Beeline: A Phase 3 Study in GRIN-related Neurodevelopmental Disorder
NCT ID: NCT07224581
Last Updated: 2026-01-16
Study Results
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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RECRUITING
PHASE3
100 participants
INTERVENTIONAL
2026-01-05
2028-07-31
Brief Summary
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This study will enroll two cohorts: one cohort of participants with a minimal number of countable motor seizures (with or without behavioral symptoms) (Phase 3 Cohort 1: Qualifying Seizures Cohort); and a second cohort with disease symptoms but no seizures or fewer seizures than required for the Qualifying Seizures Cohort (Phase 3 Cohort 2: Without Qualifying Seizures Auxiliary Cohort).
Participants in each cohort will be randomized 1:1 to receive active drug (radiprodil) or matching placebo (Part A). Following completion of Part A, all eligible participants (including those previously on placebo) may continue into the open-label extension period (Part B) to receive radiprodil.
The placebo-controlled portion is expected to be approximately 16 weeks for participants in Phase 3 Cohort 1 and 28 weeks for participants in Phase 3 Cohort 2.
The study will evaluate the effect of radiprodil on seizures and non-seizure symptoms and assess safety.
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Detailed Description
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This study is divided into the following parts:
Part A: Randomized, double-blind, placebo-controlled
* Screening/Observation Period: To assess eligibility
* Titration Period (approximately 4 weeks): Titration of radiprodil or placebo to target dose
* Maintenance Period (Part A): Target dose of radiprodil or placebo maintained for 12 weeks (Phase 3 Cohort 1) or 24 weeks (Phase 3 Cohort 2)
* Tapering and Follow-up Period: Gradual decrease and Follow-up Period for participants not entering Part B
Part B: Open-label safety follow-up period
* Open-Label Treatment Period: Participants will continue to receive radiprodil until such time as either the participant withdraws/is withdrawn from the study, sponsor terminates the study, or market access is available
* Tapering and Follow-up Period: Gradual decrease and follow-up observation period for participants upon leaving the study
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Radiprodil
Liquid suspension of radiprodil, at varying concentrations depending on participant's weight.
The following dose-escalation regimen (twice daily \[BID\]) will be used:
Titration Period Visit 1 (Visit T1): Dose 1, Visit T2: Dose 2, Visit T3: Dose 3, Visit T4: Maintenance Dose.
Radiprodil
Radiprodil oral suspension
Placebo
Liquid suspension of placebo matching radiprodil oral suspension and dose-escalation regimen.
Placebo
Placebo-to-match radiprodil oral suspension
Interventions
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Radiprodil
Radiprodil oral suspension
Placebo
Placebo-to-match radiprodil oral suspension
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with GRIN-NDD with GRIN1, GRIN2A, GRIN2B, or GRIN2D gene variants known to result in GoF of the NMDA receptor
* Phase 3 Cohort 1 (Qualifying Seizures Cohort) ONLY: Experiencing at least 1 CMS per week and ≥4 CMS (generalized or focal) during screening
* With history of inadequate response to at least 2 standard antiseizure medications (ASMs)
* Phase 3 Cohort 2 (Without Qualifying Seizures Auxiliary Cohort) ONLY: With significant neurodevelopmental symptoms and a GRIN-CGI-S score ≥4
* On a stable dose of standard ASMs for at least 4 weeks prior to screening and should remain on stable doses throughout study participation
* On stable nonpharmacological treatments such as ketogenic diet and should remain stable throughout study participation
Part B:
\- Participant has completed Part A and is eligible to continue study participation according to the judgement of the investigator and sponsor.
Exclusion Criteria
* Has clinically relevant medical, neurologic, or psychiatric condition and/or behavioral disorder (including those related to GRIN-NDD) that would preclude or jeopardize participant's safe participation or study drug administration or the conduct of the study according to the judgement of the investigator or sponsor.
* Is receiving \>4 standard ASMs at screening
* Has a body weight of less than 5 kg at screening
Part B:
\- Participant has clinically relevant medical, neurologic, or psychiatric condition and/or behavioral disorder (including those related to GRIN-NDD) that would preclude or jeopardize participant's safe participation of study drug administration or the conduct of the study according to the judgement of the investigator or sponsor.
1 Month
18 Years
ALL
No
Sponsors
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Aziende Chimiche Riunite Angelini Francesco S.p.A
INDUSTRY
GRIN Therapeutics, Inc.
INDUSTRY
Responsible Party
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Principal Investigators
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Alex Cepeda
Role: STUDY_DIRECTOR
GRIN Therapeutics, Inc.
Russel Chin
Role: STUDY_DIRECTOR
GRIN Therapeutics, Inc.
Locations
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UCLA Health-Ronald Reagan Medical Center
Los Angeles, California, United States
Lucile Packard Children's Hospital
Palo Alto, California, United States
Children's Hospital Colorado - Anschutz Medical Campus
Aurora, Colorado, United States
Children's National Hospital
Washington D.C., District of Columbia, United States
Nicklaus Children's Hospital
Miami, Florida, United States
Pediatric Neurology and Epilepsy
Winter Park, Florida, United States
Ann & Robert H Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
University of Iowa Hospitals & Clinics
Iowa City, Iowa, United States
Mid-Atlantic Epilepsy and Sleep Center
Bethesda, Maryland, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Northeast Regional Epilepsy Group (NEREG) - Hackensack
Hackensack, New Jersey, United States
Columbia University - Harkness
New York, New York, United States
Duke Health-Duke Children's Hospital & Health Center
Durham, North Carolina, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Child Neurology Consultants of Austin - South Austin
Austin, Texas, United States
The University of Texas Southwestern Medical Center (UTSW)
Dallas, Texas, United States
UTHealth Houston
Houston, Texas, United States
Seattle Children's Hospital
Seattle, Washington, United States
Froedtert & Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Countries
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Central Contacts
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Other Identifiers
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Beeline RAD-GRIN-101
Identifier Type: -
Identifier Source: org_study_id
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