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RecruitingNCT06908356Updated Apr 3, 2025

An Open Label Trial to Evaluate the Efficacy and Safety of PRAX-628 in Adults With Focal Onset or Tonic-Clonic Seizures

A Phase 2 interventional study of 30mg PRAX-628 in Focal Onset Seizure and Primary Generalized Epilepsy, sponsored by Praxis Precision Medicines. Recruiting at 11 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-04-03.

Sponsored by Praxis Precision Medicines · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 4 months ago, but the record still lists the study as recruiting.
  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

An Open Label Clinical Trial to Evaluate the Efficacy and Safety of PRAX-628 in Adult Patients With Focal Onset or Primary Generalized Tonic-Clonic Seizures

Read the detailed description

An open label clinical trial to evaluate the efficacy and safety of PRAX-628 in adult patients with focal onset or primary generalized tonic-clonic seizures who can attest to concurrently taking at least 1, but no more than 3 acceptable anti-seizure medications.

02

Conditions studied

  • Focal Onset Seizure
  • Primary Generalized Epilepsy

Keywords

  • Focal Onset Seizure
  • Primary Generalized Epilepsy
  • Tonic-Clonic
03

In context

Seizures

766 studies on the registry are indexed under Seizures; 136 are open to participants now.

This study's planned enrollment of 50 is below the median of 64 across 519 interventional studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

Praxis Precision Medicines is the lead sponsor of 17 studies on the registry; 4 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 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

  • A diagnosis of focal onset seizures or idiopathic generalized tonic clonic seizures.
  • Evidence by computed tomography (CT) or magnetic resonance imaging (MRI) in the past that has ruled out a progressive cause of epilepsy.
  • Participant must have been receiving stable doses of allowable ASMs (a minimum of 1 and a maximum of 3 ASMs).
  • Participant and/or caregiver (if applicable) self-reports at least 2 countable focal onset seizures per month for focal onset patients, or 1 countable generalized tonic-clonic seizure per month in the 3 months immediately prior to the Screening/Observation Period for PGTCS patients.

Exclusion criteria

Exclusion Criteria:

  • History of pseudo or psychogenic seizures, or cluster seizures only, within the 12-month period preceding study entry where the individual seizures cannot be counted, or an episode of convulsive status epilepticus requiring hospitalization and intubation in the 12 months prior to Screening.
  • Planned epilepsy surgery during the course of the clinical trial.
  • History of neurosurgery for seizures \<1 year prior to enrollment, or radiosurgery \<2 years prior to enrollment.
  • Schizophrenia and obsessive-compulsive disorder, or other serious mental health disorders.
  • Active suicidal plan/intent in the past 6 months, or a history of suicide attempt in the last 2 years, or more than 1 lifetime suicide attempt.
  • Participants with a history of , myeloproliferative or lymphoproliferative disorders within the past 5 years are excluded.
  • History of cardiac disease(s)/cardiac conduction disorders/or cardiac structural abnormality(ies).
  • Is pregnant or 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.
  • Has received any other experimental or 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.
  • Vigabatrin: Use in the last 5 years without stable visual fields tested twice over the 12 months after the last dose of vigabatrin.
  • Felbamate: If used as a concomitant ASM, patients must be on felbamate for at least 2 years, with a stable dose for 2 months prior to Screening. If a patient received felbamate in the past, it must have been discontinued 2 months prior to Screening.
Terms in these criteria, in plain language(2)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Open-label 30mg/day PRAX-628 for 8 weeks

    Participants who meet all eligibility criteria will receive 30mg of PRAX-628 for 8 weeks.

    Drug: 30mg PRAX-628

Interventions

  • Drug30mg PRAX-628

    Once daily oral

06

What researchers measure

Primary outcomes

  1. To evaluate the efficacy of PRAX-628 on seizure frequency in adults with FOS or PGTCS currently taking ASMs

    Median percent change in monthly (28 days) seizure frequency from the Screening/Observation Period to the Treatment Period for PRAX-628

    Time frame: 8 weeks

Secondary outcomes

  1. To evaluate the efficacy of PRAX 628 on seizure frequency in adults with FOS or PGTCS currently taking ASMs

    • Proportion of participants experiencing a ≥50% reduction in monthly (28 days) seizure frequency from the Screening/Observation Period to the Treatment Period (Responder Rate) for PRAX-628.

    Time frame: 8 weeks

  2. To evaluate the efficacy of PRAX 628 on seizure frequency in adults with FOS or PGTCS currently taking ASMs

    • Proportion of participants experiencing seizure freedom, 100% reduction in monthly (28 days) seizure frequency from the Screening/Observation Period to the Treatment Period for PRAX-628.

    Time frame: 8 weeks

  3. To evaluate the efficacy of PRAX 628 on seizure frequency in adults with FOS or PGTCS currently taking ASMs

    • Number of days after the first administration of PRAX-628 to reach the same or higher number of monthly seizures from the Screening/Observation Period to the Treatment Period

    Time frame: 8 weeks

  4. CGI-S Change from Baseline

    CGI-S assesses the clinician's impression of the participant's current illness state. The clinician should use his/her total clinical experience with this patient population and rate the current severity on a 7-point scale from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).

    Time frame: 8 weeks

  5. PGI-S Change from Baseline

    PGI-S assesses the participants' impression of their current illness state. The participant is required to assess their condition on a 7-point scale from 1 (Not present) to 7 (extremely severe).

    Time frame: 8 weeks

  6. To assess the safety and tolerability of PRAX-628 in adults with FOS or PGTCS currently taking ASMs

    The number of participants with Adverse Events (AE) will be reported by preferred term

    Time frame: 8 weeks

07

Study locations

11 of 11 sites recruiting
  • Praxis Research Site
    Phoenix, Arizona 85032, United States
    Recruiting
  • Praxis Research Site
    Miami Lakes, Florida 30116, United States
    Recruiting
  • Praxis Research Site
    Bethesda, Maryland 20817, United States
    Recruiting
  • Praxis Research Site
    Chesterfield, Missouri 63005, United States
    Recruiting
  • Praxis Research Site
    Hackensack, New Jersey 07601, United States
    Recruiting
  • Praxis Research Site
    Middletown, New York 10941, United States
    Recruiting
  • Praxis Research Site
    Round Rock, Texas 78681, United States
    Recruiting
  • Praxis Research Site
    Seabrook, Texas 77586, United States
    Recruiting
  • Praxis Research Site
    Heidelberg, 03084, Australia
    Recruiting
  • Praxis Research Site
    Melbourne, 03004, Australia
    Recruiting
  • Praxis Research Site
    Madrid, 28010, Spain
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06908356
Lead sponsor
Praxis Precision Medicines
Responsible party
Sponsor
First posted
Apr 3, 2025
Start date
Jan 10, 2025
Primary completion
Jul 2025 (estimated)
Completion
Jul 2025 (estimated)
Last update
Apr 3, 2025

Study contacts

Head of Pharmacovigilance
Contact
clinicaltrials@praxismedicines.com
617-300-8460
Medical Director
study director · Praxis Precision Medicines

Oversight

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

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