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Trial · NCT04391569

Randomized Therapy In Status Epilepticus

NCT04391569, Phase 3, Completed, Marinus Pharmaceuticals; results first posted 2025-05-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Randomized Therapy In Status Epilepticus. Trials, record NCT04391569. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04391569

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Trial

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

Title
Randomized Therapy In Status Epilepticus
NCT number
NCT04391569
Status
Completed
Phases
Phase 3
Enrollment
100 participants, actual
Lead sponsor
Marinus Pharmaceuticals
Conditions
Status Epilepticus
Interventions
Ganaxolone, Placebo
First posted
2020-05-18
Last updated
2025-05-29
Results first posted
2025-05-29

Source ClinicalTrials.gov

Registered outcomes10

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SEUp to 30 minutes
SE cessation was determined by the investigator based on clinical and electroencephalography (EEG). Medications for the acute treatment of SE were defined as antiepileptic drugs (AEDs) administered to abort ongoing SE or prevent imminent recurrence of SE based on clinical or EEG evidence.
PrimaryPercentage of Participants With no Progression to Intravenous (IV) Anesthesia for 36 Hours Following Investigational Product (IP) InitiationUp to 36 hours after IP initiation
Percentage of participants with no progression to IV anesthesia for 36 hours following IP initiation SE cessation was based on investigator report with confirmation by assessment of concomitant medication data.
PrimaryNumber of Participants With Treatment Emergent Adverse EventsUp to 4 weeks after IP initiation
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant who has been administered a pharmaceutical product; it does not necessarily have a causal relationship with this treatment. Treatment-emergent adverse event (TEAE) is defined as an AE that occurred or worsened at the time of or following IP initiation.
SecondaryPercentage of Participants With no Progression to IV Anesthesia for 72 Hours Following IP InitiationUp to 72 hours after IP initiationPercentage of participants with no progression to IV anesthesia for 72 hours following IP initiation SE cessation was assessed by the investigator based on clinical and EEG features.
SecondaryTime to SE Cessation Following IP InitiationUp to 72 hours after IP initiationTime to SE cessation was assessed for the first 72 hours following IP using the Kaplan-Meier method.
SecondaryPercentage of Participants With Any Escalation of Treatment in the First 24 Hours Following IP InitiationUp to 24 hours after IP initiation
SE cessation will be determined by the investigator based on clinical and EEG. Percentage of participants with any escalation of treatment in the first 24 hours following IP initiation, i.e. any medication other than IP administered for the acute treatment of SE in the first 24 hours following IP initiation was summarized
SecondaryTime to Treatment Escalation in the First 24 Hours Following IP InitiationUp to 24 hours after IP initiation
For time to treatment escalation (any mediation used for acute treatment of SE), the estimates are based descriptive statistics on participants with treatment escalation in the first 24 hours following IP initiation. For participants without treatment escalation, the time to treatment escalation was censored at IP completion, or discontinuation from the study or death, whichever occurs earlier. The median time to treatment escalation has been presented.
SecondaryTime to Initiation of Anesthesia for SE Treatment Through the Final Study Follow-up Visit/ContactUp to 4 Weeks following IP initiation
Time to initiation of anesthesia for SE treatment through the final study follow-up visit/contact, were calculated based on descriptive statistics. The estimate was censored at study discontinuation, death, or last follow-up of the participant, whichever occurs first. The median time to initiation of anesthesia has been presented.
SecondaryPercentage of Participants Who Develop Super Refractory Status Epilepticus (SRSE) Through the Final Study Follow-up Visit/ContactUp to 4 Weeks following IP initiationPercentage of participants who developed SRSE through the final study follow-up visit/contact was provided for each treatment group.
SecondaryPercent Change From Baseline in Seizure Burden Through 72 Hours Following IP InitiationUp to 72 hours after IP initiation
The seizure burden through 72 hours following IP initiation is described as the percent of time during which there is electrographic seizure activity from IP initiation to 72 hours. The change from baseline of seizure burden was summarized using descriptive statistics by treatment group. The baseline seizure burden is defined for 30 minutes prior to IP initiation.

Outcomes10

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SEUp to 30 minutesIntent-To-Treat (ITT) population comprised of all randomized participants in the double-blind phase of the study who received IP and had at least one non-missing efficacy assessment.Percentage of participantsNUMBER
PRIMARYPercentage of Participants With no Progression to Intravenous (IV) Anesthesia for 36 Hours Following Investigational Product (IP) InitiationUp to 36 hours after IP initiationITT populationPercentage of participantsNUMBER
PRIMARYNumber of Participants With Treatment Emergent Adverse EventsUp to 4 weeks after IP initiationSafety PopulationParticipantsNUMBER
SECONDARYPercentage of Participants With no Progression to IV Anesthesia for 72 Hours Following IP InitiationUp to 72 hours after IP initiationITT populationPercentage of participantsNUMBER
SECONDARYTime to SE Cessation Following IP InitiationUp to 72 hours after IP initiationITT populationhoursMEDIAN
SECONDARYPercentage of Participants With Any Escalation of Treatment in the First 24 Hours Following IP InitiationUp to 24 hours after IP initiationIntent-To-Treat (ITT) population comprised of all randomized participants in the double-blind phase of the study who received IP and had at least one non-missing efficacy assessment.Percentage of participantsNUMBER
SECONDARYTime to Treatment Escalation in the First 24 Hours Following IP InitiationUp to 24 hours after IP initiationITT population. Participants with treatment escalation following IP initiation were analyzed.hoursMEDIAN
SECONDARYTime to Initiation of Anesthesia for SE Treatment Through the Final Study Follow-up Visit/ContactUp to 4 Weeks following IP initiationITT population. Participants who initiated anesthesia for SE treatment were analyzed.hoursMEDIAN
SECONDARYPercentage of Participants Who Develop Super Refractory Status Epilepticus (SRSE) Through the Final Study Follow-up Visit/ContactUp to 4 Weeks following IP initiationITT populationPercentage of participantsNUMBER
SECONDARYPercent Change From Baseline in Seizure Burden Through 72 Hours Following IP InitiationUp to 72 hours after IP initiationITT population. Participants with percent change from Baseline in seizure burden through 72 hours has been presented.Percent changeMEAN

Results by group28

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SEGanaxolone79.5995% Confidence Interval 65.657 to 89.755Percentage of participants
Percentage of Participants With SE Cessation Within 30 Minutes of Investigational Product (IP) Initiation Without Medications for the Acute Treatment of SEPlacebo12.7795% Confidence Interval 4.832 to 25.741Percentage of participants
Percentage of Participants With no Progression to Intravenous (IV) Anesthesia for 36 Hours Following Investigational Product (IP) InitiationGanaxolone63.2795% Confidence Interval 48.288 to 76.578Percentage of participants
Percentage of Participants With no Progression to Intravenous (IV) Anesthesia for 36 Hours Following Investigational Product (IP) InitiationPlacebo51.0695% Confidence Interval 36.064 to 65.924Percentage of participants
Number of Participants With Treatment Emergent Adverse EventsGanaxoloneAny TEAE48Participants
Number of Participants With Treatment Emergent Adverse EventsPlaceboAny TEAE43Participants
Number of Participants With Treatment Emergent Adverse EventsGanaxoloneSerious TEAEs19Participants
Number of Participants With Treatment Emergent Adverse EventsPlaceboSerious TEAEs18Participants
Number of Participants With Treatment Emergent Adverse EventsGanaxoloneTEAE Leading to study drug discontinuation1Participants
Number of Participants With Treatment Emergent Adverse EventsPlaceboTEAE Leading to study drug discontinuation2Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGanaxolone51
Overall StudySTARTEDPlacebo49
Overall StudyCOMPLETEDGanaxolone30
Overall StudyCOMPLETEDPlacebo35
Overall StudyNOT COMPLETEDGanaxolone21
Overall StudyNOT COMPLETEDPlacebo14

Adverse events154

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUrinary tract infectionInfections and infestationsPlacebo4494
otherUrinary tract infectionInfections and infestationsGanaxolone105110
otherPneumoniaInfections and infestationsPlacebo0490
otherPneumoniaInfections and infestationsGanaxolone5516
otherPneumonia serratiaInfections and infestationsPlacebo3493
otherPneumonia serratiaInfections and infestationsGanaxolone0510
otherStaphylococcal infectionInfections and infestationsPlacebo3493
otherStaphylococcal infectionInfections and infestationsGanaxolone0510
otherKlebsiella infectionInfections and infestationsPlacebo2492
otherKlebsiella infectionInfections and infestationsGanaxolone0510

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo1149
Total, all-cause mortalityGanaxolone1551
Total, other adverse eventsPlacebo3949
Total, other adverse eventsGanaxolone4351
Total, serious adverse eventsPlacebo1849
Total, serious adverse eventsGanaxolone1951

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 comparisons2

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

ComparisonSource
Ganaxolone vs Placebo: deaths from any causeTrial comparisons
Ganaxolone vs Placebo: serious adverse eventsTrial comparisons

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.

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GET https://conductscience.org/api/trials/v1/NCT04391569/results?page=2