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NCT Number: NCT07010471

A Clinical Trial for Participants With DEE to Assess Efficacy, Safety, Tolerability, and PK of Relutrigine

A Phase 3, Randomized, Multi-Center, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Relutrigine in Participants with Developmental and Epileptic Encephalopathies Followed by an Open-Label Extension

Recruiting

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Key information

Age range

2 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Praxis Research Site, Heidelberg, Victoria, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has a documented diagnosis of a developmental and epileptic encephalopathy.
  • Onset of seizures <12 years old.
  • Has a weight >7 kg at the time of signing consent/assent.

Exclusion criteria

  • Has a history of left bundle branch block, arrhythmias, Brugada syndrome, congenital heart disease, familial short QT syndrome, or family history of sudden death or ventricular arrhythmias, including idiopathic ventricular fibrillation.
  • Had 2 or more episodes of convulsive status epilepticus requiring hospitalization and intubation in the 6 months prior to Screening.
  • Has an abnormal ECG reading, including a QT interval corrected for heart rate using Bazett's method (QTcB) <350 and >450 ms (males), or <360 and >460 ms (females) at Screening and/or on Day 1.
  • Any nerve stimulation must have been placed at least 3 months prior to Screening with at least 1 month of stable settings prior to Screening.
  • Has received any other experimental or investigational 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 or within 5 half-lives of the last study drug dose.

Treatment and study plan

1.0mg/kg/day PRAX-562

Drug

Once daily orally or gastronomy/jejunostomy

Other names: relutrigine

1.5mg/kg/day PRAX-562

Drug

Once daily orally or gastronomy/jejunostomy

Placebo

Drug

Once daily orally or gastronomy/jejunostomy

Primary outcomes

  1. To assess the effect of relutrigine on seizure frequency in participants with DEEs compared to placebo

    Time frame: 16 weeks

    Change from baseline in monthly motor seizure frequency

Secondary outcomes

  1. Achieve >50% reduction in monthly seizure frequency from baseline

    Time frame: 16 weeks

    Proportion of patients achieving >50% reduction in monthly seizure frequency from baseline

  2. Change in seizure-free days

    Time frame: 16 weeks

    Change in seizure-free days from baseline

  3. Clinical Global Impression-Severity questionnaire

    Time frame: 16 weeks

    CGI-S at baseline after 16 weeks

  4. Clinical Global Impression-Improvement questionnaire

    Time frame: 16 weeks

    CGI-I subdomains scores after 16 weeks

  5. Caregiver Global Impression-Severity questionnaire

    Time frame: 16 weeks

    CgGI-S at baseline after 16 weeks

  6. Caregiver Global Impression-Improvement questionnaire

    Time frame: 16 weeks

    CgGI-I subdomains scores after 16 weeks

  7. To evaluate the safety and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Incidence and severity of TEAEs

  8. Columbia-Suicide Severity Rating Scale questionnaire

    Time frame: 16 weeks

    Incidence of suicidal ideation or behavior as measured by the C-SSRS

  9. Evaluate the safety and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Incidence of clinically significant ECG abnormalities

  10. To evaluate the safety labs and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    The principal investigator (PI) or sub investigator will review the laboratory report and document this review. Any clinically significant adverse changes occurring during the clinical trial will be documented as adverse events.

  11. To evaluate the change in respiratory rate and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Change in respiratory rate in breaths per minute

  12. To evaluate the change in blood pressure and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Change in blood pressure in mm/Hg

  13. To evaluate the change in pulse and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Change in heart rate in beats per minute

  14. To evaluate the change in body temperature and tolerability of relutrigine in participants with DEEs

    Time frame: 16 weeks

    Change in tympanic temperature in Celsius

Study contacts

Contact information is provided by the study sponsor or research team.

Head of Pharmacovigilance

CONTACT

[email protected]

617-300-8460

Sponsors and collaborators

Lead sponsor

Praxis Precision Medicines

Industry

Registry information

Official study title

A Phase 3, Randomized, Multi-Center, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Relutrigine in Participants With DEE Followed by an Open-Label Extension

Acronym: EMERALD

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Jun 8, 2025
Registry last updated
May 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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