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Soticlestat

Phase 3

Dravet Syndrome (DS) | Small molecule | Other |Takeda Pharmaceutical Company Limited|Last Updated: Jan 1, 2025

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment144
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04940624A Study of Soticlestat as an Add-on Therapy in Children and Young Adults With Dravet SyndromePHASE3 COMPLETED 144Oct 28, 2021Apr 11, 2024Jan 1, 202566 United States, Australia +16
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Study Endpoints
Primary Endpoints
Percent Change From Baseline in Convulsive Seizure Frequency Per 28 Days During the Full Treatment Period
Baseline; Full Treatment Period: Weeks 1 to 16

Convulsive seizure frequency per 28 days was defined as the total number of convulsive seizures reported during the period divided by the number of days during the period seizures were assessed multiplied by 28. Percent change from Baseline was defined as (frequency of seizures per 28 days during the Full Treatment Period - frequency of seizures per 28 days at Baseline) divided by the frequency of seizures per 28 days at Baseline multiplied by 100.

Percent Change From Baseline in Convulsive Seizure Frequency Per 28 Days During the Maintenance Period
Baseline; Maintenance Period: Weeks 5 to 16

Convulsive seizure frequency per 28 days was defined as the total number of convulsive seizures reported during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent change from Baseline was defined as (frequency of seizures per 28 days during Maintenance Period - frequency of seizures per 28 days at Baseline) divided by the frequency of seizures per 28 days at Baseline multiplied by 100.

Secondary Endpoints
Percentage of Responders During Maintenance Period
Maintenance Period: Weeks 5 to 16
Percentage of Responders During the Full Treatment Period
Full Treatment Period: Weeks 1 to 16
Percentage of Participants With ≤0%, >0% to ≤25%, >25% to ≤50%, >50% to ≤75%, and >75% to ≤100% Reduction in Convulsive Seizures During the Full Treatment Period
Full Treatment Period: Weeks 1 to 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORSoticlestat placebo-matching mini-tablets or tablets, orally or via gastrostomy tube (G-tube) or low-profile gastric tube (MIC-KEY) button or jejunostomy tube (J-tube), twice daily (BID), up to 4 weeks during titration. Participants continued to receive the soticlestat placebo-matching mini-tablets or tablets for 12 weeks during maintenance. The total duration of the treatment was up to 16 weeks (Full Treatment Period). Soticlestat matching tapering was done to maintain the blind if participants decided to discontinue the treatment.
SoticlestatEXPERIMENTALParticipants weighing \<45 kg: Soticlestat, mini-tablets, at the dose of 40 mg to 200 mg, orally or via G-tube or MIC-KEY button or J-tube, BID based on the body weight up to 4 weeks during titration. Participants continued to receive the dose that they were on at the end of the titration, for 12 weeks during maintenance. The total duration of the treatment was up to 16 weeks (Full Treatment Period) with dose tapered down if participants decided to discontinue the treatment. Participants weighing ≥45 kg: Soticlestat mini-tablets or tablets with a starting dose of 100 mg BID followed by 200 mg BID and, then 300 mg BID, up to 4 weeks during titration. Participants continued to receive 300 mg BID for 12 weeks during maintenance. The total duration of the treatment was up to 16 weeks (Full Treatment Period) with dose tapered down if participants decided to discontinue the treatment.
Interventions
NameTypeDescription
SoticlestatDRUGSoticlestat mini-tablets or tablets.
PlaceboDRUGSoticlestat placebo-matching mini-tablets or tablets.
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Eligibility Criteria
Age Range2 Years — 21 Years
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: 1. Has documented clinical diagnosis of DS. 2. Had ≥12 convulsive seizures over 12 weeks before screening based on the historical information and has had ≥4 convulsive seizures per 28 days during the 4- to 6-week prospective baseline period. 3. Weighs ≥10 kg at the screening vis...

Countries:United StatesAustraliaBrazilCanadaChinaFranceGermanyGreeceHungaryItalyJapanLatviaNetherlandsPolandRussiaSerbiaSpainUkraine
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