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PRAX-222 - Initial Dose

Phase 1

SCN2A-DEE | Small molecule | Neurology |Praxis Precision Medicines, Inc.|Last Updated: Aug 21, 2025

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-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment60
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05737784A Clinical Trial of PRAX-222 in Pediatric Participants With Early Onset SCN2A Developmental and Epileptic EncephalopathyPHASE1 RECRUITING 60Apr 13, 2023Sep 1, 2027Aug 21, 20253 United States, Brazil
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Study Endpoints
Primary Endpoints
Number of participants with treatment-emergent adverse events (Preliminary Safety, Dose Escalation)
Screening (-8 weeks) through up to 92 weeks

The number of participants with treatment-emergent adverse events will be reported by severity and preferred term.

Seizure frequency (Confirmatory Phase)
36 to 40 weeks

Seizure frequency will be captured by a seizure diary and outcomes will be measured by summing the seizure frequency over a 28-day time period following the 6th dose administration in the confirmatory phase.

Secondary Endpoints
Seizure frequency (Preliminary Safety)
12 to 16 weeks
Percent change in seizure frequency (Preliminary Safety)
0 to 4 weeks, 4 to 8 weeks, 8 to 12 weeks
Number of participants with a treatment response (Preliminary Safety)
0 to 4 weeks, 4 to 8 weeks, 8 to 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Preliminary SafetyEXPERIMENTALOpen-label PRAX-222
Dose Escalation - PRAX-222EXPERIMENTALInitial dose escalation consisting of double-blind ascending doses of PRAX-222
Dose Escalation - PlaceboPLACEBO_COMPARATORDouble-blind placebo procedure
Optional Dose Escalation - PRAX-222EXPERIMENTALOptional dose escalation consisting of double-blind ascending doses of PRAX-222
Optional Dose Escalation - PlaceboPLACEBO_COMPARATORDouble-blind placebo procedure
Confirmatory Dosing - PRAX-222EXPERIMENTALDouble-blind fixed-dose PRAX-222
Confirmatory Dosing - PlaceboEXPERIMENTALDouble-blind placebo procedure
Open-label PRAX-222EXPERIMENTALOpen-label PRAX-222
Interventions
NameTypeDescription
PRAX-222 - Initial DoseDRUGPRAX-222
PRAX-222 - Initial Ascending DosesDRUGAscending doses of PRAX-222
PRAX-222 - Optional Ascending DosesDRUGEscalation of PRAX-222 dose(s)
PRAX-222 - Fixed DosesDRUGFixed-dose(s) of PRAX-222 not to exceed the maximum tolerated dose of PRAX-222
PlaceboPROCEDUREPlacebo procedure
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Eligibility Criteria
Age Range2 Years — 18 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Has onset of seizures prior to 3 months of age. * Has a minimum weight of at least 10 kg at screening. * Has a documented SCN2A variant through genetic testing obtained via a laboratory accredited per Clinical Laboratory Improvement Amendments (CLIA) or College of American Pat...

Countries:United StatesBrazil
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05737784primaryCompletionDate: changed
LOWMay 24, 2026NCT05737784studyFirstPostDate: changed