ClinicalTrials.gg
CompletedNCT05864846EpiComUpdated Apr 27, 2026

A Study to Investigate Behavioral and Other Co-Occurring Outcomes With Epidiolex as Add-On Therapy in Participants Aged 1 to 65 Years of Age With Tuberous Sclerosis Complex

A Phase 4 interventional study of Cannabidiol Oral Solution [Epidiolex] in Tuberous Sclerosis Complex Associated Neuropsychiatric Disease, sponsored by Jazz Pharmaceuticals. Completed at 19 sites in 4 countries. Open to participants aged 1 Year to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-27.

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

Phase
Phase 4
Study type
Interventional
Enrollment
79
Allocation
Not applicable
Ages
1 Year to 65 Years
Sex
All
01

Study summary

The purpose of this study is to investigate behavioral and other co-occurring outcomes with EPID(I/Y)OLEX as an add-on therapy in participants aged 1 to 65 years with tuberous sclerosis complex (TSC) who experience seizures.

02

Conditions studied

  • Tuberous Sclerosis Complex Associated Neuropsychiatric Disease

Keywords

  • Seizures
  • Tuberous Sclerosis Complex (TSC)
  • Tuberous Sclerosis Complex Associated Neuropsychiatric Disorders (TAND)
  • Epidiolex
  • Epidyolex
  • GWP42003-P
  • JZP926
  • TSC Associated Neuropsychiatric Disorders
  • Cannabidiol
  • Behavior
03

In context

Seizures

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

This study's enrollment of 79 is above the median of 64 across 519 interventional studies indexed under Seizures.

Browse Seizures 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 to 65 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

  1. Is within the required age range at the time of signing (or at the time of the participant's parent(s)/Legally Authorized Representative (LAR) signing) the or providing assent (as applicable):

    • Participants based in the US: 1 to 65 years of age, inclusive.
    • Participants based outside the US: 2 to 65 years of age, inclusive.
  2. Has a confirmed clinical diagnosis of TSC with a history of seizures in accordance with the 2012 International Tuberous Sclerosis Complex Consensus Conference criteria.
  3. Has behaviors (eg, aggression, impulsivity, temper tantrum, self-injury, hyperactivity, extreme shyness, mood swings, poor eye contact, repetitive behaviors, restlessness, difficulty getting along with peers, rigid/inflexible to procedure and/or change) that are considered moderate or severe per the CareGI-S at Screening.
  4. Is taking 1 or more anti-seizure medicine (ASM) at a dose that has been stable for at least 4 weeks prior to Screening.

    • All medications or interventions for epilepsy (including ketogenic diet and any neurostimulation devices for epilepsy) must have been stable for 4 weeks prior to screening and any major changes to treatment regimens should be discussed with the medical monitor.
  5. Is naïve to CBD-OS treatment or has been off CBD-OS treatment for at least 3 months prior to Screening.
  6. Is willing to maintain any factors expected to affect seizures stable (eg, alcohol consumption, smoking, concomitant medication usage).
  7. Is male or female

    1. Male participants:

      • Male participants are eligible to participate if they agree to the following during the intervention period and for at least 2 weeks, corresponding to the time needed to eliminate the study intervention after the last dose of study intervention:
      • Refrain from donating fresh unwashed semen. PLUS
      • Use a male condom in addition to a second method of acceptable used by their female partners when having sexual intercourse with a women of (WOCBP) who is not currently pregnant.
    2. Female participants:

      • A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:

        • Is a woman of nonchildbearing potential. OR
        • Is a WOCBP and using a contraceptive method that is highly effective, preferably with low user dependency during the study intervention period and for at least 3 months after the last dose of study intervention. The investigator should evaluate the potential for contraceptive method failure (eg, noncompliance, recently initiated) in relationship to the first dose of study intervention.
      • A WOCBP must have a negative highly sensitive pregnancy test within 28 days before the first dose of study intervention.

Exclusion criteria

Exclusion Criteria:

  1. Has a unstable medical condition other than epilepsy.
  2. Has an illness during the 4 weeks prior to screening other than epilepsy which, in the investigator's opinion, could affect study outcomes.
  3. Has TSC-specific tumor growth which, in the investigator's opinion, could affect the effectiveness endpoints.
  4. Has previously undergone significant surgery for epilepsy that, in the investigator's opinion, may impact the assessment of outcomes.
  5. Has initiated felbamate within the last 12 months prior to Screening.
  6. Is currently using or has in the past used recreational or medicinal cannabis or synthetic cannabinoid-based medications within the 3 months prior to Screening and is not willing to undergo a 1-month before being rescreened.
  7. Has received an medicinal product within the 3 months prior to the Screening Visit.
  8. Has previously been assigned study intervention for this study or is currently enrolled in any other interventional study.
  9. Has laboratory values at the Baseline Visit that are abnormal and of clinical significance in the investigator's opinion.
  10. Participant has significantly impaired hepatic function at the Baseline Visit.
  11. Has any history of suicidal behavior or any suicidal ideation of type 4 or 5 as evaluated with C-SSRS or Children's C-SSRS at the Screening Visit (for participants ≥ 4 years of age).
  12. Has any known or suspected to cannabinoids or any of the of CBD-OS.
  13. Has a known or suspected history of alcohol or substance abuse.
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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    Cannabidiol Oral Solution

    Participants who will receive the Cannabidiol Oral Solution (CBD-OS) titrated up to a dose of 12.5 mg/kg administered twice daily for a total dose of up to 25 mg/kg/day for 26 consecutive weeks. Participants will have the option to continue receiving the CBD-OS for an additional 26 weeks, for a total of 52 weeks.

    Drug: Cannabidiol Oral Solution [Epidiolex]

Interventions

06

What researchers measure

Primary outcomes

  1. Change in the most problematic behavior Numerical Rating Score (NRS) score within the TAND-SQ

    Time frame: Baseline, Week 13, Week 26, Week 52

  2. Change in Tuberous Sclerosis Complex Associated Neuropsychiatric Disorders Self-report, Quantified Checklist (TAND-SQ) score

    Time frame: Baseline, Week 13, Week 26, Week 52

  3. Change in Aberrant Behavior Checklist (ABC) score

    Time frame: Baseline, Week 13, Week 26, Week 52

  4. Change in Child Behavior Checklist (CBCL) score

    Time frame: Baseline, Week 26, Week 52

  5. Change in Adult Behavior Checklist (ABCL) score

    Time frame: Baseline, Week 26, Week 52

  6. Change in Adult Self-Report (ASR) score

    Time frame: Baseline, Week 26, Week 52

  7. Change in Patient-Reported Outcomes Measurement Information System (PROMIS) domains score

    Time frame: Baseline, Week 26, Week 52

  8. Change in sleep characteristics using the Children's Sleep Habits Questionnaire (CSHQ)

    Time frame: Baseline, Week 26

  9. Change in sleep characteristics using the Pittsburgh Sleep Quality Index (PSQI)

    Time frame: Baseline, Week 26

  10. Change in executive function using Behavior Rating Inventory of Executive Function (BRIEF)

    Time frame: Baseline, Week 26

  11. Change in caregiver-reported assessment of Quality of Life (QOL) using Pediatric Quality of Life Survey Family Impact Module (PedsQL FIM)

    Time frame: Baseline, Week 26

  12. Change in caregiver-reported assessment of family functioning using Pediatric Quality of Life Survey Family Impact Module (PedsQL FIM)

    Time frame: Baseline, Week 26

  13. Change in assessment of QOL using Pediatric Quality of Life Inventory (PedsQL)

    Time frame: Baseline, Week 26

  14. Change in caregiver impression of overall severity of symptoms (behavior and seizure control) using the Caregiver Global Impression of Severity (CareGI-S)

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  15. Change in participant impression of overall severity of symptoms (behavior and seizure control) using the Patient Global Impression of Severity (PGI-S)

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  16. Change in clinician impression of overall severity of symptoms (behavior and seizure control) using the Clinician Global Impression of Severity (CGI-S)

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  17. Retention Rate

    Retention rate is the number of participants continuing with CBD-OS treatment over total accrued participants

    Time frame: Baseline, Week 13, Week 26, Week 52

  18. Number of participants considered treatment responders

    Treatment responders will be reported as those with a 25%, 50%, 75% and 100% reduction in seizure frequency from baseline

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  19. Change in number of seizure-free days

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  20. Number of participants experiencing a worsening, no change, or improvement in seizure frequency

    Number of participants who experience a change in seizure frequency from baseline defined as: 1. worsening (\>25%) 2. no change (-25 to + 25%) 3. improvement (-25% to -50%, ≥-50% to -75%, ≥-75%)

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  21. Change in ideation score per the Columbia-Suicide Severity Rating Scale (C-SSRS)

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  22. Change in number of suicide attempts per the C-SSRS

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  23. Change in ideation score per the Children's C-SSRS

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  24. Change in number of suicide attempts per the Children's C-SSRS

    Time frame: Baseline, Week 4, Week 13, Week 26, Week 52

  25. Number of participant inpatient hospitalizations due to epilepsy

    Time frame: Up to Week 52

  26. Number of withdrawals due to Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to Week 52

07

Study locations

19 sites
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06519, United States
  • University of Florida Health - Department of Neurology
    Gainesville, Florida 32608, United States
  • Nicklaus Children's Health, Miami
    Miami, Florida 33155, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Minnesota Epilepsy Group
    Roseville, Minnesota 55113, United States
  • Atrium Health Wake Forest Baptist Medical Center
    Winston-Salem, North Carolina 27157, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • Le Bonheur Children's Hospital
    Memphis, Tennessee 38103, United States
  • University of Texas Health Science Center at Houston - Clinical Research Unit
    Houston, Texas 77030, United States
  • University of Texas Health Science Center - San Antonio
    San Antonio, Texas 78229, United States
  • University of Virginia, Charlottesville
    Charlottesville, Virginia 22903, United States
  • Alberta Children's Hospital
    Calgary, Alberta T3B 6AB, Canada
  • BC Children's Hospital
    Vancouver, British Columbia V6H 3V4, Canada
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
  • The Children's Memorial Health Institute
    Warsaw, 04-736, Poland
  • Evelina London Children's Hospital Guys St Thomas' NHS Foundation Trust, the Guy's Hospital
    London, England SE1 7EH, United Kingdom
  • University Hospitals Bristol NHS Foundation Trust
    Bristol, BS1 3NU, United Kingdom
  • Sheffield Children's NHS Foundation Trust
    Sheffield, 2TH, United Kingdom
08

References and documents

Publications

  • Moore-Ramdin L, van Eeghen A, Stevens J, Takhar P, Meitzler S, Fladrowski C, Rozenberg M, Amin S. Co-Creation of the EpiCom Clinical Trial: Bringing the Tuberous Sclerosis Complex Patient Community, Healthcare Professionals, and the Pharmaceutical Industry Together. Patient. 2026 Jul 11. doi: 10.1007/s40271-026-00830-5. Online ahead of print. PubMed 42435131 ↗

Individual participant data

Plan to share: Yes — In accordance with ICMJE requirements, Jazz Pharmaceuticals may provide qualified external researchers access to individual participant data (IPD) and clinical trial data that underlie the results of this trial upon request. Qualified researchers can submit a request on https://www.jazzpharma.com/science/clinical-trial-data-sharing/ as outlined. Jazz Pharmaceuticals reserves the right not to consider a request. For inquiries about Jazz's data sharing policy, contact clinicaldatasharing@jazzpharma.com

Data sharing details ↗ · www.jazzpharma.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05864846
Responsible party
Sponsor
First posted
May 18, 2023
Start date
Jun 29, 2023
Primary completion
Apr 6, 2026
Completion
Apr 6, 2026
Last update
Apr 27, 2026

Oversight

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

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