Safety and Efficacy of AV078 in Participants With Tuberous Sclerosis Complex (TSC) Refractory Epilepsy (RESTOR-1)

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age12+
SponsorAeovian Pharmaceuticals, Inc.

About this trial

This Phase 2, randomized, double-blind, placebo-controlled study will evaluate the safety, tolerability, and efficacy of oral AV078 in participants with refractory epilepsy due to tuberous sclerosis complex (TSC). Approximately 42 participants will be randomized in a 5:1 ratio to receive AV078 or placebo.

The study will include a Screening Period collecting 4 weeks of pre-treatment Baseline data on seizure frequency, and progress to a 12-week Treatment Period, followed by an in person final follow-up visit approximately 2 weeks after the last dose.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants aged 12 years and above.

Diagnosis of TSC based on International TSC Consensus Group criteria.

History of failure to adequately control seizures despite having been treated by two or more regimens of anti-seizure medications (ASMs).

Receiving a stable dose of ASMs for at least 4 weeks at the start of the Screening Period and for the duration of the study.

Disqualifiers

History of any infection requiring use of antibiotics within the last four weeks.

Current or history of any clinically significant mental or physical illness or condition other than TSC that the Investigator believes would create significant risk for participation in the study.

Recent epilepsy surgery/major surgery or planned surgery during the study.

Treatment with medicines which act in a similar way.

Trial design

Design model

Parallel

Treatments tested in this trial

  • AV078

    Drug

    AV078 is a selective inhibitor of mammalian target of rapamycin complex 1 (mTORC1) administered orally once daily. Dosing may be adjusted based on measured drug concentrations to achieve target exposure levels.

  • Placebo

    Drug

    Matching oral placebo administered once daily. The placebo is formulated to match AV078 and may undergo dose adjustments similar to active treatment to maintain blinding.

Treatment groups

42 Participants
are divided into 2 treatment groups
Group A: AV078Experimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change From Baseline in Seizure Frequency

Change from Baseline in the number of seizures experienced in participants on active treatment. The number of seizures will be recorded by participants or their caregivers using a seizure diary.

Time frame
Baseline (28-day period prior to treatment) to end of treatment (Week 12)
2

Clinical Global Impression of Change (CGI-C)

Change from Baseline in symptoms of TSC, as evaluated by the study doctor. The Clinical Global Impression of Change (CGI-C) is a 7-point scale that evaluates overall change in a participant's clinical condition relative to baseline, with scores ranging from 1 to 7. A score of 1 indicates "very much improved," 2 "much improved," 3 "minimally improved," 4 "no change," 5 "minimally worse," 6 "much worse," and 7 "very much worse." Lower scores indicate greater improvement, and higher scores indicate worsening of clinical status.

Time frame
Week 12

Secondary outcomes

Other outcomes

Sponsors and contacts

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