: Female, Male
Sex: Female, Male(Participants)Open Label Single Treatment Arm
Female16
Male4
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Open Label Single Treatment Arm
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American5
White14
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)Open Label Single Treatment Arm
United States20
08

Study locations

1 site
  • Kennedy Krieger Institute
    Baltimore, Maryland 21205, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Dec 2019, 26 months.

Results were first posted in Mar 2021, 1 year 2 months after primary completion.

Of 33 non-industry phase 4 interventional studies under Epilepsy, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 37. This study's 26 months is close to that.

Counting every sponsor, half of 43 studies reached it within 25 months; a quarter within 12 and three quarters within 35.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 21, 2017
First posted
Dec 13, 2017
StartActual
Oct 1, 2017
Primary completionActual
Dec 31, 2019
CompletionActual
Dec 31, 2019
Results first posted
Mar 4, 2021
Last update
Mar 4, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03371836
Lead sponsor
Hugo W. Moser Research Institute at Kennedy Krieger, Inc.
Responsible party
Jay Salpekar, M.D. (Principal Investigator, Hugo W. Moser Research Institute at Kennedy Krieger, Inc.) — Principal investigator
First posted
Dec 13, 2017
Start date
Oct 1, 2017
Primary completion
Dec 31, 2019
Completion
Dec 31, 2019
Results posted
Mar 4, 2021
Last update
Mar 4, 2021

Study contacts

Jay Salpekar, MD
principal investigator · KKI/JH

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Clobazam

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