A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE) (EMBOLD)
SCN2A Encephalopathy, SCN8A Encephalopathy
About this trial
This is an interventional treatment trial for SCN2A Encephalopathy focused on measuring Pediatric epilepsy, NaV1.2 Voltage-Gated Sodium Channel, SCN2A variant, SCN8A variant, Developmental and epileptic encephalopathy
Eligibility Criteria
Inclusion Criteria: Has a documented rare missense variant in SCN2A with onset of seizures occurring in the first three months of life or has a documented de novo (not observed in either parent) missense variant in SCN8A with onset of seizures occurring in the first six months of life. Has a seizure frequency as follows: At least 8 countable motor seizures (as defined in the note below) in the 4 weeks immediately prior to Screening as reported by the parent/legal guardian or in the opinion of the investigator AND At least 8 countable motor seizures (as defined in the note below) 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: Has any clinically significant or known pathogenic or likely pathogenic genetic variant other than in SCN2A and SCN8A or a genetic variant that may explain or contribute to the participant's epilepsy and/or developmental disorder. Has a documented, functionally characterized loss-of-function (LoF) missense variant or a presumed LoF variant (nonsense or frameshift variant) based on genetic testing and/or clinical evidence that prior exposure to a sodium channel blocker (SCB) medication worsened seizures. Has 2 or more episodes of convulsive status epilepticus requiring hospitalization and intubation in the 6 months prior to Screening. Additional exclusion criteria apply and will be assessed by the study team.
Sites / Locations
- Praxis Research SiteRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Part A: Randomized, Double-Blind 0.5mg/kg/day PRAX-562 or PRAX-562/Placebo
Part B: Open-Label Extension Treatment 0.5mg/kg/day PRAX-562
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).
Eligible participants will receive 0.5mg/kg/day administered orally or via G-tube for 48 weeks.