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RNS System

Phase 2

Epilepsy | Unknown | Neurology |Neuropace, Inc.|Last Updated: Jan 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment24
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05339126RNS System LGS Feasibility StudyPHASE2 ACTIVE NOT_RECRUITING 24Oct 4, 2022Dec 31, 2026Jan 12, 20266 United States
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Study Endpoints
Primary Endpoints
Safety: Annual device-related serious adverse event (SADE) rate
12 months post-implant

The lower limit of the 95% confidence interval of the annual SADE rate at months 12 and 24 post-implant is less than 33.6% and 22.0%, respectively (twice the SADE rate of 16.8% and 11.0%, respectively, at the same time points in the RNS System pivotal study)

Effectiveness: Blinded evaluation period (BEP) responder rate
12 months post-implant

The responder rate during one or both of the stimulation conditions (A or B) is ≥ 30%. The responder rate is the proportion of participants that are responders. A responder in this study is defined as a participant who has a ≥ 35% reduction in the frequency of drop seizures compared to that participant's pre-implant baseline.

Secondary Endpoints
Safety: Post-op SAE rate
4 weeks post-implant
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Condition AACTIVE_COMPARATORhigh-frequency short bursts (HFSB: 100 Hz, 160 µs pulse width, 200 msec burst)
Condition BACTIVE_COMPARATORlow-frequency long bursts (LFLB: 5 Hz, 160 µs pulse width, 5 sec burst)
Interventions
NameTypeDescription
RNS SystemDEVICEThe RNS System provides closed loop responsive brain stimulation. The Neurostimulator monitors the electrical activity of the brain to detect abnormal activity that could lead to a seizure. If abnormal activity is detected, the neurostimulator delivers electrical stimulation to the brain through the leads to help prevent the seizure before it occurs.
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Participant is 15 years of age or older for first cohort; 12 years of age or older for second cohort. Note that age requirements for eligibility differ by cohort, as follows: the age limit for Cohort 1 is 15 years of age and above and the age limit for Cohort 2 may decrease to...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05339126primaryCompletionDate: changed
LOWMay 24, 2026NCT05339126studyFirstPostDate: changed