ClinicalTrials.gg
Not yet recruitingNCT07728097EpiGOALUpdated Oct 22, 2026

A Study to Investigate the Effect of Gradual Titration to Optimize Cannabidiol Treatment in Adults With LGS

A Phase 4 interventional study of Cannabidiol Oral Solution in Lennox-Gastaut Syndrome, sponsored by Jazz Pharmaceuticals. Not yet recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

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

Updated Oct 22, 20262 sites addedGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 3b/Phase 4 study. The purpose of this study is to learn more about the efficacy of using CBD-OS as an add-on therapy for the treatment of LGS in adults.

02

Conditions studied

  • Lennox-Gastaut Syndrome

Keywords

  • LGS
  • Cannabidiol
  • CBD-OS
  • Epidiolex
  • Epidyolex
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 planned enrollment of 40 is close to 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
18 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

  1. Has a confirmed clinical diagnosis of LGS with a history of seizures and actively experiencing seizures within 6 months of screening.
  2. Is naïve to CBD-OS treatment or has been off CBD-OS treatment for at least 3 months prior to screening.
  3. Is willing to maintain any factors expected to affect seizures (eg, alcohol consumption, smoking, concomitant medication usage) stable for the duration of the study.
  4. Is currently treated with at least 1 ASM, but no more than 3 ASMs, and is on a stable regimen for at least 4 weeks prior to screening.
  5. Adequate precautions
  6. Participant has a primary caregiver/legally authorized representative (LAR) who is willing and able, in the investigator's opinion, to participate throughout the duration of the study and to comply with all study requirements
  7. Experienced at least 4 or more countable major motor seizures (isolated seizures or seizures occurring in a cluster) during the 5-week Baseline Period preceding treatment.
  8. Caregiver completed at least 80% of seizure diary entries during the Baseline Period with no more than 3 consecutive days of missing entries.

Exclusion criteria

Exclusion Criteria:

  1. Has a significant psychiatric illness
  2. Has an illness during the 4 weeks prior to screening other than epilepsy which, in the investigator's opinion, could affect study outcomes or seizure frequency.
  3. Has history of SE in the 3 months prior to screening.
  4. Has any other significant disease other than epilepsy, which, in the investigator's opinion, 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.
  5. Has previously undergone significant surgery for epilepsy in the 6 months prior to screening or planned to undergo surgery for epilepsy during the study.
  6. Is currently using or has in the past used recreational or medicinal cannabis or synthetic cannabinoid-based medications, products, or supplements within the 3 months prior to screening and is not willing to undergo a 1-month before being rescreened.
  7. Has initiated felbamate within the 12 months prior to screening.
  8. Is not willing to adjust dosage of CBD-OS if needed when using strong inducers of and/or strong inducers of CYP2C19 concomitantly with CBD-OS
  9. Previously discontinued cannabidiol due to severe adverse events (SAE), or lack of efficacy
  10. Has abnormal lab values
  11. Has clinically impaired hepatic or renal function
  12. History of, current risk or presence of actual suicidal ideations
  13. Has any known or suspected hypersensitivity to cannabinoids or any of the of CBD-OS, such as sesame oil.
  14. Has a known or suspected history of alcohol or substance abuse disorder
  15. Is currently consuming, and unwilling to stop consumption, or planning to consume tonic water on a regular basis throughout the study.
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

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.

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.

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
40 participants (estimated)

Study arms

  • Experimental
    Cannabidiol Oral Solution Treatment group

    Participants who will receive the Cannabidiol Oral Solution (CBD-OS) titrated up to a dose of 20 mg/kg per day or the maximum tolerated dose for 24 consecutive weeks.

    Drug: Cannabidiol Oral Solution

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of participants reporting 50% or more reduction in their 28-day average countable major motor seizure frequency

    Time frame: End of Treatment Period, Week 24

Secondary outcomes

  1. Retention Rate

    Retention Rate is defined as percentage of participants completing or continuing CBD-OS treatment at different timepoints in the study

    Time frame: At Weeks 8, 12, 16 and 24

  2. Percentage of participants experiencing worsening, change, no change or improvement in in their 28-day average countable major motor and total seizure frequency

    As reported in participants' electronic diaries

    Time frame: Baseline to Week 4, Baseline to Week 8, Baseline to Week 12, Baseline to Week 16, Baseline to Week 24

  3. Percentage of participants considered treatment responders

    Treatment responders will be categorized as those experiencing a 50% or more reduction, a 75% or more reduction or 100% reduction in their 28-day average seizure frequency as reported in participants' electronic diaries

    Time frame: Baseline to Week 4, Baseline to Week 8, Baseline to Week 12, Baseline to Week 16, Baseline to Week 24

  4. Change in 28-day average frequency of countable major motor and total seizures

    Assessed per 28 days from electronic diary entries

    Time frame: Baseline to Week 4, Baseline to Week 8, Baseline to Week 12, Baseline to Week 16, Baseline to Week 24

  5. Change in number of seizure-free days

    Assessed per 28 days from electronic diary entries

    Time frame: Baseline to Week 4, Baseline to Week 8, Baseline to Week 12, Baseline to Week 16, Baseline to Week 24

  6. Change in CaGI-S severity of seizure scores

    Caregiver Global Impression of Severity (CaGI-S) is a single-item, 5-point Likert-type rating scale (ranging from 0 "not severe at all" to 5 "very severe"). Using this scale, caregivers will be asked to rate their impression of the participant's severity of seizures, and the severity of the impact caused by the seizure.

    Time frame: Baseline to Week 16, Baseline to Week 24

  7. Change in CaGI-S severity of impact of seizures scores

    Caregiver Global Impression of Severity (CaGI-S) is a single-item, 5-point Likert-type rating scale (ranging from 0 "not severe at all" to 5 "very severe"). Using this scale, caregivers will be asked to rate their impression of the participant's severity of the impact caused by the seizure.

    Time frame: Baseline to Week 16, Baseline to Week 24

  8. Change in VAS scores

    Visual Analog Scale (VAS) is a caregiver-reported tool used to quantify the severity of impact of subjective non-seizure symptoms and assesses sleep, communication, and disruptive behavior. The VAS enables sensitive detection of changes in non-seizure domains (disruptive behavior, Sleep, and Communication) important to patients with LGS and their caregivers. The VAS has a total score ranging from 0 to 100 with the higher score indicating worse conditions.

    Time frame: Baseline to Week 16, Baseline to Week 24

  9. Change in CaGI-S severity of level of alertness scores

    CaGI-S Alertness is a caregiver single item assessment on a 5-point Likert-type rating scale (ranging from 0 "not severe at all" to 5 "very severe") assessing their impression of participant's severity of level of awareness

    Time frame: Baseline to Week 16, Baseline to Week 24

  10. Change in CaGI-S severity of overall condition scores

    CaGI-S Overall Condition is a caregiver single item assessment on a 5-point Likert-type rating scale (ranging from 0 "not severe at all" to 5 "very severe") assessing their impression of participant's severity of overall condition

    Time frame: Baseline to Week 16, Baseline to Week 24

  11. CaGI-C level of alertness scores

    Caregiver Global Impression of Change (CaGI-C) Alertness is a caregiver single item assessment on a 7-point Likert-type rating scale (ranging from 1 "very much improved" to 7 "very severe") assessing their impression of participant's severity of level of awareness

    Time frame: At Week 16, at week 24

  12. CaGI-C overall condition scores

    Caregiver Global Impression of Change (CaGI-C) overall condition is a caregiver single item assessment on a 7-point Likert-type rating scale (ranging from 1 "very much improved" to 7 "very severe") assessing their impression of participant's severity of overall condition

    Time frame: At Week 16, at week 24

  13. Change in CGI-S overall condition scores

    Clinician Global Impression of severity (CGI-S) Overall Condition is a clinician single item assessment on a 5-point Likert-type rating scale (ranging from 1 "not severe at all" to 5 "very severe") assessing their impression of participant's severity of level of overall condition

    Time frame: Baseline to Week 16, Baseline to Week 24

  14. CGI-C overall condition scores

    Clinician Global Impression of Change (CGI-C) Overall Condition is a clinician single item assessment on a 7-point Likert-type rating scale (ranging from 1 "very much improved" to 5 "very much worse") assessing their impression of participant's change of overall condition

    Time frame: At Week 16, At Week 24

  15. Change in ELDQOL Behavior subscale scores

    Epilepsy and Learning Disabilities Quality of Life (ELDQOL) is designed for the caregiver to rate the quality of life (QOL) in children with severe epilepsy and learning disabilities over the last month. The questionnaire has a total of 28 main questions, grouped into 4 subscales: behavior, seizure severity, mood, and side effects. The ELDQOL behavior subscale includes 9 of the 28 total main questions with a total score ranging from 9 to 36 with the higher score indicating greater behavioral problems

    Time frame: Baseline to Week 16, Baseline to Week 24

  16. Change in ELDQOL seizure severity subscale scores

    Epilepsy and Learning Disabilities Quality of Life (ELDQOL) is designed for the caregiver to rate the quality of life (QOL) in children with severe epilepsy and learning disabilities over the last month. The questionnaire has a total of 28 main questions, grouped into 4 subscales: behavior, seizure severity, mood, and side effects. The ELDQOL seizure severity subscale includes 14 of the 28 total main questions with a total score ranging from 10 to 56 with the higher score indicating greater seizure severity

    Time frame: Baseline to Week 16, Baseline to Week 24

  17. Change in ELDQOL mood scale subscale scores

    Epilepsy and Learning Disabilities Quality of Life (ELDQOL) is designed for the caregiver to rate the quality of life (QOL) in children with severe epilepsy and learning disabilities over the last month. The questionnaire has a total of 28 main questions, grouped into 4 subscales: behavior, seizure severity, mood, and side effects. The ELDQOL mood scale subscale includes 1 of the 28 total questions with a total score ranging from 16 to 64 with the higher score indicating greater mood problems

    Time frame: Baseline to Week 16, Baseline to Week 24

  18. Change in ELDQOL side-effects profile subscale scores

    Epilepsy and Learning Disabilities Quality of Life (ELDQOL) is designed for the caregiver to rate the quality of life (QOL) in children with severe epilepsy and learning disabilities over the last month. The questionnaire has a total of 28 main questions, grouped into 4 subscales: behavior, seizure severity, mood, and side effects. The ELDQOL side-effects profile subscale includes 2 of the 28 total main questions with a score ranging from 19 to 76 with the higher score indicating greater side effects

    Time frame: Baseline to Week 16, Baseline to Week 24

  19. Number of participants reporting adverse events leading to discontinuation

    Time frame: Up to week 24

  20. Time the adverse events started from baseline

    Time frame: Up to week 24

  21. Number of Participants with Abnormal Laboratory Values

    Time frame: Up to week 24

  22. Change in suicidal ideation scores

    As evaluated by the Columbia-Suicide Severity Rating Scale (C-SSRS). The questionnaire has a total score ranging from 0 to 5 with a score of 0 indicating no suicidal ideation is present.

    Time frame: Baseline, up to week 24

  23. Change in number of suicide attempts

    As per the response in the C-SSRS

    Time frame: Baseline, up to week 24

  24. Percentage of participants requiring inpatient hospitalization due to epilepsy

    Time frame: Up to week 24

  25. Change in number of usage of rescue medication

    Time frame: Baseline, Up to week 24

07

Study locations

3 sites
  • Neuro Pain Research Center
    Fresno, California 93722, United States
  • Louisiana State University Health Sciences Center New Orleans
    New Orleans, Louisiana 70112, United States
  • Velocity Clinical Research At Raleigh Neurology
    Raleigh, North Carolina 27607, United States
08

References and documents

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

No publications or documents are linked to this record.

09

Timeline

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

Start is estimated for Nov 2026; primary completion for Dec 2028, 25 months later.

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

Registered
Jul 22, 2026
First posted
Jul 27, 2026
StartEst.
Nov 18, 2026
Primary completionEst.
Dec 28, 2028
CompletionEst.
Dec 28, 2028
Last update
Oct 22, 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 added
Show 2 added (2 United States)
  • Neuro Pain Research Center · Fresno, United States
  • Velocity Clinical Research At Raleigh Neurology · Raleigh, United States
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    2 sites added
    Show 2 added (2 United States)
    • Neuro Pain Research Center · Fresno, United States
    • Velocity Clinical Research At Raleigh Neurology · Raleigh, United States
    + 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
NCT07728097
Collaborators
Jazz Pharmaceuticals Research UK Limited
Responsible party
Sponsor
First posted
Jul 27, 2026
Start date
Nov 18, 2026 (estimated)
Primary completion
Dec 28, 2028 (estimated)
Completion
Dec 28, 2028 (estimated)
Last update
Oct 22, 2026

Study contacts

Clinical Trial Disclosure & Transparency
Contact
ClinicalTrialDisclosure@JazzPharma.com
215-832-3750

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. 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: Cannabidiol

Start the discussion