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PRAX-562

Phase 2

SCN2A Encephalopathy | Small molecule | Neurology |Praxis Precision Medicines, Inc.|Last Updated: Jan 29, 2026

Target and mechanism

Molecular targetNaV
Target classSodium Channel
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment77

FDA Designations

No designations recorded

Clinical trial landscape

PRAX-562 · 1 trial · 2 indications

Phase 2 1
NCT05818553A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)SCN2A Encephalopathy
ACTIVE NOT_RECRUITING77 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)
SCN2A EncephalopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

PART A (Cohorts 1 and 2) RDB: To evaluate the safety and tolerability of PRAX 562 in pediatric participants with SCN2A- and SCN8A- DEEs
16 weeks

Changes from baseline in monthly (28-day) motor seizure frequency

PART B (Cohorts 1 and 2) OLE: To evaluate the long-term safety and tolerability of PRAX-562 in pediatric participants with DEEs
48 weeks

Incidence and severity of TEAEs

Secondary Endpoints

PART A (Cohorts 1 and 2) RDB: To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs
16 weeks
Plasma concentrations of PRAX-562
16 weeks
Seizure Frequency (OLE Extension)
48 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: Randomized, Double-Blind 0.5mg/kg/day PRAX-562 or PRAX-562/PlaceboEXPERIMENTALEligible participants from each cohort will be randomized in a 1:1 ratio to either 0.5 milligrams/kilograms/day (mg/kg/day) PRAX-562 for 16 weeks (PRAX-562 arm) or 0.5 mg/kg/day PRAX-562 for 12 weeks and matching placebo for 4 weeks (PRAX-562/placebo arm) administered orally or via gastrostomy tube (G-tube).
Part B: Open-Label Extension Treatment 0.5mg/kg/day PRAX-562EXPERIMENTALEligible participants will receive 0.5mg/kg/day administered orally or via G-tube for up to 144 weeks.
Part A: Randomized, Double-Blind 1.0 mg/kg/day PRAX-562 or PRAX-562/PlaceboEXPERIMENTALEligible participants from each cohort will be randomized in a 1:1 ratio to either 1.0 milligrams/kilograms/day (mg/kg/day) PRAX-562 for 16 weeks (PRAX-562 arm) or 1.0 mg/kg/day PRAX-562 for 12 weeks and matching placebo for 4 weeks (PRAX-562/placebo arm) administered orally or via gastrostomy tube (G-tube).
Open-Label Extension Treatment 1.0 mg/kg/day PRAX-562EXPERIMENTALEligible participants will receive 1.0 mg/kg/day administered orally or via G-tube for up to 144 weeks.

Interventions

NameTypeDescription
PRAX-562DRUGOnce daily oral or G-tube treatment.
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Eligibility Criteria

Age Range1 Year to 18 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Has a documented variant in SCN2A with onset of seizures occurring in the first 3 months of life or has a diagnosis of SCN8A-DEE supported by both clinical and genetic findings. * Has a seizure frequency as follows: * At least 8 countable motor seizures in the 4 weeks immed...

Countries:United StatesIsraelSpainUnited Kingdom
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Frequently asked questions about PRAX-562

What is PRAX-562 used for in SCN2A Encephalopathy?

PRAX-562 is an investigational small molecule being developed for the treatment of SCN2A Encephalopathy, a developmental and epileptic encephalopathy. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

What does PRAX-562 target?

PRAX-562 targets the NaV sodium channel, a class of voltage-gated sodium channels involved in neuronal excitability. By modulating this target, the drug aims to address the underlying pathophysiology of SCN2A Encephalopathy and related developmental and epileptic encephalopathies.

Who makes PRAX-562?

PRAX-562 is being developed by Praxis Precision Medicines, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol PRAX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with developmental and epileptic encephalopathies.

What phase is PRAX-562 in?

PRAX-562 is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by the FDA or other regulatory agencies. The ongoing Phase 2 trial is active but not recruiting participants, and the drug remains in clinical testing.

What clinical trials is PRAX-562 in?

PRAX-562 is being evaluated in a single Phase 2 clinical trial with the identifier NCT05818553. This trial is a randomized, double-blind, controlled study enrolling approximately 77 participants with SCN2A Encephalopathy or SCN8A Encephalopathy. The trial is active but not recruiting and is being conducted in the United States, Israel, Spain, and the United Kingdom.

Is PRAX-562 the same as any other drug?

PRAX-562 is a unique investigational compound developed by Praxis Precision Medicines. No alternative names for this drug have been disclosed in the available clinical trial information. It is distinct from other sodium channel modulators in development.