FENFLURAMINE FOR TREATMENT RESISTANT CONVULSIVE SEIZURES IN PATIENTS WITH FOXG1 MUTATIONS
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Foxg-1 Syndrome
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Age: Between 2 years - 35 years
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Gender: Male or Female
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Other Inclusion Criteria:
- Confirmed clinical/genetic diagnosis of FOXG1 mutation
- Subject is male or non-pregnant, non-lactating female. Female subjects of childbearing potential must not be pregnant or breast-feeding. Female subjects of childbearing potential must have a negative urine pregnancy test. Subjects of childbearing or child-fathering potential must be willing to use medically acceptable forms of birth control, which includes abstinence, while being treated on this study and for 30 days after the last dose of study drug.
- Subject has been informed of the nature of the study and informed consent has been obtained from the subject or the subject’s legally responsible parent/guardian.
- Subject’s caregiver is willing and able to be compliant with diary completion and remote or in person visit schedule.
- Subjects must be receiving a therapeutically relevant and stable dose of anti-seizure medications, dietary therapies for epilepsy or vagus nerve stimulation settings for at least 4 weeks prior to screening and are expected to remain stable throughout the initial 14 weeks of the study. Medication changes are allowed during the extension portion.
- =4 convulsive seizures (tonic-clonic, tonic, atonic, clonic, focal motor) per 4-week period; each convulsive seizure must last =3 seconds.
- Subject is receiving at least 1 concomitant Anti-epileptic drugs (AED) and up to 4 concomitant AEDs, inclusive. Ketogenic Diet (KD) and Vagus Nerve Stimulator (VNS) are permitted but do not count towards the total number of AEDs. Rescue Receiving at least 1 concomitant AED and up to 4 concomitant AEDs, inclusive. Rescue medications for seizures are not counted towards the total number of AEDs.
- Subjects who have been started on Fenfluramine within the past year and have accurate seizure counts for 3 months before the start of medication and after will be allowed to participate.
You may not be eligible for this study if the following are true:
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- Subject has a known hypersensitivity to fenfluramine or any of the excipients in the study medication.
- Subject has current or past history of cardiovascular or cerebrovascular disease, myocardial infarction or stroke.
- Subject has current or past history of cardiovascular or cerebrovascular disease, such as cardiac valvulopathy, myocardial infarction or stroke, or clinically significant structural cardiac abnormality, including but not limited to mitral valve prolapse, atrial or ventricular septal defects, patent ductus arteriosis, and patent foramen ovale with reversal of shunt. (note: Patent foramen ovale or a bicuspid valve are is not considered exclusionary, but may be associated with the following diseases, which are exclusionary: coarctation of the aorta, Turner syndrome, supravalvular aortic stenosis, subvalvular aortic stenosis, patent ductus arteriosus, Sinus of Valsalva aneurysm, ventricular septal defect, Shone’s complex, ascending aortic aneurysm, Loeys-Dietz syndrome, ACTA2 mutation familial thoracic aortic aneurysm syndrome, and MAT2A mutation familial thoracic aortic aneurysm syndrome).
- Subject has current or recent history of Anorexia Nervosa, bulimia, or depression within the prior year that required medical treatment or psychological treatment for a duration greater than 1 month.
- Subject has participated in another clinical trial within the past 30 days (calculated from that study’s last scheduled visit).
- Subject is at imminent risk of self-harm or harm to others, in the investigator’s opinion, based on clinical interview.
- Subject has a current or past history of glaucoma.
- Subject is receiving concomitant therapy with: centrally-acting anorectic agents; monoamine-oxidase inhibitors; any centrally-acting compound with clinically appreciable amount of serotonin agonist or antagonist properties, including serotonin reuptake inhibition; atomoxetine, or other centrally-acting noradrenergic agonist; or cyproheptadine.
- Subject has moderate or severe hepatic impairment.
- Subject has moderate to severe renal impairment
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.