TABLE 1.
Summary of Pivotal Phase 3 Trials in Patients with LGS or DS
GWEP1414 (LGS) | GWEP1423 (LGS) | GWEP1332B (DS) | GWEP1424 (DS) | |
---|---|---|---|---|
Description | Adjunct to existing ASDs in patients with LGS who had inadequately controlled drop seizures | Adjunct to existing ASDs in patients with DS who had inadequately controlled convulsive seizures | ||
Patient population | 2‐55 years with a clinical diagnosis of LGS, ≥ 2 drop seizures each week during the 28‐day baseline period despite taking ≥ 1 ASD at a stable dose for ≥ 4 weeks | 2‐18 years with a clinical diagnosis of DS, ≥ 4 convulsive seizures during the 28‐day baseline period despite taking ≥ 1 ASD at a stable dose for ≥ 4 weeks | ||
Regions | US, UK, France, Spain | US, The Netherlands, Poland | US, UK, France, Poland | US, Spain, Poland, Australia, Israel, The Netherlands |
Patients planned/randomized | 150/225 | 100/171 | 100/120 | 186/199 |
Treatment group: number of patients treated |
Placebo: 76 CBD 10 mg/kg/day: 73 CBD 20 mg/kg/day: 76 |
Placebo: 85 CBD 20 mg/kg/day: 86 |
Placebo: 59 CBD 20 mg/kg/day: 61 |
Placebo: 65 CBD 10 mg/kg/day: 66 CBD 20 mg/kg/day: 67 |
Treatment plan | Baseline Period (Days −28 to −1) | Baseline Period (Days −28 to −1) | Baseline Period (Days −28 to −1) | Baseline Period (Days −28 to −1) |
Double‐blind treatment period (Weeks 1‐14):
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Double‐blind treatment period (Weeks 1‐14):
|
Double‐blind treatment period (Weeks 1‐14):
|
Double‐blind treatment period (Weeks 1‐14):
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|
|
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|
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Optional OLE trial or taper (10% per day) and follow‐up | Optional OLE trial or taper (10% per day) and follow‐up | |||
Efficacy endpoints | Primary: Percentage change from baseline in drop seizure frequency during the treatment period | Primary: Percentage change from baseline in convulsive seizure frequency during the treatment period | ||
Key secondary: Proportion of patients with a ≥ 50% reduction from baseline in drop seizure frequency during the treatment period | Key secondary: Proportion of patients with a ≥ 50% reduction from baseline in convulsive seizure frequency during the treatment period | |||
Efficacy: reduction in seizure frequency |
Placebo: 17.2% CBD 10 mg/kg/day: 37.2%, P = .0016 CBD 20 mg/kg/day: 41.9%, P = .0047 |
Placebo: 21.8% CBD 20 mg/kg/day: 43.9%, P = .0135 |
Placebo: 13.3% CBD 20 mg/kg/day: 38.9%, P = .0123 |
Placebo: 26.9% CBD 10 mg/kg/day: 48.7%, P = .0095 CBD 20 mg/kg/day: 45.7%, P = .0299 |
Efficacy: 50% responder rates |
Placebo: 14.5% CBD 10 mg/kg/day: 35.6%, P = .0030 CBD 20 mg/kg/day: 39.5%, P = .0006 |
Placebo: 23.5% CBD 20 mg/kg/day: 44.2%, P = .0043 |
Placebo: 27.1% CBD 20 mg/kg/day: 42.6%, P = .0784 |
Placebo: 26.2% CBD 10 mg/kg/day: 43.9%, P = .0332 CBD 20 mg/kg/day: 49.3%, P = .0069 |
The seizures are drop seizures in LGS (atonic, tonic, or tonic‐clonic) and convulsive seizures in DS (tonic‐clonic, tonic, clonic, or atonic).
Abbreviations: ASD, antiseizure drug; CBD, cannabidiol; DS, Dravet syndrome; LGS, Lennox‐Gastaut syndrome; OLE, open‐label extension; QOD, every other day.