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A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE) (EMBOLD)

Primary Purpose

SCN2A Encephalopathy, SCN8A Encephalopathy

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Part A: 0.5mg/kg/day PRAX-562 for 16 Weeks
Part A: 0.5mg/kg/day PRAX-562 for 12 Weeks and Matching Placebo for 4 Weeks
Part B: 0.5mg/kg/day PRAX-562
Sponsored by
Praxis Precision Medicines
About
Eligibility
Locations
Arms
Outcomes
Full info

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

2 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

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

Arm Type

Experimental

Experimental

Arm Label

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

Arm Description

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.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events (TAEs) [Safety and Tolerability])
The number of participants with treatment-emergent adverse events will be reported by severity and preferred term.
To evaluate the long-term safety and tolerability of PRAX-562 in pediatric participants with DEEs
Incidence and severity of TEAEs

Secondary Outcome Measures

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
Plasma concentrations of PRAX-562
Sparse pharmacokinetic (PK) sampling will be used to calculate mean concentrations at baseline, and at Weeks 2, 4, 6, 8,10, 12 and 16.
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.

Full Information

First Posted
March 17, 2023
Last Updated
October 17, 2023
Sponsor
Praxis Precision Medicines
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1. Study Identification

Unique Protocol Identification Number
NCT05818553
Brief Title
A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)
Acronym
EMBOLD
Official Title
A Phase 2,Double-Blind,Randomized Clinical Trial to Explore the Safety,Tolerability,Efficacy, and Pharmacokinetics of PRAX-562 in Pediatric Participants With Developmental and Epileptic Encephalopathies Followed by Open-Label Extension(OLE)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 11, 2023 (Actual)
Primary Completion Date
February 3, 2025 (Anticipated)
Study Completion Date
June 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Praxis Precision Medicines

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 2, double-blind, randomized clinical trial to explore the safety, tolerability, efficacy, and pharmacokinetics of PRAX-562 in pediatric participants who have seizures associated with early-onset SCN2A-DEE and SCN8A-DEE.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SCN2A Encephalopathy, SCN8A Encephalopathy
Keywords
Pediatric epilepsy, NaV1.2 Voltage-Gated Sodium Channel, SCN2A variant, SCN8A variant, Developmental and epileptic encephalopathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Parallel group
Masking
ParticipantCare ProviderInvestigator
Masking Description
Double-blind
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A: Randomized, Double-Blind 0.5mg/kg/day PRAX-562 or PRAX-562/Placebo
Arm Type
Experimental
Arm Description
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).
Arm Title
Part B: Open-Label Extension Treatment 0.5mg/kg/day PRAX-562
Arm Type
Experimental
Arm Description
Eligible participants will receive 0.5mg/kg/day administered orally or via G-tube for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
Part A: 0.5mg/kg/day PRAX-562 for 16 Weeks
Intervention Description
Once daily oral or G-tube treatment.
Intervention Type
Drug
Intervention Name(s)
Part A: 0.5mg/kg/day PRAX-562 for 12 Weeks and Matching Placebo for 4 Weeks
Intervention Description
Once daily oral or G-tube treatment with PRAX-562 for 12 weeks and matching placebo for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
Part B: 0.5mg/kg/day PRAX-562
Intervention Description
Once daily oral or G-tube treatment.
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events (TAEs) [Safety and Tolerability])
Description
The number of participants with treatment-emergent adverse events will be reported by severity and preferred term.
Time Frame
16 weeks
Title
To evaluate the long-term safety and tolerability of PRAX-562 in pediatric participants with DEEs
Description
Incidence and severity of TEAEs
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs
Description
Changes from baseline in monthly (28-day) motor seizure frequency
Time Frame
16 weeks
Title
Plasma concentrations of PRAX-562
Description
Sparse pharmacokinetic (PK) sampling will be used to calculate mean concentrations at baseline, and at Weeks 2, 4, 6, 8,10, 12 and 16.
Time Frame
16 weeks
Title
Seizure Frequency (OLE Extension)
Description
Efficacy assessments (seizure diary) will be collected daily and reviewed at timepoints Day 1, Week 16, Week 32, and Week 48.
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Head of Pharmacovigilance
Phone
617-300-8460
Email
clinicaltrials@praxismedicines.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Praxis Precision Medicines
Official's Role
Study Director
Facility Information:
Facility Name
Praxis Research Site
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)

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