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Trial · NCT02224573

An Open Label Extension Study of Cannabidiol (GWP42003-P) in Children and Adults With Dravet or Lennox-Gastaut Syndromes

NCT02224573, Phase 3, Completed, GW Research Ltd; results first posted 2022-02-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. An Open Label Extension Study of Cannabidiol (GWP42003-P) in Children and Adults With Dravet or Lennox-Gastaut Syndromes. Trials, record NCT02224573. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02224573

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
An Open Label Extension Study of Cannabidiol (GWP42003-P) in Children and Adults With Dravet or Lennox-Gastaut Syndromes
NCT number
NCT02224573
Status
Completed
Phases
Phase 3
Enrollment
681 participants, actual
Lead sponsor
GW Research Ltd
Conditions
Epilepsy, Dravet Syndrome, Lennox-Gastaut Syndrome
Interventions
GWP42003-P
First posted
2014-08-25
Last updated
2022-02-03
Other registries' IDs
eudract:2014-001834-27
Results first posted
2022-02-03

Source ClinicalTrials.gov

Registered outcomes60

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment Groupup to Week 260
TEAEs, defined as AEs that started, or worsened in severity or seriousness, following the first dose of investigational medicinal product in this study, are reported. Any AEs that continued from the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) were only classified as treatment emergent if they worsened in this study.
PrimaryNumber of Participants With Clinically Significant Changes in the Indicated Vital Sign Values From the Pre-randomization Baseline of the Core Study at Any Time Post-doseup to Week 260
Clinical significance was determined by the investigator. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. bpm = beats per minute; DBP = Diastolic Blood Pressure; mmHg = millimeters of mercury; SBP = Systolic Blood Pressure. Data for change from Baseline at pre-randomization of the Core Study are presented; however, the time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.
PrimaryMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Body Mass Index (BMI)up to Week 260
BMI is an estimate of body fat based on body weight divided by height squared. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. Data for change from Baseline at pre-randomization of the Core Study are presented; however, the time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.
PrimaryNumber of Participants With Clinically Significant Electrocardiogram (ECG) Values at the Pre-randomization Baseline of the Core Study and at Any Time Post-doseup to Week 260
Clinical significance was determined by the investigator. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. msec = milliseconds; QTcB = corrected QT interval with Bazett's correction. The time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.
Primary
Number of Participants With the Indicated Responses to Questions Regarding Suicidal Ideation and Behavior Using the Children's Columbia-Suicide Severity Rating Scale (C-SSRS) at Day 1 and at Any Time Post-dose
up to Week 260
The C-SSRS questionnaire is a brief, standardized measure that uniquely assesses the essential information (behavior, ideation, lethality, and severity) and distinguishes between suicidal occurrences and non-suicidal self-injury.
PrimaryMean Cannabis Withdrawal Scale Score at End of Taper (EOT), the Post-Taper Safety Call, and at Safety Follow-upup to Week 260
The Cannabis Withdrawal Scale is a 19-item scale administered to participants (18 years and above), with each item (withdrawal symptom) measured on a 0 to 10 numerical rating scale (0 = Not at all; 5 = Moderately; 10 = Extremely). Total score, calculated as the sum of the 19 item sub-scores ranging from 0-190 are reported. Higher scores indicate more withdrawal symptoms and an increased negative impact to quality of life. The participant or participant's caregiver was asked to record the extent to which each withdrawal symptom was experienced in the last 24 hours and also to rate the negative impact on normal daily activities. L24S = Last 24 Hours Score; NIS = Negative Impact on Normal Daily Activity Score. The End of Treatment visit occurred after a maximum of 260 weeks of treatment. The End of Taper occurred up to 10 days after the End of Treatment visit. The Safety Call and Safety Follow-up occurred 2 and 4 weeks, respectively, after the End of Taper.
PrimaryMean Pediatric Cannabinoid Withdrawal Scale (PCWS) Score at the End of Treatment, the End of Taper, the Post-Taper Safety Call, and at Safety Follow-upup to Week 260
The PCWS was administered to participants aged 4 to 17 (inclusive) that was developed from the 19-item validated CWS (adults) to assess mood, behavioral, and physical symptoms associated with cannabis. The total score, calculated as the sum of 10 items (rated on a 4-point scale: 0 = none; 1 = a little bit; 2 = quite a bit; 3 = a lot) ranging from 0-30 are reported. Higher scores indicate more withdrawal symptoms and an increased negative impact to quality of life. The End of Treatment visit occurred after a maximum of 260 weeks of treatment. The participant or participant's caregiver was asked to record the extent to which each withdrawal symptom was experienced in the last 24 hours and also to rate the negative impact on normal daily activities. The End of Taper occurred up to 10 days after the End of Treatment visit. The Safety Call and Safety Follow-up occurred 2 and 4 weeks, respectively, after the End of Taper.
PrimaryMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Red Blood Cells (RBCs) Valuesup to Week 260
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. Data for change from Baseline at pre-randomization of the Core Study are presented; however, the time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.
PrimaryMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Hemoglobin Levelsup to Week 260
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. Data for change from Baseline at pre-randomization of the Core Study are presented; however, the time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.
PrimaryMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Hematocrit Valuesup to Week 260
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Pre-randomization Baseline of the Core Study (GWEP1332A \[NCT02091206\], GWEP1332B \[NCT02091375\], GWEP1424 \[NCT02224703\], GWEP1414 \[NCT02224560\], and GWEP1423 \[NCT02224690\]) is defined as Baseline of the double-blind, placebo-controlled, clinical studies with GWP42003-P. Data for change from Baseline at pre-randomization of the Core Study are presented; however, the time frame represents the duration for which participants were enrolled in GWEP1415. The only data presented from the Core Studies in this report are the comparison of the Extension Study data with the Baseline data at pre-randomization of the Core Study.

Outcomes60

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment Groupup to Week 260Safety Analysis Set: all participants who received at least 1 dose of investigational medicinal product (IMP).participantsNUMBER
PRIMARYNumber of Participants With Clinically Significant Changes in the Indicated Vital Sign Values From the Pre-randomization Baseline of the Core Study at Any Time Post-doseup to Week 260Safety Analysis SetparticipantsNUMBER
PRIMARYMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Body Mass Index (BMI)up to Week 260Safety Analysis Set. Only participants with available data were analyzed.kilograms per meters squared (kg/m^2)MEAN
PRIMARYNumber of Participants With Clinically Significant Electrocardiogram (ECG) Values at the Pre-randomization Baseline of the Core Study and at Any Time Post-doseup to Week 260Safety Analysis SetparticipantsNUMBER
PRIMARY
Number of Participants With the Indicated Responses to Questions Regarding Suicidal Ideation and Behavior Using the Children's Columbia-Suicide Severity Rating Scale (C-SSRS) at Day 1 and at Any Time Post-dose
up to Week 260Safety Analysis SetparticipantsNUMBER
PRIMARYMean Cannabis Withdrawal Scale Score at End of Taper (EOT), the Post-Taper Safety Call, and at Safety Follow-upup to Week 260Safety Analysis Set. Only participants (18 years and above) with available Cannabis Withdrawal Scale score were analyzed.scores on a scaleMEAN
PRIMARYMean Pediatric Cannabinoid Withdrawal Scale (PCWS) Score at the End of Treatment, the End of Taper, the Post-Taper Safety Call, and at Safety Follow-upup to Week 260Safety Analysis Set. Only participants (4 to 17 years) with available Pediatric Cannabis Withdrawal Scale score were analyzed.scores on a scaleMEAN
PRIMARYMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Red Blood Cells (RBCs) Valuesup to Week 260Safety Analysis Set. Only participants with available data were analyzed.10^12 cells per Liter (L)MEAN
PRIMARYMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Hemoglobin Levelsup to Week 260Safety Analysis Set. Only participants with available data were analyzed.grams per Liter (g/L)MEAN
PRIMARYMean Change From the Pre-randomization Baseline of the Core Study to the End of Treatment in Hematocrit Valuesup to Week 260Safety Analysis Set. Only participants with available data were analyzed.percentage of RBCs in whole blood (L/L)MEAN

Results by group422

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupDravet SyndromeTotal participants affected by any TEAE306participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupLennox-Gastaut SyndromeTotal participants affected by any TEAE353participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupDravet SyndromeDiarrhoea135participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupLennox-Gastaut SyndromeDiarrhoea140participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupDravet SyndromeVomiting63participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupLennox-Gastaut SyndromeVomiting107participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupDravet SyndromeConstipation20participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupLennox-Gastaut SyndromeConstipation43participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupDravet SyndromeNausea16participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) Occurring in ≥5% of Participants in Any Treatment GroupLennox-Gastaut SyndromeNausea32participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Treatment PhaseSTARTEDDravet Syndrome315
Treatment PhaseSTARTEDLennox-Gastaut Syndrome366
Treatment PhaseCOMPLETEDDravet Syndrome170
Treatment PhaseCOMPLETEDLennox-Gastaut Syndrome243
Treatment PhaseNOT COMPLETEDDravet Syndrome145
Treatment PhaseNOT COMPLETEDLennox-Gastaut Syndrome123
Taper PhaseSTARTEDDravet Syndrome79
Taper PhaseSTARTEDLennox-Gastaut Syndrome71
Taper PhaseCOMPLETEDDravet Syndrome76
Taper PhaseCOMPLETEDLennox-Gastaut Syndrome67

Adverse events602

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersDravet Syndrome20315
otherConstipationGastrointestinal disordersLennox-Gastaut Syndrome41366
otherDiarrhoeaGastrointestinal disordersDravet Syndrome133315
otherDiarrhoeaGastrointestinal disordersLennox-Gastaut Syndrome138366
otherNauseaGastrointestinal disordersDravet Syndrome16315
otherNauseaGastrointestinal disordersLennox-Gastaut Syndrome30366
otherVomitingGastrointestinal disordersDravet Syndrome63315
otherVomitingGastrointestinal disordersLennox-Gastaut Syndrome99366
otherFatigueGeneral disordersDravet Syndrome38315
otherFatigueGeneral disordersLennox-Gastaut Syndrome38366

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDravet Syndrome6315
Total, all-cause mortalityLennox-Gastaut Syndrome12366
Total, other adverse eventsDravet Syndrome292315
Total, other adverse eventsLennox-Gastaut Syndrome338366
Total, serious adverse eventsDravet Syndrome133315
Total, serious adverse eventsLennox-Gastaut Syndrome157366

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34287833DERIVEDPubMed
34406656DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Dravet Syndrome vs Lennox-Gastaut Syndrome: deaths from any causeTrial comparisons
Dravet Syndrome vs Lennox-Gastaut Syndrome: serious adverse eventsTrial comparisons

Tests4

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Digit Span TestSecondary outcomeConductCognition
Matrix ReasoningSecondary outcomeConductCognition
Verbal FluencySecondary outcomeConductCognition
Vocabulary TestSecondary outcomeConductCognition

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02224573

GET https://conductscience.org/api/trials/v1/NCT02224573/registered?page=2