Purpose

A Phase 3, Randomized, Multi-Center, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Relutrigine in Participants with Developmental and Epileptic Encephalopathies Followed by an Open-Label Extension

Condition

Eligibility

Eligible Ages
Between 2 Years and 65 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Has a documented diagnosis of a developmental and epileptic encephalopathy. - Onset of seizures <12 years old. - Has a weight >7 kg at the time of signing consent/assent.

Exclusion Criteria

  • Has a history of left bundle branch block, arrhythmias, Brugada syndrome, congenital heart disease, familial short QT syndrome, or family history of sudden death or ventricular arrhythmias, including idiopathic ventricular fibrillation. - Had 2 or more episodes of convulsive status epilepticus requiring hospitalization and intubation in the 6 months prior to Screening. - Has an abnormal ECG reading, including a QT interval corrected for heart rate using Bazett's method (QTcB) <350 and >450 ms (males), or <360 and >460 ms (females) at Screening and/or on Day 1. - Any nerve stimulation must have been placed at least 3 months prior to Screening with at least 1 month of stable settings prior to Screening. - Has received any other experimental or investigational drug, device, or other therapy within 30 days or 5 half-lives (whichever is longer) prior to Screening, including any prior use of gene therapy. - Is currently pregnant or breastfeeding or is planning to become pregnant during the clinical trial or within 5 half-lives of the last study drug dose.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A: Double-Blind Treatment Period
Eligible participants will be randomly assigned in a double-blind manner and a 1:1 ratio to receive 1.0mg-1.5mg/kg relutrigine or placebo once daily orally or gastronomy/jejunostomy for 16 weeks
  • Drug: 1.0mg/kg/day PRAX-562
    Once daily orally or gastronomy/jejunostomy
    Other names:
    • relutrigine
  • Drug: 1.5mg/kg/day PRAX-562
    Once daily orally or gastronomy/jejunostomy
  • Drug: Placebo
    Once daily orally or gastronomy/jejunostomy
Placebo Comparator
Part A: Double-Blind Treatment Period (Placebo)
Eligible participants will be randomly assigned in a double-blind manner and a 1:1 ratio to receive 1.0mg-1.5mg/kg relutrigine or placebo once daily orally or gastronomy/jejunostomy for 16 weeks
  • Drug: Placebo
    Once daily orally or gastronomy/jejunostomy
Experimental
Part B: Open-Label Extension Treatment Period
Participants from Part A will have the option to rollover to Part B to receive 1.0mg-1.5mg/kg of relutrigine once daily orally or gastronomy/jejunostomy for 32 weeks
  • Drug: 1.0mg/kg/day PRAX-562
    Once daily orally or gastronomy/jejunostomy
    Other names:
    • relutrigine
  • Drug: 1.5mg/kg/day PRAX-562
    Once daily orally or gastronomy/jejunostomy

Recruiting Locations

Praxis Research Site
Chevy Chase, Maryland 20815

More Details

NCT ID
NCT07010471
Status
Recruiting
Sponsor
Praxis Precision Medicines

Study Contact

Head of Pharmacovigilance
617-300-8460
clinicaltrials@praxismedicines.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.