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RecruitingNCT07141329Updated Oct 10, 2025

SPN-817 Open-Label Extension Study in Adults With Focal Onset Seizures

A Phase 2 interventional study of SPN-817 in Focal Onset Seizures, sponsored by Supernus Pharmaceuticals, Inc.. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-10.

Sponsored by Supernus Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 2b open-label extension study to evaluate the long-term safety and efficacy of SPN-817.

Read the detailed description

This is a Phase 2b, multicenter, open-label extension, one-year, safety, tolerability, and efficacy study in adults who previously completed an applicable double-blind SPN-817 clinical study. This study will include a double-blind Dose Titration/Bridging Period of 8-10 weeks in which SPN-817 will be titrated to the participant's maximum tolerated dose based on response. Following the Dose Titration/Bridging Period, participants will enter an Open Label Extension (OLE) Period of 42-44 weeks. When participants finish the OLE Period, they will initiate a Tapering Period (up to 4 weeks) followed by an End-of-Tapering Period video contact (VC) after the last dose of study drug. The duration of study treatment before starting the 4-week Tapering Period will be one year (52 weeks).

02

Conditions studied

  • Focal Onset Seizures

Keywords

  • focal seizures
  • focal epilepsy
  • open-label extension
  • anti-seizure medication
03

In context

Seizures

881 studies on the registry are indexed under Seizures; 143 are open to participants now.

This study's planned enrollment of 100 is above the median of 64 across 610 interventional studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

Supernus Pharmaceuticals, Inc. is the lead sponsor of 61 studies on the registry; 6 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 25 (81%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Completed antecedent SPN-817 double-blind study
  2. Taking a stable dosage regimen (maintained during the antecedent study) of at least one antiseizure medication (ASM) and no more than 4 ASMs

Exclusion criteria

Exclusion Criteria:

  1. Has current nonepileptic events that could be confused by the participant and/or study staff as epileptic seizures
  2. Has any suicidal behavior or suicidal ideation related to Item 4 (active suicidal ideation with some intent to act without specific plan) or Item 5 (active suicidal ideation with specific plan and intent) based on the Columbia-Suicide Severity Rating Scale (C-SSRS) assessments in the antecedent study and at Visit 1 or more than one lifetime suicide attempt.
05

Study design

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

Study arms

  • Experimental
    SPN-817

    SPN-817, bid

    Drug: SPN-817

Interventions

  • DrugSPN-817

    SPN-817 starting at 0.25 mg bid up to 4.00 mg bid

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events

    The percent of participants who took at least one dose of SPN-817 and reported at least one adverse event during the 1-year SPN-817 Treatment Period

    Time frame: Week 1-Week 52

Secondary outcomes

  1. Percent change (PCH) from baseline in quantifiable focal onset seizure frequency per 28 days over the 1-year SPN-817 Treatment Period

    Percent change in 28-day frequency of quantifiable focal seizures during the 1-year Treatment Period relative to baseline

    Time frame: Baseline and Treatment Period (Week 1-52)

  2. Proportion of participants experiencing ≥50% reduction in focal seizure frequency per 28 days from baseline

    Greater than or equal to 50% reduction in 28-day frequency of focal seizures during the 1-year Treatment Period relative to baseline.

    Time frame: Baseline and Treatment Period (Week 1-52)

  3. Proportion of participants experiencing seizure freedom

    100% reduction in 28-day frequency of focal seizures during the Treatment Period relative to baseline

    Time frame: Baseline and Treatment Period (Week 1-52)

  4. Percentage of seizure-free days over the 1-year SPN-817 Treatment Period

    The number of seizure-free days reported for each participant divided by the total number of days with seizure data reported, multiplied by 100.

    Time frame: Week 1-Week 52

07

Study locations

1 of 1 sites recruiting
  • Medsol Clinical Research Center
    Port Charlotte, Florida 33952, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07141329
Lead sponsor
Supernus Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Aug 26, 2025
Start date
Jul 30, 2025
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 10, 2025

Study contacts

Supernus Clinical Trials
Contact
clinicaltrials@supernus.com
240-403-5838
Navid Saeidi, MS
Contact
nsaeidi@supernus.com
240-403-5328
Maciej Gasior, MD, PhD
study director · Supernus Pharmaceuticals, Inc.

Oversight

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

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