Xenon Reports Positive Phase 3 Data for Epilepsy Drug

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Xenon Pharmaceuticals says its experimental epilepsy drug azetukalner met the primary endpoint in a late-stage clinical trial in patients with focal onset seizures, paving the way for a planned U.S. regulatory filing later this year. Topline results from the Phase 3 X-TOLE2 study showed the drug significantly reduced seizure frequency compared with placebo when used as an add-on therapy. Patients receiving a 25-mg dose experienced a median 53.2% reduction in monthly seizure frequency from baseline, compared with a 10.4% reduction for placebo, it says. The 15-mg dose achieved a 34.5% reduction.

Xenon plans to submit an NDA in the third quarter seeking approval of azetukalner for focal onset seizures. If approved, the drug would be the only epilepsy treatment that works by opening KV7 potassium channels, a mechanism designed to reduce abnormal electrical activity in the brain, according to the company.

Safety findings were broadly consistent with previous studies, the company says. The most common side effects among patients taking azetukalner included dizziness, headache, somnolence and fatigue. Treatment discontinuations due to adverse events occurred in 14.5% of patients in the 25-mg group, 4.8% in the 15-mg group and 3.2% in the placebo arm.

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