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Actively Recruiting

Phase 2
Age: 18Years - 70Years
All Genders
ID07219407

Long-term Study of RAP-219 Safety and Effectiveness in Adults with Refractory Focal Seizures

Led by Rapport Therapeutics Inc. · Updated on 2026-01-23

30

Participants Needed

7

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating RAP-219, an investigational drug, for adults with refractory focal epilepsy, a condition involving difficult-to-control focal seizures. This open-label, multi-center study aims to assess the long-term safety, tolerability, how the drug behaves in the body, and its antiseizure activity in adults who have not responded well to previous treatments. Participants will receive RAP-219 starting with one 0.125 mg capsule daily for 3 days, then one 0.25 mg tablet daily for 28 days, followed by one 0.75 mg tablet daily for the rest of the treatment period. The study is open-label, meaning all participants know they are receiving RAP-219, and the treatment period may last up to 112 weeks with ongoing monitoring. During the study, participants will be regularly assessed for treatment-related side effects and seizure frequency compared to their baseline before treatment. Researchers will monitor seizure-free days, longest seizure-free intervals, and other seizure-related measures using clinical assessments and RNS system data. Safety will be tracked through adverse event reporting up to 8 weeks after the last dose. The total participation duration can be up to about 2 years, with ongoing evaluations throughout.

CONDITIONS

Brief Title

A Long-term Study of the Safety and Effectiveness of RAP-219 in Adults With Focal Onset Seizures

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Completed the treatment period of the related RAP-219 parent study with acceptable tolerability as assessed by the investigator
  • Diagnosed with refractory focal epilepsy
  • Stable Responsive Neurostimulation (RNS) system settings
  • History of compliance with RNS system data interrogation and upload
  • Generally good health aside from focal epilepsy, as determined by the investigator
  • Body mass index (BMI) between 18 and 45 kg/m^2
  • Willing and able to follow all aspects of the study protocol
Not Eligible

You will not qualify if you...

  • Known allergy or hypersensitivity to RAP-219
  • Any unstable or serious medical, neurological (other than epilepsy), psychological, or behavioral condition that increases risk or disqualifies participation, as assessed by the investigator
  • Pregnancy or breastfeeding, or unwillingness to use two effective birth control methods if of reproductive potential

Research Team

D

Daniela Moreno

B

Beth Bowers

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