Clinical trial Recruiting at 7 sites Phase 2 Interventional Ages 18 to 70

Long-term RAP-219 treatment for adults with focal onset seizures

Official title: An Open-label, Long-term Study Evaluating RAP-219 in Adult Participants With Refractory Onset Seizures

Run by Rapport Therapeutics Inc. · NCT07219407 · Data updated 2026-11-12

This trial will try RAP-219, an investigational anti-seizure medication, in adults with refractory focal seizures to see if it is safe long-term and helps reduce seizures.

More Epilepsy trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment30 (estimated)
SponsorRapport Therapeutics Inc.
Industry-sponsored
Locations7 sites (Boise, Idaho and 6 other locations)
StatusRecruiting
StartedDecember 15, 2025
Main results expectedFebruary 3, 2028
Study endsFebruary 3, 2028
Registry record updatedJanuary 23, 2026
Trial IDNCT07219407 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with refractory focal epilepsy who completed the parent RAP-219-FOS-201 treatment period, have stable RNS system settings, and a history of compliance with device data uploads.

Probably not a fit

Patients who are pregnant or lactating, have hypersensitivity to RAP-219, have unstable medical/neurological conditions, or did not complete the parent study are unlikely to qualify or receive benefit from this protocol.

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 multi-center, open-label, long-term extension enrolling adults with refractory focal seizures who completed the parent RAP-219-FOS-201 study. Participants will receive RAP-219 and undergo regular safety, tolerability, pharmacokinetic, and pharmacodynamic monitoring, along with tracking of seizure activity. Stable RNS system settings and regular device data uploads are required to document seizure outcomes. The study focuses on gathering extended safety data and observing any sustained antiseizure effects in a real-world, monitored setting.

Why it matters

Potential benefit: If successful, RAP-219 could offer a tolerable long-term treatment option that reduces seizure frequency for some adults with refractory focal epilepsy.

How similar studies have gone: Other antiseizure medications and open-label extensions have sometimes shown sustained seizure reductions, but RAP-219 remains investigational and its long-term benefits are not yet proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Completion of the associated parent study (RAP-219-FOS-201) treatment period with acceptable tolerability, per Investigator.
* Diagnosis of refractory focal epilepsy
* Stable RNS(c) system settings
* A demonstrated history of compliance with RNS(c) system data interrogation and upload
* Good overall health other than focal epilepsy, per Investigator.
* BMI ≥ 18 kg/m\^2 and ≤ 45 kg/m\^2
* Willing and able to adhere to all aspects of the protocol.

Exclusion Criteria:

* Known of hypersensitivity to RAP-219
* Any clinically unstable or serious medical, neurological (other than epilepsy), psychological, or behavioral problem; laboratory or ECG finding that would increase participant risk or should otherwise exclude the patient from participation, as assessed by Investigator
* Pregnancy, lactation, or individuals of reproductive potential who do not agree to simultaneously use two effective birth-control methods

Where it's running

  • Consultants in Epilepsy and Neurology, PLLC
    Boise, Idaho, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting
  • NYU Langone Comprehensive Epilepsy Center
    New York, New York, United States
    Recruiting
  • Cleveland Clinic Foundation
    Cleveland, Ohio, United States
    Recruiting
  • University of Pennsylvania - Department of Neurology
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee, United States
    Recruiting
Show 1 more location
  • Baylor College of Medicine
    Houston, Texas, United States
    Recruiting

Study contacts

Similar studies

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

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.