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NBI-827104

Phase 2

Epileptic Encephalopathy | Small molecule | Neurology |Neurocrine Biosciences, Inc.|Trials Updated: Sep 5, 2025

NBI-827104 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Nov 2020

NBI-827104 target and mechanism

Molecular targetT-type calcium channel
Target classIon Channel
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment55

FDA Designations

No designations recorded

NBI-827104 clinical trials

NBI-827104 · 2 trials · 3 indications

Phase 2 2
NCT04625101Efficacy, Safety, Tolerability, and Pharmacokinetics of NBI-827104 in Pediatric Subjects With Epileptic Encephalopathy With Continuous Spike-and-Wave During SleepEpileptic Encephalopathy
COMPLETED24 Analytics
NCT04880616Safety, Efficacy, and Tolerability of NBI-827104 for the Treatment of Essential TremorEssential Tremor
COMPLETED31 Analytics
PHASE2COMPLETED
Efficacy, Safety, Tolerability, and Pharmacokinetics of NBI-827104 in Pediatric Subjects With Epileptic Encephalopathy With Continuous Spike-and-Wave During Sleep
Epileptic EncephalopathyUnlock trial analytics
PHASE2COMPLETED
Safety, Efficacy, and Tolerability of NBI-827104 for the Treatment of Essential Tremor
Essential TremorUnlock trial analytics

Study Endpoints

Primary Endpoints

Ratio of Spike-Wave Index (SWI) During First Hour of Nonrapid Eye Movement (NREM) Sleep at Week 6
Baseline to Week 6

The ratio of SWI at the end of Week 6 to baseline during the first hour (60 minutes) of NREM sleep based on centralized video-electroencephalograph (EEG) reading using a log base 10 scale. Baseline was defined as the last value measured prior to intake of study treatment on Day 1. SWI was defined as the percentage of seconds with ≥1 spike-wave complex(es) during defined periods of overnight NREM sleep.

Change from Baseline to Day 28 of Each Treatment Period in Amplitude at Peak Frequency of Postural Tremor
Baseline and Day 28 of each treatment period

Secondary Endpoints

Ratio of SWI During First Hour of NREM Sleep at Week 12
Baseline to Week 12
Number of Participants Considered as Responders as Assessed by the Caregiver Global Impression of Change (CaGI-C) Score
Week 6 and Week 12
Number of Participants Considered as Responders as Assessed by the Clinician Global Impression of Change (CGI-C) Score
Week 6 and Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NBI-827104EXPERIMENTALNBI-827104 administered orally for 13 weeks.
PlaceboPLACEBO_COMPARATORPlacebo administered orally for 13 weeks.
Sequence 1EXPERIMENTALIn treatment period 1 participants will receive increasing doses of NBI-827104 for 28 days. After a 14-day washout period, participants will receive matching placebo for 28 days in treatment period 2.
Sequence 2EXPERIMENTALIn treatment period 1 participants will receive matching placebo for 28 days. After a 14-day washout period, participants will receive increasing doses of NBI-827104 for 28 days in treatment period 2.

Interventions

NameTypeDescription
NBI-827104DRUGTriple T-type calcium channel blocker.
PlaceboDRUGNon-active dosage form.
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Eligibility Criteria

Age Range4 Years to 12 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: 1. Signed informed consent by the parent(s) or legal representative(s) and, if applicable, assent from developmentally capable pediatric subjects. 2. Diagnosis of EECSWS. 3. Have diagnosis of EECSWS confirmed by the Diagnosis Confirmation Panel (DCP). 4. Stable dosage and stable...

Countries:United StatesCanadaDenmarkSpainSwitzerlandUnited KingdomNetherlands
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Frequently asked questions about NBI-827104

What is NBI-827104?

NBI-827104 is an investigational small molecule developed by Neurocrine Biosciences, Inc. (ticker NBIX) for neurological conditions. It has been studied in clinical trials for essential tremor and for epileptic encephalopathy with continuous spike-and-wave during sleep. It is a Phase 2 candidate and is not approved for any indication.

What is NBI-827104 used for?

NBI-827104 has been studied for essential tremor and for epileptic encephalopathy with continuous spike-and-wave during sleep. Both are neurological conditions. The drug remains investigational, and its use is limited to clinical research settings rather than routine clinical care.

What does NBI-827104 target?

NBI-827104 targets the T-type calcium channel, a type of ion channel. T-type calcium channels help regulate neuronal excitability and rhythmic firing in the brain, which is why blocking them is being explored in neurological conditions such as essential tremor and epileptic encephalopathy.

Who is developing NBI-827104?

NBI-827104 is being developed by Neurocrine Biosciences, Inc., which trades under the ticker NBIX. The company is the sponsor of the clinical program studying the compound in neurological indications, including essential tremor and epileptic encephalopathy with continuous spike-and-wave during sleep.

What phase is NBI-827104 in?

NBI-827104 is in Phase 2 development. It is an investigational drug and has not been approved by the FDA for any indication. Its clinical program consists of completed Phase 2 trials rather than any ongoing registrational studies.

What clinical trials is NBI-827104 in?

NBI-827104 has been evaluated in two completed Phase 2 trials. NCT04880616 studied the safety, efficacy, and tolerability of NBI-827104 in adults with essential tremor in the Netherlands. NCT04625101 studied efficacy, safety, tolerability, and pharmacokinetics in pediatric participants with epileptic encephalopathy with continuous spike-and-wave during sleep across the United States, Canada, Denmark, Spain, Switzerland, and the United Kingdom.