New epilepsy drug aims to cut brief staring spells in half
NCT ID NCT06769659
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether an experimental drug called NPT 2042 can reduce the number and length of absence seizures (brief staring spells) in people aged 16-75 with genetic generalized epilepsy. Each participant will receive both the drug and a placebo in random order, with a two-week break in between. The trial is small (12 people) and is currently recruiting.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 12 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subject is capable of and provides consent/assent, and the study participant's parent/legal representative/caregiver provides signed informed consent for minor study participants, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) 2. Subject is aged 16-75 years at the time of consent/assent 3. Subject is diagnosed with genetic generalized epilepsy with absence seizures (consistent with the International League Against Epilepsy (ILAE) Classification of Seizures (2017)) 4. Subject has electroencephalogram (EEG) evidence of bilateral synchronous generalized paroxysmal spike-wave (2.5 Hz to 6 Hz) bursts lasting 3 seconds or more at least 4 times on the screening 72-hour ambulatory EEG. 5. Subject has been on a stable dose of at least one antiseizure medication (ASM) for at least 30 days. Vagal nerve stimulation at stable settings (for at least 30 days before screening), without use of the magnet, is also acceptable. 6. Subject has normal cognition and no clinically significant abnormalities on neurological examination at screening in the opinion of the Investigator 7. Subject is in otherwise good health (with the exception of epilepsy), as determined by the investigator, and as documented in the medical history, physical examination, and screening laboratory investigations 8. Subject has a body mass index (BMI) between 18 and 40 kg/m2 inclusive, at screening 9. Female subjects of child-bearing potential and all men agree to use of highly effective methods of contraception during the study and for 28 days after last dose of study drug 10. Subject (and parent/caregiver, if applicable) is able to communicate with the investigator and to understand and comply with all study requirements, including the clinic visit schedule Exclusion Criteria: 1. Subject has metabolic or mitochondrial encephalopathies, seizures associated with structural abnormalities, or infection-related seizures. 2. Subject has a developmental epileptic encephalopathy (e.g. Lennox-Gastaut syndrome) 3. Subject has a history of convulsive status epilepticus within the past year. 4. Subject has a history of surgical intervention for treatment of epilepsy 5. Subject has a history of nonepileptic seizures (e.g., metabolic, structural, or paroxysmal non epileptic seizures) 6. Subject has severe intellectual disability, severe autism spectrum disorder, or severe developmental disorder such that the subject cannot consent or assent to participate or cannot cooperate with the study procedures 7. Female subject who is pregnant or lactating 8. Subject has any clinically significant laboratory abnormality which, in the opinion of the investigator, will exclude the subject from the study 9. Subject has an active CNS infection, demyelinating disease, degenerative neurological disease, or any CNS disease deemed to be progressive during the course of the study that may confound the interpretation of the study results 10. Subject has any clinically significant psychiatric illness, psychological or behavioral problems which, in the opinion of the investigator, would interfere with the subject's ability to participate in the study, including but not limited to the following: 1. Subject has active suicidal ideation prior to study entry as indicated by a positive response ("yes") to either Question 4 or Question 5 of the Columbia Suicide Severity Rating Scale (C-SSRS) 2. Study participant has a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt) 11. Subject is suffering from clinically significant active liver disease, porphyria or has a family history of severe hepatic dysfunction indicated by abnormal liver function tests greater than three times the upper limit of normal (AST and ALT) 12. Subject has a DSM-V diagnosis of alcohol or drug abuse, or drug addiction within the past 12 months 13. Subject has participated in any other trials involving an investigational product or device within 30 days of screening or longer, as required by local regulations 14. Subject is currently using prohibited medications or products 15. Subject is unable to complete ingestion of four placebo SGCs with a minimum of eight ounces of water at screening 16. Subject (and parent/caregiver, if applicable) has daily commitments during the study duration that would interfere with attending all study visits 17. Positive urine drug test for substance of abuse or illegal recreational substances at screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Clinical Trials, Inc. (CTI)
RECRUITINGLittle Rock, Arkansas, 77205, United States
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Other studies related to the condition(s) this trial covers.
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