Status:

NOT_YET_RECRUITING

Melatonin for the Treatment of DEE-SWAS

Lead Sponsor:

Hugo W. Moser Research Institute at Kennedy Krieger, Inc.

Collaborating Sponsors:

Johns Hopkins University

Conditions:

CSWS

Developmental and/or Epileptic Encephalopathies

Eligibility:

All Genders

5-17 years

Phase:

PHASE2

Brief Summary

The goal of this study is to learn if melatonin, a naturally produced substance, can help to treat some of the symptoms of DEE-SWAS, a type of epilepsy that causes children to lose skills and developm...

Eligibility Criteria

Inclusion

  • Clinic Dx of DEE-SWAS
  • Dx of DEE-SWAS by a board-certified pediatric neurology/epileptologist Clinical history of delayed milestones in at least 1 category, regression of milestones in at least 1 category, and/or failure to progress in milestones in at least 1 category
  • Abnormal baseline neuropsychiatric testing consistent with Dx Abnormal EEG
  • Epileptiform abnormalities (spike, polyspike, sharp) in at least 1 head region
  • Increase by 2-fold of epileptiform abnormalities during NREM sleep as compared to wakefulness
  • SWI of ≥50% in at least one head region on overnight EEG

Exclusion

  • Allergic to ingredients in study drug Melatonin
  • Hypoallergenic plant fiber (cellulose)
  • Active use of the medication viloxazine
  • History of known cardiac rhythm abnormalities, heart failure or decreased EF \<30%
  • History of known pulm requiring oxygen or invasive positive pressure ventilation. Patients with non-invasive PPV (e.g. CPAP) due OSA w/o 02 requirement, rate, or DX of CSA, on stable pressure settings for \>3 mnths will not be excluded.
  • History of liver dysf OR AST/ALT/AlkPhos \>2.5 ULN w/i year. If lab value meeting exclusion between 3-12 months, a repeat lab value \< 2.5 ULN will be considered for inclusion
  • Post-menarchal participants. of childbearing potential with a positive urine pregnancy test

Key Trial Info

Start Date :

July 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2028

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT07221968

Start Date

July 1 2026

End Date

December 30 2028

Last Update

October 30 2025

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