ClinicalTrials.gg
RecruitingNCT07227857KANDLEUpdated Oct 13, 2026

A First-in-human Study of S230815 in Pediatric Participants With KCNT1-related Developmental and Epileptic Encephalopathy

A Phase 1/2 interventional study of S230815- Starting dose A and S230815- Dose B in Epileptic Encephalopathy, sponsored by Institut de Recherches Internationales Servier. Recruiting at 15 sites in 5 countries. Open to participants aged 2 Years to 12 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Institut de Recherches Internationales Servier · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Updated Oct 13, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
2 Years to 12 Years
Sex
All
01

Study summary

Study CL1-230815-001 (KANDLE) is a Phase Ib/II, First In Human, multicentre, open-label, multiple ascending dose study to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamic (PD) effect of S230815 in pediatric participants with KCNT1-related Developmental Epileptic Encephalopathy. To participate in the study, participants must have a diagnosis of Developmental Epileptic Encephalopathy due to a documented pathogenic or likely pathogenic variant in KCNT1 (to be confirmed by central genetic testing at the screening visit). The study consists of a screening period followed by two consecutive interventional parts. Part 1 will evaluate multiple ascending doses of S230815. Part 2 is a long-term treatment extension for participants who have completed Part 1. Participants will seamlessly roll-over from Part 1 to Part 2, resuming the same cohort as they were assigned in Part 1, and will receive S230815 for a maximum of 72 weeks.

02

Conditions studied

  • Epileptic Encephalopathy
03

In context

Lead sponsor

Institut de Recherches Internationales Servier is the lead sponsor of 67 studies on the registry; 4 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 9 (50%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 12 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

  • Male or female pediatric participants aged 2-12 years old at screening, with a genetically confirmed diagnosis of Developmental Epileptic Encephalopathy (DEE) due to a pathogenic or likely pathogenic variant in KCNT1 confirmed by central genetic testing.
  • Stable dose of other regular medications and/or stable antiseizure interventions (such as ketogenic diet and vagal nerve stimulation).

Exclusion criteria

Exclusion Criteria:

  • Other clinical phenotypes associated with pathogenic or likely pathogenic variants in KCNT1 other than Epilepsy of Infancy with Migrating Focal Seizures or Early-Onset Epileptic Encephalopathy
  • Documented pathogenic or likely pathogenic variants in any other gene known to cause epilepsy identified through prior genetic testing. Variants of uncertain significance in other genes known to cause epilepsy may be considered on discussion with the sponsor.
  • medical history or clinical findings on physical examination, other than DEE, that in the judgment of the investigator, make the participant unsuitable for participation in the study and/or completion of the trial procedures, including, but not limited to:

    • Clinically significant prior or ongoing medical conditions within 30 days of the screening visit, as per investigator judgement.
    • Clinically significant abnormality on (ECG) at the screening visit, as per investigator judgement.
    • Clinically significant abnormality on laboratory testing at screening, including, but not limited to:
    • Renal insufficiency, which is defined as \< 40 mL/min assessed as estimated (eGFR) using Modification of Diet in Renal Disease (MDRD) formula
    • Hepatic derangement defined as transaminase values more than 3 times the (ULN) range, or total values more than 1.5 times the ULN.
  • Positive surface antigen test, positive antibody test, positive for (HIV), as reported by a laboratory test within 6 months prior to the screening visit, or on screening bloods.
  • Bone, spine, bleeding disorders, or other disorder that exposes the participant to risk of injury or unsuccessful Lumbar puncture (e.g., haemophilia, Von Willebrand's disease, liver disease).
  • to undergoing Magnetic Resonance Imaging (MRI), Lumbar puncture procedure and Intrathecal administration.
  • History of Central Nervous System (CNS) tumors or , including CNS disease.
  • Continuous respiratory support, defined as oxygen supplementation or non-invasive ventilation (e.g.: continuous positive airway pressure, bi-level intermittent positive airway pressure), required during waking hours. This does not include suctioning; cough assist devices or other devices that may be used regularly to clear airways.
  • Invasive ventilation including the presence of a tracheostomy.
  • Use of quinidine within 30 days prior to the screening visit.
  • Current use or anticipated use of antiplatelet or anticoagulant therapy during the study.
  • Current or past enrolment in an interventional clinical study in which an therapy is/was administered within 30 days (or 5 half-lives of study agent, whichever is longer) prior to the screening visit.
  • Implantable CNS device that may interfere with the ability to administer the study drug via Lumbar puncture.
  • Known to any oligonucleotide, as demonstrated by a systemic allergic reaction (e.g., changes in pulse, blood pressure, breathing function, etc.), or any other drug that in the opinion of the investigator may preclude study participation.

    • History of hydrocephalus requiring a ventriculoperitoneal shunt.
Terms in these criteria, in plain language(14)

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.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Drug: S230815- Starting dose A

  • Experimental
    Cohort 2

    Drug: S230815- Dose B

  • Experimental
    Cohort 3

    Drug: S230815- Dose C

  • Experimental
    Cohort 4

    Drug: S230815- Dose D

Interventions

  • DrugS230815- Starting dose A

    Solution for injection

  • DrugS230815- Dose B

    Solution for injection

  • DrugS230815- Dose C

    Solution for injection

  • DrugS230815- Dose D

    Solution for injection

06

What researchers measure

Primary outcomes

  1. Incidence and severity of Adverse Events (AE)'s.

    Time frame: Through End of study visit (A maximum of 116 weeks)

Secondary outcomes

  1. Pharmacokinetic (PK) parameters of S230815 in cerebrospinal fluid (CSF) Ctrough

    Ctrough is defined as the concentration reached immediately before the next dose is administered.

    Time frame: Through week 96

  2. Pharmacokinetic (PK) parameters of S230815 in plasma AUC 0-τ

    Area Under the Curve (AUC) from dosing (time 0) to time t \[AUC0-t\]

    Time frame: Through End of study visit (A maximum of 116 weeks)

  3. Pharmacokinetic (PK) parameters of S230815 in plasma Cmax

    Cmax is defined as the maximum (peak) observed concentration following a dose. Measured 0.5, 2, 4, 8 , and 24 hours post dose

    Time frame: Through End of study visit (A maximum of 116 weeks)

  4. Pharmacokinetic (PK) parameters of S230815 in plasma Ctrough

    Time frame: Through End of study visit (A maximum of 116 weeks)

  5. Relative change from baseline in seizure frequency as recorded by daily seizure logs

    Time frame: Through End of study visit (A maximum of 116 weeks)

  6. Relative change from baseline in seizure frequency as recorded by periodic 24h Video Electroencephalogram (vEEG) assessment

    Time frame: Through End of study visit (A maximum of 116 weeks)

  7. Number and administration frequency of rescue medication

    Time frame: Through End of study visit (A maximum of 116 weeks)

07

Study locations

11 of 15 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: sponsored by Servier with a first patient enrolled as of 1 January 2004 onwards for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

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

Time frame: After Marketing Authorisation in EEA or US if the study is used for the approval

Access criteria: Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2025 (actual). Primary completion is estimated for Apr 2028, 28 months after the start.

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

Registered
Nov 12, 2025
First posted
Nov 13, 2025
StartActual
Nov 24, 2025
Primary completionEst.
Apr 15, 2028
CompletionEst.
Apr 15, 2028
Last update
Oct 13, 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
2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Children's Hospital of Orange County · Orange, United StatesNot yet recruiting→Recruiting
  • Nationwide Children's Hospital · Columbus, United StatesNot yet recruiting→Recruiting
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Children's Hospital of Orange County · Orange, United StatesNot yet recruiting→Recruiting
    • Nationwide Children's Hospital · Columbus, United StatesNot yet recruiting→Recruiting
    + 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
NCT07227857
Lead sponsor
Institut de Recherches Internationales Servier
Responsible party
Sponsor
First posted
Nov 13, 2025
Start date
Nov 24, 2025
Primary completion
Apr 15, 2028 (estimated)
Completion
Apr 15, 2028 (estimated)
Last update
Oct 13, 2026

Study contacts

Institut de Recherches Internationales Servier
Contact
scientificinformation@servier.com
+33 1 55 72 60-00

Oversight

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

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