Promising new drug targets seizures in rare GRIN disorder
NCT ID NCT07224581
First seen Jun 25, 2026 · Last updated Jul 17, 2026 · Updated 4 times
Summary
This study tests a drug called radiprodil in people with GRIN-related neurodevelopmental disorder, a rare genetic condition that often causes seizures and developmental delays. The trial includes two groups: one with frequent seizures and one with fewer or no seizures. Participants are randomly assigned to receive radiprodil or a placebo for 16 to 28 weeks, followed by an open-label phase where everyone can get the active drug. The goal is to see if radiprodil reduces seizures and improves other symptoms safely.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiprodil
- What this could lead to
- If successful, radiprodil could become the first targeted treatment to reduce seizures and improve daily function in people with GRIN-related neurodevelopmental disorder.
- What could go wrong
- This is an early-stage Phase 3 trial with only 100 participants, so results may not apply to everyone. The drug may cause side effects or fail to show clear benefit over placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Jul 2028
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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1 month to 18 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: 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. Exclusion Criteria: PART A, Participant: * Has clinically relevant medical, neurologic, or psychiatric condition and/or behavioral disorder (including those related to GRIN-NDD) that would preclude or jeopardize participant's safe participation or study drug administration or the conduct of the study according to the judgement of the investigator or sponsor. * Is receiving \>4 standard ASMs at screening * Has a body weight of less than 5 kg at screening Part B: \- Participant has clinically relevant medical, neurologic, or psychiatric condition and/or behavioral disorder (including those related to GRIN-NDD) that would preclude or jeopardize participant's safe participation of study drug administration or the conduct of the study according to the judgement of the investigator or sponsor.
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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
34 sites in 10 countries. 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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Azienda Ospedaliera Universitaria Meyer IRCCS
RECRUITINGFlorence, Viale Pieraccini, 24, Italy
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Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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CHU Toulouse - Hôpital Purpan
RECRUITINGToulouse, Cedex 9, France
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Centre Hospitalier Universitaire d'Angers (CHU Angers)
RECRUITINGAngers, 49933, France
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Child Neurology Consultants of Austin - South Austin
RECRUITINGAustin, Texas, 78757, United States
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Children's Hospital Colorado - Anschutz Medical Campus
RECRUITINGAurora, Colorado, 80045, United States
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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Children's National Hospital
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Cincinnati Children's Hospital Medical Center
NOT_YET_RECRUITINGCincinnati, Ohio, 45229, United States
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Columbia University - Harkness
RECRUITINGNew York, New York, 10032, United States
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Duke Health-Duke Children's Hospital & Health Center
RECRUITINGDurham, North Carolina, 27705, United States
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Erasmus MC (Erasmus Universitair Medisch Centrum Rotterdam)
RECRUITINGRotterdam, South Holland, Netherlands
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Great Ormond Street Hospital For Children NHS Foundation Trust
RECRUITINGLondon, G51 4TF, United Kingdom
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Hospices Civils De Lyon
RECRUITINGBron, 69677, France
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Hospital Sant Joan de Deus
RECRUITINGEsplugues de Llobregat, Barcelona, Spain
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Hôpital Necker Enfants Malades
RECRUITINGParis, 75743, France
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IRCCS Fondazione Istituto Neurologico Nazionale Casimiro Mondino
RECRUITINGPavia, Italy
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Institute of Polish Mother's Health Center (Instytut Centrum Zdrowia Matki Polki)
RECRUITINGLodz, 93-338, Poland
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Iowa Health Care - Pediatric Neurology & Specialty Clinic
RECRUITINGIowa City, Iowa, 52242, United States
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Klinik und Policlinik fur Kinder - und Jugendmedizin
RECRUITINGLeipzig, 04103, Germany
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Lucile Packard Children's Hospital
RECRUITINGPalo Alto, California, 94304, United States
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Nicklaus Children's Hospital
RECRUITINGMiami, Florida, 33155, United States
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Northeast Regional Epilepsy Group (NEREG) - Hackensack
RECRUITINGHackensack, New Jersey, 07601, United States
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Ospedale Pediatrico Bambino Gesu
RECRUITINGRoma, 00165, Italy
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Pediatric Neurology and Epilepsy
RECRUITINGWinter Park, Florida, 32789, United States
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Royal Hospital for Children Glasgow
RECRUITINGGlasgow, United Kingdom
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Seattle Children's Hospital
RECRUITINGSeattle, Washington, 98105, United States
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Sheffield Children's Hospital NHS Foundation Trust
RECRUITINGSheffield, South Yorkshire, United Kingdom
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The University of Texas Southwestern Medical Center (UTSW)
RECRUITINGDallas, Texas, 75390, United States
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UCLA Health - Ronald Reagan UCLA Medical Center
RECRUITINGLos Angeles, California, 90095, United States
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UTHealth Houston
RECRUITINGHouston, Texas, 77030, United States
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UZ Brussel
RECRUITINGBrussels, 1090, Belgium
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Universitatsmedizin Greifswald Klinik und Poliklinik fur Frauenheilkunde und Geburtshilfe
RECRUITINGGreifswald, Germany
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University Children's Hospital
RECRUITINGLjubljana, 1525, Slovenia