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A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)
A Phase 2, double-blind, randomized clinical trial to evaluate the safety and tolerability of PRAX 562 in pediatric participants with SCN2A- and SCN8A- DEEs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Randomized, Double-Blind 0.5mg/kg/day PRAX-562 or PRAX-562/Placebo | Experimental | Eligible participants from each cohort will be randomized in a 1:1 ratio to either 0.5 milligrams/kilograms/day (mg/kg/day) PRAX-562 for 16 weeks (PRAX-562 arm) or 0.5 mg/kg/day PRAX-562 for 12 weeks and matching placebo for 4 weeks (PRAX-562/placebo arm) administered orally or via gastrostomy tube (G-tube). |
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| Part B: Open-Label Extension Treatment 0.5mg/kg/day PRAX-562 | Experimental | Eligible participants will receive 0.5mg/kg/day administered orally or via G-tube for up to 144 weeks. |
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| Part A: Randomized, Double-Blind 1.0 mg/kg/day PRAX-562 or PRAX-562/Placebo | Experimental | Eligible participants from each cohort will be randomized in a 1:1 ratio to either 1.0 milligrams/kilograms/day (mg/kg/day) PRAX-562 for 16 weeks (PRAX-562 arm) or 1.0 mg/kg/day PRAX-562 for 12 weeks and matching placebo for 4 weeks (PRAX-562/placebo arm) administered orally or via gastrostomy tube (G-tube). |
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| Open-Label Extension Treatment 1.0 mg/kg/day PRAX-562 | Experimental | Eligible participants will receive 1.0 mg/kg/day administered orally or via G-tube for up to 144 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRAX-562 | Drug | Once daily oral or G-tube treatment. |
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| Measure | Description | Time Frame |
|---|---|---|
| PART A (Cohorts 1 and 2) RDB: To evaluate the safety and tolerability of PRAX 562 in pediatric participants with SCN2A- and SCN8A- DEEs | Changes from baseline in monthly (28-day) motor seizure frequency | 16 weeks |
| PART B (Cohorts 1 and 2) OLE: To evaluate the long-term safety and tolerability of PRAX-562 in pediatric participants with DEEs | Incidence and severity of TEAEs | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| PART A (Cohorts 1 and 2) RDB: To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs | Changes from baseline in monthly (28-day) motor seizure frequency | 16 weeks |
| Plasma concentrations of PRAX-562 |
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Inclusion Criteria:
Has a documented variant in SCN2A with onset of seizures occurring in the first 3 months of life or has a diagnosis of SCN8A-DEE supported by both clinical and genetic findings.
Has a seizure frequency as follows:
AND o At least 8 countable motor seizures during the 28 day Baseline Observation Period (during which seizure frequency is recorded in a daily seizure diary).
• Additional inclusion criteria apply and will be assessed by the study team.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Praxis Precision Medicines | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Praxis Research Site | Atlanta | Georgia | 30329 | United States | ||
| Praxis Research Site |
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Parallel group
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Double-blind
Sparse pharmacokinetic (PK) sampling will be used to calculate mean concentrations at baseline, and at Weeks 2, 4, 6, 8,10, 12 and 16. |
| 16 weeks |
| Seizure Frequency (OLE Extension) | Efficacy assessments (seizure diary) will be collected daily and reviewed at timepoints Day 1, Week 16, Week 32, and Week 48. | 48 weeks |
| To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs | Changes from baseline in monthly (28-day) motor seizure frequency | 16 weeks |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability]) | The number of participants with treatment-emergent adverse events will be reported by severity and preferred term. | 16 weeks |
| Chicago |
| Illinois |
| 60611 |
| United States |
| Praxis Research Site | Minneapolis | Minnesota | 55113 | United States |
| Praxis Research Site | Hackensack | New Jersey | 07601 | United States |
| Praxis Research Site | Tel Litwinsky | 52621 | Israel |
| Praxis Research Site | Madrid | 28034 | Spain |
| Praxis Research Site | Glasgow | G51 4TF | United Kingdom |
| Praxis Research Site | London | WC1N 3BH | United Kingdom |