Clinical trial Recruiting at 8 sites Phase 3 Interventional Ages 1 Day to 18

Elsunersen treatment for infants with early-onset SCN2A-related epileptic encephalopathy

Official title: 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

Run by Praxis Precision Medicines · NCT07019922 · Data updated 2026-11-12

This trial tests whether elsunersen can reduce seizures and is safe in infants and young children with early-onset SCN2A-related developmental and epileptic encephalopathy who have gain-of-function variants.

More Epileptic Encephalopathy trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages1 Day to 18 Years
SexAll
Enrollment40 (estimated)
SponsorPraxis Precision Medicines
Industry-sponsored
Locations10 sites (San Diego, California and 9 other locations)
StatusRecruiting
StartedAugust 13, 2025
Main results expectedDecember 2026
Study endsDecember 2028
Registry record updatedAugust 3, 2026
Trial IDNCT07019922 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children with a genetically confirmed gain-of-function SCN2A variant, seizure onset before 3 months of age, and at least 4 countable motor seizures per 28 days during baseline are the intended participants.

Probably not a fit

Patients without a gain-of-function SCN2A variant, with seizure onset after 3 months, with fewer than 4 countable motor seizures per 28 days, or who have disqualifying comorbid genetic diagnoses or certain medical conditions (for example bone, spine, or bleeding disorders) may not benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, multi-center, double-blind, sham-procedure-controlled Phase 3 trial comparing two doses of elsunersen (1 mg and 0.5 mg) versus a sham procedure in pediatric participants with early-onset SCN2A-DEE. Eligible participants must have a confirmed gain-of-function SCN2A variant, seizure onset before 3 months of age, and at least 4 countable motor seizures per 28 days during baseline. Participants are randomized to one of the intervention arms and followed with regular visits to track seizure counts and monitor safety and adverse events. The trial will compare changes in seizure frequency and safety signals between the elsunersen dose groups and the sham control over the treatment period.

Why it matters

Potential benefit: If successful, elsunersen could lower seizure frequency and improve clinical outcomes for children with gain-of-function SCN2A-related encephalopathy.

How similar studies have gone: Antisense and similar genetic-targeted therapies have shown success in other neurological genetic diseases, but application specifically to SCN2A gain-of-function epilepsy is relatively novel and limited in published clinical experience.

Who can join: the full rules

Show full inclusion / exclusion criteria
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:

* Has any clinically significant 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 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.

Where it's running

  • Praxis Research Site
    San Diego, California, United States
    Recruiting
  • Praxis Research Site
    Aurora, Colorado, United States
    Recruiting
  • Praxis Research Site
    Chicago, Illinois, United States
    Recruiting
  • Praxis Research Site
    Cincinnati, Ohio, United States
    Recruiting
  • Praxis Research Site
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Praxis Research Site
    Memphis, Tennessee, United States
    Recruiting
Show 4 more locations
  • Praxis Research Site
    Bonn, Bonn, Germany
    Recruiting
  • Praxis Research Site
    Rome, Italy
    Recruiting
  • Praxis Research Site
    Porto Alegre, Brazil
    Withdrawn
  • Praxis Research Site
    São Paulo, Brazil
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • S230815 for children with KCNT1-related developmental and epileptic encephalopathy

    This study will test whether the investigational medicine S230815 is safe, well tolerated, and affects seizures and related symptoms in children aged 2–12 who have KCNT1-related developmental and epileptic encephalopathy.

    Recruiting at 11 sites Phase 1/2 Servier · Orange, California and 14 other locations · NCT07227857

  • Home monitoring of seizures using a wearable EEG device for rare epilepsies

    This study is testing a new wearable device that helps people with rare types of epilepsy monitor their seizures at home to see if it can improve their treatment and care.

    Recruiting Azienda Ospedaliero-Universitaria di Modena · Roma, Italy and 3 other locations · NCT06855901

  • Register of patients with neonatal-onset epileptic encephalopathy

    This study is trying to gather information about babies with neonatal-onset epileptic encephalopathy to see how genetic factors, especially changes in the KCNQ2 gene, affect their condition and help improve treatment options.

    Recruiting at 2 sites Assistance Publique Hopitaux De Marseille · Angers and 14 other locations · NCT04802135

  • Understanding the genetics behind epilepsy and related disorders

    This study is trying to find out how genes affect epilepsy and similar disorders in kids to help improve their diagnosis and treatment.

    Recruiting Boston Children's Hospital · Boston, Massachusetts · NCT01858285

  • Online program for families with genetic changes linked to autism

    This study is trying to see how an online program can help families with genetic changes related to autism by gathering their health and development information.

    Recruiting at 2 sites Simons Searchlight · Boston, Massachusetts and 1 other locations · NCT01238250

  • Registry for patients with rare diseases

    This study is creating a central registry for people with rare diseases to help connect them with researchers and improve treatments.

    Recruiting Sanford Health · Sioux Falls, South Dakota · NCT01793168

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.