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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Rapport Therapeutics Inc. Industry-sponsored |
| Locations | 7 sites (Boise, Idaho and 6 other locations) |
| Status | Recruiting |
| Started | December 15, 2025 |
| Main results expected | February 3, 2028 |
| Study ends | February 3, 2028 |
| Registry record updated | January 23, 2026 |
| Trial ID | NCT07219407 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
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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
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Baylor College of Medicine
Houston, Texas, United States Recruiting
Study contacts
- Principal investigator: Imran Quraishi, MD — Yale University
- Study coordinator: Daniela Moreno
- Email: dmoreno@rapportrx.com
- Phone: (857) 323-9048
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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RAP-219 for adults with focal seizures
This study tests whether RAP-219 can reduce how often focal seizures happen in adults with focal epilepsy, compared with a placebo.
-
RAP-219 in adults with focal seizures
This study tests whether RAP-219 can safely reduce the number of focal seizures in adults with focal epilepsy compared with placebo.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.