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A Multinational, Multicenter Study With an Open-Label Phase 1b and a Randomized, Double-Blind, Placebo-Controlled Phase 3 Followed by an Open-Label Extension to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of Radiprodil in Participants With GRIN-Related Neurodevelopmental Disorder

Status: Recruiting
Location: See all (28) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

The Phase 3 portion of Study RAD-GRIN-101 is a multinational, multicenter, randomized, double-blind, placebo-controlled trial followed by an open-label extension to evaluate the efficacy and safety of radiprodil in participants with GRIN-related neurodevelopmental disorder (GRIN-NDD) with a gain-of-function (GoF) genetic variant. This study will enroll two cohorts: one cohort of participants with a minimal number of countable motor seizures (with or without behavioral symptoms) (Phase 3 Cohort 1: Qualifying Seizures Cohort); and a second cohort with disease symptoms but no seizures or fewer seizures than required for the Qualifying Seizures Cohort (Phase 3 Cohort 2: Without Qualifying Seizures Auxiliary Cohort). Participants in each cohort will be randomized 1:1 to receive active drug (radiprodil) or matching placebo (Part A). Following completion of Part A, all eligible participants (including those previously on placebo) may continue into the open-label extension period (Part B) to receive radiprodil. The placebo-controlled portion is expected to be approximately 16 weeks for participants in Phase 3 Cohort 1 and 28 weeks for participants in Phase 3 Cohort 2. The study will evaluate the effect of radiprodil on seizures and non-seizure symptoms and assess safety.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 1 month
Maximum Age: 18
Healthy Volunteers: f
View:

⁃ Part A, Participant:

• Diagnosed with GRIN-NDD with GRIN1, GRIN2A, GRIN2B, or GRIN2D gene variants known to result in GoF of the NMDA receptor

• Phase 3 Cohort 1 (Qualifying Seizures Cohort) ONLY: Experiencing at least 1 CMS per week and ≥4 CMS (generalized or focal) during screening

• With history of inadequate response to at least 2 standard antiseizure medications (ASMs)

• Phase 3 Cohort 2 (Without Qualifying Seizures Auxiliary Cohort) ONLY: With significant neurodevelopmental symptoms and a GRIN-CGI-S score ≥4

• On a stable dose of standard ASMs for at least 4 weeks prior to screening and should remain on stable doses throughout study participation

• On stable nonpharmacological treatments such as ketogenic diet and should remain stable throughout study participation

⁃ Part B:

⁃ \- Participant has completed Part A and is eligible to continue study participation according to the judgement of the investigator and sponsor.

Locations
United States
California
UCLA Clinical & Translational Research Center
RECRUITING
Los Angeles
Lucile Packard Children's Hospital
RECRUITING
Palo Alto
Colorado
Children's Hospital Colorado - Anschutz Medical Campus
RECRUITING
Aurora
Washington, D.c.
Children's National Hospital
RECRUITING
Washington D.c.
Florida
Nicklaus Children's Hospital
RECRUITING
Miami
Pediatric Neurology and Epilepsy
RECRUITING
Winter Park
Iowa
Iowa Health Care - Pediatric Neurology & Specialty Clinic
RECRUITING
Iowa City
Massachusetts
Boston Children's Hospital
RECRUITING
Boston
North Carolina
Duke Health-Duke Children's Hospital & Health Center
RECRUITING
Durham
New Jersey
Northeast Regional Epilepsy Group (NEREG) - Hackensack
RECRUITING
Hackensack
New York
Columbia University - Harkness
RECRUITING
New York
Ohio
Cincinnati Children's Hospital Medical Center
NOT_YET_RECRUITING
Cincinnati
Pennsylvania
Children's Hospital of Philadelphia
RECRUITING
Philadelphia
Texas
Child Neurology Consultants of Austin - South Austin
RECRUITING
Austin
The University of Texas Southwestern Medical Center (UTSW)
RECRUITING
Dallas
UTHealth Houston
RECRUITING
Houston
Washington
Seattle Children's Hospital
RECRUITING
Seattle
Other Locations
France
Hospices Civils De Lyon
RECRUITING
Bron
CHU Toulouse - Hopital Purpan
RECRUITING
Toulouse
Germany
Universitatsmedizin Greifswald Klinik und Poliklinik fur Frauenheilkunde und Geburtshilfe
RECRUITING
Greifswald
Italy
Azienda Ospedaliera Universitaria Meyer IRCCS
RECRUITING
Florence
IRCCS Ospedale Pediatrico Bambino Gesu
RECRUITING
Roma
Netherlands
Erasmus MC (Erasmus Universitair Medisch Centrum Rotterdam)
RECRUITING
Rotterdam
Poland
Institute of Polish Mother's Health Center (Instytut Centrum Zdrowia Matki Polki)
RECRUITING
Lodz
Slovenia
University Children's Hospital
RECRUITING
Ljubljana
Spain
Hospital Sant Joan de Deus
RECRUITING
Esplugues De Llobregat
United Kingdom
Royal Hospital for Children Glasgow
RECRUITING
Glasgow
Sheffield Children's Hospital NHS Foundation Trust
RECRUITING
Sheffield
Contact Information
Primary
Clinical Operations
ClinicalTrials@GrinTherapeutics.com
+1-877-225-0014
Time Frame
Start Date: 2026-01-05
Estimated Completion Date: 2028-07
Participants
Target number of participants: 100
Treatments
Experimental: Radiprodil
Liquid suspension of radiprodil, at varying concentrations depending on participant's weight.~The following dose-escalation regimen (twice daily \[BID\]) will be used:~Titration Period Visit 1 (Visit T1): Dose 1, Visit T2: Dose 2, Visit T3: Dose 3, Visit T4: Maintenance Dose.
Placebo_comparator: Placebo
Liquid suspension of placebo matching radiprodil oral suspension and dose-escalation regimen.
Related Therapeutic Areas
Sponsors
Leads: GRIN Therapeutics, Inc.
Collaborators: Aziende Chimiche Riunite Angelini Francesco S.p.A

This content was sourced from clinicaltrials.gov