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**Zandatrigine** (also known as NBI-921352 or XEN901) is a highly selective small molecule inhibitor of the voltage-gated sodium channel **Nav1.6** (SCN8A), designed to reduce neuronal hyperexcitability and epileptic seizures. It demonstrates 134-756-fold selectivity over other sodium channel isoforms such as NaV1.1. Originally developed by Xenon Pharmaceuticals, it is now being advanced by Neurocrine Biosciences primarily for **SCN8A developmental and epileptic encephalopathy (SCN8A-DEE)**, a rare pediatric epilepsy, as an oral adjunctive therapy to existing anti-seizure medications.[1][2][3][5]
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