Core Insights - Praxis Precision Medicines announced positive results from two pivotal Phase 3 Essential3 studies of ulixacaltamide HCl in essential tremor, with a pre-NDA meeting with the FDA scheduled for Q4 2025 [1][2] - The company plans to accelerate the development of relutrigine for SCN2A and SCN8A developmental and epileptic encephalopathies (DEE) after a comprehensive Type B meeting with the FDA [1][2] - Recruitment for the POWER1 study of vormatrigine in focal onset seizures has been completed, with topline results expected in the first half of 2026, while the POWER2 study has commenced [1][2] Clinical Development Updates - Ulixacaltamide demonstrated significant improvements in symptoms for essential tremor, with a mean improvement of 4.3 points in the modified Activities of Daily Living 11 (mADL11) at Week 8 [3][4] - The first study met all primary and secondary endpoints, while the second study showed 55% of patients on ulixacaltamide maintained their response compared to 33% on placebo [3][4] - Vormatrigine showed a 56.3% median reduction in seizure frequency in the RADIANT study, with 22% of patients achieving a 100% reduction in the last 28 days [4][15] Financial Overview - As of September 30, 2025, Praxis had $389.2 million in cash and marketable securities, down from $469.5 million at the end of 2024, primarily due to cash used in operating activities [6][7] - The company completed a public offering in October 2025, generating net proceeds of approximately $567 million, expected to fund operations into 2028 [7][8] - Research and development expenses increased to $65.8 million for Q3 2025, up from $41.9 million in Q3 2024, largely due to investments in the Cerebrum™ platform [9][10] Market Position and Future Prospects - Praxis is positioned to establish itself as a leader in innovative therapies for CNS disorders, with multiple clinical-stage product candidates across movement disorders and epilepsy [2][18] - The company is on track to nominate development candidates for early-stage antisense oligonucleotide (ASO) therapeutic initiatives in the first half of 2026 [13][18] - The EMBOLD study for relutrigine is expected to provide substantial evidence for NDA submission in early 2026, contingent on a successful interim analysis [4][16]
Praxis Precision Medicines Provides Corporate Update and Reports Third Quarter 2025 Financial Results