Recruiting

EMERALDRelutrigine for Developmental and Epileptic Encephalopathies

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What is being tested

1.0mg/kg/day PRAX-562

+ 1.5mg/kg/day PRAX-562

+ Placebo

Drug
Who is being recruted

Brain Diseases+1

+ Central Nervous System Diseases

+ Epilepsy

From 2 to 65 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Placebo-ControlledPhase 3
Interventional
Study Start: July 2025
See protocol details

Summary

Principal SponsorPraxis Precision Medicines
Study ContactHead of Pharmacovigilance
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: July 9, 2025

Actual date on which the first participant was enrolled.

This clinical trial is focused on testing a medication called Relutrigine for people with developmental and epileptic encephalopathies (DEE). DEE is a group of severe disorders that start in childhood and are characterized by frequent seizures and developmental issues. The study aims to see how effective and safe Relutrigine is for treating these conditions. Finding a new effective treatment could significantly improve the quality of life for people suffering from DEE, offering hope for better management of symptoms where current options may be limited. Participants in this study will be randomly assigned to either receive Relutrigine or a placebo, which is a substance with no active medication, in a way that ensures neither the participants nor the researchers know who is receiving the actual treatment. This helps to provide unbiased results. The study will evaluate the safety, tolerability, and how the body processes Relutrigine (pharmacokinetics). After this initial phase, all participants may have the opportunity to receive Relutrigine in an open-label extension, where both participants and researchers know who is receiving the treatment. The study will closely monitor any side effects or changes in symptoms to determine the overall effectiveness and safety of the medication.

Official TitleA Phase 3, Randomized, Multi-Center, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Relutrigine in Participants With DEE Followed by an Open-Label Extension
NCT07010471
Principal SponsorPraxis Precision Medicines
Study ContactHead of Pharmacovigilance
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

160 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

From 2 to 65 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Brain DiseasesCentral Nervous System DiseasesEpilepsyNervous System Diseases

Criteria

Inclusion Criteria: * 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. Exclusion Criteria: * 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. * Has received any other experimental or investigational drug, device, or other therapy within 30 days or 5 half-lives (whichever is longer) prior to Screening, including any prior use of gene therapy. * Is currently pregnant or breastfeeding or is planning to become pregnant during the clinical trial or within 5 half-lives of the last study drug dose.

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

3 intervention groups are designated in this study

33.333% chance of being blinded to the placebo group

Treatment Groups

Group I

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

Group II

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

Group III

Placebo
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

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 5 locations

Recruiting

Praxis Research Site

La Jolla, United StatesOpen Praxis Research Site in Google Maps
Recruiting

Praxis Research Site

Gulf Breeze, United States
Recruiting

Praxis Research Site

Chevy Chase, United States
Recruiting

Praxis Research Site

Roseville, United States
Recruiting
5 Study Centers
EMERALD | Relutrigine for Developmental and Epileptic Encephalopathies | PatLynk