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Trial completion date, Trial primary completion date: RECONNECT: Clinical Study of Cannabidiol in Children, Adolescents, and Young Adults with Fragile X Syndrome (clinicaltrials.gov) - May 7, 2024 P3, N=204, Recruiting, The data collected through 31-January-2024 will assess both safety and efficacy in patients entering the OLE from the CONNECT-FX, FAB-C, and RECONNECT trials with forthcoming results and conclusions. Trial completion date: Mar 2024 --> May 2025 | Trial primary completion date: Mar 2024 --> May 2025
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Review, Journal: Medicinal Cannabis for Paediatric Developmental, Behavioural and Mental Health Disorders. (Pubmed Central) - May 2, 2023 Studies of medicinal cannabis are planned or underway for children and/or adolescents with autism, intellectual disability, Tourette's syndrome, anxiety, psychosis, anorexia nervosa and a number of specific neurodevelopmental syndromes. High quality evidence from double-blind placebo-controlled trials is needed to guide clinical practice.
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Review, Journal: Role of the endocannabinoid system in fragile X syndrome: potential mechanisms for benefit from cannabidiol treatment. (Pubmed Central) - Jan 10, 2023 Moreover, cannabidiol affects DNA methylation, serotonin 5HT signal transduction, gamma-aminobutyric acid receptor signaling, and dopamine D and D receptor signaling, which may contribute to beneficial effects in patients with FXS. Consistent with these proposed mechanisms of action of cannabidiol in FXS, in the CONNECT-FX trial the transdermal cannabidiol gel, ZYN002, was associated with improvements in measures of social avoidance, irritability, and social interaction, particularly in patients who are most affected, showing ≥90% methylation of the FMR1 gene.
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Journal: A randomized, controlled trial of ZYN002 cannabidiol transdermal gel in children and adolescents with fragile X syndrome (CONNECT-FX). (Pubmed Central) - Nov 27, 2022 P2/3 Consistent with these proposed mechanisms of action of cannabidiol in FXS, in the CONNECT-FX trial the transdermal cannabidiol gel, ZYN002, was associated with improvements in measures of social avoidance, irritability, and social interaction, particularly in patients who are most affected, showing ≥90% methylation of the FMR1 gene. In CONNECT-FX, ZYN002 was well tolerated in patients with FXS and demonstrated evidence of efficacy with a favorable benefit risk relationship in patients with ≥ 90% methylation of the FMR1 gene, in whom gene silencing is most likely, and the impact of FXS is typically most severe.
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[VIRTUAL] Meaningful Change Thresholds for the Aberrant Behavior Checklist-Community Fragile X Syndrome (ABC-CFXS) in Children and Adolescents with FXS () - Apr 12, 2021 - Abstract #ISPOR2021ISPOR_1136; P2/3 To aid score interpretation, a responder threshold (RT) representing individual patient-level change indicative of treatment benefit was established for three ABC-CFXS subscales (Social Avoidance [SA], Irritability, and Socially Unresponsive/Lethargic [SUL]) measuring the primary and key secondary endpoints in ZYN2-CL-016 (CONNECT-FX), a Phase 3 study of ZYN002 (transdermal cannabidiol) in FXS (NCT03614663)... A change from Baseline to Week 12 of 3, 9, and 5 points on the ABC-CFXS SA, Irritability, and SUL subscales can be interpreted as a meaningful change indicative of treatment benefit for an individual patient with FXS.
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