Beeline: A Phase 3 Study in GRIN-related Neurodevelopmental Disorder

NCT ID: NCT07224581

Last Updated: 2026-01-16

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

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-05

Study Completion Date

2028-07-31

Brief Summary

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The Phase 3 portion of Study RAD-GRIN-101 is a multinational, multicenter, randomized, double-blind, placebo-controlled trial followed by an open-label extension to evaluate the efficacy and safety of radiprodil in participants with GRIN-related neurodevelopmental disorder (GRIN-NDD) with a gain-of-function (GoF) genetic variant.

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.

Detailed Description

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Participants are assigned in a 1:1 ratio to receive either radiprodil or placebo during Part A with the opportunity to receive radiprodil in the Open-Label Extension, Part B. The dosing regimen includes a fixed titration schedule over 4 weeks.

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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GRIN-related Neurodevelopmental Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
study personnel, sponsor

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.

Group Type EXPERIMENTAL

Radiprodil

Intervention Type DRUG

Radiprodil oral suspension

Placebo

Liquid suspension of placebo matching radiprodil oral suspension and dose-escalation regimen.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo-to-match radiprodil oral suspension

Interventions

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Radiprodil

Radiprodil oral suspension

Intervention Type DRUG

Placebo

Placebo-to-match radiprodil oral suspension

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Part A, Participant:

* 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

PART A, 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 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.
Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aziende Chimiche Riunite Angelini Francesco S.p.A

INDUSTRY

Sponsor Role collaborator

GRIN Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status NOT_YET_RECRUITING

Lucile Packard Children's Hospital

Palo Alto, California, United States

Site Status NOT_YET_RECRUITING

Children's Hospital Colorado - Anschutz Medical Campus

Aurora, Colorado, United States

Site Status RECRUITING

Children's National Hospital

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Nicklaus Children's Hospital

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

Pediatric Neurology and Epilepsy

Winter Park, Florida, United States

Site Status RECRUITING

Ann & Robert H Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status NOT_YET_RECRUITING

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

Site Status NOT_YET_RECRUITING

Mid-Atlantic Epilepsy and Sleep Center

Bethesda, Maryland, United States

Site Status RECRUITING

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Northeast Regional Epilepsy Group (NEREG) - Hackensack

Hackensack, New Jersey, United States

Site Status RECRUITING

Columbia University - Harkness

New York, New York, United States

Site Status RECRUITING

Duke Health-Duke Children's Hospital & Health Center

Durham, North Carolina, United States

Site Status RECRUITING

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Child Neurology Consultants of Austin - South Austin

Austin, Texas, United States

Site Status RECRUITING

The University of Texas Southwestern Medical Center (UTSW)

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

UTHealth Houston

Houston, Texas, United States

Site Status RECRUITING

Seattle Children's Hospital

Seattle, Washington, United States

Site Status RECRUITING

Froedtert & Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Clinical Operations

Role: CONTACT

+1-877-225-0014

Other Identifiers

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Beeline RAD-GRIN-101

Identifier Type: -

Identifier Source: org_study_id

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