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Trial · NCT03848832

Efficacy and Safety of Cannabidiol Oral Solution (GWP42003-P, CBD-OS) in Patients With Rett Syndrome

NCT03848832, Phase 3, Terminated, Jazz Pharmaceuticals; results first posted 2021-12-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Cannabidiol Oral Solution (GWP42003-P, CBD-OS) in Patients With Rett Syndrome. Trials, record NCT03848832. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03848832

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Trial

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

Title
Efficacy and Safety of Cannabidiol Oral Solution (GWP42003-P, CBD-OS) in Patients With Rett Syndrome
NCT number
NCT03848832
Status
Terminated
Phases
Phase 3
Enrollment
29 participants, actual
Lead sponsor
Jazz Pharmaceuticals
Conditions
Rett Syndrome, RTT
Interventions
GWP42003-P, Placebo
First posted
2019-02-21
Last updated
2022-09-02
Other registries' IDs
eudract:2018-003370-27
Results first posted
2021-12-29
Limitations and caveats
This study was terminated early due to enrollment challenges and the Coronavirus disease-2019 (COVID-19) pandemic. Numbers of participants in each treatment groups were small, which precluded the planned formal statistical inferences and limited data interpretation.

Source ClinicalTrials.gov

Registered outcomes7

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboBaseline; Week 24
RSBQ is a caregiver-completed questionnaire that measures the frequency of current disease characteristics (45 items) in individuals with Rett Syndrome. Each item is rated on a 3-point scale (0-2); 0 indicating an item that is "not true as far as you know," 1 indicating an item is "somewhat or sometimes true," and 2 indicating an item that is "very true or often true." Item 31 ("Uses eye gaze to convey feelings, needs and wishes") is reverse scored (0 indicating "very true or often true", 1 indicating "somewhat or sometimes true," and 2 indicating "not true as far as you know"). The total summed score ranges from 0 to 90, with higher scores representing greater severity.
SecondaryChange From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboBaseline; Week 24
RSBQ is a caregiver-completed questionnaire that measures the frequency of current disease characteristics (45 items) in individuals with Rett Syndrome. Each item is rated on a 3-point scale (0-2); 0 indicating an item that is "not true as far as you know," 1 indicating an item is "somewhat or sometimes true," and 2 indicating an item that is "very true or often true." Item 31 ("Uses eye gaze to convey feelings, needs and wishes") is reverse scored (0 indicating "very true or often true", 1 indicating "somewhat or sometimes true," and 2 indicating "not true as far as you know"). The total summed score ranges from 0 to 90, with higher scores represent greater severity.
SecondaryMean Clinical Global Impressions - Improvement (CGI-I) Score at Week 24Baseline; Week 24
CGI-I is a 7-point scale that requires the clinician to assess how much a participant's illness has improved or worsened relative to a Baseline state at the beginning of the intervention. This is rated as: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; or 7 = very much worse.
SecondaryChange From Baseline in Mean Clinician Global Impressions - Severity (CGI-S) Score at Week 24Baseline; Week 24
CGI-S is a 7-point scale that requires the clinician to rate the severity of the participant's illness at the time of assessment relative to the clinician's experience with participants who had the same diagnosis. This is rated as: 1 = normal, not at all ill; 2 = borderline ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; or 7 = extremely ill.
SecondaryChange From Baseline in Mean RSBQ Subscale Scores at Week 24Baseline; Week 24
RSBQ is a caregiver-completed questionnaire that measures the frequency of current disease characteristics in individuals with Rett Syndrome. The 45-item RSBQ is comprised of 8 subscales: 1) general mood (score range 0-16), 2) breathing problems (range 0-10), 3) hand behaviors (range 0-12), 4) face movements (range 0-8), 5) body rocking (BR)/expressionless face (range 0-12), 6) night-time behaviors (range 0-6), 7) anxiety/fear (range 0-8), 8) walking/standing (range 0-4). Each item is rated on a 3-point scale (0-2); 0 indicating an item that is "not true as far as you know," 1 indicating an item is "somewhat or sometimes true," and 2 indicating an item that is "very true or often true." Item 31 ("Uses eye gaze to convey feelings, needs and wishes") is reverse scored (0 indicating "very true or often true", 1 indicating "somewhat or sometimes true," and 2 indicating "not true as far as you know"). Higher scores representing greater severity. CFB = Change from Baseline.
SecondaryChange From Baseline in Mean 9-items Motor Behavioral Assessment (MBA-9) Total Score and Subscale Scores at Week 24Baseline; Week 24
MBA-9 is derived from the full MBA scale (37 Rett syndrome symptoms) by selecting the items deemed amenable to change and which reflected areas of meaningful clinical change. the MBA-9 includes 9 items (1-Regression of motor skills; 2-Poor eye/social contact; 3-Lack of sustained interest; 4-Does not reach for objects or people; 5-Chewing difficulties; 6-Speech disturbance; 7-Hand clumsiness; 8-Dystonia and 9-Hypertonia/rigidity); for each item, the severity of current symptoms is rated by the investigator on a 5-point numerical scale ranging from 0 to 4 with higher scores representing greater severity (0 = normal or never; 1 = mild or rare; 2 = moderate or occasional; 3 = marked or frequent; 4 = very severe or constant). Total MBA-9 score was calculated by summing the scores of 9 different subscale items. The total summed score ranges from 0 to 36, with higher scores representing greater severity. CFB = Change from Baseline.
SecondaryChange From Baseline in Mean Children's Sleep Habits Questionnaire (CSHQ) Total Score and Subscale Scores at Week 24Baseline; Week 24
CSHQ is a caregiver-completed sleep screening instrument designed for school-aged children; which includes 33 items within 8 subscales: 1) bedtime resistance (score range 6-18), 2) sleep onset delay (range 1-3), 3) sleep duration (range 3-9), 4) sleep anxiety (range 4-12), 5) night wakings (range 3-9), 6) parasomnias (range 7-21), 7) sleep-disordered breathing (range 3-9), 8) daytime sleepiness (range 8-24). Item scores range from 1 to 3, where 3="usually" (≥5 times/week), 2="sometimes" (2-4 times/week), and 1="rarely" (≤1 time/week); for items 31 and 32; 3=fall asleep, 2=very sleepy, 1=not sleepy. In general, a score of 3 indicates greater severity, however, 6 items (1-Goes to bed at same time; 2-Falls asleep in 20 minutes; 3-Falls asleep in own bed; 10-Sleeps the right amount; 11-Sleeps same amount each day; 26-Wakes by himself) are reverse scored. Total summed score ranges from 33 to 99, with higher scores representing more disturbed sleep behavior. CFB = Change from Baseline.

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboBaseline; Week 24Intent-to-Treat (ITT) Set: All randomized participants who received at least 1 dose of drug in the trial, and had Baseline efficacy data. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYChange From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboBaseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYMean Clinical Global Impressions - Improvement (CGI-I) Score at Week 24Baseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYChange From Baseline in Mean Clinician Global Impressions - Severity (CGI-S) Score at Week 24Baseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYChange From Baseline in Mean RSBQ Subscale Scores at Week 24Baseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYChange From Baseline in Mean 9-items Motor Behavioral Assessment (MBA-9) Total Score and Subscale Scores at Week 24Baseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN
SECONDARYChange From Baseline in Mean Children's Sleep Habits Questionnaire (CSHQ) Total Score and Subscale Scores at Week 24Baseline; Week 24ITT Set. Participants with non-missing data were included for analysis.units on a scaleMEAN

Results by group179

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With Placebo15 mg/kg/Day GWP42003-PBaseline45.9Standard Deviation 16.77units on a scale
Change From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboPlaceboBaseline50.0Standard Deviation 7.56units on a scale
Change From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With Placebo15 mg/kg/Day GWP42003-PChange from Baseline at Week 24-12.1Standard Deviation 13.63units on a scale
Change From Baseline in the Mean Rett Syndrome Behaviour Questionnaire (RSBQ) Total Score at Week 24 for the 15 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboPlaceboChange from Baseline at Week 24-6.1Standard Deviation 7.22units on a scale
Change From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With Placebo5 mg/kg/Day GWP42003-PBaseline39.8Standard Deviation 12.80units on a scale
Change From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboPlaceboBaseline50.0Standard Deviation 7.56units on a scale
Change From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With Placebo5 mg/kg/Day GWP42003-PChange from Baseline at Week 240.4Standard Deviation 12.51units on a scale
Change From Baseline in the Mean RSBQ Total Score at Week 24 for the 5 mg/kg/Day GWP42003-P Dose Level Compared With PlaceboPlaceboChange from Baseline at Week 24-6.1Standard Deviation 7.22units on a scale
Mean Clinical Global Impressions - Improvement (CGI-I) Score at Week 245 mg/kg/Day GWP42003-P3.2Standard Deviation 1.20units on a scale
Mean Clinical Global Impressions - Improvement (CGI-I) Score at Week 2415 mg/kg/Day GWP42003-P2.9Standard Deviation 1.07units on a scale

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED5 mg/kg/Day GWP42003-P10
Overall StudySTARTED15 mg/kg/Day GWP42003-P9
Overall StudySTARTEDPlacebo10
Overall StudyCOMPLETED5 mg/kg/Day GWP42003-P7
Overall StudyCOMPLETED15 mg/kg/Day GWP42003-P6
Overall StudyCOMPLETEDPlacebo4
Overall StudyNOT COMPLETED5 mg/kg/Day GWP42003-P3
Overall StudyNOT COMPLETED15 mg/kg/Day GWP42003-P3
Overall StudyNOT COMPLETEDPlacebo6

Adverse events189

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCoagulopathyBlood and lymphatic system disorders5 mg/kg/Day GWP42003-P1111
otherCoagulopathyBlood and lymphatic system disorders15 mg/kg/Day GWP42003-P090
otherCoagulopathyBlood and lymphatic system disordersPlacebo090
otherEosinophiliaBlood and lymphatic system disorders5 mg/kg/Day GWP42003-P0110
otherEosinophiliaBlood and lymphatic system disorders15 mg/kg/Day GWP42003-P090
otherEosinophiliaBlood and lymphatic system disordersPlacebo191
otherMacrocytosisBlood and lymphatic system disorders5 mg/kg/Day GWP42003-P1111
otherMacrocytosisBlood and lymphatic system disorders15 mg/kg/Day GWP42003-P090
otherMacrocytosisBlood and lymphatic system disordersPlacebo191
otherNeutropeniaBlood and lymphatic system disorders5 mg/kg/Day GWP42003-P1111

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality5 mg/kg/Day GWP42003-P011
Total, all-cause mortality15 mg/kg/Day GWP42003-P09
Total, all-cause mortalityPlacebo09
Total, other adverse events5 mg/kg/Day GWP42003-P911
Total, other adverse events15 mg/kg/Day GWP42003-P79
Total, other adverse eventsPlacebo79
Total, serious adverse events5 mg/kg/Day GWP42003-P211
Total, serious adverse events15 mg/kg/Day GWP42003-P29
Total, serious adverse eventsPlacebo19

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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

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/NCT03848832

GET https://conductscience.org/api/trials/v1/NCT03848832/results?page=2