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zorevunersen

Phase 3

Dravet Syndrome | Small molecule | Other |Stoke Therapeutics, Inc.|Last Updated: Jun 2, 2026

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-BlindSHAM_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment230
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06872125A Double-blind Study Evaluating the Efficacy, Safety, and Tolerability of Zorevunersen in Patients With Dravet SyndromePHASE3 RECRUITING 170Jun 4, 2025Oct 1, 2028Jun 2, 202661 United States, France +5
NCT04740476An Open-Label Extension Study of STK-001 for Patients With Dravet SyndromePHASE2 ACTIVE NOT_RECRUITING 60Jan 20, 2021Mar 31, 2029Feb 4, 202617 United States
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Study Endpoints
Primary Endpoints
Measurement of Seizure Change
Week 28

Measured by daily seizure diary

Safety of multiple doses of zorevunersen
Screening (Day -1) until 6 months after multiple drug dosing

Safety variables for analysis include the incidence, type, severity, and seriousness of AEs, and changes in vital signs, ECG, laboratory, immunogenicity, physical examination, and outcomes on the cerebellar function clinical screening battery.

Secondary Endpoints
Measurement of Seizure Change
Week 52
Multi-component Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Outcome Score
Week 52
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Subdomain Score
Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ZorevunersenEXPERIMENTALEligible patients will be randomly assigned in a 1:1 ratio to zorevunersen:sham in Treatment Period 1 (approximately 52 weeks). Upon the completion of Treatment Period 1 all eligible patients, will enter Treatment Period 2 and receive zorevunersen, regardless of initial treatment assignment.
Sham ComparatorSHAM_COMPARATOREligible patients will be randomly assigned in a 1:1 ratio to zorevunersen:sham
zorevunersen (STK-001) multiple dose levelsEXPERIMENTALEnrollment of patients after completion of Study STK-001-DS-101 or Study STK-001-DS-102 if eligible. Patients will receive IT administration of study drug zorevunersen at the dose level they received while participating in Study STK-001-DS-101 or STK-001-DS-102, or at a dose level recommended by the Safety Monitoring Committee (SMC).The highest dose administered in this study may not exceed that which has already been evaluated in an zorevunersen Phase 1/2 study, and doses above 45 mg/dose in this study require approval from the Food and Drug Administration (FDA). Patients will initially receive 3 doses, one every approximately 4 months (16 weeks). Patients who are tolerating treatment may continue treatment with doses approximately every 4 months, with an End of Study/Follow-up Visit 24 weeks after the last dose of study drug. Patients who do not continue treatment after the third dose will have a Follow-up Visit (V5) at Week 48 and an End of Study Visit at Week 56.
Interventions
NameTypeDescription
zorevunersenDRUGTreatment Period 1: Zorevunersen group will receive study drug by intrathecal (IT) administration on Day 1 (after the 8-week Baseline Period), Day 57 (Week 8), Day 169 (Week 24), and Day 281 (Week 40) at a dose level of 70 mg on Day 1 and Day 57, and 45 mg on Day 169 and Day 281. Treatment Period 2: Group assigned to zorevunersen in Treatment Period 1 will receive 45 mg of zorevunersen on Day 393 (Week 56), Day 477 (Week 68), and Day 589 (Week 84).
Sham ComparatorOTHERTreatment Period 1: Sham group will not have drug administered. Sham group will have a procedure intended to mimic the drug administration. Treatment Period 2: Group assigned to sham in Treatment Period 1 will receive 70 mg of zorevunersen on Day 393 (Week 56) and on Day 477 (Week 68), and 45 mg of zorevunersen Day 589 (Week 84).
zorevunersen (STK-001)DRUGzorevunersen drug product is an antisense oligonucleotide administered as an intrathecal injection.
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Eligibility Criteria
Age Range2 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites61

Key Inclusion Criteria: 1. Patients must be ≥2 and \<18 years of age. 2. Patients must have a clinical diagnosis of DS confirmed by the Epilepsy Study Consortium, Inc. (ESCI) and as defined by: Onset, prior to 12 months (inclusive, \<13 months), of age, of recurrent focal with motor signs, hemi...

Countries:United StatesFranceGermanyItalyJapanSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT06872125lastUpdatePostDate: changed
LOWJun 2, 2026NCT06872125lastUpdatePostDate: changed
LOWJun 2, 2026NCT06872125lastUpdatePostDate: changed
LOWMay 26, 2026NCT06872125primaryCompletionDate: changed
LOWMay 26, 2026NCT04740476primaryCompletionDate: changed
LOWMay 24, 2026NCT06872125studyFirstPostDate: changed
LOWMay 24, 2026NCT04740476studyFirstPostDate: changed