CClinicalTrials.gg
TerminatedNCT04203498RELEASE MSS3Updated May 8, 2024Results posted

Safety and Effectiveness of Nabiximols Oromucosal Spray as Add-on Therapy in Participants With Spasticity Due to Multiple Sclerosis

A Phase 3 interventional study of Nabiximols and Placebo in Multiple Sclerosis (MS), sponsored by Jazz Pharmaceuticals. Terminated at 37 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by Jazz Pharmaceuticals · Phase 3, Interventional, and Treatment

Why this study was terminated
This study was terminated based on a business decision by the Sponsor.
Phase
Phase 3
Study type
Interventional
Enrollment
139
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This trial is being conducted to demonstrate the efficacy of nabiximols, compared with placebo, when added to standard of care, in the treatment of muscle spasms associated with multiple sclerosis (MS).

Read the detailed description

This multicenter, double-blind, placebo-controlled trial includes a 28-day Baseline period, a 12-week treatment period (comprising a 2-week titration phase and a 10-week maintenance phase), and 2-week follow-up period.

Eligible participants will enter the 28-day baseline period. During baseline, participants will maintain their optimized oral MS antispasticity medication regimen and record spasm count using an electronic daily diary. At screening (Day 1), eligible participants will be randomized to either nabiximols or placebo in a 1:1 ratio.

Participants will be advised to titrate the investigational medicinal product (IMP), beginning with 1 spray/day, to an optimized dose or to a maximum of 12 sprays/day over the first 14 days of treatment. Participants may leave a gap between sprays of approximately 15 minutes. Participants should continue at the same dose level achieved at the end of the titration phase ±1 spray divided into a morning dose and an evening dose for the remainder of the treatment period.

Daily spasm count, the participant's symptom experiences, clinician's assessment of spasticity, functional outcomes, health-related quality of life, changes in mood, safety, tolerability, and pharmacokinetics will be evaluated during the treatment period.

Participants who complete the trial will participate for a total of approximately 18 weeks (127 days), including the 28-day baseline period. Participants will have a maximum duration of 85 (±7) days on IMP treatment.

02

Conditions studied

  • Multiple Sclerosis (MS)

Keywords

  • Spasticity
03

In context

Muscle Spasticity

703 studies on the registry are indexed under Muscle Spasticity; 148 are open to participants now.

This study's enrollment of 139 is above the median of 36 across 524 interventional studies indexed under Muscle Spasticity.

Browse Muscle Spasticity studies →

Lead sponsor

Jazz Pharmaceuticals is the lead sponsor of 167 studies on the registry; 20 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Criteria at screening:

  1. Participant is male or female aged 18 years or above.
  2. Participant has had a diagnosis with any disease subtype of multiple sclerosis (MS), by revised 2017 McDonald criteria, for at least 12 months prior to screening and is expected to remain stable for the duration of the trial.
  3. Participant has had treatment with at least 1 optimized oral antispasticity therapy prior to Visit 1 that must include either oral baclofen or oral tizanidine (monotherapy or combination therapy).
  4. Participant is currently receiving optimized treatment with at least 1 oral antispasticity medication (baclofen, tizanidine, and/or dantrolene) and has been stable for at least 30 days prior to screening.
  5. If the participant is currently receiving an approved MS disease-modifying therapy, it must be at a stable dose for at least 3 months prior to screening and is expected to remain stable for the duration of the trial.

Exclusion criteria

Exclusion Criteria:

  1. Participant has any concomitant disease or disorder that has spasticity-like symptoms or that may influence the participant's level of spasticity.
  2. Participant has had a relapse of MS within the 60 days prior to screening (Visit 1).
  3. Participant is currently using or has used cannabis or a cannabinoid-derived product for medicinal or recreational use (within 30 days of screening) and is unwilling to abstain for the duration of the trial.
  4. Participant is currently using botulinum toxin injection for the relief of spasticity (within 6 months of screening) and is unwilling to abstain for the duration of the trial.
  5. Participant has any known or suspected hypersensitivity to cannabinoids or any of the excipients of the IMP.
  6. Participant is male and fertile unless willing to ensure that he uses male contraception or remains sexually abstinent during the trial and for 3 months thereafter.
  7. Participant is female and of childbearing potential unless willing to ensure that she uses a highly effective method of birth control during the trial and for 3 months thereafter.
  8. Participant is female and pregnant, lactating, or planning pregnancy during the course of the trial or within 3 months thereafter.
  9. Participant has received an IMP within the 30 days prior to screening.
  10. Participant has a history of severe psychiatric disorder that may be exacerbated by the use of a cannabinoid-containing product.
  11. Participant has any known or suspected history of alcohol or substance abuse (including opiate abuse) or dependence within 1 year prior to screening.
  12. Participant is currently taking drugs that are solely metabolized by UGT1A9 and UGT2B7.
  13. Participant is currently taking strong currently taking strong CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin, phenobarbital, St John's Wort).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
139 participants (actual)

Study arms

  • Experimental
    Nabiximols

    Drug: Nabiximols

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugNabiximols

    Nabiximols is a complex botanical medicine formulated from extracts of the cannabis plant that contains the principal cannabinoids delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) and also contains minor constituents, including other cannabinoid and non-cannabinoid plant components, such as terpenes, sterols, and triglycerides.Nabiximols will be self-administered by participants as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.

    Also known as: GW-1000-02, Sativex

  • DrugPlacebo

    Placebo to match nabiximols will be presented as an oromucosal spray containing the excipients ethanol and propylene glycol (50% v/v) with colorings and flavored with peppermint oil (0.05% v/v). Each spray will deliver 100 microliters (μL) containing no active ingredients. Placebo will be self-administered by participants as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Change in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period

    The change in the average daily spasm count was assessed compared to the baseline period.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change in Multiple Sclerosis Spasticity Scale (MSSS-88) Total Score

    The MSSS-88 is a self-reported measure of the impact of spasticity (muscle stiffness and spasms) in MS. This 88-item scale captures the patient experience and impact of spasticity, including muscle stiffness, pain and discomfort, muscle spasms, effect on daily activities, ability to walk, body movement, patient feelings, and social functioning. Responses to individual questions can range from "1 - not at all bothered" to "4 - extremely bothered", ranging from 88 to 352 total score. Scores are summed and higher scores indicate poor clinical outcome. Least square means are being reported, with greater negative values indicating better outcome.

    Time frame: Week 8 and Week 12

  2. Number of Patients Reporting Any Treatment-emergent Adverse Events

    A TEAE is an adverse event that started, or worsened in severity or seriousness, following the first dose of the investigational medicinal product.

    Time frame: From date of first dose of IMP up to 30 days after last dose, up to approximately 16 weeks

  3. Change From Baseline in Clinical Laboratory Test Values

    Time frame: Baseline up to Week 12

  4. Change From Baseline in Erythrocytes

    Time frame: Baseline up to Week 12

  5. Change From Baseline in Hemoglobin

    Time frame: Baseline up to Week 12

  6. Change From Baseline in Hematocrit Ratio

    The hematocrit ratio measures the volume of red blood cells compared to the total blood volume.

    Time frame: Baseline up to Week 12

  7. Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin

    Time frame: Baseline up to Week 12

  8. Change From Baseline in Blood Pressure

    Time frame: Baseline up to Week 12

  9. Change From Baseline in Heart Rate

    Time frame: Baseline up to Week 12

  10. Change From Baseline in Electrocardiogram Parameters

    Time frame: Baseline up to Week 12

  11. Change From Baseline in Electrocardiogram Pulse Rate

    Time frame: Baseline up to Week 12

  12. Change From Baseline in Weight

    Time frame: Baseline up to Week 12

  13. Change in Body Mass Index

    Time frame: Baseline up to Week 12

  14. Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a short questionnaire that is used to assess suicidal ideation (5 questions) and behavior (5 questions) since last patient visit. The questionnaire is completed by participants answering yes or no to each question.

    Time frame: Screening up to Week 12

07

Results

Posted May 8, 2024
Limitations and caveats
Study enrollment was ended early and did not reach the planned number of participants.

Participant flow

Participant flow — Overall Study
MilestoneNabiximolsPlacebo
Started6970
Safety analysis set6770
Completed5566
Not completed144
Withdrew: Decision by the investigator, gw, or authority01
Withdrew: Withdrawal of patient consent72
Withdrew: Adverse event41
Withdrew: Drug not dispensed due to endpoint error10
Withdrew: Did not receive imp20

Outcome measures

PrimaryChange in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period

The change in the average daily spasm count was assessed compared to the baseline period.

Time frame:
Baseline to Week 12
Reported as:
Least squares mean · daily spasm count
Change in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period
daily spasm countNabiximolsPlacebo
Week 1 to 4-2.23 ± 0.412-1.62 ± 0.394
Week 5 to 8-3.42 ± 0.607-2.62 ± 0.583
Week 9 to 12-3.84 ± 0.689-3.11 ± 0.659
Statistical analysis
  • Nabiximols vs Placebo · Linear mixed model repeated measures · p = =0.4263 · Difference in least squares means: -0.73 · 95% CI -2.54 to 1.08
SecondaryChange in Multiple Sclerosis Spasticity Scale (MSSS-88) Total Score

The MSSS-88 is a self-reported measure of the impact of spasticity (muscle stiffness and spasms) in MS. This 88-item scale captures the patient experience and impact of spasticity, including muscle stiffness, pain and discomfort, muscle spasms, effect on daily activities, ability to walk, body movement, patient feelings, and social functioning. Responses to individual questions can range from "1 - not at all bothered" to "4 - extremely bothered", ranging from 88 to 352 total score. Scores are summed and higher scores indicate poor clinical outcome. Least square means are being reported, with greater negative values indicating better outcome.

Time frame:
Week 8 and Week 12
Reported as:
Least squares mean · unit on a scale
Change in Multiple Sclerosis Spasticity Scale (MSSS-88) Total Score
unit on a scaleNabiximolsPlacebo
Week 8-21.64 ± 5.775-26.11 ± 5.461
Week 12-26.53 ± 5.807-23.18 ± 5.426
SecondaryNumber of Patients Reporting Any Treatment-emergent Adverse Events

A TEAE is an adverse event that started, or worsened in severity or seriousness, following the first dose of the investigational medicinal product.

Time frame:
From date of first dose of IMP up to 30 days after last dose, up to approximately 16 weeks
Reported as:
Count of participants · Participants
Number of Patients Reporting Any Treatment-emergent Adverse Events
ParticipantsNabiximolsPlacebo
Number of Patients Reporting Any Treatment-emergent Adverse Events4732
SecondaryChange From Baseline in Clinical Laboratory Test Values
Time frame:
Baseline up to Week 12
Reported as:
Mean · 10^9 cells/liter
Change From Baseline in Clinical Laboratory Test Values
10^9 cells/literNabiximolsPlacebo
Basophils-0.009 ± 0.0300.002 ± 0.037
Eosinophils-0.007 ± 0.1100.006 ± 0.086
Leukocytes0.146 ± 1.0950.139 ± 1.881
Lymphocytes-0.056 ± 0.3680.009 ± 0.315
Monocytes0 ± 0.1200.001 ± 0.126
Neutrophils0.217 ± 1.0040.083 ± 1.788
Platelets-0.085 ± 42.3925.290 ± 49.972
SecondaryChange From Baseline in Erythrocytes
Time frame:
Baseline up to Week 12
Reported as:
Mean · 10^12 cells/liter
Change From Baseline in Erythrocytes
10^12 cells/literNabiximolsPlacebo
Change From Baseline in Erythrocytes0.010 ± 0.241-0.007 ± 0.251
SecondaryChange From Baseline in Hemoglobin
Time frame:
Baseline up to Week 12
Reported as:
Mean · g/dL
Change From Baseline in Hemoglobin
g/dLNabiximolsPlacebo
Change From Baseline in Hemoglobin-0.025 ± 0.735-0.021 ± 0.726
SecondaryChange From Baseline in Hematocrit Ratio

The hematocrit ratio measures the volume of red blood cells compared to the total blood volume.

Time frame:
Baseline up to Week 12
Reported as:
Mean · ratio of packed cells to total volume
Change From Baseline in Hematocrit Ratio
ratio of packed cells to total volumeNabiximolsPlacebo
Change From Baseline in Hematocrit Ratio-0.002 ± 0.025-0.002 ± 0.027
SecondaryChange From Baseline in Erythrocyte Mean Corpuscular Hemoglobin
Time frame:
Baseline up to Week 12
Reported as:
Mean · pg
Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin
pgNabiximolsPlacebo
Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin-0.156 ± 0.608-0.005 ± 0.881
SecondaryChange From Baseline in Blood Pressure
Time frame:
Baseline up to Week 12
Reported as:
Mean · mmHg
Change From Baseline in Blood Pressure
mmHgNabiximolsPlacebo
Systolic Blood Pressure-1.6 ± 10.952.6 ± 11.31
Diastolic Blood Pressure0.3 ± 8.202.7 ± 13.38
SecondaryChange From Baseline in Heart Rate
Time frame:
Baseline up to Week 12
Reported as:
Mean · beats/minute
Change From Baseline in Heart Rate
beats/minuteNabiximolsPlacebo
Change From Baseline in Heart Rate2.5 ± 7.700.4 ± 10.14
SecondaryChange From Baseline in Electrocardiogram Parameters
Time frame:
Baseline up to Week 12
Reported as:
Mean · msec
Change From Baseline in Electrocardiogram Parameters
msecNabiximolsPlacebo
PR interval, aggregate5.5 ± 20.511.3 ± 21.05
QRS duration1.9 ± 9.89-6.5 ± 37.08
QTcB interval1.5 ± 29.58-2.4 ± 33.29
QTcF interval2.9 ± 26.69-3.2 ± 32.40
SecondaryChange From Baseline in Electrocardiogram Pulse Rate
Time frame:
Baseline up to Week 12
Reported as:
Mean · beats/min
Change From Baseline in Electrocardiogram Pulse Rate
beats/minNabiximolsPlacebo
Change From Baseline in Electrocardiogram Pulse Rate-2.6 ± 10.210.5 ± 8.74
SecondaryChange From Baseline in Weight
Time frame:
Baseline up to Week 12
Reported as:
Mean · kg
Change From Baseline in Weight
kgNabiximolsPlacebo
Change From Baseline in Weight-0.338 ± 3.198-0.394 ± 3.578
SecondaryChange in Body Mass Index
Time frame:
Baseline up to Week 12
Reported as:
Mean · kg/m^2
Change in Body Mass Index
kg/m^2NabiximolsPlacebo
Change in Body Mass Index-0.086 ± 1.052-0.159 ± 1.287
SecondaryNumber of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)

The C-SSRS is a short questionnaire that is used to assess suicidal ideation (5 questions) and behavior (5 questions) since last patient visit. The questionnaire is completed by participants answering yes or no to each question.

Time frame:
Screening up to Week 12
Reported as:
Count of participants · Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
ParticipantsNabiximolsPlacebo
Screening: Ideation, Wish to be dead11
Screening: Ideation, Non-specific active thoughts11
Screening: Ideation, Active any method no intent01
Screening: Ideation, Active intent to act, no plan00
Screening: Ideation, Active specific plan/intent00
Screening: Behavior, Preparatory acts or behavior00
Screening: Behavior, Aborted attempt00
Screening: Behavior, Interrupted attempt00
Screening: Behavior, Actual attempt01
Screening: Behavior, Completed suicide00
Screening: Suicidal ideation or behavior11
Screening: Self-injurious behavior without suicidal intent00
Baseline: Ideation, Wish to be dead00
Baseline: Ideation, Non-specific active thoughts00
Baseline: Ideation, Active any method no intent00
Baseline: Ideation, Active intent to act, no plan00
Baseline: Ideation, Active specific plan/intent00
Baseline: Behavior, Preparatory acts or behavior00
Baseline: Behavior, Aborted attempt00
Baseline: Behavior, Interrupted attempt00
Baseline: Behavior, Actual attempt00
Baseline: Behavior, Completed suicide00
Baseline: Suicidal ideation or behavior00
Baseline: Self-injurious behavior without suicidal intent00
Week 2: Ideation, Wish to be dead10
Week 2: Ideation, Non-specific active thoughts00
Week 2: Ideation, Active any method no intent00
Week 2: Ideation, Active intent to act, no plan00
Week 2: Ideation, Active specific plan/intent00
Week 2: Behavior, Preparatory acts or behavior00
Week 2: Behavior, Aborted attempt00
Week 2: Behavior, Interrupted attempt00
Week 2: Behavior, Actual attempt00
Week 2: Behavior, Completed suicide00
Week 2: Suicidal ideation or behavior10
Week 2: Self-injurious behavior without suicidal intent00
Week 4: Ideation, Wish to be dead00
Week 4: Ideation, Non-specific active thoughts00
Week 4: Ideation, Active any method no intent00
Week 4: Ideation, Active intent to act, no plan00
Week 4: Ideation, Active specific plan/intent00
Week 4: Behavior, Preparatory acts or behavior00
Week 4: Behavior, Aborted attempt00
Week 4: Behavior, Interrupted attempt00
Week 4: Behavior, Actual attempt00
Week 4: Behavior, Completed suicide00
Week 4: Suicidal ideation or behavior00
Week 4: Self-injurious behavior without suicidal intent00
Week 8: Ideation, Wish to be dead00
Week 8: Ideation, Non-specific active thoughts00
Week 8: Ideation, Active any method no intent00
Week 8: Ideation, Active intent to act, no plan00
Week 8: Ideation, Active specific plan/intent00
Week 8: Behavior, Preparatory acts or behavior00
Week 8: Behavior, Aborted attempt00
Week 8: Behavior, Interrupted attempt00
Week 8: Behavior, Actual attempt00
Week 8: Behavior, Completed suicide00
Week 8: Suicidal ideation or behavior00
Week 8: Self-injurious behavior without suicidal intent00
Week 12: Ideation, Wish to be dead00
Week 12: Ideation, Non-specific active thoughts00
Week 12: Ideation, Active any method no intent00
Week 12: Ideation, Active intent to act, no plan00
Week 12: Ideation, Active specific plan/intent00
Week 12: Behavior, Preparatory acts or behavior00
Week 12: Behavior, Aborted attempt00
Week 12: Behavior, Interrupted attempt00
Week 12: Behavior, Actual attempt00
Week 12: Behavior, Completed suicide00
Week 12: Suicidal ideation or behavior00
Week 12: Self-injurious behavior without suicidal intent01

Adverse events

Collected over Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nabiximols0/67 (0%)3/67 (4.5%)46/67 (68.7%)
Placebo0/70 (0%)5/70 (7.1%)19/70 (27.1%)
Most frequent serious events
Most frequent serious events
EventNabiximolsPlacebo
COVID-19Infections and infestations2/672/70
SARS-CoV-2 test positiveInvestigations0/672/70
CellulitisInfections and infestations1/670/70
Arthritis bacterialInfections and infestations0/671/70
PneumoniaInfections and infestations0/671/70
Most frequent other events
Most frequent other events
EventNabiximolsPlacebo
DizzinessNervous system disorders14/675/70
FatigueGeneral disorders8/672/70
SomnolenceNervous system disorders7/672/70
VertigoEar and labyrinth disorders6/670/70
AstheniaGeneral disorders4/672/70
Taste disorderNervous system disorders4/670/70
NauseaGastrointestinal disorders3/674/70
Urinary tract infectionInfections and infestations3/674/70

Baseline characteristics

Baseline characteristics are reported from the Full Analysis Set defined as all patients from the Safety Analysis Set who signed the informed consent and are randomized by interactive response technology.

Age, Continuous
Age, Continuous(years)NabiximolsPlaceboTotal
Mean52.1 ± 10.453.0 ± 10.252.6 ± 10.2
Age, Customized
Age, Customized(Participants)NabiximolsPlaceboTotal
<18 years000
≥18 years to <45 years141529
≥45 years to <65 years444690
≥65 years9918
Sex: Female, Male
Sex: Female, Male(Participants)NabiximolsPlaceboTotal
Female435295
Male241842
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)NabiximolsPlaceboTotal
White6268130
Black or African American314
Asian000
American Indian or Alaska Native000
Native Hawaiian or Other Pacific Islander000
Other213
08

Study locations

37 sites
  • University of Alabama at Birmingham School of Medicine
    Birmingham, Alabama 35233, United States
  • Neurostudies - Port Charlotte
    Port Charlotte, Florida 33952, United States
  • University of South Florida
    Tampa, Florida 33613, United States
  • Accel Research Sites - Enterprise
    Tampa, Florida 33634, United States
  • Shepherd Center
    Atlanta, Georgia 30309, United States
  • Consultants in Neurology - Northbrook
    Northbrook, Illinois 60062, United States
  • American Health Network of Indiana
    Avon, Indiana 46123, United States
  • Ochsner Medical Center
    New Orleans, Louisiana 70121, United States
  • The Multiple Sclerosis Center For Innovations In Care
    Saint Louis, Missouri 63131, United States
  • Raleigh Neurology Associates - Raleigh Location
    Raleigh, North Carolina 27607, United States
  • University of Cincinnati (UC) Health
    Dayton, Ohio 45417, United States
  • Neurology Clinic - Cordova
    Cordova, Tennessee 38018, United States
  • Hope Neurology
    Knoxville, Tennessee 37922, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Central Texas Neurology Consultants
    Round Rock, Texas 78681, United States
  • Poliklinika Choceň
    Choceň, Pardubice 565 01, Czechia
  • Neurologie Taláb Radomír Doc. MUDr., CSc
    Hradec Králové, 500 03, Czechia
  • Nemocnice Jihlava
    Jihlava, 586 01, Czechia
  • Fakultní Nemocnice Královské Vinohrady
    Praha 10, 100 34, Czechia
  • Krajská Zdravotní - Nemocnice Teplice
    Teplice, 415 29, Czechia
  • Wromedica Centrum Zdrowia
    Wrocław, Dolnoslaskie 51-685, Poland
  • Centrum Medyczne Neuromed - Ośrodek Badań Klinicznych
    Bydgoszcz, Kujawsko-Pomorskie 85-163, Poland
  • Centrum Medyczne Neuroprotect
    Warszawa, Mazowieckie 01-684, Poland
  • Centrum Medyczne Pratia - Warszawa
    Warszawa, Mazowieckie 01-868, Poland
  • Neuro-Medic Janusz Zbrojkiewicz
    Katowice, Slaskie 40-555, Poland
  • Wielospecjalistyczne Centrum Medyczne Ibismed
    Zabrze, Slaskie 41-800, Poland
  • RESMEDICA Poradnia Neurologiczna
    Kielce, Swietokrzyskie 25-726, Poland
  • Niepubliczny Zakład Opieki Zdrowotnej NEURO - KARD
    Poznań, Wielkopolskie 61-853, Poland
  • Centrum Medyczne Oporów
    Lublin, 20-855, Poland
  • Neurologiczny NZOZ Centrum Leczenia SM Ośrodek Badań Klinicznych im. dr n. med. Hanki Hertmanowskiej Witosław Cieślak
    Plewiska, 62-064, Poland
  • Wromedica Centrum Zdrowia
    Wrocław, 51-685, Poland
  • SP ZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Norberta Barlickiego w Łodzi
    Łódź, 90-001, Poland
  • Spitalul Municipal Caracal
    Caracal, 235200, Romania
  • Spitalul Clinic Cai Ferate Constanta
    Constanţa, 900123, Romania
  • Centrul Medical Clubul Sanatatii
    Câmpulung, 115100, Romania
  • Spitalul Municipal Sf. Dr. Cosma si Damian Radauti
    Rădăuți, 725400, Romania
  • Barts Health NHS Trust
    London, England E1 1BB, United Kingdom
09

References and documents

Study documents

  • Study protocol · Jun 1, 2021
  • Statistical analysis plan · Mar 22, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04203498
Lead sponsor
Jazz Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 18, 2019
Start date
Oct 1, 2020
Primary completion
Feb 10, 2023
Completion
Feb 28, 2023
Results posted
May 8, 2024
Last update
May 8, 2024

Oversight

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

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