A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)

Last updated: January 24, 2025
Sponsor: Praxis Precision Medicines
Overall Status: Active - Recruiting

Phase

2/3

Condition

Neurologic Disorders

Epilepsy

Treatment

Part A: 0.5mg/kg/day PRAX-562 for 12 Weeks and Matching Placebo for 4 Weeks

Part B: 0.5mg/kg/day PRAX-562

Part A: 0.5mg/kg/day PRAX-562 for 16 Weeks

Clinical Study ID

NCT05818553
PRAX-562-221
  • Ages 2-18
  • All Genders

Study Summary

This is a Phase 2, double-blind, randomized clinical trial to explore the safety, tolerability, efficacy, and pharmacokinetics of PRAX-562 in pediatric participants who have seizures associated with early-onset SCN2A-DEE and SCN8A-DEE.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Has a documented rare missense variant in SCN2A with onset of seizures occurring inthe first three months of life or has a documented de novo (not observed in eitherparent) missense variant in SCN8A with onset of seizures occurring in the first sixmonths of life.

  • Has a seizure frequency as follows:

  • At least 8 countable motor seizures in the 4 weeks immediately prior toScreening as reported by the parent/legal guardian or in the opinion of theinvestigator AND

  • At least 8 countable motor seizures during the 28 day Baseline ObservationPeriod (during which seizure frequency is recorded in a daily seizure diary).

  • Additional inclusion criteria apply and will be assessed by the study team.

Exclusion

Exclusion Criteria:

  • Has any clinically significant or known pathogenic or likely pathogenic geneticvariant other than in SCN2A and SCN8A or a genetic variant that may explain orcontribute to the participant's epilepsy and/or developmental disorder.

  • Has a documented, functionally characterized loss-of-function (LoF) missense variantor a presumed LoF variant (nonsense or frameshift variant) based on genetic testingand/or clinical evidence that prior exposure to a sodium channel blocker (SCB)medication worsened seizures.

  • Has 2 or more episodes of convulsive status epilepticus requiring hospitalizationand intubation in the 6 months prior to Screening.

  • Additional exclusion criteria apply and will be assessed by the study team.

Study Design

Total Participants: 100
Treatment Group(s): 4
Primary Treatment: Part A: 0.5mg/kg/day PRAX-562 for 12 Weeks and Matching Placebo for 4 Weeks
Phase: 2/3
Study Start date:
August 02, 2023
Estimated Completion Date:
March 01, 2027

Connect with a study center

  • Praxis Research Site

    Madrid, 28034
    Spain

    Active - Recruiting

  • Praxis Research Site

    Atlanta, Georgia 30329
    United States

    Site Not Available

  • Praxis Research Site

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Praxis Research Site

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Praxis Research Site

    Minneapolis, Minnesota 55113
    United States

    Active - Recruiting

  • Praxis Research Site

    Hackensack, New Jersey 07601
    United States

    Active - Recruiting

  • Praxis Research Site

    Tacoma, Washington 98405
    United States

    Site Not Available

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