Clinical Trials

Numerous clinical trials spanning early- to late-phase evaluation have investigated ethosuximide across neurological, psychiatric, and pain-related conditions, focusing on childhood absence epilepsy, peripheral neuropathic pain, treatment-resistant depression, and irritable bowel syndrome. Predominantly sponsored by academic medical centers and university hospitals, these studies encompass diverse recruitment statuses, including completed, actively recruiting, terminated, and unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04217733 RECRUITING
IBS - Irritable Bowel Syndrome
Tanta University
2019-11-01 PHASE3
NCT04431778 UNKNOWN
Peripheral Neuropathic Pain
University Hospital, Clermont-Ferrand
2020-11-01 PHASE2
NCT02973542 COMPLETED
Irritable Bowel Syndrome
University Hospital, Clermont-Ferrand
2018-02-08 PHASE2
NCT03887624 COMPLETED
Depressive Disorder, Treatment-Resistant
Zhejiang University
2019-05-21 EARLY_PHASE1
NCT02973542 Unknown status
Irritable Bowel Syndrome
University Hospital Clermont-Ferrand|SFETD (Socièté Française d''Etude et de Traitement de la Douleur)
2018-04-30 Phase 2
NCT02100046 COMPLETED
Neuropathic Traumatic Pain; Pain NRS ≥ 4; Peripheral Neuropathic Pain; Neuropathic Pain Diagnostic Questionnaire (DN4) ≥ 4
University Hospital, Clermont-Ferrand
2014-03 PHASE2
NCT01278004 COMPLETED
Cancer; Peripheral Neuropathy
Royal Marsden NHS Foundation Trust
2010-05 PHASE2
NCT01122381 TERMINATED
Headache, Migraine
US Department of Veterans Affairs
2011-12 PHASE1; PHASE2
NCT02100046 Completed
Neuropathic Traumatic Pain|Pain NRS ≥ 4|Peripheral Neuropathic Pain|Neuropathic Pain Diagnostic Questionnaire (DN4) ≥ 4
University Hospital Clermont-Ferrand|Fondation Apicil
2014-03 Phase 2
NCT00088452 COMPLETED
Childhood Absence Epilepsy; Petit Mal Epilepsy; Epilepsy; Seizures
Children's Hospital Medical Center, Cincinnati
2004-07 PHASE3
NCT00689585 TERMINATED
Complex Regional Pain Syndromes
McGill University Health Centre/Research Institute of the McGill University Health Centre
2008-09 PHASE2

(data from https://clinicaltrials.gov, updated on 2020-01-03)

Check the Ethosuximide product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ethosuximide acts as a succinimide anticonvulsant that selectively blocks T-type low-voltage-activated calcium channels in thalamic neurons, thereby inhibiting low-threshold calcium currents and suppressing pathological burst firing. This reduction in thalamic oscillatory activity stabilizes neuronal hyperexcitability, providing a key mechanism for controlling absence seizures and mitigating altered pain signaling in neuropathic pain disorders.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.