312 Participants NeededMy employer runs this trial

RAP-219 for Partial Seizures

(FOCUS 2 Trial)

Recruiting at 10 trial locations
RM
Overseen ByRapport Medical
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Rapport Therapeutics Inc.
Must be taking: Antiseizure medications
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, RAP-219, to determine if it can safely and effectively reduce the frequency of partial seizures in adults. Participants will receive either a low or medium dose of RAP-219 or a placebo (a harmless pill with no active drug). The trial seeks adults who have had focal epilepsy (a type of seizure that starts in one area of the brain) for at least two years, are currently taking 1-3 anti-seizure medications, and can track their seizures daily using an e-diary. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to the potential availability of a new treatment.

Will I have to stop taking my current medications?

The trial allows participants to continue taking between 1 and 3 antiseizure medications as maintenance. You won't need to stop your current antiseizure medications, but you should not be taking more than three.

Is there any evidence suggesting that RAP-219 is likely to be safe for humans?

Research has shown that RAP-219 is generally safe for people with focal seizures. Earlier studies found that most participants experienced only mild side effects and tolerated the medication well. Importantly, no reports of serious adverse effects emerged from the drug. While some minor issues might occur, RAP-219 is considered safe for most individuals. Overall, the evidence suggests that RAP-219 could be a promising option for those dealing with focal seizures.12345

Why do researchers think this study treatment might be promising for seizures?

RAP-219 is unique because it offers a novel approach to treating partial seizures with an oral tablet form, which might enhance convenience and adherence compared to some existing treatments that require more complex administration. Unlike the standard treatments that primarily modulate neurotransmitter activity, RAP-219 could potentially target a different mechanism, which might lead to improved control over seizures. Researchers are excited about RAP-219 as it could provide an alternative for those who do not respond well to current medications, possibly offering a new option with different side effect profiles.

What evidence suggests that RAP-219 might be an effective treatment for partial seizures?

Research has shown that RAP-219 may help treat focal seizures. In earlier studies, patients taking RAP-219 experienced a significant drop in seizures, with an average decrease of 77.8%. Notably, 24% of patients had no seizures at all over an 8-week period, and 72% of participants had at least a 50% reduction in seizure frequency. In this trial, participants will receive either a low or medium dose of RAP-219, or a placebo. These results suggest that RAP-219 could effectively reduce the number of focal seizures.12345

Who Is on the Research Team?

VV

Vicente Villaneuva, M.D., PhD

Principal Investigator

Hospital Universitari i Politecnic La Fe, Spain

Are You a Good Fit for This Trial?

This trial is for adults aged 18 to 75 who have had focal epilepsy for at least two years, are taking 1-3 daily seizure medications, and can keep accurate seizure records. Participants must have recent brain scans confirming their diagnosis.

Inclusion Criteria

Report from at least 1 brain MRI or CT scan and 1 EEG study, each completed within 10 years prior to Visit 1, consistent with focal epilepsy diagnosis
BMI 18-45 kg/m2
I take 1 to 3 daily antiseizure medications regularly.
See 3 more

Exclusion Criteria

Unstable or uncontrolled serious medical, neurologic (other than focal epilepsy), or psychiatric condition that is ongoing or considered likely to recur
Medical history of focal preserved consciousness without observable manifestations (focal aware nonmotor) as the participant's only seizure type
Participation in another clinical study of an investigational product within 12 weeks or 5 half-lives of this other investigational product
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Double-blind Treatment

Participants receive RAP-219 or placebo for 14 weeks to evaluate efficacy and safety

14 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

8 weeks

Open-label Extension

Participants may opt into the RAP-219-FOS-901 long-term safety study

What Are the Treatments Tested in This Trial?

Interventions

  • RAP-219

Trial Overview

The study tests RAP-219, a new drug, against a placebo to see if it safely reduces the number of focal seizures in adults. Participants are randomly assigned to receive either RAP-219 or a placebo.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Placebo Group

Group I: Active Arm-Low DoseExperimental Treatment1 Intervention
Group II: Active Arm- Medium DoseExperimental Treatment1 Intervention
Group III: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Rapport Therapeutics Inc.

Lead Sponsor

Trials
1
Recruited
20+

Citations

NCT07219407 | A Long-term Study of the Safety and ...

This study is being conducted to determine RAP-219 Long- term safety and open-label antiseizure activity in patients with Refractory Focal Epilepsy.

efficacy and tolerability of rap-219, a potential first-in-class ...

Recent analyses suggest a ≥30% reduction in long episodes (LEs) associated with a ≥50% reduction in clinical seizures (CSs)

RAP-219 Meets Primary End Point in Phase 2a Trial for ...

Patients treated with RAP-219 had a 77.8% reduction in clinical seizures, with 24% achieving seizure freedom over 8 weeks, potentially ...

RAP-219 for Partial Seizures · Info for Participants

In earlier studies, patients experienced a 77.8% reduction in seizures. Impressively, 24% of participants remained completely seizure-free for eight weeks.

A Long-term Study of the Safety and Effectiveness ...

This study is being conducted to determine RAP-219 Long- term safety and open-label antiseizure activity in patients with Refractory Focal ...