Purpose

A Randomized, Multi-Center, Double-Blind, Sham-Procedure-Controlled Clinical Trial to Investigate the Efficacy and Safety of Elsunersen in Pediatric Participants with Early Onset SCN2A Developmental and Epileptic Encephalopathy

Conditions

Eligibility

Eligible Ages
Between 1 Day and 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Has a documented Gain of Function SCN2A variant confirmed through genetic testing. - Has onset of seizures prior to 3 months of age. - Seizure frequency of 4 or more countable motor seizures per 28-day during the Baseline Observation Period.

Exclusion Criteria

  • Has any clinically significant or known pathogenic genetic variant other than in the SCN2A gene, or a genetic variant that may explain or contribute to the participant's epilepsy and/or developmental disorder. - Has bone, spine (eg, kyphosis, scoliosis), bleeding, or other disorder. - Has received any 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.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
Specific milestones have to be met in Cohort 1 for enrollment to open in Cohort 2 and the same will apply to open Cohort 3.
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
Cohort 1 is the only masked cohort (40 participants). Cohort 2 and Cohort 3 are both open-label and will have 5 participants each.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Cohort 1 Arm 1: Double-Blind Treatment Period
Double-blind treatment period elsunersen
  • Drug: 1mg elsunersen
    24 weeks every 4 weeks intrathecally
Sham Comparator
Cohort 1 Arm 2: Double-Blind Treatment Period
Double-blind sham-procedure
  • Procedure: sham procedure
    24 weeks of sham-procedure every 4 weeks
Experimental
Cohort 2: Open-Label Treatment Period
Open-label elsunersen
  • Drug: 1mg elsunersen
    24 weeks every 4 weeks intrathecally
Experimental
Cohort 3: Open-Label Treatment Period
Open-label elsunersen
  • Drug: 0.5mg elsunersen
    24 weeks every 4 weeks intrathecally

Recruiting Locations

Praxis Research Site
San Diego, California 92123

Praxis Research Site
Chicago, Illinois 60612

More Details

NCT ID
NCT07019922
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.