ClinicalTrials.gg
CompletedNCT04727970Updated Sep 19, 2024

Tricaprilin Infantile Spasms Pilot Study

A Phase 1 interventional study of Tricaprilin in Infantile Spasm, sponsored by Cerecin. Completed at 4 sites in 2 countries. Open to participants aged 3 Months to 36 Months. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Cerecin · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
3 Months to 36 Months
Sex
All
01

Study summary

The purpose of this study is to assess the safety, tolerability, and efficacy of tricaprilin in subjects with infantile spasms. This is a single-arm, open-label, pilot study in up to 10 subjects with infantile spasms.

Upon completion of the main phase, subjects who exhibit improvement in seizure control and who tolerate the compound will be offered continued use of the IMP until benefit-risk ratio is no longer favourable, in a one-year open-label extension phase, available to Australian participants only.

02

Conditions studied

  • Infantile Spasm

Browse trials for

03

In context

Spasms, Infantile

47 studies on the registry are indexed under Spasms, Infantile; 8 are open to participants now.

This study's enrollment of 8 is below the median of 40 across 33 interventional studies indexed under Spasms, Infantile.

Browse Spasms, Infantile studies →

Lead sponsor

Cerecin is the lead sponsor of 22 studies on the registry; 1 is open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
3 Months to 36 Months
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

  1. Male and female infants ages 3 months to 24 months, inclusive, at the time of parent/legal guardian signing the
  2. Clinical diagnosis of IS, confirmed by analysis of a 24-hour video-electroencephalogram (vEEG) recording, including at least one documented spasm
  3. Continued infantile spasms despite adequate treatment with oral prednisolone (or adrenocorticotropic hormone [ACTH]) and vigabatrin
  4. If being treated with concomitant ASDs (other than ketogenic therapies/diet), current ASDs have been at a constant daily dose for at least 1 week.
  5. Subject is taking no more than 3 concomitant ASDs

Exclusion criteria

Exclusion Criteria:

  1. Subject considered by the Investigator, for any reason, to be an unsuitable candidate to receive the product
  2. Significant and active pre-existing cardiovascular, renal, liver, infectious, or other systemic disease
  3. Subject has renal impairment
  4. Clinically significant abnormality on that, in the opinion of the Investigator, increases the safety risks of participating in the study
  5. Known or suspected allergy to the investigational product
  6. Known history of aspiration pneumonia within the past year
  7. Previous participation in another clinical study of the investigational product or received any investigational drug, device, or therapy within 30 days of study entry or within five half-lives of another investigational drug
  8. Within 14 days of screening, subject has:

    1. received therapy with felbamate, cannabinoids, ketogenic diet, or vagus nerve stimulation
    2. received therapy with ACTH, prednisolone or other
  9. Pre-existing lethal or potentially lethal condition other than infantile spasms
  10. Previous failure to respond to an appropriate trial (at least 2 weeks) of the ketogenic diet
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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Tricaprilin

    Tricaprilin will be administered for 5-21 days. The total daily dose (individual per subject up to a maximum of 10g/kg/day) will be split into 4 doses administered orally, approximately every 6 hours.

    Drug: Tricaprilin

Interventions

  • Tricaprilin will be emulsified in infant formula/milk

    Also known as: AC-OL-01

06

What researchers measure

Primary outcomes

  1. To determine the safety of daily administration of tricaprilin in subjects with Infantile Spasms (IS)

    Treatment emergent adverse events

    Time frame: Up to end of study (Day 5 to 21; depending on subject)

  2. To determine the safety and tolerability of daily administration of tricaprilin in subjects with Infantile Spasms (IS)

    Brussels Infant and Toddler Stool Scale; the scale consists of 4 categories: hard, formed, loose or watery. The category of stools per subject will be compared between baseline and during the study.

    Time frame: Up to end of study (Day 5 to 21; depending on subject)

  3. Extension Phase (for Australian sites only): To determine the safety of daily long-term administration of tricaprilin in subjects with Infantile Spasms (IS)

    Treatment emergent adverse events

    Time frame: End of main phase treatment period to end of extension phase (1-year period)

Secondary outcomes

  1. Change in spasm frequency based on caregiver spasm/seizure diary

    Number of clusters and mean cluster duration

    Time frame: Baseline (1-week period) to end of treatment period (1-week period)

  2. Change in spasm frequency based on 24-hour video-EEG

    Number of clusters and mean cluster duration

    Time frame: Baseline (1-week period) to end of treatment period (1-week period)

  3. Extension Phase (for Australian sites only): Change in spasm frequency based on caregiver spasm/seizure diary

    Number of clusters and mean cluster duration

    Time frame: End of main phase treatment period to end of extension phase (1-year period)

07

Study locations

4 sites
  • Sydney Children's Hospital
    Randwick, New South Wales 2031, Australia
  • Queensland Children's Hospital
    South Brisbane, Queensland 4101, Australia
  • Royal Children's Hospital Melbourne
    Parkville, Victoria 3052, Australia
  • KK Women's and Children's Hospital
    Singapore, 229899, Singapore
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2021 to primary completion in Dec 2023, 25 months.

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

Registered
Jan 19, 2021
First posted
Jan 27, 2021
StartActual
Nov 1, 2021
Primary completionActual
Dec 4, 2023
CompletionActual
Dec 4, 2023
Last update
Sep 19, 2024
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 Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04727970
Lead sponsor
Cerecin
Responsible party
Sponsor
First posted
Jan 27, 2021
Start date
Nov 1, 2021
Primary completion
Dec 4, 2023
Completion
Dec 4, 2023
Last update
Sep 19, 2024

Study contacts

Study Director
study director · Cerecin

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Tricaprylin

Start the discussion