Double-blind, Randomized Trial of PRAX-628 in Adults With Focal Seizures to Evaluate Efficacy and Safety (POWER1)

NCT ID: NCT06999902

Last Updated: 2025-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-11

Study Completion Date

2025-12-08

Brief Summary

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A Double-Blind, Randomized, Multicenter, Trial Evaluating the Efficacy and Safety of PRAX-628 in Adults With Focal Seizures (POWER1)

Detailed Description

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PRAX-628-321 (POWER1) is a double-blind, randomized, multicenter, trial to evaluate the efficacy and safety of PRAX-628 in adults who can attest to concurrently taking at least 1, but no more than 3 acceptable anti-seizure medications.

Conditions

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Focal Seizure

Keywords

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Focal Seizure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double-blind

Study Groups

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Randomized, Double-Blind 20mg/day for 6 weeks then 30mg/day for remaining 6 weeks PRAX-628

Participants who meet all eligibility criteria will be randomized at Visit 1 (Day 1) to receive 20 mg of PRAX-628 for 6 weeks followed by 30 mg PRAX 628 for the remaining 6 weeks.

Group Type EXPERIMENTAL

20mg/day PRAX-628 for 6 weeks then 30mg/day PRAX-628 for remaining 6 weeks

Intervention Type DRUG

Once daily oral

Randomized, Double-Blind Placebo

Participants who meet all eligibility criteria will be randomized at Visit 1 (Day 1) to receive a matching placebo throughout the 12-week Treatment Period

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Once daily oral

Interventions

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20mg/day PRAX-628 for 6 weeks then 30mg/day PRAX-628 for remaining 6 weeks

Once daily oral

Intervention Type DRUG

Placebo

Once daily oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. A diagnosis of focal onset epilepsy according to the International League Against Epilepsy (ILAE) Classification of Epilepsy.
2. Past evidence by computed tomography (CT) or magnetic resonance imaging (MRI) that has ruled out a progressive cause of epilepsy in the judgement of the investigator and/or in consultation with the medical monitor.

Exclusion Criteria

1. Subject has had any of the of the following within the 12-month period preceding trial entry: History of pseudo or psychogenic seizures, cluster seizures where the individual seizures cannot be counted, an episode of convulsive status epilepticus requiring hospitalization and intubation, or subject only has focal seizures with awareness that do not have motor activity.
2. Planned epilepsy surgery during the course of the clinical trial.
3. History of neurosurgery for seizures \<1 year prior to enrollment, or radiosurgery \<2 years prior to enrollment or vagus nerve stimulation (VNS) implantation.
4. History of schizophrenia, obsessive-compulsive disorder, or other serious mental health disorders.
5. History of malignancy, myeloproliferative or lymphoproliferative disorders within the past 5 years are excluded.
6. History of cardiac disease(s)/cardiac conduction disorders/or cardiac structural abnormality(ies).
7. Has a positive test result or a known history of a positive test result for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or anti-hepatitis C virus (HCV) antibody at Screening.
8. Is pregnant or is breastfeeding at the time of Screening or has a positive serum pregnancy test at Screening or is planning to become pregnant during the clinical trial or within 14 days of the last study drug dose.
9. 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, or any prior use of gene therapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Praxis Precision Medicines

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Praxis Precision Medicines

Locations

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Praxis Research Site

Phoenix, Arizona, United States

Site Status RECRUITING

Praxis Research Site

DeLand, Florida, United States

Site Status RECRUITING

Praxis Research Site

Miami Lakes, Florida, United States

Site Status RECRUITING

Praxis Research Site

Chicago, Illinois, United States

Site Status RECRUITING

Praxis Research Site

Lafayette, Louisiana, United States

Site Status RECRUITING

Praxis Research Site

Bethesda, Maryland, United States

Site Status RECRUITING

Praxis Research Site

Chesterfield, Missouri, United States

Site Status RECRUITING

Praxis Research Site

Ozark, Missouri, United States

Site Status RECRUITING

Praxis Research Site

Hackensack, New Jersey, United States

Site Status RECRUITING

Praxis Research Site

Middletown, New York, United States

Site Status RECRUITING

Praxis Research Site

Canton, Ohio, United States

Site Status RECRUITING

Praxis Research Site

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Praxis Research Site

El Paso, Texas, United States

Site Status RECRUITING

Praxis Research Site

Frisco, Texas, United States

Site Status RECRUITING

Praxis Research Site

Round Rock, Texas, United States

Site Status RECRUITING

Praxis Research Site

Seabrook, Texas, United States

Site Status RECRUITING

Praxis Research Site

Barcelona, , Spain

Site Status RECRUITING

Praxis Research Site

Barcelona, , Spain

Site Status RECRUITING

Praxis Research Site

Barcelona, , Spain

Site Status RECRUITING

Praxis Research Site

Granda, , Spain

Site Status RECRUITING

Praxis Research Site

Madrid, , Spain

Site Status RECRUITING

Praxis Research Site

Madrid, , Spain

Site Status RECRUITING

Praxis Research Site

Madrid, , Spain

Site Status RECRUITING

Praxis Research Site

Málaga, , Spain

Site Status RECRUITING

Praxis Research Site

Terrassa, , Spain

Site Status RECRUITING

Praxis Research Site

Valencia, , Spain

Site Status RECRUITING

Countries

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United States Spain

Central Contacts

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Head of Pharmacovigilance

Role: CONTACT

Phone: 617-300-8460

Email: [email protected]

Other Identifiers

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PRAX-628-321

Identifier Type: -

Identifier Source: org_study_id