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RAP-219

Phase 3

Focal Seizure | Small molecule | Neurology |Rapport Therapeutics, Inc.|Trials Updated: Oct 21, 2026

RAP-219 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Apr 2024

RAP-219 target and mechanism

Molecular targetRAP
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment958

FDA Designations

No designations recorded

RAP-219 clinical trials

RAP-219 · 5 trials · 8 indications

Phase 3 2Phase 2 3
NCT07594119Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Focal SeizuresFocal Seizure
RECRUITING312 Analytics
NCT07563881Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Focal Seizures FOCUS-1Focal Seizure
RECRUITING333 Analytics
PHASE3RECRUITING
Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Focal Seizures
Focal SeizureUnlock trial analytics
PHASE3RECRUITING
Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Focal Seizures FOCUS-1
Focal SeizureUnlock trial analytics

Study Endpoints

Primary Endpoints

Median Percent Change in Seizure Frequency
End of double-blind treatment period (end of week 14) vs Baseline

Median percent change in seizure frequency and ≥ 50% seizure frequency reduction responder rates

Incidence of treatment-emergent adverse events (TEAEs)
From the start of RAP-219 treatment through 8 weeks after last dose, up to Week 112
Young Mania Rating Scale (YMRS)
Baseline to End of Treatment at Week 3

The YMRS is a clinician administered scale that consists of 11 items used to assess the severity of manic symptoms (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

Change in long episode frequency during the treatment period compared to pre-treatment baseline: Responder proportion, Percent Change Percent change
Screening until 5 months after enrollment

Change in long episode frequency per 28-day period during the treatment period compared to baseline

Secondary Endpoints

≥50% seizure frequency reduction responder rates
End of double-blind treatment period (end of week 14) vs Baseline.
Longest Seizure Free Interval
Across the entire 14-week double-blind treatment period
Percent change in clinical seizure frequency
Throughout the open-label period until 8 weeks after the last dose, up to Week 112, compared to the pre-treatment baseline period.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Active Arm- Medium DoseEXPERIMENTALRAP-219 daily tablets administered orally
Active Arm-Low DoseEXPERIMENTALRAP-219 daily tablets administered orally
PlaceboPLACEBO_COMPARATORInert comparator matching the active treatment
Active Arm- High DoseEXPERIMENTALRAP-219 daily tablets administered orally
RAP-219EXPERIMENTAL -
Active ArmEXPERIMENTALTreatment with RAP-219

Interventions

NameTypeDescription
RAP-219DRUGRAP-219 medium dose tablets administered orally daily
PlaceboOTHERMatching placebo tablets administered orally
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: 1. Age 18 - 75 2. BMI 18-45 kg/m2 3. Diagnosis of focal epilepsy for ≥24 months prior to Visit 1 4. Report from at least 1 brain MRI or CT scan and 1 EEG study, each completed within 10 years prior to Visit 1, consistent with focal epilepsy diagnosis 5. Concomitant use of betwee...

Countries:United StatesSouth Korea
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Recent Changes (Last 90 Days)

LOWOct 21, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 21, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 21, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 15, 2026NCT07594119lastUpdatePostDate: changed
LOWOct 15, 2026NCT07594119lastUpdatePostDate: changed
LOWOct 8, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 8, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 1, 2026NCT07563881lastUpdatePostDate: changed
LOWOct 1, 2026NCT07563881lastUpdatePostDate: changed
LOWSep 25, 2026NCT07563881lastUpdatePostDate: changed
LOWSep 25, 2026NCT07563881lastUpdatePostDate: changed
LOWSep 2, 2026NCT07594119startDate: changed
LOWSep 2, 2026NCT07594119startDate: changed
LOWSep 2, 2026NCT07594119startDate: changed
LOWSep 1, 2026NCT07563881lastUpdatePostDate: changed
LOWSep 1, 2026NCT07563881lastUpdatePostDate: changed
LOWAug 14, 2026NCT07563881lastUpdatePostDate: changed
LOWAug 14, 2026NCT07563881lastUpdatePostDate: changed
LOWAug 14, 2026NCT07563881lastUpdatePostDate: changed
LOWAug 12, 2026NCT07563881lastUpdatePostDate: changed

Frequently asked questions about RAP-219

What is RAP-219?

RAP-219 is an investigational small molecule being developed by Rapport Therapeutics, Inc. for focal epilepsy, focal onset seizures, and bipolar 1 disorder. It is given as an oral treatment and is currently in clinical development, with Phase 3 studies ongoing in focal seizures and Phase 2 studies in focal onset seizures and bipolar 1 disorder.

What is RAP-219 used for in focal epilepsy?

RAP-219 is being studied for focal epilepsy and focal onset seizures in adults, including refractory focal epilepsy. It is also in development for bipolar 1 disorder. The focal seizure program has advanced to Phase 3, while the long-term focal onset seizure study and the bipolar 1 disorder study are Phase 2.

What does RAP-219 target?

RAP-219 targets RAP, a receptor-associated protein that helps localize AMPA receptors to the neuronal surface. By binding RAP, RAP-219 is designed to selectively reduce AMPA receptor signaling in the brain regions involved in focal seizures and mood disorders, rather than broadly blocking AMPA receptors throughout the nervous system.

Who makes RAP-219?

RAP-219 is being developed by Rapport Therapeutics, Inc., a clinical-stage biopharmaceutical company that trades on the Nasdaq under the ticker RAPP. Rapport is the sponsor of the RAP-219 clinical program, which includes Phase 3 studies in focal seizures and Phase 2 studies in focal onset seizures and bipolar 1 disorder.

What phase is RAP-219 in?

RAP-219 is in Phase 3 development for focal seizures and Phase 2 development for focal onset seizures and bipolar 1 disorder. It is investigational and has not been approved by the FDA. The Phase 3 focal seizure program includes two randomized, double-blind, placebo-controlled studies, and a Phase 2 long-term safety study is also enrolling.

What clinical trials is RAP-219 in?

RAP-219 is being evaluated in four registered studies. Two Phase 3 trials, NCT07594119 and NCT07563881 (FOCUS-1), are recruiting adults with focal seizures in the United States and South Korea. NCT07219407 is a Phase 2 long-term focal onset seizure study, and NCT07046494 is a Phase 2 bipolar 1 disorder study that is active but not recruiting.