ClinicalTrials.gg
RecruitingNCT07019922Updated Aug 3, 2026

A Clinical Trial of Elsunersen in Pediatric SCN2A-DEE to Assess Efficacy and Safety

A Phase 3 interventional study of 1mg elsunersen and 0.5mg elsunersen in Epileptic Encephalopathy and SCN2A Encephalopathy, sponsored by Praxis Precision Medicines. Recruiting at 10 sites in 4 countries. Open to participants aged 1 Day to 18 Years. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by Praxis Precision Medicines · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 2 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
1 Day to 18 Years
Sex
All
01

Study summary

A Multi-Center, Single-Arm Clinical Trial to Investigate the Efficacy and Safety of Elsunersen in Pediatric Participants with Early Onset SCN2A Developmental and Epileptic Encephalopathy

02

Conditions studied

  • Epileptic Encephalopathy
  • SCN2A Encephalopathy

Keywords

  • epilepsis
  • early onset scn2a
  • epileptic encephalopathy
  • scn2a
  • gain of function
  • seizure
03

In context

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 422 are open to participants now.

This study's planned enrollment of 40 is below the median of 50 across 1,239 interventional studies indexed under Epilepsy.

Browse Epilepsy 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
1 Day 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

  • Has a documented Gain of Function SCN2A variant confirmed through genetic testing.
  • Has onset of seizures prior to 3 months of age.
  • Seizure frequency of 4 or more countable motor seizures per 28-day during the Baseline Observation Period.

Exclusion criteria

Exclusion Criteria:

  • Has any or known pathogenic genetic variant other than in the SCN2A gene, or a genetic variant that may explain or contribute to the participant's epilepsy and/or developmental disorder.
  • Has bone, spine (eg, kyphosis, scoliosis), bleeding, or other disorder.
  • Has received any experimental or drug, device, or other therapy within 30 days or 5 half-lives (whichever is longer) prior to Screening, including any prior use of gene therapy.
  • Is currently pregnant or breastfeeding or is planning to become pregnant during the clinical trial.
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.

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.

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 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Cohort 1 Arm 1: Open-Label Treatment Period

    Open-label elsunersen

    Drug: 1mg elsunersen

  • Experimental
    Cohort 2: Open-Label Treatment Period

    Open-label elsunersen

    Drug: 1mg elsunersen

  • Experimental
    Cohort 3: Open-Label Treatment Period

    Open-label elsunersen

    Drug: 0.5mg elsunersen

Interventions

  • Drug1mg elsunersen

    24 weeks every 4 weeks intrathecally

  • Drug0.5mg elsunersen

    24 weeks every 4 weeks intrathecally

06

What researchers measure

Primary outcomes

  1. To assess the efficacy of elsunersen on seizure frequency in participants with early-onset SCN2A DEE

    Median percent change in monthly (28 days) motor seizure frequency from baseline to treatment after 24 weeks

    Time frame: 24 weeks

Secondary outcomes

  1. To assess secondary efficacy outcomes of elsunersen in participants with early-onset SCN2A DEE

    Responder rate - defined as a ≥50% reduction in monthly seizure frequency from baseline compared to treatment after 24 weeks

    Time frame: 24 weeks

  2. To assess secondary efficacy outcomes of elsunersen in participants with early-onset SCN2A DEE

    Change in motor seizure-free days from baseline

    Time frame: 24 weeks

  3. 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: 24 weeks

  4. CGI subdomain scores at each postdose time point

    Clinical Global Impression-Improvement (CGI-I) subdomains scores at each postdose time point

    Time frame: 24 weeks

  5. CgGI-S from baseline

    Caregiver Global Impression-Severity (CgGI-S) at baseline compared to treatment after 24 weeks

    Time frame: 24 weeks

  6. CgGI-I subdomain scores at each postdose time point

    Caregiver Global Impression-Improvement (CgGI I) subdomains scores at each postdose time point

    Time frame: 24 weeks

  7. Sleep assessment scores from baseline

    Sleep assessment scores at baseline compared to each postdose time point

    Time frame: 24 weeks

  8. To evaluate the safety and tolerability of elsunersen in participants with early-onset SCN2A DEE

    Incidence and severity of treatment-emergent adverse events (TEAEs)

    Time frame: 24 weeks

07

Study locations

8 of 10 sites recruiting
  • Praxis Research Site
    San Diego, California 92123, United States
    Recruiting
  • Praxis Research Site
    Aurora, Colorado 80045, United States
    Recruiting
  • Praxis Research Site
    Chicago, Illinois 60612, United States
    Recruiting
  • Praxis Research Site
    Cincinnati, Ohio 45229, United States
    Recruiting
  • Praxis Research Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Praxis Research Site
    Memphis, Tennessee 38105, United States
    Recruiting
  • Praxis Research Site
    Porto Alegre, 90035, Brazil
    Withdrawn

    Not enrolling at this site.

  • Praxis Research Site
    São Paulo, 05403, Brazil
    Withdrawn

    Not enrolling at this site.

  • Praxis Research Site
    Bonn, Bonn 53127, Germany
    Recruiting
  • Praxis Research Site
    Rome, 00165, Italy
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Dec 2026, 16 months after the start.

Of 66 industry-sponsored phase 3 interventional studies under Epilepsy, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 70. This study's planned 16 months is below that.

Counting every sponsor, half of 85 studies reached it within 48 months; a quarter within 29 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 5, 2025
First posted
Jun 13, 2025
StartActual
Aug 13, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2028
Last update
Aug 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07019922
Lead sponsor
Praxis Precision Medicines
Responsible party
Sponsor
First posted
Jun 13, 2025
Start date
Aug 13, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2028 (estimated)
Last update
Aug 3, 2026

Study contacts

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

Oversight

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

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