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SPN-817, Treatment B

Phase 2

Epilepsy | Small molecule | Neurology |Supernus Pharmaceuticals, Inc.|Last Updated: Jun 1, 2026

Target and mechanism

Molecular targetAChE
Target classEnzyme
ModalitySmall molecule

Also known as SPN-817

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment60

FDA Designations

No designations recorded

Clinical trial landscape

SPN-817, Treatment B · 4 trials · 4 indications

Phase 2 3Early Phase 1 1
NCT07141329SPN-817 Open-Label Extension Study in Adults With Focal Onset SeizuresFocal Onset Seizures
RECRUITING100 Analytics
NCT06798896RENAISSANCE 2: SPN-817 Phase 2, Double-Blind, Placebo-Controlled Study in Adults With Focal Onset SeizuresFocal Onset Seizures
RECRUITING216 Analytics
NCT05518578Safety and Tolerability Study of SPN-817 in Adult Patients With Treatment Resistant EpilepsyEpilepsy
RECRUITING60 Analytics
PHASE2RECRUITING
SPN-817 Open-Label Extension Study in Adults With Focal Onset Seizures
Focal Onset SeizuresUnlock trial analytics
PHASE2RECRUITING
RENAISSANCE 2: SPN-817 Phase 2, Double-Blind, Placebo-Controlled Study in Adults With Focal Onset Seizures
Focal Onset SeizuresUnlock trial analytics
PHASE2RECRUITING
Safety and Tolerability Study of SPN-817 in Adult Patients With Treatment Resistant Epilepsy
EpilepsyUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of treatment-emergent adverse events
Week 1-Week 52

The percent of participants who took at least one dose of SPN-817 and reported at least one adverse event during the 1-year SPN-817 Treatment Period

Percent change (PCH) from baseline in focal onset seizure frequency per 28 days over the Maintenance Period
Baseline and Maintenance Period (Maintenance Week 1-14)

Percent change in 28-day frequency of focal seizures during the 14 week Maintenance Period relative to baseline

Effects of SPN-817 on safety and tolerability
72 weeks

The incidence of adverse events.

Relative Bioavailability
22 days

Area under the curve (AUC)

Secondary Endpoints

Percent change (PCH) from baseline in quantifiable focal onset seizure frequency per 28 days over the 1-year SPN-817 Treatment Period
Baseline and Treatment Period (Week 1-52)
Proportion of participants experiencing ≥50% reduction in focal seizure frequency per 28 days from baseline
Baseline and Treatment Period (Week 1-52)
Proportion of participants experiencing seizure freedom
Baseline and Treatment Period (Week 1-52)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SPN-817EXPERIMENTALSPN-817, bid
PlaceboPLACEBO_COMPARATORPlacebo, bid
Open-Label TreatmentEXPERIMENTAL0.25 mg to 4 mg SPN-817 taken orally twice daily
Cohort 1ACTIVE_COMPARATORBIS-001: Treatment A and SPN-817: Treatment B
Cohort 2ACTIVE_COMPARATORBIS-001: Treatment A and SPN-817: Treatment C

Interventions

NameTypeDescription
SPN-817DRUGSPN-817 starting at 0.25 mg bid up to 4.00 mg bid
PlaceboDRUGPlacebo, bid
SPN-817, Treatment BDRUGSPN-817 Treatment B, is an Extended Release formulation of Huperzine A, an acetylcholinesterase inhibitor
SPN-817, Treatment CDRUGSPN-817 Treatment C, is an Extended Release formulation of Huperzine A, an acetylcholinesterase inhibitor
BIS-001, Treatment ADRUGBIS-001 is an Extended Release formulation of Huperzine A, an acetylcholinesterase inhibitor
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Completed antecedent SPN-817 double-blind study 2. Taking a stable dosage regimen (maintained during the antecedent study) of at least one antiseizure medication (ASM) and no more than 4 ASMs Exclusion Criteria: 1. Has current nonepileptic events that could be confused by t...

Countries:United StatesAustralia
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Frequently asked questions about SPN-817, Treatment B

What is SPN-817 used for?

SPN-817 is an investigational small molecule being developed for epilepsy, including focal onset seizures and treatment-resistant epilepsy. It is currently in Phase 2 clinical development and is not yet approved by the FDA. The drug is being studied in adult patients with these seizure disorders.

What does SPN-817 target?

SPN-817 targets acetylcholinesterase (AChE), an enzyme involved in neurotransmission. By inhibiting this enzyme, the drug may modulate cholinergic signaling in the brain, which is being investigated as a potential mechanism for reducing seizure activity in epilepsy patients.

Who makes SPN-817?

SPN-817 is being developed by Supernus Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol SUPN. The company is conducting Phase 2 clinical trials to evaluate the drug's safety and efficacy in treating epilepsy and focal onset seizures.

What phase is SPN-817 in?

SPN-817 is currently in Phase 2 clinical development. It is being evaluated in multiple Phase 2 trials, including a double-blind, placebo-controlled study in adults with focal onset seizures and an open-label extension study. The drug is investigational and has not received FDA approval.

What clinical trials is SPN-817 in?

SPN-817 is being studied in several clinical trials. NCT05518578 is a Phase 2 safety and tolerability study in adults with treatment-resistant epilepsy. NCT06798896 is a Phase 2 double-blind, placebo-controlled study in focal onset seizures. NCT07141329 is an open-label extension study in focal onset seizures. A Phase 1 bioavailability study (NCT05102552) has been completed.

Is SPN-817 the same as other epilepsy drugs?

SPN-817 is a distinct investigational compound with a unique mechanism of action targeting acetylcholinesterase. It is not the same as other marketed epilepsy drugs, which typically work through different pathways such as sodium channels or GABA receptors. SPN-817 is being developed specifically for treatment-resistant epilepsy and focal onset seizures.