A Clinical Trial for Participants With DEE to Assess Efficacy, Safety, Tolerability, and PK of Relutrigine

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age2-65
SponsorPraxis Precision Medicines

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

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.

Trial design

Design model

Sequential

Treatments tested in this trial

  • 1.0mg/kg/day PRAX-562

    Drug

    Once daily orally or gastronomy/jejunostomy

  • 1.5mg/kg/day PRAX-562

    Drug

    Once daily orally or gastronomy/jejunostomy

  • Placebo

    Drug

    Once daily orally or gastronomy/jejunostomy

Treatment groups

160 Participants
are divided into 3 treatment groups
Group A: Part A: Double-Blind Treatment PeriodExperimental treatment 2 interventions
Group B: Part A: Double-Blind Treatment Period (Placebo)Placebo comparator 1 intervention
Group C: Part B: Open-Label Extension Treatment PeriodExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

To assess the effect of relutrigine on seizure frequency in participants with DEEs compared to placebo

Change from baseline in monthly motor seizure frequency

Time frame
16 weeks

Secondary outcomes

1

Achieve >50% reduction in monthly seizure frequency from baseline

Proportion of patients achieving \>50% reduction in monthly seizure frequency from baseline

Time frame
16 weeks
2

Change in seizure-free days

Change in seizure-free days from baseline

Time frame
16 weeks
3

Clinical Global Impression-Severity questionnaire

CGI-S at baseline after 16 weeks

Time frame
16 weeks
4

Clinical Global Impression-Improvement questionnaire

CGI-I subdomains scores after 16 weeks

Time frame
16 weeks

Other outcomes

Sponsors and contacts

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