Clinical Trials

Numerous clinical trials evaluate stiripentol across Phase 1 through Phase 4 protocols, comprising completed, recruiting, and expanded access studies sponsored by pharmaceutical entities (e.g., Biocodex, Jazz Pharmaceuticals) and research institutions including the Mayo Clinic and Assistance Publique - Hôpitaux de Paris. These investigations focus on severe pediatric and refractory neurological conditions—such as Dravet syndrome, pharmacoresistant focal epilepsies, status epilepticus, and SCN1A mutation-associated epileptic encephalopathies—as well as primary hyperoxaluria and chronic renal insufficiency. Additionally, trials assess pharmacokinetic profiles, drug-drug interaction safety, and monotherapy or adjunctive treatment regimens across diverse patient cohorts.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06465472 NOT_YET_RECRUITING
Primary Hyperoxaluria Type 1; Primary Hyperoxaluria Type 2; Primary Hyperoxaluria Type 3
Biocodex
2024-08 PHASE3
NCT07176832 COMPLETED
Dravet Syndrome; Epilepsy; Childhood; Epileptic Encephalopathy; Pediatric Epilepsy
Biocodex
2025-06-01 PHASE1
NCT05735951 COMPLETED
Chronic Renal Insufficiency
Biocodex
2023-07-24 PHASE1
NCT05419180 COMPLETED
Pharmacoresistant Focal Epilepsies
Biocodex
2022-10-13 PHASE4
NCT05735951 Recruiting
Chronic Renal Insufficiency
Biocodex
2023-07-24 Phase 1
NCT05419180 Unknown status
Pharmacoresistant Focal Epilepsies
Biocodex
2022-10-13 Phase 4
NCT03819647 COMPLETED
Primary Hyperoxaluria
Biocodex
2019-05-21 PHASE2
NCT02607904 COMPLETED
Epilepsy
Jazz Pharmaceuticals
2016-12-15 PHASE2
NCT03819647 Completed
Primary Hyperoxaluria
Biocodex
2019-05-21 Phase 2
NCT03866928 COMPLETED
Healthy Volunteers
Biocodex
2019-02-12 PHASE1
NCT02607891 COMPLETED
Epilepsy
Jazz Pharmaceuticals
2016-11-09 PHASE2
NCT02926898 COMPLETED
Dravet Syndrome
Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc.
2017-01-27 PHASE3

(data from https://clinicaltrials.gov, updated on 2024-06-18)

Check the Stiripentol (BCX 2600) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Stiripentol enhances central GABAergic neurotransmission and functions as an inhibitor of cytochrome P450 enzymes, which suppresses repetitive high-frequency neuronal firing by augmenting inhibitory synaptic activity. This dual mechanism of central inhibition and altered hepatic drug clearance decreases pathological seizure activity, offering critical therapeutic benefit in clinical conditions such as Dravet syndrome, pharmacoresistant focal epilepsies, and status epilepticus.

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.