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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Double-Blind Treatment Period | Experimental | 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 |
|
| Part A: Double-Blind Treatment Period (Placebo) | Placebo Comparator | 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 |
|
| Part B: Open-Label Extension Treatment Period | Experimental | 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 1.0mg/kg/day PRAX-562 | Drug | Once daily orally or gastronomy/jejunostomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the effect of relutrigine on seizure frequency in participants with DEEs compared to placebo | Change from baseline in monthly motor seizure frequency | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Achieve >50% reduction in monthly seizure frequency from baseline | Proportion of patients achieving >50% reduction in monthly seizure frequency from baseline | 16 weeks |
| Change in seizure-free days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Head of Pharmacovigilance | Contact | 617-300-8460 | clinicaltrials@praxismedicines.com |
| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Praxis Precision Medicines | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Praxis Research Site | Recruiting | La Jolla | California | 92037 | United States | |
| Praxis Research Site |
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|
| 1.5mg/kg/day PRAX-562 | Drug | Once daily orally or gastronomy/jejunostomy |
|
| Placebo | Drug | Once daily orally or gastronomy/jejunostomy |
|
Change in seizure-free days from baseline
| 16 weeks |
| Clinical Global Impression-Severity questionnaire | CGI-S at baseline after 16 weeks | 16 weeks |
| Clinical Global Impression-Improvement questionnaire | CGI-I subdomains scores after 16 weeks | 16 weeks |
| Caregiver Global Impression-Severity questionnaire | CgGI-S at baseline after 16 weeks | 16 weeks |
| Caregiver Global Impression-Improvement questionnaire | CgGI-I subdomains scores after 16 weeks | 16 weeks |
| To evaluate the safety and tolerability of relutrigine in participants with DEEs | Incidence and severity of TEAEs | 16 weeks |
| Columbia-Suicide Severity Rating Scale questionnaire | Incidence of suicidal ideation or behavior as measured by the C-SSRS | 16 weeks |
| Evaluate the safety and tolerability of relutrigine in participants with DEEs | Incidence of clinically significant ECG abnormalities | 16 weeks |
| To evaluate the safety labs and tolerability of relutrigine in participants with DEEs | The principal investigator (PI) or sub investigator will review the laboratory report and document this review. Any clinically significant adverse changes occurring during the clinical trial will be documented as adverse events. | 16 weeks |
| To evaluate the change in respiratory rate and tolerability of relutrigine in participants with DEEs | Change in respiratory rate in breaths per minute | 16 weeks |
| To evaluate the change in blood pressure and tolerability of relutrigine in participants with DEEs | Change in blood pressure in mm/Hg | 16 weeks |
| To evaluate the change in pulse and tolerability of relutrigine in participants with DEEs | Change in heart rate in beats per minute | 16 weeks |
| To evaluate the change in body temperature and tolerability of relutrigine in participants with DEEs | Change in tympanic temperature in Celsius | 16 weeks |
| Recruiting |
| Gulf Breeze |
| Florida |
| 32561 |
| United States |
| Praxis Research Site | Recruiting | Chevy Chase | Maryland | 20815 | United States |
| Praxis Research Site | Recruiting | Roseville | Minnesota | 55113 | United States |
| Praxis Research Site | Recruiting | Hackensack | New Jersey | 07601 | United States |
| Praxis Research Site | Recruiting | Philadelphia | Pennsylvania | 19104 | United States |
| Praxis Research Site | Recruiting | Heidelberg | Victoria | 3084 | Australia |
| Praxis Research Site | Recruiting | Rio Grande | Do Sul | 90610 | Brazil |
| Praxis Research Site | Recruiting | Paraná | 80250 | Brazil |
| Praxis Research Site | Recruiting | Rio de Janeiro | 20231 | Brazil |
| Praxis Research Site | Recruiting | São Paulo | 15090 | Brazil |
| ID | Term |
|---|---|
| C567924 | Infantile Epileptic-Dyskinetic Encephalopathy |
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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