Drug intelligence / Profile preview

elsunersen

Development stage
Phase 3
Lead developer
Praxis Precision Medicines
Modality
Antisense Oligonucleotides (ASOs) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Single-strand DNA → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Oligonucleotides → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics
Administration
Intrathecal
01

Overview

Elsunersen (formerly PRAX-222) is an antisense oligonucleotide (ASO) therapeutic being developed by Praxis Precision Medicines, in collaboration with Ionis Pharmaceuticals and RogCon, for the treatment of SCN2A developmental and epileptic encephalopathy (SCN2A-DEE). It is specifically designed to target and reduce the expression of the SCN2A gene and its encoded protein, the voltage-gated sodium channel Nav1.2. In patients with early-onset SCN2A-DEE, gain-of-function mutations lead to overactivity of Nav1.2, resulting in severe seizures and developmental delays. By lowering SCN2A mRNA and protein levels, elsunersen aims to restore balance to neuronal excitability and serve as a disease-modifying treatment. The drug is administered intrathecally and has received Orphan Drug and Rare Pediatric Disease designations from the FDA, as well as PRIME designation from the EMA.

Other names
PRAX-222PRAX222PRAX 222elsunersen
02

Targets

SCN2A (Voltage-gated sodium channel protein type 2 subunit alpha)

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