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CDKL5 Deficiency DisorderPhase 3NCT05249556

Open-label, Single-arm Trial of Ganaxolone in CDD Patients 6 Months to Less Than 2 Years Old

A Phase 3 study testing Ganaxolone in people with CDKL5 Deficiency Disorder, run by Immedica Pharma AB.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn how patients with CDKL-5 deficiency disorder (CDD) aged 6 months to 2 years of age respond to treatment with ganaxolone. The main questions the trial aims to answer are: The amount of the medicine that was in participants' bodies and the safety of the medicine. Read more about this study

Who is it for?
Ages 6 months to 2 years
Conditions the study is for
CDKL5 Deficiency Disorder
What is being tested?
Ganaxolone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
No sites listed yet
Study dates
Mar 2027to Dec 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 6 months to 2 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • A diagnosis of CDD, including molecular confirmation of a pathogenic or likely pathogenic CDKL5 variant.
  • Male or female participants aged 6 months to less than 2 years at the Baseline Visit.
  • Failure to control seizures despite appropriate use of 1 or more anti-seizure medications at therapeutic doses. At least 3 participants will be included who failed to control seizures despite appropriate use of at least 2 anti-seizure medications.
  • Participants will have refractory seizures with a history of at least 8 countable seizures of primary seizure types during the 28 days prospective Baseline Period prior to the Baseline Visit. Primary seizure types are seizures with or without impairment of consciousness with a clear motor component, including generalized tonic-clonic, focal to bilateral tonic-clonic, atonic/drop, bilateral clonic, bilateral tonic (sustained motor activity ≥ 3 seconds). Clusters of uncountable seizures will be counted as a single seizure.
  • Primary seizures exclude epileptic spasms. Patients with epileptic spasms are eligible for enrolment but epileptic spasms will not be counted as qualifying countable seizures for eligibility. Epileptic spasms should not constitute the dominant seizure type during the Baseline Period.
  • Primary seizures exclude myoclonic, absence, generalized non-motor seizures, and focal motor or non-motor seizures with or without impairment of awareness.
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  • Participants should be receiving a stable regimen of anti-seizure medications at Screening through to the end of the 4-week prospective Baseline Period and have no foreseeable change for the duration of Part A.
  • Concurrent use of adrenocorticotropic hormone, prednisone, other glucocorticoids, or vigabatrin are permitted.
  • Vagus nerve stimulator (VNS) settings, ketogenic diet, or a modified Atkins diet should be unchanged for 1 month prior to the Screening Visit, throughout the Screening Period and the 4-week prospective Baseline Period and without foreseeable change for the duration of Part A at the time of the Baseline Visit.
  • Parent/caregiver is able and willing to maintain an accurate and complete daily seizure diary for the duration of the trial.

Who cannot join

  • Have an active CNS infection, demyelinating disease, degenerative neurological disease, or CNS disease deemed progressive as evaluated by brain imaging (magnetic resonance imaging).
  • Have any disease or condition (medical or surgical; other than CDKL5 deficiency) that might compromise the hematologic, cardiovascular, pulmonary, renal, gastrointestinal, or hepatic systems; or other conditions that might interfere with the absorption, distribution, metabolism, or excretion of the investigational product or would place the participant at increased risk.
  • History of or present AST (aspartate aminotransferase/serum glutamic-oxaloacetic transaminase) or ALT (alanine aminotransferase/serum glutamic-pyruvic transaminase) >3 times the upper limit of normal (ULN) at Baseline and confirmed by a repeat testing.
  • History of or present total bilirubin levels greater than the ULN at trial Baseline and confirmed by a repeat testing. In cases of a documented, stable medical condition (i.e., Gilbert's Syndrome) resulting in levels of total bilirubin greater than the ULN, the Medical Monitor will determine if an exception can be made.
  • Participants with significant renal insufficiency, with an estimated glomerular filtration rate (eGFR) <30 mL/min (calculated using the Cockcroft-Gault formula or Pediatric eGFR calculator or Bedside Schwartz).
  • Regular use of St. John's Wort or strong CYP3A4 inducers, e.g., phenytoin, carbamazepine or phenobarbital (N.B. phenytoin and phenobarbital are permitted as rescue medication on as-need basis but are not permitted as continuous maintenance medication).
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  • Have been exposed to any other investigational drug within 30 days or less than its 5 half-lives prior to the Screening Visit.
  • Previous treatment with ganaxolone.
  • Participation in any other trial involving administration of an investigational medication or device.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Clinical Project Manager contact

+46 8 533 39 500

clinical@immedica.com

Clinical Project Manager contact

clinical@immedica.com

About this study

Official title: An Open-label, Single-arm, 52-week, Multicenter Phase 3 Trial to Assess Pharmacokinetics, Safety, Tolerability, and Activity of Adjunctive Ganaxolone for the Treatment of Seizures Associated With Genetically Confirmed Cyclin-dependent Kinase-like 5 (CDKL5) Deficiency Disorder (CDD) in Pediatric Patients From 6 Months to Less Than 2 Years of Age

The goal of this clinical trial is to learn how patients with CDKL-5 deficiency disorder (CDD) aged 6 months to 2 years of age respond to treatment with ganaxolone. The main questions the trial aims to answer are:

  • The amount of the medicine that was in participants' bodies and the safety of the medicine.
  • Does the medicine ganaxolone lower the number of seizures when used in addition to the participant's usual anti-seizure treatment.
Read more

Participants will:

Take ganaxolone 3 times daily for up to 52 weeks. Visit the clinic every 3 to 5 weeks for the initial 17 weeks of the trial and thereafter every 11 to 12 weeks.

The participant's caregiver will:

Keep a daily diary of the participants seizures and use of anti-seizure medications, including the trial drug ganaxolone.

Read the detailed description

This is an open-label, single-arm, 52-week, multicenter trial of adjunctive ganaxolone treatment in participants 6 months to less than 2 years of age with genetically confirmed CDD. The trial consists of an up to 2-week Screening Period, 4-week prospective Baseline Period, followed by 2 parts: Part A; a 17-week ganaxolone treatment phase (including 4 to 5 weeks of ganaxolone titration followed by 12 to 13 weeks of dose maintenance) and Part B; a 35-week ganaxolone maintenance phase, and a 2-week taper period at the end of the trial. Tapering will not apply for participants continuing ganaxolone treatment after the trial.

The Screening Period will follow the Screening Visit to ensure caregivers can classify seizures and comply with completion instructions of an electronic seizure and medication diary. This will be followed by a 4-week prospective Baseline Period to assess seizure frequency for trial eligibility.

Up to 15 participants will be enrolled to ensure at least 12 participants are evaluable for the primary PK endpoints at the end of Part A of the trial, including at least 3 participants experiencing uncontrolled seizures despite treatment with at least 2 anti-seizure medications.

Participants will be monitored at Baseline and at specified visits to assess the exposure, safety and tolerability and activity of ganaxolone. PK samples will be collected at specified timepoints up until completion of Part A.

Clinical laboratory testing will be performed at local laboratories at participating sites.

Being tested
Ganaxolone
Keywords
CDKL5 deficiency disorder (CDD), Developmental and epileptic encephalopathy (DEE)
Medical subject headings
CDKL5 deficiency disorder

What participants receive

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

  • GanaxoloneDrug

    Also called Ztalmy, Active Drug

    Ganaxolone

Study groups in NCT05249556
Study groupRoleWhat they receive
GanaxoloneExperimentalGanaxolone sodium benzoate-free oral suspension 50 mg/ml
Receives: Drug: Ganaxolone

What is being measured

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

  1. Ganaxolone exposure in participants receiving ganaxolone doses up to 63 mg/kg/day

    Pharmacokinetic (PK) exposure parameter derived from population PK modelling and simulation: steady-state maximum concentration (Cmax,ss)

    Measured: Baseline through 17 weeks

  2. Ganaxolone exposure in participants receiving ganaxolone doses up to 63 mg/kg/day

    PK exposure parameter derived from population PK modelling and simulation: trough concentration (Ctrough)

    Measured: Baseline through 17 weeks

  3. Ganaxolone exposure in participants receiving ganaxolone doses up to 63 mg/kg/day

    PK exposure parameter derived from population PK modelling and simulation: systemic exposure (Caverage,ss derived as AUC over a dosing interval / tau)

    Measured: Baseline through 17 weeks

  4. Safety and tolerability of ganaxolone as adjunctive therapy for the treatment of seizures in participants receiving ganaxolone doses up to 63 mg/kg/day

    Frequency, type, and severity of adverse events (AEs)

    Measured: Baseline through to 52 weeks

Secondary outcomes (15)
  1. Ganaxolone PK parameters at steady-state in participants receiving ganaxolone doses up to 63 mg/kg/day.

    Non-compartmental-like steady-state PK parameters derived from population PK modelling and simulation: steady-state time to maximum concentration (tmax,ss)

    Measured: Baseline through to 17 weeks

  2. Ganaxolone PK parameters at steady-state in participants receiving ganaxolone doses up to 63 mg/kg/day.

    Non-compartmental-like steady-state PK parameters derived from population PK modelling and simulation: exposure accumulation ratios

    Measured: Baseline through to 17 weeks

  3. Ganaxolone PK parameters at steady-state in participants receiving ganaxolone doses up to 63 mg/kg/day.

    Non-compartmental-like steady-state PK parameters derived from population PK modelling and simulation: swing [(Cmax-Cmin)/Cmin])

    Measured: Baseline through to 17 weeks

  4. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Percent change from baseline in 28-day primary seizure frequency during the treatment period relative to the 4-week prospective Baseline Phase

    Measured: Baseline through to 17 weeks

  5. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Percentage of participants experiencing ≥50% reduction in the 28-day primary seizure frequency compared to the 4-week baseline

    Measured: Baseline through to 17 weeks

  6. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Percent change in seizures by primary seizure type

    Measured: Baseline through to 17 weeks

  7. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Percent change in primary seizure-free days

    Measured: Baseline through to 17 weeks

  8. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Clinical Global Impression of Improvement (CGI-I); 7-point Likert scale, higher scores mean a worse outcome

    Measured: Baseline through to 17 weeks

  9. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 17-week treatment period (Part A)

    Caregiver Global Impression of Change in Seizure Intensity/Duration (CGI-CSID); 7-point Likert scale, higher scores mean a worse outcome

    Measured: Baseline through to 17 weeks

  10. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Percent change from baseline in 28-day primary seizure frequency during the treatment period relative to the 4-week prospective Baseline Phase

    Measured: Baseline through to 52 weeks

  11. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Percentage of participants experiencing ≥50% reduction in the 28-day primary seizure frequency compared to the 4-week baseline

    Measured: Baseline through to 52 weeks

  12. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Percent change in seizures by primary seizure type

    Measured: Baseline through to 52 weeks

  13. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Percent change in primary seizure-free days

    Measured: Baseline through to 52 weeks

  14. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Clinical Global Impression of Improvement (CGI-I); 7-point Likert scale, higher scores mean a worse outcome

    Measured: Baseline through to 52 weeks

  15. Activity of ganaxolone as adjunctive therapy for the treatment of primary seizures at the end of the 52-week treatment period (Part B)

    Caregiver Global Impression of Change in Seizure Intensity/Duration (CGI-CSID); 7-point Likert scale, higher scores mean a worse outcome

    Measured: Baseline through to 52 weeks

Timeline

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

  1. First posted21 Feb 2022
  2. Study startMar 2027 (estimated)
  3. Primary completionDec 2029 (estimated)
  4. Study completionDec 2029 (estimated)

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is an open-label, single-arm trial
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05249556
Sponsor's protocol ID
1042-CDD-3002
Other IDs
2026-528611-26-00
Status last verified
Oct 2026
First submitted
27 Jan 2022
Last updated
4 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Yasmen N, Sluter MN, Yu Y, Jiang J. Ganaxolone for management of seizures associated with CDKL5 deficiency disorder. Trends Pharmacol Sci. 2023 Feb;44(2):128-129. doi: 10.1016/j.tips.2022.11.007. Epub 2022 Dec 12. No abstract available.

    PubMed 36517284

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ganaxolone in people with CDKL5 Deficiency Disorder, run by Immedica Pharma AB.

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 10 inclusion and 9 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: opening soon, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Clinical Project Manager (+46 8 533 39 500, clinical@immedica.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Ganaxolone exposure in participants receiving ganaxolone doses up to 63 mg/kg/day (time frame: Baseline through 17 weeks). The study lists 4 primary outcomes in all. 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 NCT05249556, 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 4 Nov 2026.

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