ClinicalTrials.gg
Active, not recruitingNCT05044819Updated Aug 26, 2026

Assessment of Potential for Chronic Liver Injury in Participants Treated With Epidiolex (Cannabidiol) Oral Solution

A Phase 4 interventional study of Cannabidiol in Lennox Gastaut Syndrome, Dravet Syndrome and Tuberous Sclerosis Complex, sponsored by Jazz Pharmaceuticals. Active, not recruiting at 26 sites in United States. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Jazz Pharmaceuticals · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
154
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Study summary

This study will monitor for potential chronic liver injury and liver fibrosis, in participants treated with cannabidiol oral solution.

02

Conditions studied

  • Lennox Gastaut Syndrome
  • Dravet Syndrome
  • Tuberous Sclerosis Complex

Keywords

  • Liver injury
  • Liver fibrosis
  • Epidiolex
  • Cannabidiol
03

In context

Lennox Gastaut Syndrome

68 studies on the registry are indexed under Lennox Gastaut Syndrome; 14 are open to participants now.

This study's enrollment of 154 is above the median of 40 across 49 interventional studies indexed under Lennox Gastaut Syndrome.

Browse Lennox Gastaut Syndrome studies →

Lead sponsor

Jazz Pharmaceuticals is the lead sponsor of 173 studies on the registry; 18 are open to participants now.

Of its 42 completed or terminated interventional studies of FDA-regulated products, 32 (76%) have results posted.

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

04

Who can participate

Ages eligible
1 Year and older
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

  • Participant is within the approved age range as per labeling recommendations. Participants aged 1 to 3 years who are in the FibroScan subset will not undergo FibroScan assessments until they reach 4 years of age.
  • Participant is either on existing Epidiolex therapy for treatment of a seizure disorder or is to be started on Epidiolex for treatment of an Food and Drug Administration (FDA)-approved indication.
  • Participant is willing to refrain from strenuous exercise 48 to 72 hours prior to all study visits with the exception of unscheduled visits.
  • Any non-pharmacological therapies (e.g., ketogenic diet) must also be stable up to 4 weeks prior to Screening Visit and expected to be stable throughout the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Participant is currently using or within 3 months of screening has used recreational or medicinal cannabis, or synthetic cannabinoid-based medications, not including Epidiolex if currently prescribed.
  • Participant is not planning to abstain from using recreational cannabinoids or medicinal cannabis, or synthetic cannabinoid-based medications during the study.
  • Female participant is pregnant (positive pregnancy test), lactating or planning pregnancy during the course of the study and for 3 months thereafter.
  • Participant has any other significant disease or disorder which, in the opinion of the investigator, may either put the participant, other participants, or site staff at risk because of participation in the study, may influence the result of the study, or may affect the participant's ability to take part in the study
  • Participant has diseases or disorders which are associated with liver fibrosis with a FibroScan score of ≥ 6.5 Kilopascals (where FibroScan results are available).
  • Positive serology panel (including surface antigen and virus antibody) and/or positive antibody/p24 antigen screens at screening.
  • Following a physical examination, if the participant has any abnormalities that, in the opinion of the investigator, would prevent the participant from safe participation in the study.
  • Participant has significantly impaired hepatic function at Screening Visit or aminotransferase > 3 x (ULN), and total > 2 x ULN or > 1.5.
  • Participant is planning to have epilepsy surgery or other major surgery within five years.
  • Participant has or plans to have any medical device implanted that is for use with FibroScan (only applicable for FibroScan subset), with the investigator consulting with the Sponsor as needed.
  • Participation in any clinical trial involving an medicinal product within 3 months prior to the Screening Visit or at any point during this study.
Terms in these criteria, in plain language(9)

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

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

Study arms

  • Experimental
    Cannabidiol

    Cannabidiol solution 100 milligrams per milliliter (mg/mL) will be administered orally at a dose level of 5 mg/kg/day for 1 week, then increase to 10 mg/kg/day by the participant or their caregiver twice each day (morning and evening).

    Drug: Cannabidiol

Interventions

  • Oral Cannabidiol solution 100 mg/mL

    Also known as: Epidiolex

06

What researchers measure

Primary outcomes

  1. Number of Participants With Liver Fibrosis and Evaluable Fibrotic Changes as Determined and Assessed by an Independent Adjudication Committee

    Time frame: Screening, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

Secondary outcomes

  1. Change From Baseline in Aspartate Aminotransferase (AST) to Platelet Ratio Index

    Time frame: Baseline, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  2. Change from Baseline in the Enhanced Liver Fibrosis Score

    Time frame: Baseline, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  3. Change From Baseline in Fibrosis-4

    Time frame: Baseline, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  4. Change From Baseline in FibroScan Scoring (FibroScan subset only)

    Time frame: Baseline, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  5. Number of Participants With Potential Drug-Induced Liver Injury (DILI)

    Time frame: Day 1, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  6. Number of Participants with Severe Treatment-emergent Adverse Events (TEAEs)

    Time frame: Day 1, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  7. Number of Participants With Clinically Significant Clinical Laboratory Findings

    Time frame: Day 1, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

  8. Number of Participants With Clinically Significant Physical Examinations

    Time frame: Day 1, Day 365, Day 730, Day 1095, Day 1460, and Day 1825

07

Study locations

26 sites
  • Clinical Trial Site
    Little Rock, Arkansas 72758, United States
  • Clinical Trial Site
    Downey, California 90242, United States
  • Clinical Trial Site
    Long Beach, California 90806, United States
  • Clinical Trial Site
    Sacramento, California 95817, United States
  • Clinical Trial Site
    Miami, Florida 33136, United States
  • Clinical Trial Site
    Miami, Florida 33176, United States
  • Clinical Trial Site
    Orlando, Florida 32806, United States
  • Clinical Trial Site
    Tampa, Florida 33606, United States
  • Clinical Trial Site
    Augusta, Georgia 30912, United States
  • Clinical Trial Site
    Wichita, Kansas 67214, United States
  • Clinical Trial Site
    Lexington, Kentucky 40504, United States
  • Clinical Trial Site
    Baltimore, Maryland 21205, United States
  • Clinical Trial Site
    Boston, Massachusetts 02114, United States
  • Clinical Trial Site
    New Brunswick, New Jersey 08901, United States
  • Clinical Trial Site
    New York, New York 10016, United States
  • Clinical Trial Site
    Charlotte, North Carolina 28203, United States
  • Clinical Trial Site
    Durham, North Carolina 27708, United States
  • Clinical Trial Site
    Cincinnati, Ohio 45219, United States
  • Clinical Trial Site
    Oklahoma City, Oklahoma 73104, United States
  • Clinical Trial Site
    Philadelphia, Pennsylvania 19107, United States
  • Clinical Trial Site
    Charleston, South Carolina 29425, United States
  • Clinical Trial Site
    Austin, Texas 78758, United States
  • Clinical Trial Site
    Dallas, Texas 75251, United States
  • Clinical Trial Site
    Houston, Texas 77030, United States
  • Clinical Trial Site
    Round Rock, Texas 78681, United States
  • Clinical Trial Site
    Winchester, Virginia 22601, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05044819
Collaborators
Jazz Pharmaceuticals Research UK Limited
Responsible party
Sponsor
First posted
Sep 16, 2021
Start date
Jul 7, 2021
Primary completion
Aug 1, 2027 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Aug 26, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Cannabidiol

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