EMERALDRelutrigine for Developmental and Epileptic Encephalopathies
1.0mg/kg/day PRAX-562
+ 1.5mg/kg/day PRAX-562
+ Placebo
Brain Diseases+1
+ Central Nervous System Diseases
+ Epilepsy
Treatment Study
Summary
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.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.160 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.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
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.3 intervention groups are designated in this study
33.333% chance of being blinded to the placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalGroup III
PlaceboStudy 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
Praxis Research Site
Gulf Breeze, United StatesPraxis Research Site
Chevy Chase, United StatesPraxis Research Site
Roseville, United States