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Active, not recruitingNCT06392009Updated Apr 1, 2026

Astroscape: A Study of Radiprodil on Safety, Tolerability, Pharmacokinetics, and Effect on Seizures and Behavioral Symptoms in Patients With TSC or FCD Type II

A Phase 1/2 interventional study of Radiprodil in Tuberous Sclerosis Complex and Focal Cortical Dysplasia, sponsored by GRIN Therapeutics, Inc.. Active, not recruiting at 18 sites in 8 countries. Open to participants aged 6 Months to 18 Years. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by GRIN Therapeutics, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
6 Months to 18 Years
Sex
All
01

Study summary

Study RAD-GRIN-201 is a phase 1B/2A trial to assess safety, tolerability, pharmacokinetics (PK), and potential efficacy of radiprodil in participants with Tuberous Sclerosis Complex (TSC) or Focal Cortical Dysplasia (FCD) type II. The study is open-label, so all participants will be treated with radiprodil. Subjects' participation in the study is expected to last up to six months in Part A and one year in Part B/long-term treatment period. The treatment period in Part B may be extended based on a favorable benefit/risk profile.

Read the detailed description

Approximately 20 participants with TSC and 10 participants with FCD type II will be enrolled.

The effects of radiprodil are assessed in participants with treatment-resistant seizures (with or without behavioral symptoms). The daily doses of radiprodil will be individually titrated for every participant and all the participants will receive study drug.

This study is divided into the following periods:

PART A:

  • Screening/Observation Period (up to six(6) weeks): Investigators assess eligibility followed by an Observation Period (at least four(4) weeks) to evaluate seizure frequency.
  • Titration Period (approx. four(4) weeks): Radiprodil twice daily will be administered in escalating doses and plasma concentrations, safety, and tolerability assessed. Once a safe and potentially effective dose has been established, the participant will immediately enter the Maintenance Period.
  • Maintenance Period (approx. twelve(12) weeks): The participant will continue to take the safe and potentially effective dose identified during the Titration Period. At the end of the Maintenance Period the participant will either be invited to enter Part B or the Tapering and Safety Follow-up Period.
  • Tapering (15 days) and Safety Follow-up Period (14 days): a participant who doesn't take part in the long-term treatment period (Part B) will taper (ie gradually decrease) the study medicine for 15 days and enter a safety Follow-up Period (14 days). In this case, the participant will have one (1) last visit at the end of the safety Follow-up Period.

PART B:

  • Long-Term Treatment Period (not specified): During the Long-Term Treatment Period (Part B), participants will continue taking radiprodil at the usual dose level and making regular visits to the study site.
  • Tapering (15 days) and Safety Follow-up Period (14 days): at the end of the long-term treatment period (Part B), the participant will taper (ie gradually decrease) the study medicine for 15 days and enter a safety Follow-up Period (14 days) after his/her last dose of radiprodil. The participant will have one (1) last visit at the end of the safety Follow-up Period.
02

Conditions studied

  • Tuberous Sclerosis Complex
  • Focal Cortical Dysplasia

Browse trials for

Keywords

  • TSC
  • FCD
  • Tuberous Sclerosis Complex
  • Focal Cortical Dysplasia
  • Astroscape
03

In context

Tuberous Sclerosis

115 studies on the registry are indexed under Tuberous Sclerosis; 27 are open to participants now.

This study's planned enrollment of 30 is below the median of 52 across 73 interventional studies indexed under Tuberous Sclerosis.

Browse Tuberous Sclerosis studies →

Lead sponsor

GRIN Therapeutics, Inc. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Months to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Failed to respond to at least 2 anti-seizure medications (ASMs) at appropriate dosages and duration
  • Disease specific criteria:

    1. diagnosis of FCD Type II based on clinical symptoms and confirmed by a positive magnetic resonance imaging (MRI)
    2. diagnosis of TSC by either clinical or genetic diagnostic criteria (Northrup, 2021) as documented in the participant's medical record - Participant on average has had at least 8 countable/witnessed primary seizures during a 4-week baseline period with at least 1 seizure occurring in at least 3 of the 4 weeks of baseline
  • All medical interventions for epilepsy / behavior (including ketogenic diet and any neurostimulation devices) should be stable for 28 days prior to screening with no more than 6 days per month use of rescue medication. Participants must remain on a stable regimen throughout the treatment period
  • Participant has had an MRI scan within 12 months of the planned date of first dose of study drug

Exclusion criteria

Exclusion Criteria:

  • Any other medical, neurologic, or psychiatric condition and/or behavioral disorder unrelated to TSC or FCD Type II that would preclude or jeopardize participant's safe participation or administration of study drug or the conduct of the study according to the judgement of the investigator.
  • Clinically significant laboratory or abnormalities.
  • Severe hepatic dysfunction ( grade C).
  • History of brain surgery within 6 months of screening for epilepsy or any other reason.
  • to radiprodil or with known to the active substance or the or other chemically closely related substances.
  • Receiving treatment with contraindicated concomitant drugs such as agonists or antagonists of the glutamate receptor, including but not limited to felbamate, memantine, and perampanel.
  • body weight \<10kg for whom a gastric tube is the only possibility for radiprodil dosing.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    TSC

    Liquid suspension of radiprodil, at concentrations 0.25 mg/mL, 2.50 mg/mL or 7.5 mg/mL for 1%, 10% and 30% formulation respectively. It will be administered twice a day (bid) either orally or via gastric or nasogastric tube.

    Drug: Radiprodil

  • Experimental
    FCD Type II

    Liquid suspension of radiprodil, at concentrations 0.25 mg/mL, 2.50 mg/mL or 7.5 mg/mL for 1%, 10% and 30% formulation respectively. It will be administered twice a day (bid) either orally or via gastric or nasogastric tube.

    Drug: Radiprodil

Interventions

  • Radiprodil is an orally active, negative allosteric modulator of the NR2B subunit of the NMDA receptor.

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs (SAEs), Adverse Drug Reactions (ADRs), TEAEs Leading to Discontinuation and Severity of TEAEs

    Frequency, type, severity and duration of adverse events, serious adverse events and adverse drug reactions.

    Time frame: from Baseline to End-of-study: 1 year 6 months

  2. Plasma concentration of radiprodil and maximum plasma concentration (Cmax)

    Time frame: Titration Visit 1 (week 7): Pre-dose to 12 hours post-dose. Titration Visits 2,3,4 (week 8 to 13) and Maintenance Visit 7 (week 25): pre-dose to 5 hours post-dose

  3. Plasma concentration of radiprodil versus time, area under the curve (AUCt)

    Time frame: Titration Visit 1 (week 7): Pre-dose to 12 hours post-dose. Titration Visits 2,3,4 (week 8 to 13) and Maintenance Visit 7 (week 25): pre-dose to 5 hours post-dose

  4. Pharmacokinetic plasma concentration of radiprodil: half-life (T1/2)

    Time frame: Titration Visit 1 (week 7): Pre-dose to 12 hours post-dose. Titration Visits 2,3,4 (week 8 to 13) and Maintenance Visit 7 (week 25): pre-dose to 5 hours post-dose

  5. Pharmacokinetic plasma concentration of radiprodil: time to Cmax (Tmax)

    Time frame: Titration Visit 1 (week 7): Pre-dose to 12 hours post-dose. Titration Visits 2,3,4 (week 8 to 13) and Maintenance Visit 7 (week 25): pre-dose to 5 hours post-dose

  6. Pharmacokinetic plasma concentration of radiprodil, clearance (Cl)

    Time frame: Titration Visit 1 (week 7): Pre-dose to 12 hours post-dose. Titration Visits 2,3,4 (week 8 to 13) and Maintenance Visit 7 (week 25): pre-dose to 5 hours post-dose

  7. Number of participants with abnormal laboratory tests results

    The clinical laboratory tests include Hematology, Serum Chemistry and Coagulation

    Time frame: from Baseline to End-of-study: 1 year 6 months

  8. Number of participants with abnormal physical and neurological examination findings

    A complete physical and neurological examination according to standard of care excluding the genitourinary examination will be performed

    Time frame: Baseline, MV7, and in Part B: Month 3, 6, 9, 12: week 6, week 28, week 40, week 52, week 64, week 76

  9. Clinically relevant changes in safety parameters: systolic blood pressure

    changes from Baseline to End of study for systolic blood pressure

    Time frame: from Baseline to End-of-study: 1 year 6 months

  10. Clinically relevant changes in safety parameters: diastolic blood pressure

    changes from Baseline to End of study for diastolic blood pressure

    Time frame: from Baseline to End-of-study: 1 year 6 months

  11. Clinically relevant changes in safety parameters: pulse rate

    changes from Baseline to End of Treatment for pulse rate

    Time frame: from Baseline to End-of-study: 1 year 6 months

  12. 12-Lead ECG: Mean change from Baseline to End-of-Treatment in RR interval

    Time frame: from Baseline to End-of-study: 1 year 6 months

  13. 12-Lead ECG: Mean change from Baseline to End-of-Treatment in PR interval

    Time frame: from Baseline to End-of-study: 1 year 6 months

  14. 12-Lead ECG: Mean change from Baseline to End-of-Treatment in QRS interval

    Time frame: from Baseline to End-of-study: 1 year 6 months

  15. 12-Lead ECG: Mean change from Baseline to End-of-Treatment in QT interval

    Time frame: from Baseline to End-of-study: 1 year 6 months

  16. 12-Lead ECG: Mean change from Baseline to End-of-Treatment in QTcF interval

    Time frame: from Baseline to End-of-study: 1 year 6 months

Secondary outcomes

  1. Percent change from baseline in Video-EEG seizure burden

    Assessed by 8- to 24- hour video electroencephalogram

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  2. Change from baseline in seizure frequency

    assessed by seizure diaries

    Time frame: Baseline to Maintenance Visit 7: week 6 to week 25 and Baseline to end-of-treatment: week 6 to week 76

  3. Change from baseline in number of seizure-free days and longest period with no seizures

    assessed by seizure diaries

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  4. Aberrant Behavior Checklist-Community (ABC-2C)

    The ABC-2C is a standardized 58-item caregiver-reported problem-behavior rating scale, originally designed to assess treatment effects in people with intellectual disabilities. Each item is scored from 0 (never a problem) to 3 (severe problem). Items load onto one of five empirically derived subscales: Irritability, Agitation, \& Crying (15 items); Lethargy/Social Withdrawal (16 items); Stereotypic Behavior (7 items); Hyperactivity/Noncompliance (16 items); and Inappropriate Speech (4 items). A total score would range from 0 to 174.

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  5. Caregiver Global Impression of Change (CaGI-C)

    The CaGI-C is a 7-point caregiver-rated scale ranging from 1 (very much improved) to 7 (very much worse).

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  6. Clinical Global Impression of Change [CGI-C]

    The CGI scale is a clinician-rated measures of change of a symptom or condition, using a single item, 6- or 7-point scale. The CGI-C scale ranges from 1 ("Very much worse") to 7 ("Very much improved").

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  7. Pediatric Quality of Life Inventory [PedsQL]

    The PedsQL is a 23-item generic health status instrument assessing 5 domains of health in children. It's a 0-100 scale, and higher scores are indicative of better health-related quality of life.

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  8. Caregiver Burden Inventory (CBI)

    The CBI is a validated scale providing information regarding the impact of caregiving on the lives of caregivers. It comprises 24 closed questions divided into 5 dimensions. Each dimension includes 4 or 5 items. Each item is given a score between 0 and 4, where higher scores indicate greater caregiver burden.

    Time frame: Baseline to end-of-treatment: week 6 to week 76

  9. Columbia-Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a validated tool designed to systematically evaluate the severity and intensity of suicidal ideation and behavior. The scoring system ranges from 0 to 5 for suicidal ideation and from 0 to 25 for suicidal behavior, with higher scores indicating greater severity or greater frequency of suicidal thoughts or actions.

    Time frame: Baseline to end-of-treatment: week 6 to week 76

07

Study locations

18 sites
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06392009
Lead sponsor
GRIN Therapeutics, Inc.
Responsible party
Sponsor
First posted
Apr 30, 2024
Start date
Jul 10, 2024
Primary completion
Jun 2026 (estimated)
Completion
Jun 2028 (estimated)
Last update
Apr 1, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Radiprodil

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