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PRAX-222- Initial Dose

Phase 1

SCN2A-DEE | Small molecule | Neurology |Praxis Precision Medicines, Inc.|Last Updated: Aug 3, 2026

Target and mechanism

ModalitySmall molecule

Also known as PRAX-222 - Initial Dose

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment60

FDA Designations

No designations recorded

Clinical trial landscape

PRAX-222- Initial Dose · 1 trial · 2 indications

Phase 1 1
NCT05737784A Clinical Trial of PRAX-222 in Pediatric Participants With Early Onset SCN2A Developmental and Epileptic EncephalopathySCN2A-DEE
ACTIVE NOT_RECRUITING60 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Clinical Trial of PRAX-222 in Pediatric Participants With Early Onset SCN2A Developmental and Epileptic Encephalopathy
SCN2A-DEEUnlock trial analytics

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 to 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)

MEDIUMAug 3, 2026NCT05737784Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 3, 2026NCT05737784Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about PRAX-222- Initial Dose

What is PRAX-222 used for?

PRAX-222 is an investigational small molecule being developed for SCN2A developmental and epileptic encephalopathy (SCN2A-DEE), a severe early-onset epilepsy syndrome. It is currently in Phase 1 clinical development and has not been approved by the FDA.

Who makes PRAX-222?

PRAX-222 is being developed by Praxis Precision Medicines, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol PRAX. The company is conducting clinical trials of PRAX-222 in pediatric patients with SCN2A-DEE.

What phase is PRAX-222 in?

PRAX-222 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. A Phase 1 trial is currently active but not recruiting participants.

What clinical trials is PRAX-222 in?

PRAX-222 is being studied in a Phase 1 clinical trial with the identifier NCT05737784. This trial is a randomized, double-blind, placebo-controlled study in pediatric participants with early onset SCN2A developmental and epileptic encephalopathy, enrolling approximately 60 patients in the United States and Brazil.

Is PRAX-222 the same as PRAX-222 - Initial Dose?

Yes, PRAX-222 is also known as PRAX-222 - Initial Dose. Both names refer to the same investigational drug being developed by Praxis Precision Medicines for the treatment of SCN2A-DEE.