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Trial · NCT03478982

Inpatient, Dose-Ranging Study of Staccato Alprazolam in Epilepsy With Predictable Seizure Pattern

NCT03478982, Phase 2, Completed, Engage Therapeutics, Inc.; results first posted 2021-02-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Inpatient, Dose-Ranging Study of Staccato Alprazolam in Epilepsy With Predictable Seizure Pattern. Trials, record NCT03478982. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03478982

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Trial

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

Title
Inpatient, Dose-Ranging Study of Staccato Alprazolam in Epilepsy With Predictable Seizure Pattern
NCT number
NCT03478982
Status
Completed
Phases
Phase 2
Enrollment
156 participants, actual
Lead sponsor
Engage Therapeutics, Inc.
Conditions
Epilepsy
Interventions
Staccato Alprazolam, Placebos
First posted
2018-03-27
Last updated
2021-02-03
Results first posted
2021-02-03

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 Hours2 hours post-dosing on dosing day
Percentage of participants with onset of a predictable seizure through 2 minutes post dosing with study drug and no recurrence of seizure activity within 2 hours were reported for each treatment group based on clinical observation.
SecondaryPercentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity Scale6 hours post-dosing on dosing day
Severity of on study seizure episode compared to previously experienced seizures was assessed with Seizure Episode Severity Scale. It is a 5-point scale with range from 1 to 5, where 1 indicates much worse than and 5 indicates much better than.
SecondaryPercentage of Participants With Use of Rescue Medication2 hours post-dosing on dosing dayPercentage of participants with use of rescue medication to stop a seizure episode at the discretion of the principal investigator were reported.
SecondaryPercentage of Participants With Secondary Generalization (Evolution to a Complex Partial Seizure and/or a Generalized Tonic-Clonic Seizure)24 hours post-dosing on dosing dayPercentage of participants who had seizures that evolved to a complex partial seizure and/or a generalized tonic-clonic seizure were reported.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 Hours2 hours post-dosing on dosing dayThe Modified Intent-to-treat (mITT) population consisted of all participants who had a seizure event, received study drug, and had at least one evaluation after study drug administration.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity Scale6 hours post-dosing on dosing dayThe mITT population consisted of all participants who had a seizure event, received study drug, and had at least one evaluation after study drug administration.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Use of Rescue Medication2 hours post-dosing on dosing dayThe mITT population consisted of all participants who had a seizure event, received study drug, and had at least one evaluation after study drug administration.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Secondary Generalization (Evolution to a Complex Partial Seizure and/or a Generalized Tonic-Clonic Seizure)24 hours post-dosing on dosing dayThe mITT population consisted of all participants who had a seizure event, received study drug, and had at least one evaluation after study drug administration.percentage of participantsNUMBER

Results by group36

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 HoursOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)62.5percentage of participants
Percentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 HoursDouble-blind: Placebo42.5percentage of participants
Percentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 HoursDouble-blind: Staccato Alprazolam 1.0 mg65.8percentage of participants
Percentage of Participants in Each Treatment Group Achieving Seizure Activity Cessation Within 2 Minutes and no Recurrent Seizure Within 2 HoursDouble-blind: Staccato Alprazolam 2.0 mg65.8percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)Much worse than0percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleDouble-blind: PlaceboMuch worse than2.5percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleDouble-blind: Staccato Alprazolam 1.0 mgMuch worse than0percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleDouble-blind: Staccato Alprazolam 2.0 mgMuch worse than0percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)Worse than0percentage of participants
Percentage of Participants With Seizure Episode Severity Assessed by Seizure Episode Severity ScaleDouble-blind: PlaceboWorse than5.0percentage of participants

Participant flow20

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)11
Overall StudySTARTEDDouble-blind: Placebo50
Overall StudySTARTEDDouble-blind: Staccato Alprazolam 1.0 mg47
Overall StudySTARTEDDouble-blind: Staccato Alprazolam 2.0 mg48
Overall StudyEnrolled Participants But Not TreatedOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)3
Overall StudyEnrolled Participants But Not TreatedDouble-blind: Placebo10
Overall StudyEnrolled Participants But Not TreatedDouble-blind: Staccato Alprazolam 1.0 mg9
Overall StudyEnrolled Participants But Not TreatedDouble-blind: Staccato Alprazolam 2.0 mg10
Overall StudyIntent-to-treat (ITT) PopulationOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)8
Overall StudyIntent-to-treat (ITT) PopulationDouble-blind: Placebo40

Adverse events188

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSomnolenceNervous system disordersOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)080
otherSomnolenceNervous system disordersDouble-blind: Placebo1401
otherSomnolenceNervous system disordersDouble-blind: Staccato Alprazolam 1.0 mg7388
otherSomnolenceNervous system disordersDouble-blind: Staccato Alprazolam 2.0 mg4384
otherDysgeusiaNervous system disordersOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)080
otherDysgeusiaNervous system disordersDouble-blind: Placebo1401
otherDysgeusiaNervous system disordersDouble-blind: Staccato Alprazolam 1.0 mg6386
otherDysgeusiaNervous system disordersDouble-blind: Staccato Alprazolam 2.0 mg4384
otherDizzinessNervous system disordersOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)080
otherDizzinessNervous system disordersDouble-blind: Placebo2402

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)08
Total, all-cause mortalityDouble-blind: Placebo040
Total, all-cause mortalityDouble-blind: Staccato Alprazolam 1.0 mg038
Total, all-cause mortalityDouble-blind: Staccato Alprazolam 2.0 mg038
Total, other adverse eventsOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)38
Total, other adverse eventsDouble-blind: Placebo1040
Total, other adverse eventsDouble-blind: Staccato Alprazolam 1.0 mg1438
Total, other adverse eventsDouble-blind: Staccato Alprazolam 2.0 mg1938
Total, serious adverse eventsOpen-label: Staccato Alprazolam (STAP-001) 1.0 Milligram (mg)08
Total, serious adverse eventsDouble-blind: Placebo240

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
36268811DERIVED

Source PubMed

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 comparisons0

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

None in this release.

Tests0

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

None in this release.

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

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

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