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Ezogabine/retigabine

Phase 4

Amyotrophic Lateral Sclerosis | Small molecule | Neurology |GSK plc|Trials Updated: Aug 28, 2019

Ezogabine/retigabine development status

Highest phase Phase 4 (NCT01607346)
Phase scored for GSKPhase 2
Registered trials 2 across 1 sponsor since Dec 2011

Ezogabine/retigabine target and mechanism

Molecular targetKCNQ1, KCNQ2, KCNQ3, KCNQ5, KCNQ4
Target classOpener
ModalitySmall molecule

Also known as Ezogabine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment66

FDA Designations

No designations recorded

Ezogabine/retigabine clinical trials

Ezogabine/retigabine · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT02450552Clinical Trial of Ezogabine (Retigabine) in ALS SubjectsAmyotrophic Lateral Sclerosis
COMPLETED65 Analytics
PHASE2COMPLETED
Clinical Trial of Ezogabine (Retigabine) in ALS Subjects
Amyotrophic Lateral SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Short-interval Intracortical Inhibition (SICI) Measured by Transcranial Magnetic Stimulation (TMS)
Screening, Baseline, Week 6, Week 8

Short-interval intracortical inhibition (SICI) or paired-pulse SICI is defined as the ratio of the response after a conditioning pulse equal to 80% of resting motor threshold (RMT) is administered 3 ms prior to the signaling pulse divided by motor evoked potential (MEP) amplitude. Transcranial magnetic stimulation (TMS) is a neurophysiologic test for assessing upper motor neuron function. Change in SICI will be assessed by transcranial magnetic stimulation (TMS) after treatment with 900 mg/day or 600 mg/day of ezogabine vs. matched oral placebo.

Pharmacokinetics of single oral doses of ezogabine/retigabine and NAMR over the range of 50mg to 400mg in healthy male and female Taiwanese volunteers
Participants will be followed and monitored for the duration of their hospital stay. The longest duration of participation in the study will be approximately 14 weeks

Peak plasma concentration (Cmax) of ezogabine/retigabine; and area under the plasma concentration-time curve from time zero to infinity (AUC(0-∞)) for ezogabine/retigabine

Secondary Endpoints

Change in Resting Motor Evoked Potential (MEP) Threshold (Prespecified Secondary Outcome of Primary Importance)
Screening, Baseline, Week 6, Week 8
Change in MEP Amplitude
Screening, Baseline, Week 6, Week 8
Change in Duration of Cortical Silent Period
Screening, Baseline, Week 6, Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Oral ezogabine 600 mg/dayEXPERIMENTAL -
Oral ezogabine 900 mg/dayEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Treatment Period 1OTHERA single 50mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
Treatment Period 2OTHERA single 100mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
Treatment Period 3OTHERA single 200mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
Treatment Period 4OTHERA single 400mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state

Interventions

NameTypeDescription
EzogabineDRUGPotiga is FDA-approved for adjunctive treatment of partial-onset seizures in patients aged 18 years and older who have responded inadequately to several alternative treatments.
PlaceboDRUGMatched placebo
50mg Ezogabine/retigabineDRUGA single 50mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
100mg Ezogabine/retigabineDRUGA single 100mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
200mg Ezogabine/retigabineDRUGA single 200mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
400mg Ezogabine/retigabineDRUGA single 400mg ezogabine/retigabine tablet will be administered orally with the subject in the fasted state
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersYes
Study Sites12

ALS Subject Inclusion Criteria: * Male or female, aged 18 to 80. * Sporadic or familial ALS diagnosed as possible, laboratory-supported probable, probable, or definite as defined by revised El Escorial criteria. * Slow vital capacity (SVC) measure ≥ 50% of predicted for gender, height and age at th...

Countries:United StatesTaiwan
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Frequently asked questions about Ezogabine/retigabine

What is ezogabine/retigabine?

Ezogabine, also known as retigabine, is a small molecule drug developed by GSK plc (ticker: GSK). It is being studied in neurology for epilepsy and amyotrophic lateral sclerosis (ALS). It is an investigational therapy in Phase 2 development for ALS, while it has also been studied in Phase 1 for epilepsy.

What does ezogabine/retigabine target?

Ezogabine/retigabine targets KCNQ potassium channels, specifically KCNQ1, KCNQ2, KCNQ3, KCNQ4, and KCNQ5. It acts as an opener of these channels, which are involved in regulating neuronal excitability. This mechanism underlies its investigation in neurological conditions such as epilepsy and ALS.

Who makes ezogabine/retigabine?

Ezogabine/retigabine is developed by GSK plc, which trades under the ticker GSK. GSK is the sponsor of the clinical trials evaluating this drug in epilepsy and amyotrophic lateral sclerosis.

What phase is ezogabine/retigabine in?

Ezogabine/retigabine is in Phase 2 development for amyotrophic lateral sclerosis (ALS). It is investigational and has not been approved by the FDA for ALS. A Phase 1 trial in epilepsy has also been completed.

What clinical trials is ezogabine/retigabine in?

Ezogabine/retigabine has been studied in a completed Phase 2 trial, NCT02450552, titled "Clinical Trial of Ezogabine (Retigabine) in ALS Subjects." This randomized, double-blind, placebo-controlled trial enrolled 65 participants with ALS in the United States. A completed Phase 1 pharmacokinetic trial, NCT01462669, was conducted in Taiwanese subjects with epilepsy.

Is ezogabine the same as retigabine?

Yes, ezogabine and retigabine are the same drug. Ezogabine is the international nonproprietary name (INN) used in the United States, while retigabine is the name used in Europe and other regions. Both names refer to the same small molecule developed by GSK.