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EpilepsyPhase 2ELEKTRANCT03650452

A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of TAK-935 (OV935) as an Adjunctive Therapy in Pediatric Participants With Developmental and/or Epileptic Encephalopathies

A Phase 2 study testing TAK-935 in people with Epilepsy and Dravet Syndrome, run by Takeda at 44 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to investigate the effect on the frequency of all seizures (convulsive and drop) in participants treated with TAK-935 compared to placebo. Read more about this study

Who is it for?
Ages 2 to 17 years
Conditions the study is for
Epilepsy, Dravet Syndrome, Lennox-Gastaut Syndrome
What is being tested?
TAK-935
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
141 participants
Where
44 sitesin 8 countries
Study dates
8 Aug 2018to 20 Jul 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male and female participants aged greater than or equal to (>=) 2 and less than or equal to (<=) 17 years
  • Clinical diagnosis of DS or LGS
  • Weight of >=10 kilogram (kg) at the Screening visit
  • Currently taking 1 to 4 anti-epileptic drugs (AEDs) at a stable dose
  • Failed to become and remain seizure free with trials of at least 2 AEDs

Who cannot join

  • Has been admitted to a medical facility and intubated for treatment of status epilepticus 2 or more times in the 3 months immediately prior to the screening visit
  • Non-epileptic events that cannot be reliably distinguished from epileptic seizures
  • Participation in a clinical study involving another study drug in the previous month

Trial locations and contacts

44 sites in 8 countries.

44 sites in 8 countries

United States15 sites
  • Rare Disease Research, LLC

    Atlanta, Georgia, 30318

  • Colorado Children's Hospital

    Aurora, Colorado, 80045

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Ann and Robert H Lurie Childrens Hospital of Chicago

    Chicago, Illinois, 60611

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Northeast Regional Epilepsy Group

    Hackensack, New Jersey, 07601

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

  • Nicklaus Children's Hospital

    Miami, Florida, 33155

  • Children's Hospital at Saint Peter's University Hospital

    New Brunswick, New Jersey, 08901

  • Columbia University Medical Center

    New York, New York, 10032

  • Center for Rare Neurological Diseases

    Norcross, Georgia, 30093

  • Pediatric Neurology PA

    Orlando, Florida, 32819

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • Mayo Clinic - PPDS

    Rochester, Minnesota, 55905

  • Wake Forest Baptist Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

Israel7 sites
  • Soroka University Medical Centre

    Bear Sheva, 84101

  • Bnai Zion Medical Center

    Haifa, 31048

  • Edith Wolfson Medical Center

    Holon, 58100

  • Hadassah Medical Center

    Jerusalem, 91120

  • Schneider Childrens Medical Center of Israel

    Petah Tikva, 49202

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 64239

  • Sheba Medical Center-PPDS

    Tel Litwinsky, Ramat Gan, 52621

Other trials in Israel

China6 sites
  • Peking University First Hospital

    Beijing, 100034

  • Capital Medical University (CMU) - Beijing Children's Hospital

    Beijing, 100045

  • Beijing Children's Hospital,Capital Medical University

    Beijing, 100069

  • Xiangya Hospital Central South University

    Changsha, 410078

  • Children's Hospital of Fudan University

    Shanghai, 201102

  • Shenzhen Children's Hospital

    Shenzhen, 518026

Other trials in China

Poland6 sites
  • Uniwersyteckie Centrum Kliniczne - PPDS

    Gdansk, Pomeranian Voivodeship, 80-211

  • NZOZ Centrum Neurologii Dzieciecej i Leczenia Padaczki

    Kielce, Świętokrzyskie Voivodeship, 25-316

  • Centrum Medyczne Plejady

    Krakow, 30-363

  • Szpital Kliniczny im. H.Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu

    Poznan, Greater Poland Voivodeship, 60-355

  • Samodzielny Publiczny Dzieciecy Szpital Kliniczny w Warszawie

    Warsaw, 02-091

  • Instytut Pomnik Centrum Zdrowia Dziecka

    Warsaw, 04-730

Other trials in Poland

Spain4 sites
  • Hospital Vithas La Salud

    Granada, 18008

  • Hospital Ruber Internacional

    Madrid, 28034

  • Clinica Universidad Navarra

    Pamplona, Navarre, 31008

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026

Other trials in Spain

Portugal3 sites
  • Centro Hospitalar Lisboa Central- Hospital Dona Estefania

    Lisbon, 1169-045

  • Centro Hospitalar Lisboa Norte, E.P.E. Hospital de Santa Maria

    Lisbon, 1649-035

  • Largo da Maternidade de Julio DinisCentro Materno Infantil do Norte

    Porto, 4050-651

Other trials in Portugal

Australia2 sites
  • Monash Children's Hospital

    Clayton, Victoria, 3168

  • Austin Hospital

    Heidelberg West, Victoria, 3081

Other trials in Australia

Canada1 site
  • Hospital For Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

About this study

Official title: A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Tolerability of TAK-935 (OV935) as an Adjunctive Therapy in Pediatric Patients With Developmental and/or Epileptic Encephalopathies

The purpose of this study is to investigate the effect on the frequency of all seizures (convulsive and drop) in participants treated with TAK-935 compared to placebo.

Read the detailed description

The drug being tested in this study is called TAK-935 (OV935). This randomized, double-blind study will assess the effects of TAK-935 (OV935), compared to placebo, on efficacy, safety, and tolerability in pediatric participants with Dravet syndrome (DS) or Lennox Gastaut syndrome (LGS). This multi-center trial will be conducted worldwide and will enroll approximately 126 participants.

Participants will be randomized based on their diagnosis in 2 categories; DS or LGS. The study will consist of 2 periods: Screening Period and Treatment Period. The overall duration of Treatment Period is up to 20 weeks including 8-week Dose Optimization Period and 12-week Maintenance Period. The overall time to participants in this study is approximately 30 weeks.

Participants completing this study will have an option to enroll in the open-label extension study, under a separate protocol.

Being tested
TAK-935, Placebo
Keywords
Drug Therapy, Brain Diseases, Central Nervous System Diseases, Tuberous Sclerosis, CDKL5 deficiency disorder, Dup15Q syndrome, Anoxic brain injury, Infantile spams, West syndrome, Cortical dysplasia, SCN1A, OV-935, Cholesterol 24S-hydroxylase inhibitor, Seizure, Anti-epileptic drug, Anticonvulsants, Nervous System Diseases, Drop seizure, Atonic seizure
Medical subject headings
Epilepsy, Epilepsies, Myoclonic, Lennox Gastaut Syndrome, Brain Diseases, Central Nervous System Diseases, Tuberous Sclerosis, CDKL5 deficiency disorder, Hypoxia-Ischemia, Brain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAK-935Drug

    TAK-935 tablets or mini-tablets.

  • PlaceboDrug

    TAK-935 placebo-matching tablets or mini-tablets.

Study groups in NCT03650452
Study groupRoleWhat they receive
PlaceboPlacebo comparatorTAK-935 placebo-matching tablets, orally or via gastrostomy tube (G-tube)/percutaneous endoscopic gastrostomy (PEG), twice a day (BID) up to Week 20.
Receives: Drug: Placebo
TAK-935ExperimentalTAK-935 tablets orally or via G-tube/PEG tube, BID. Participants weighing <60 kg received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Receives: Drug: TAK-935

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Seizure Frequency Per 28 Days During the Maintenance Period

    Seizure frequency per 28 days is defined as total number of seizures (convulsive seizures for DS, drop seizures for LGS) reported during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent change from Baseline is defined as (frequency of seizures per 28 days during maintenance period - frequency of seizures per 28 days at baseline) divided by frequency of seizures per 28 days at baseline multiplied by 100. Negative percent change from Baseline indicates improvement.

    Measured: Baseline; Maintenance Period: Weeks 9 to 20

Secondary outcomes (10)
  1. Percent Change From Baseline in Seizure Frequency Per 28 Days During the Treatment Period

    Seizure Frequency per 28 days is defined as total number of Seizures reported (convulsive seizures for DS, drop seizures for LGS) during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent Change from Baseline is defined as (frequency of seizures per 28 days during treatment period - frequency of seizures per 28 days at baseline) divided by frequency of seizures per 28 days at baseline multiplied by 100. Negative percent change from Baseline indicates improvement.

    Measured: Baseline; Treatment Period: Weeks 0 to 20

  2. Percent Change From Baseline in Convulsive Seizure Frequency Per 28 Days in Participants With Dravet Syndrome Stratum During the Maintenance Period

    Convulsive seizure frequency per 28 days is defined as total number of convulsive seizures reported during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent Change from Baseline (%) is defined as [(Maintenance Period Convulsive Seizure Frequency - Baseline Period Convulsive Seizure Frequency) divided by Baseline Convulsive Seizure Frequency] multiplied by 100. Negative percent change from Baseline indicates improvement.

    Measured: Baseline; Maintenance Period: Weeks 9 to 20

  3. Percent Change From Baseline in Drop Seizure Frequency Per 28 Days in Participants With the Lennox-Gastaut Syndrome (LGS) Stratum During the Maintenance Period

    Drop seizure frequency per 28 days is defined as total number of drop seizures reported during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent Change from Baseline (%) is defined as [(Maintenance Period Drop Seizure Frequency - Baseline Period Drop Seizure Frequency) divided by Baseline Drop Seizure Frequency] multiplied by 100. Negative percent change from Baseline indicates improvement.

    Measured: Baseline; Maintenance Period: Weeks 9 to 20

  4. Percentage of Participants With LGS Stratum Considered Treatment Responders Throughout the Maintenance Period

    Responders are defined as having over 50% drop seizure reduction compared to Baseline. Percent Reduction from Baseline (%) is defined as [(Maintenance Period Drop Seizure Frequency - Baseline Period Drop Seizure Frequency) divided by Baseline Drop Seizure Frequency] multiplied by 100. Data is reported as reduction of 25%, 50%, 75% and 100% or more in drop seizures from Baseline.

    Measured: Maintenance Period: Weeks 9 to 20

  5. Percentage of Participants With Dravet Syndrome Stratum Considered Treatment Responders Throughout the Maintenance Period

    Responders are defined as having over 50% convulsive seizure reduction compared to Baseline. Percent Reduction from Baseline (%) is defined as [(Maintenance Period Convulsive Seizure Frequency - Baseline Period Convulsive Seizure Frequency) divided by Baseline Convulsive Seizure Frequency] multiplied by 100. Data is reported as reduction of 25%, 50%, 75% and 100% or more in drop seizures from Baseline.

    Measured: Maintenance Period: Weeks 9 to 20

  6. Change From Baseline in Clinician's Clinical Global Impression of Severity (CGI-S) Responses of Investigator Reported Impression of Efficacy and Tolerability of Study Drug

    The CGI-Severity (CGI-S) focuses on clinicians' observations of the participant's cognitive, functional, and behavioral performance since the beginning of the study. The CGI-S is rated on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal) through to 7 (amongst the most severely ill participants). A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 20

  7. Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression of Efficacy and Tolerability TAK-935

    CGI-Change (CGI-C) treatment response ratings should take account of both therapeutic efficacy and treatment-related AEs. Each component of the CGI is rated separately; the instrument does not yield a global score. The CGI-C is rated on a 7-point scale, where, 0 = Marked improvement and no side-effects, 1 = Marked improvement and minimal side-effects, 2 = No Change, 3 = Minimal improvement and marked side-effects and 4 = Unchanged or worse and side-effects outweigh the therapeutic effect. Lower scores indicated improvement.

    Measured: Week 20

  8. Percentage of Participants With Caregiver Global Impression of Change (Care GI-C) Responses as Per the Parent/Family Reported Impression of Efficacy and Tolerability of TAK-935

    The Care GI-C is rated on a 7-point scale, with the severity of illness scale where, 1 = Very much improved, 2 = Much improved, 3 = Slightly improved, 4 = No change, 5 = Slightly worse, 6 = Much worse and 7 = Very much worse. Lower scores indicated improvement.

    Measured: Week 20

  9. Change From Baseline in Plasma 24S-Hydroxycholesterol (24HC) Levels in Participants Treated With TAK-935 as an Adjunctive Therapy

    A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 24

  10. Change From Baseline in Seizure Frequency in Participants Treated With TAK-935 as an Adjunctive Therapy

    Seizure frequency was based on convulsive seizures for the participants in the Dravet Syndrome Indication and Drop Seizures for the participants in the LGS Indication. Seizure frequency per 28 days = (total number of seizures reported during the period) / (number of days during the period seizures were assessed) * 28. A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 20

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2018
  2. Study start8 Aug 2018
  3. Primary completion9 Jun 2020
  4. Study completion20 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
141 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03650452
Sponsor's protocol ID
TAK-935-2002
Other IDs
U1111-1206-5522, 2018-002484-25, 2018
Acronym
ELEKTRA
Status last verified
Aug 2026
First submitted
27 Aug 2018
Last updated
14 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Publications

  • Hahn CD, Jiang Y, Villanueva V, Zolnowska M, Arkilo D, Hsiao S, Asgharnejad M, Dlugos D. A phase 2, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of soticlestat as adjunctive therapy in pediatric patients with Dravet syndrome or Lennox-Gastaut syndrome (ELEKTRA). Epilepsia. 2022 Oct;63(10):2671-2683. doi: 10.1111/epi.17367. Epub 2022 Aug 4.

    PubMed 35841234

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TAK-935 in people with Epilepsy and Dravet Syndrome, run by Takeda at 44 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Israel, China, Poland, Spain and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Feb 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Seizure Frequency Per 28 Days During the Maintenance Period (time frame: Baseline; Maintenance Period: Weeks 9 to 20). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03650452, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2026.

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