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Bumetanide

Phase 1

Seizures | Small molecule | Neurology |Catalyst Pharmaceuticals, Inc.|Last Updated: Dec 17, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment43
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00830531Pilot Study of Bumetanide for Newborn SeizuresPHASE1 COMPLETED 43Jan 1, 2010Jan 1, 2019Dec 17, 20204 United States
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Study Endpoints
Primary Endpoints
The primary outcome is determination of the pharmacokinetics and safety of bumetanide in newborns with refractory seizures.
6-7 years are anticipated for the collection of the neonatal data

The investigators will determine the dose exposure, half-life, volume of distribution and clearance of bumetanide in newborns with refractory seizures. The investigators will determine if there is a significant effect of hepatic dysfunction or hypothermia on bumetanide pharmacokinetics. For evaluation of safety, the rate of adverse events will be compared between treatment and control groups.

Secondary Endpoints
A secondary outcome is determination of the feasibility of the study design to test antiepileptic drugs to treat neonatal seizures caused by acute hypoxic-ischemic encephalopathy in a clinical trial.
6-7 years are anticipated for collection of the neonatal data
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALStandard phenobarbital combined with either 0.1 mg/kg, 0.2 mg/kg, or 0.3 mg/kg of bumetanide as determined by the status of the dose escalation design.
2PLACEBO_COMPARATORStandard phenobarbital therapy combined with normal saline as placebo for bumetanide
Interventions
NameTypeDescription
BumetanideDRUGBumetanide either 0.1 mg/kg, 0.2 mg/kg or 0.3 mg/kg IV administered together with standard phenobarbital therapy
Normal Saline as PlaceboDRUGNormal Saline as placebo for bumetanide either 0.1 mg/kg, 0.2 mg/kg or 0.3 mg/kg IV administered together with standard phenobarbital therapy
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Eligibility Criteria
Age RangeN/A — 44 Weeks
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * newborns with a post-conceptional age of 33-44 weeks * condition with risk for seizure: * asphyxia * intracranial hemorrhage * suspected or confirmed stroke * CNS infection * genetic syndrome * focal or diffuse brain malformation * idiopathic or presumed genetic...

Countries:United States
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