Study to Evaluate NBI-921352 as Adjunctive Therapy in Subjects With SCN8A Developmental and Epileptic Encephalopathy Syndrome (SCN8A-DEE)

Last updated: September 30, 2025
Sponsor: Neurocrine Biosciences
Overall Status: Terminated

Phase

2

Condition

Epilepsy

Neurologic Disorders

Treatment

Placebo

NBI-921352

Clinical Study ID

NCT04873869
NBI-921352-DEE2012
2020-003140-83
  • Ages 2-21
  • All Genders

Study Summary

The objective of this study is to assess the efficacy, safety, and pharmacokinetics of NBI-921352 as adjunctive therapy for seizures in subjects with SCN8A Developmental and Epileptic Encephalopathy Syndrome (SCN8A-DEE).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female 2 to 21 years of age, inclusive.

  2. Have a diagnosis of SCN8A-DEE supported by both clinical and genetic findings

  3. Have on average at least 1 countable motor seizure per week and not be seizure-freefor more than 20 consecutive days

  4. Being treated with at least 1 other antiseizure medication (ASM), but no more than 4ASMs

  5. Have failed to achieve seizure freedom with at least 2 ASMs

  6. Must be using a nocturnal alerting system or practice consistent with standards ofcare at the time of screening and continue to use this for the duration of the study

  7. Must have an adequate rescue medication regimen per the investigator's judgment inplace at the time of screening and for the duration of the study

  8. Have a body weight of at least 10 kg

  9. The subject's parent/caregiver is able to accurately identify seizure types,especially countable motor seizures (defined as GTCS, tonic, atonic or FOS withnoticeable motor component) and is able to complete seizure diary

Exclusion

Exclusion Criteria:

  1. Have previously been enrolled in this study and received blinded treatment

  2. Have participated in an interventional clinical trial < 30 days prior to screening

  3. Have symptoms that would be more consistent with another epilepsy disorder such asDravet syndrome (eg, fever-induced episodes of status epilepticus, frequentmyoclonic seizures, worsening on sodium channel blockers, absence seizures withgeneralized spike-and-wave EEG as the sole seizure type)

  4. Are currently receiving cannabinoids or medical marijuana exceptEpidiolex/Epidyolex, unless approved by the Sponsor

  5. Are currently taking systemic steroids (excluding inhaled medication for asthmatreatments and intranasal steroids for allergies). If subject has received thesemedications in the past, must be off these medications for at least 3 months priorto the screening visit and these drugs may not be initiated during the duration ofthe study. Intermittent steroids to treat nonepilepsy related diseases (such asallergies or dermatological conditions) are not exclusionary

  6. Have a history of moderate or severe head trauma or other neurological disorders orsystemic medical diseases that are, in the investigator's opinion, likely to affectnervous system functioning

  7. Have a clinically significant medical condition or chronic disease, that in theopinion of the investigator would preclude the subject from participating in andcompleting the study or that could confound interpretation of study outcome

  8. Have clinically significant abnormal vital signs at the screening visit asdetermined by the investigator

  9. Have one or more clinical laboratory test values outside the reference range, basedon blood samples taken at the screening visit, that are of potential risk to thesubject's safety as determined by the investigator

  10. Have, at the screening visit, an electrocardiogram (ECG) finding of a corrected QTinterval using Fridericia's formula (QTcF) > 450 msec or presence of any significantcardiac abnormality.

Study Design

Total Participants: 8
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
January 31, 2022
Estimated Completion Date:
March 17, 2023

Connect with a study center

  • UCSF Medical Center

    San Francisco, California 94158
    United States

    Site Not Available

  • UCSF Medical Center

    San Francisco 5391959, California 5332921 94158
    United States

    Site Not Available

  • Children's National Hospital

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • Children's National Hospital

    Washington D.C. 4140963, District of Columbia 4138106 20010
    United States

    Site Not Available

  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • University of Rochester

    Rochester, New York 14642
    United States

    Site Not Available

  • University of Rochester

    Rochester 5134086, New York 5128638 14642
    United States

    Site Not Available

  • Wake Forest Baptist Health

    Winston-Salem, North Carolina 27157
    United States

    Site Not Available

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Cook Children's Medical Center

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Cook Children's Medical Center

    Fort Worth 4691930, Texas 4736286 76104
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84132
    United States

    Site Not Available

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