RecruitingPhase 2NCT07219407

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

An Open-label, Long-term Study Evaluating RAP-219 in Adult Participants With Refractory Onset Seizures


Sponsor

Rapport Therapeutics Inc.

Enrollment

30 participants

Start Date

Dec 15, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a clinical research study for an investigational drug called RAP-219 in patients with Refractory Focal Epilepsy. This study is being conducted to determine RAP-219 Long- term safety and open-label antiseizure activity in patients with Refractory Focal Epilepsy.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria7

  • Completion of the associated parent study (RAP-219-FOS-201) treatment period with acceptable tolerability, per Investigator.
  • Diagnosis of refractory focal epilepsy
  • Stable RNS(c) system settings
  • A demonstrated history of compliance with RNS(c) system data interrogation and upload
  • Good overall health other than focal epilepsy, per Investigator.
  • BMI ≥ 18 kg/m\^2 and ≤ 45 kg/m\^2
  • Willing and able to adhere to all aspects of the protocol.

Exclusion Criteria3

  • Known of hypersensitivity to RAP-219
  • Any clinically unstable or serious medical, neurological (other than epilepsy), psychological, or behavioral problem; laboratory or ECG finding that would increase participant risk or should otherwise exclude the patient from participation, as assessed by Investigator
  • Pregnancy, lactation, or individuals of reproductive potential who do not agree to simultaneously use two effective birth-control methods

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Interventions

DRUGRAP-219

Participants will receive one RAP-219 0.125 mg capsule daily for 3 days followed by one 0.25mg tablet RAP-219 daily for 28 days, then one 0.75mg tablet daily for the remainder of the treatment period.


Locations(7)

Consultants in Epilepsy and Neurology, PLLC

Boise, Idaho, United States

Mayo Clinic

Rochester, Minnesota, United States

NYU Langone Comprehensive Epilepsy Center

New York, New York, United States

Cleveland Clinic Foundation

Cleveland, Ohio, United States

University of Pennsylvania - Department of Neurology

Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Baylor College of Medicine

Houston, Texas, United States

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NCT07219407


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