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SAGE-324

Phase 2

Essential Tremor | Small molecule | Neurology |Sage Therapeutics, Inc.|Trials Updated: May 16, 2025

SAGE-324 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since May 2001

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment215

FDA Designations

No designations recorded

SAGE-324 clinical trials

SAGE-324 · 2 trials · 1 indication

Phase 2 2
NCT05173012Study to Evaluate SAGE-324 in Participants With Essential TremorEssential Tremor
COMPLETED146 Analytics
NCT04305275A Study to Evaluate the Efficacy, Safety, and Tolerability of SAGE-324 in Participants With Essential TremorEssential Tremor
COMPLETED69 Analytics
PHASE2COMPLETED
Study to Evaluate SAGE-324 in Participants With Essential Tremor
Essential TremorUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Efficacy, Safety, and Tolerability of SAGE-324 in Participants With Essential Tremor
Essential TremorUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in The Essential Tremor Rating Assessment Scale (TETRAS) Performance Subscale Item 4 (Upper Limb) Total Score on Day 91 in the Monotherapy Cohort
Baseline, Day 91

TETRAS is a clinical evaluation of essential tremor. The TETRAS performance subscale upper limb tremor score is a component of TETRAS. For the TETRAS Performance Subscale Item 4 (upper limb), three maneuvers/assessments were to be completed for both arms, first for the right arm and then for the left, specifically Item 4a, limbs extended forward maneuver (postural tremor), Item 4b, wing-beating \[elbows flexed\] maneuver (postural tremor), and Item 4c finger-nose-finger maneuver (kinetic tremor). Each assessment is rated on a 0 to 4 scale of severity in 0.5-point increments, with higher scores indicating more severe tremor. The Performance Subscale Item 4 (upper limb) total score range for a given side (left or right) is 0 to 12, and for both sides combined is 0 to 24. A negative change from baseline indicates improvement. Mixed model for repeated measures (MMRM) was used for the analysis.

Change From Baseline Compared to Placebo in TETRAS Performance Subscale Part 4 Upper Limb Tremor Score on Day 29
Baseline, Day 29

The Essential Tremor Rating Assessment Scale (TETRAS) is a clinical evaluation of essential tremor. The TETRAS performance subscale upper limb tremor score is a component of TETRAS. The TETRAS performance subscale upper limb tremor total score is the sum of the TETRAS individual item scores from both arms of the body. The TETRAS individual item score included TETRAS Performance Subscale items 4a, 4b, and 4c scores \[4a: limbs extended forward maneuver, 4b: wing-beating (elbows flexed) maneuver, and 4c: kinetic (finger-nose-finger) maneuver\] scores from both arms of the body. Each individual item score ranges from 0 to 4; with 0 to 12 being the score range for each arm of the body. The total upper limb score combined for both arms ranges from 0 to 24. Higher scores=more severe tremor. A negative change from baseline =improvement. Mixed model repeated measures (MMRM) was used for the analysis.

Secondary Endpoints

Change From Baseline in TETRAS Activities of Daily Living (ADL) Composite Score in the Monotherapy Cohort
Baseline, Day 91
Change From Baseline Compared to Placebo in TETRAS Performance Subscale Part 4 Upper Limb Tremor Score at Days 8, 15, 22, and 42
Baseline, Days 8, 15 (pre-dose, 5, and 8 hours post-dose), 22, and 42
Change From Baseline Compared to Placebo in Kinesia ONE™ Accelerometer Score at Days 8, 15, 22, 29, and 42
Baseline, Days 8, 15 (pre-dose, 5, and 8 hours post-dose), 22, 29, and 42
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SAGE-324 Matched PlaceboPLACEBO_COMPARATORParticipants will receive SAGE-324 matched placebo, stratified by baseline propranolol use. Monotherapy: Participants will receive SAGE-324 matched placebo, oral tablets, once daily (QD), in the evening, from Day 1 to Day 90 in a double-blind treatment period. Adjunct therapy: Participants will receive SAGE-324 matched placebo, oral tablets, QD, in the evening, from Day 1 to Day 90 along with a stable dose of up to 320 milligrams (mg) of propranolol from 3 months prior to Screening up to Day 90 in a double-blind treatment period.
SAGE-324 15 mgEXPERIMENTALParticipants will receive SAGE-324, 15 mg, stratified by baseline propranolol use. Monotherapy: Participants will receive SAGE-324, 15 mg, oral tablets, QD, in the evening, from Day 1 to Day 90 in a double-blind treatment period. Adjunct therapy: Participants will receive SAGE-324, 15 mg, oral tablets, QD, in the evening, from Day 1 to Day 90 along with a stable dose of up to 320 mg of propranolol from 3 months prior to Screening up to Day 90 in a double-blind treatment period.
SAGE-324 30 mgEXPERIMENTALParticipants will receive SAGE-324, 30 mg, stratified by baseline propranolol use. Monotherapy: Participants will receive SAGE-324, 30 mg, oral tablets, QD, in the evening, from Day 1 to Day 90 in a double-blind treatment period. Adjunct therapy: Participants will receive SAGE-324, 30 mg, oral tablets, QD, in the evening, from Day 1 to Day 90 along with a stable dose of up to 320 mg of propranolol from 3 months prior to Screening up to Day 90 in a double-blind treatment period.
SAGE-324 60 mgEXPERIMENTALParticipants will receive SAGE-324: 15 mg, 30 mg, 45 mg, and 60 mg, stratified by baseline propranolol use. Monotherapy: Participants will receive SAGE-324, 15 mg from Day 1 to 14, followed by up-titration to 30 mg from Day 15 to 28, then to 45 mg from Day 29 to 42, and then to 60 mg from Day 43 to 90, oral tablets, QD, in the evening, from Day 1 to Day 90 in a double-blind treatment period. Adjunct therapy: Participants will receive SAGE-324, 15 mg from Day 1 to 14, followed by up-titration to 30 mg from Day 15 to 28, then to 45 mg from Day 29 to 42, and then to 60 mg from Day 43 to 90, oral tablets, QD, in the evening, from Day 1 to Day 90 along with a stable dose of up to 320 mg of propranolol from 3 months prior to Screening up to Day 90 in a double-blind treatment period.

Interventions

NameTypeDescription
SAGE-324DRUGSAGE-324 oral tablets.
SAGE-324 Matched PlaceboDRUGSAGE-324 matched placebo oral tablets.
SAGE-324 PlaceboDRUGSAGE-324 matched placebo oral tablet
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: 1. Diagnosis of ET, as defined by all of the following criteria: * Isolated tremor syndrome consisting of bilateral upper limb action tremor * At least 3 years duration * With or without tremor in other locations (eg, head, voice, or lower limbs) 2. Absence of other ne...

Countries:United States
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Frequently asked questions about SAGE-324

What is SAGE-324 used for in essential tremor?

SAGE-324 is an investigational small molecule being developed by Sage Therapeutics for the treatment of essential tremor, a neurological movement disorder. It has been studied in Phase 2 clinical trials in adults with essential tremor. It is not approved for any indication and remains in clinical development.

Who makes SAGE-324?

SAGE-324 is being developed by Sage Therapeutics, Inc., which trades on the Nasdaq under the ticker SAGE. Sage Therapeutics is the sponsor of the clinical program evaluating SAGE-324 in essential tremor.

What phase is SAGE-324 in?

SAGE-324 is in Phase 2 development for essential tremor. Two Phase 2 trials have been completed, and no trials are currently active. SAGE-324 is investigational and has not been approved by the FDA for any indication.

What clinical trials is SAGE-324 in?

SAGE-324 has been evaluated in two completed Phase 2 trials in essential tremor: NCT05173012, which enrolled 146 participants, and NCT04305275, which enrolled 69 participants. Both were randomized, double-blind, placebo-controlled studies conducted in the United States in adults aged 18 and older.

How many patients were enrolled in SAGE-324 trials?

The SAGE-324 clinical program in essential tremor enrolled a total of 215 participants across two completed Phase 2 trials. NCT05173012 enrolled 146 participants and NCT04305275 enrolled 69 participants. Both studies were randomized, double-blind, and placebo-controlled.