ClinicalTrials.gg
Enrolling by invitationNCT05076617Updated Sep 25, 2026

A Study to Test the Safety and Tolerability of Staccato Alprazolam in Study Participants 12 Years of Age and Older With Stereotypical Prolonged Seizures

A Phase 3 interventional study of Staccato alprazolam in Stereotypical Prolonged Seizures, sponsored by UCB Biopharma SRL. Enrolling by invitation at 136 sites in 12 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by UCB Biopharma SRL (part of UCB S.A.) · Phase 3, Interventional, and Treatment

Updated Sep 25, 20261 site removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of the study is to evaluate the long-term safety and tolerability of Staccato alprazolam.

02

Conditions studied

  • Stereotypical Prolonged Seizures

Browse trials for

Keywords

  • Stereotypical prolonged seizures
  • Phase 3
  • Staccato alprazolam
03

In context

Seizures

766 studies on the registry are indexed under Seizures; 136 are open to participants now.

This study's planned enrollment of 300 is above the median of 64 across 519 interventional studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

UCB Biopharma SRL is the lead sponsor of 129 studies on the registry; 17 are open to participants now.

Of its 71 completed or terminated interventional studies of FDA-regulated products, 50 (70%) have results posted.

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

04

Who can participate

Ages eligible
12 Years 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 must be ≥12 years of age at the time of signing
  • Participant must have a study caregiver ≥18 years of age at the time of signing the informed consent; the study caregiver(s) must be able to recognize and observe the participant's seizures
  • Participants with an established diagnosis of focal or generalized epilepsy or combined focal and generalized epilepsy with a documented history of stereotypical episodes of prolonged seizures that includes at least 1 of the following:

    1. Generalized seizure episodes starting with a flurry of absence seizures or myoclonic seizures with a minimum total duration of 5 minutes
    2. Episodes of a focal seizure with a minimum duration of 3 minutes
    3. Episodes of a focal seizure or a flurry of myoclonic seizures for at least 90 seconds followed by a generalized/bilateral tonic-clonic seizure with a minimum total duration of 3 minutes
  • Prior to the Screening Visit, participant completed a study using Staccato alprazolam (such as EP0162 (NCT05077904), ENGAGE-E-001 (NCT03478982), or UP0100 (NCT04857307))

Exclusion criteria

Exclusion Criteria:

  • Participant has a current history of alcohol or drug use disorder, as defined in the 5, within the previous 1 year
  • Participant has a known to any components of the medicinal product (IMP) or comparable drugs (and/or an investigational device) as stated in this protocol or to albuterol (or similar bronchospasm rescue medication if needed to meet country-specific requirements)
  • Participant has a history of convulsive (generalized tonic-clonic) status epilepticus in the 8 weeks prior to the Screening Visit
  • Participant has a history or presence of known nonepileptic seizures which cannot be distinguished from qualifying epileptic seizures
  • Participant has a known airway hypersensitivity (eg, bronchospasm to known allergens, such as pollen, animals, or food) and/or acute respiratory signs/symptoms (eg, shortness of breath, wheezing on lung auscultation). NOTE: Participants with mild asthma who qualify for inclusion in the are allowed to be enrolled even though they have known airway hypersensitivity
  • Participant has a clinically significant chronic pulmonary disorder other than mild asthma (eg, , restrictive lung diseases [including idiopathic pulmonary fibrosis]) and/or recent history or presence of hemoptysis or pneumothorax
  • Participant has had a positive antigen test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and experienced moderate to severe signs/symptoms of respiratory distress necessitating hospitalization or outpatient treatment such as ambulatory oxygen, extensive treatment with inhaler medications, and/or oral medications for a duration of 4 weeks or more, unless full resolution occurred at least 6 months prior to Screening
  • Participant has experienced a severe upper respiratory tract infection within 4 weeks or severe bronchitis/pneumonia within 3 months before the Screening Visit
  • Participant has a history or presence of acute narrow-angle glaucoma
  • Participant has a condition for which oral alprazolam is as per the regional labeling
  • Participant is taking any drug that is a strong inhibitor, including azole antifungal agents (ketoconazole and itraconazole) and nefazodone
  • Participant is taking any opioids or sedative hypnotics on a chronic basis
  • Participant is taking nonselective beta blockers on a chronic basis
Terms in these criteria, in plain language(8)

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.

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.

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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Staccato alprazolam

    Participants will receive Staccato alprazolam by inhalation.

    Drug: Staccato alprazolam

Interventions

  • * Pharmaceutical form: Inhalation powder * Route of administration: Inhalation Participants will receive Staccato alprazolam during the Treatment Period.

    Also known as: UCB7538

06

What researchers measure

Primary outcomes

  1. Frequency of treatment-emergent adverse events (TEAEs)

    An Adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory finding) in study participants, users, or other persons, whether or not related to the investigational medical product (IMP) and whether anticipated or unanticipated. A treatment-emergent adverse event (TEAE) is defined as any AE with a start date/time on or after the first IMP administration.

    Time frame: From Baseline up to the End of Study Visit (up to 78 months)

  2. Frequency of TEAEs leading to withdrawal from study

    An Adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory finding) in study participants, users, or other persons, whether or not related to the investigational medical product (IMP) and whether anticipated or unanticipated. A treatment-emergent adverse event (TEAE) is defined as any AE with a start date/time on or after the first IMP administration.

    Time frame: From Baseline up to the End of Study Visit (up to 78 months)

  3. Frequency of serious TEAEs

    A serious adverse event (SAE) is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires inpatient hospitalisation or prolongation of existing hospitalisation * Results in persistent or significant disability/incapacity, or * Is a congenital anomaly/birth defect * Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above

    Time frame: From Baseline up to the End of Study Visit (up to 78 months)

Secondary outcomes

  1. Treatment success after investigational medicinal product (IMP) administration for seizures occurring within the first 12 months

    A responder after up to a maximum of 10 treated seizures will be defined as having a termination of seizure within 90 seconds after IMP dministration.

    Time frame: From start of IMP treatment up to 12 months

  2. Treatment success after IMP administration with no recurrence after 2 hours for seizures during the first 12 months

    A responder after up to a maximum of 10 treated seizures will be defined as termination of seizure within 90 seconds after IMP administration and no recurrence of seizure(s) from IMP administration to 2 hours after IMP administration and no initiation of seizure rescue treatment from 90 seconds to 2 hours after IMP administration.

    Time frame: From start of IMP treatment up to 12 months

  3. Frequency of respiratory TEAEs

    An Adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory finding) in study participants, users, or other persons, whether or not related to the investigational medical product (IMP) and whether anticipated or unanticipated. A treatment-emergent adverse event (TEAE) is defined as any AE with a start date/time on or after the first IMP administration.

    Time frame: From Baseline up to the End of Study Visit (up to 78 months)

07

Study locations

136 sites
  • Ep0165 50506
    Phoenix, Arizona 85004, United States
  • Ep0165 50720
    Scottsdale, Arizona 85253, United States
  • Ep0165 50494
    Little Rock, Arkansas 72205, United States
  • Ep0165 50118
    Downey, California 90242, United States
  • Ep0165 50416
    La Jolla, California 92037, United States
  • Ep0165 50702
    Long Beach, California 90806, United States
  • Ep0165 50722
    Poway, California 92064, United States
  • Ep0165 50716
    Sacramento, California 95817, United States
  • Ep0165 50088
    Washington D.C., District of Columbia 20037, United States
  • Ep0165 50515
    Gulf Breeze, Florida 32561, United States
  • Ep0165 50508
    Jacksonville, Florida 32209-6533, United States
  • Ep0165 50342
    Jacksonville, Florida 32224, United States
  • Ep0165 50199
    Miami, Florida 33136, United States
  • Ep0165 50676
    Miami, Florida 33176, United States
  • Ep0165 50509
    Orlando, Florida 32806, United States
  • Ep0165 50703
    Rockledge, Florida 32955, United States
  • Ep0165 50308
    Tampa, Florida 33606, United States
  • Ep0165 50323
    Honolulu, Hawaii 96817, United States
  • Ep0165 50512
    Boise, Idaho 83702, United States
  • Ep0165 50493
    Chicago, Illinois 60611, United States
  • Ep0165 50504
    Fort Wayne, Indiana 46845, United States
  • Ep0165 50517
    New Orleans, Louisiana 70122, United States
  • Ep0165 50615
    Boston, Massachusetts 02118, United States
  • Ep0165 50047
    Boston, Massachusetts 02215, United States
  • Ep0165 50507
    St Louis, Missouri 63110, United States
  • Ep0165 50299
    New Brunswick, New Jersey 08901, United States
  • Ep0165 50497
    Amherst, New York 14226, United States
  • Ep0165 50625
    New Hyde Park, New York 11042, United States
  • Ep0165 50298
    New York, New York 10016, United States
  • Ep0165 50490
    New York, New York 10029, United States
  • Ep0165 50518
    New York, New York 10075, United States
  • Ep0165 50034
    Rochester, New York 14642, United States
  • Ep0165 50514
    Charlotte, North Carolina 28204, United States
  • Ep0165 50715
    Durham, North Carolina 27705, United States
  • Ep0165 50701
    Portland, Oregon 97239, United States
  • Ep0165 50096
    Philadelphia, Pennsylvania 19104, United States
  • Ep0165 50364
    Philadelphia, Pennsylvania 19107, United States
  • Ep0165 50089
    Philadelphia, Pennsylvania 19140, United States
  • Ep0165 50511
    Pittsburgh, Pennsylvania 15212, United States
  • Ep0165 50491
    Pittsburgh, Pennsylvania 15213, United States
  • Ep0165 50700
    Chattanooga, Tennessee 37403, United States
  • Ep0165 50513
    Memphis, Tennessee 38103-2800, United States
  • Ep0165 50103
    Nashville, Tennessee 37232, United States
  • Ep0165 50731
    Austin, Texas 78749, United States
  • Ep0165 50714
    Houston, Texas 77030, United States
  • Ep0165 50525
    Houston, Texas 77459, United States
  • Ep0165 50473
    Salt Lake City, Utah 84132, United States
  • Ep0165 50726
    Winchester, Virginia 22601, United States
  • Ep0165 30016
    Fitzroy, Australia
  • Ep0165 30030
    Herston, Australia
  • Ep0165 30031
    South Brisbane, Australia
  • Ep0165 40650
    Blagoevgrad, Bulgaria
  • Ep0165 40708
    Pazardzhik, Bulgaria
  • Ep0165 40665
    Pleven, Bulgaria
  • Ep0165 40651
    Sofia, Bulgaria
  • Ep0165 20246
    Beijing, China
  • Ep0165 20268
    Beijing, China
  • Ep0165 20299
    Beijing, China
  • Ep0165 20261
    Changchun, China
  • Ep0165 20133
    Chengdu, China
  • Ep0165 20137
    Chengdu, China
  • Ep0165 20334
    Chongqing, China
  • Ep0165 20179
    Fuzhou, China
  • Ep0165 20124
    Guangzhou, China
  • Ep0165 20264
    Guangzhou, China
  • Ep0165 20269
    Guangzhou, China
  • Ep0165 20300
    Guangzhou, China
  • Ep0165 20022
    Hangzhou, China
  • Ep0165 20320
    Kunming, China
  • Ep0165 20258
    Lanzhou, China
  • Ep0165 20267
    Nanjing, China
  • Ep0165 20331
    Nanning, China
  • Ep0165 20333
    Qingdao, China
  • Ep0165 20292
    Shanghai, China
  • Ep0165 20289
    Shijiazhuang, China
  • Ep0165 20119
    Suzhou, China
  • Ep0165 20257
    Tianjin, China
  • Ep0165 20025
    Wenzhou, China
  • Ep0165 20262
    Zhanjiang, China
  • Ep0165 20251
    Zhengzhou, China
  • Ep0165 40670
    Brno, Czechia
  • Ep0165 40672
    Ostrava - Poruba, Czechia
  • Ep0165 40063
    Prague, Czechia
  • Ep0165 40671
    Prague, Czechia
  • Ep0165 40714
    Prague, Czechia
  • Ep0165 40683
    Berlin, Germany
  • Ep0165 40685
    Bielefeld, Germany
  • Ep0165 40023
    Erlangen, Germany
  • Ep0165 40645
    Frankfurt am Main, Germany
  • Ep0165 40529
    Marburg, Germany
  • Ep0165 40666
    Balassagyarmat, Hungary
  • Ep0165 40673
    Budapest, Hungary
  • Ep0165 40704
    Budapest, Hungary
  • Ep0165 40653
    Debrecen, Hungary
  • Ep0165 40674
    Genova, Italy
  • Ep0165 40144
    Milan, Italy
  • Ep0165 40477
    Pavia, Italy
  • Ep0165 40257
    Roma, Italy
  • Ep0165 40675
    Roma, Italy
  • Ep0165 20248
    Fukuoka, Japan

Showing the first 100 of 136 sites across 12 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe, or global development is discontinued, and 18 months after trial completion. Investigators may request access to anonymized individual patient-level data and redacted trial documents which may include: analysis-ready datasets, study protocol, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a prespecified time, typically 12 months, on a password protected portal. This plan may change if the risk of reidentifying trial participants is determined to be too high after the trial is completed; in this case and to protect participants, individual patient-level data would not be made available.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe or global development is discontinued, and 18 months after trial completion.

Access criteria: Qualified researchers may request access to anonymized IPD and redacted study documents which may include: raw datasets, analysis-ready datasets, study protocol, blank case report form, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a pre-specified time, typically 12 months, on a password protected portal.

Data sharing details ↗ · www.vivli.org

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Feb 2022 (actual). Primary completion is estimated for Nov 2028, 81 months after the start.

Of 43 industry-sponsored phase 3 interventional studies under Seizures, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 79. This study's planned 81 months is above that.

Counting every sponsor, half of 51 studies reached it within 54 months; a quarter within 33 and three quarters within 79.

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

Registered
Sep 30, 2021
First posted
Oct 13, 2021
StartActual
Feb 3, 2022
Primary completionEst.
Nov 30, 2028
CompletionEst.
Nov 30, 2028
Last update
Sep 25, 2026
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.
Sites
1 site removed
Show 1 removed
  • Ep0165 40689 · Kehl, Germany
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    1 site removed
    Show 1 removed
    • Ep0165 40689 · Kehl, Germany
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05076617
Lead sponsor
UCB Biopharma SRL
Responsible party
Sponsor
First posted
Oct 13, 2021
Start date
Feb 3, 2022
Primary completion
Nov 30, 2028 (estimated)
Completion
Nov 30, 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

UCB Cares
study director · 001 844 599 2273 (UCB)

Oversight

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

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Studies of the drug tested here: Alprazolam

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