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Focal EpilepsyPhase 2/3RISE 2NCT06132893

A Study to Determine if BHV-7000 is Effective and Safe in Adults With Refractory Focal Onset Epilepsy

A Phase 2/3 study testing BHV-7000 in people with Focal Epilepsy, run by Biohaven Therapeutics Ltd. at 104 sites in 12 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether BHV-7000 is effective in the treatment of refractory focal epilepsy. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Focal Epilepsy
What is being tested?
BHV-7000
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
390 participants
Where
104 sitesin 12 countries
Study dates
14 Mar 2024to Dec 2026
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and Female participants 18 to 75 years of age at time of consent.
  • Diagnosis of Focal Onset Epilepsy at least 1 year prior to screening visit defined by 2017 International League Against Epilepsy (ILAE) Classification and based on requirements of Epilepsy Adjudication criteria.
  • Focal seizures i. Focal aware seizures with clinically observable signs and/or symptoms ii. Focal impaired awareness seizures iii. Focal to bilateral tonic-clonic seizures
  • Subject meets the 2009 ILAE definition of drug resistant epilepsy, failure of adequate trials of two tolerated and appropriately chosen and used anti-seizure medication (ASM) schedules (whether as monotherapies or in combination) to achieve sustained seizure freedom.
  • Ability to keep accurate seizure diaries
  • Current treatment with at least 1 and up to 3 ASMs and 4 epilepsy treatments in total

Who cannot join

  • History of status epilepticus (convulsive status epilepticus for > 5 minutes or focal status epilepticus with impaired consciousness for > 10 minutes) within the last 6 months prior to screening visit that is not consistent with the subject's habitual seizure.
  • History of repetitive/cluster seizures (where individual seizures cannot be counted) within the last 6 months prior to screening visit and during observation phase.
  • Resection neurosurgery for seizures <4 months prior to the screening visit.
  • Radiosurgery performed <2 years prior to the screening visit.
  • Subjects with only focal aware nonmotor seizures which involve subjective sensory or psychic phenomena only, without impairment of consciousness or awareness (formally called simple partial seizures), with or without ictal EEG correlation with clinical symptoms.
  • Any condition that would interfere with the subject's ability to comply with study instructions, place the subject at unacceptable risk, and/or confound the interpretation of safety or efficacy data from the study, as judged by the Investigator

Trial locations and contacts

104 sites in 12 countries.

104 sites in 12 countries

United States49 sites
  • Dent Neurosciences Research Center

    Amherst, New York, 14226

  • Augusta University

    Augusta, Georgia, 30912

  • University of Colorado Anschultz Medical Campus

    Aurora, Colorado, 80045

  • MAESC

    Bethesda, Maryland, 20817

  • EZR Research LLC

    Boca Raton, Florida, 33486

  • Consultants in Epilepsy & Neurology, PLLC

    Boise, Idaho, 83702

  • Nova Clinical Research, LLC

    Bradenton, Florida, 34209

  • NeuroScience Research Center

    Canton, Ohio, 44718

  • University of Virginia

    Charlottesville, Virginia, 22903

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Cincinnati

    Cincinnati, Ohio, 45267

  • OSU

    Columbus, Ohio, 43214

  • Neurology Consultants of Dallas, PA

    Dallas, Texas, 75243

  • Revive Research Institute, Inc.

    Elgin, Illinois, 60123

  • Tarrant Neurology Consultants

    Fort Worth, Texas, 76104

  • NEREG

    Hackensack, New Jersey, 07601

  • BCHP

    Hawthorne, New York, 10532

  • Hawaii Pacific Neuroscience

    Honolulu, Hawaii, 96817

  • University of Florida (Jacksonville)

    Jacksonville, Florida, 32209

  • University of California San Diego

    La Jolla, California, 92041

  • Bluegrass Epilepsy Research

    Lexington, Kentucky, 40504

  • Clinical Trials, Inc.

    Little Rock, Arkansas, 72205

  • Inst of Neurology

    Livingston, New Jersey, 07039

  • University of California, Los Angeles

    Los Angeles, California, 90095

  • University of Miami

    Miami, Florida, 33136

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Yale School of Medicine - Yale-New Haven Hospital

    New Haven, Connecticut, 06519

  • Northwell Health

    New York, New York, 10021

  • Stanford Health Care

    Palo Alto, California, 94304

  • Profound Research LLC

    Pasadena, California, 91105

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

  • UPMC

    Pittsburgh, Pennsylvania, 15213

  • Medsol Clinical Research Center

    Port Charlotte, Florida, 33952

  • Henrico Doctors Neurology Associates, LLC

    Richmond, Virginia, 23235

  • Carilion Clinic

    Roanoke, Virginia, 24011

  • Minnesota Epilepsy Group, P.A.

    Roseville, Minnesota, 55113

  • University of Utah

    Salt Lake City, Utah, 84132

  • UT Health San Antonio

    San Antonio, Texas, 78229

  • Road Runner Research, Ltd

    San Antonio, Texas, 78249

  • Javara

    Silver Spring, Maryland, 20901

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Stony Brook Medicine

    Stony Brook, New York, 11794

  • Santos Research Center

    Tampa, Florida, 33615

  • Center for Neurosciences

    Tucson, Arizona, 85718

  • Encore Medical Research of Weston LLC.

    Weston, Florida, 33331

  • Wake Forest Baptist

    Winston-Salem, North Carolina, 27157

  • Five Towns Neuroscience Research

    Woodmere, New York, 11598

Other trials in United States

Poland13 sites
  • Centrum Badan Klinicznych PI-House sp. z o.o.

    Gdansk, Pomeranian Voivodeship, 80-546

  • Copernicus Podmiot Leczniczy Sp. z o.o. - ul. Nowe Ogrody 1-6

    Gdansk, 80-803

  • Novo-Med Zielinski i wsp. Sp.J. - ul. Brynowska 44

    Katowice, 40-594

  • Pratia MCM Kraków

    Krakow, 30-727

  • LANDA Specjalistyczne Gabinety Lekarskie

    Krakow, 31-156

  • Santa Familia PTG Lodz

    Lodz, Lódzkie, 90-302

  • Clinical Best Solutions - Lublin

    Lublin, Lublin Voivodeship, 20-078

  • Twoja Przychodnia Nowosolskie Centrum Medyczne sp. z o.o

    Nowa Sól, Lubusz Voivodeship, 67-100

  • AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Poznaniu

    Poznan, Greater Poland Voivodeship, 60-702

  • NZOZ IGNIS dr med. Alicja Lobinska

    Świdnik, Lublin Voivodeship, 21-040

  • MTZ Clinical Research Powered by PRATIA - PPDS

    Warsaw, Masovian Voivodeship, 02-172

  • Neurosphera SP. Z O.O

    Warsaw, Masovian Voivodeship, 02-829

  • Instytut Psychiatrii i Neurologii

    Warsaw, Masovian Voivodeship, 02-957

Other trials in Poland

Argentina9 sites
  • Hospital General de Agudos Dr. José María Ramos Mejia

    Balvanera, Ciudad Autónoma de BuenosAires, C1221ADC

  • Hospital Británico de Buenos Aires

    Buenos Aires, Ciudad Autónoma de BuenosAires, C1437JCH

  • Sanatorio de la Trinidad - Mitre

    Buenos Aires, C1039AAO

  • Hospital Italiano de Buenos Aires

    Buenos Aires, C1181ACH

  • Fundación Para La Lucha Contra Las Enfermedades Neurológicas de La Infancia - FLENI

    Buenos Aires, C1428AQK

  • STAT Research S.A.

    Ciudad Autónoma de Buenos Aires, Buenos Aires, C1013AAB

  • Instituto Privado Kremer

    Córdoba, X5004AOA

  • Conci Carpinella - Santa Rosa N° 748

    Córdoba, X5008HHW

  • Investigaciones Sanatorio Del Sur

    San Miguel de Tucumán, Tucumán Province, T4000AXL

Other trials in Argentina

France9 sites
  • CHU Dijon Bourgogne

    Dijon, Côte-d'Or, 21000

  • CHU de Lille - Hopital Claude Huriez

    Lille, Nord, 59037

  • Hospices Civils de Lyon - 59 Bd Pinel

    Lyon, Rhône, 69003

  • CHU de Montpellier- Hôpital Gui De Chauliac

    Montpellier, Hérault, 34295

  • CHRU Nancy

    Nancy, Meurthe-et-Moselle, 54000

  • Hôpital Pontchaillou

    Rennes, 35033

  • CHU de Strasbourg - Hôpital de Hautepierre

    Strasbourg, Bas-Rhin, 67000

  • CHU de Toulouse-Hôpital Pierre-Paul Riquet-Site de Purpan

    Toulouse, Haute-Garonne, 31059

  • CHRU de Tours - Hôpital Bretonneau

    Tours, Indre-et-Loire, 37000

Other trials in France

Belgium5 sites
  • Hôpital Erasme

    Anderlecht, Brussels Capital, 1070

  • Cliniques Universitaires Saint-Luc

    Brussels, Brussels Capital, 1200

  • UZ Antwerpen

    Edegem, Antwerpen, 2650

  • UZ Gent

    Ghent, Oost-Vlaanderen, 9000

  • CHU UCL Namur - Site Godinne

    Yvoir, Namur, 5530

Other trials in Belgium

Chile5 sites
  • Hospital Padre Hurtado

    Santiago, Región-MetropolitanadeSantiago, 8260094

  • BIOCINETIC Ltda

    Santiago, Región-MetropolitanadeSantiago, 8320000

  • Centro de Investigacion Clinica UC

    Santiago, Región-MetropolitanadeSantiago, 8320000

  • Centro de especialidades médicas Vanguardia

    Temuco, Araucania, 4780000

  • Instituto Neurologico Thalamus

    Viña del Mar, Valparaiso, 2520021

Other trials in Chile

Austria4 sites
  • Kepler Universitätsklinikum Linz - Med Campus III

    Linz, Upper Austria, 4020

  • Christian Doppler-Klinik - Universitätsklinikum der PMU

    Salzburg, 5020

  • Universitätsklinikum St. Pölten

    Sankt Pölten, 3100

  • Medizinische Universitat Wien (Medical University of Vienna)

    Vienna, 1090

Other trials in Austria

Hungary4 sites
  • Budapesti Bajcsy-Zsilinszky Korhaz es Rendelointezet

    Budapest, 1106

  • SE INK Juhasz Pal Epilepszia Központ

    Budapest, 1145

  • Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus

    Debrecen, Hajdú-Bihar, 4031

  • Pécsi Tudományegyetem Klinikai Kozpont -Ret u.

    Pécs, Baranya, 7623

Other trials in Hungary

Netherlands3 sites
  • Stichting Epilepsie Instellingen Nederland - Heemstede

    Heemstede, North Holland, 2103 SW

  • Kempenhaeghe - PPDS

    Heeze, North Brabant, 5591 VE

  • Stichting Epilepsie Instellingen Nederland - Dokter Denekampweg 20

    Zwolle, Overijssel, 8025 BV

Other trials in Netherlands

Czechia1 site
  • Fakultni nemocnice u sv. Anny v Brne

    Brno, South Moravian, 602 00

Other trials in Czechia

Slovenia1 site
  • University Clinical Centre Maribor

    Maribor, 2000

Other trials in Slovenia

Switzerland1 site
  • Klinik Lengg AG

    Zurich, Zürich (de), 8008

Other trials in Switzerland

About this study

Official title: A Phase 2/3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Study to Evaluate the Efficacy, Safety and Tolerability of BHV-7000 in Subjects With Refractory Focal Onset Epilepsy

The purpose of this study is to determine whether BHV-7000 is effective in the treatment of refractory focal epilepsy.

Read the detailed description

This study has two parts, Part A and Part B. Part A is randomized 1:1:1 25 mg of BHV-7000, 50 mg of BHV-7000 or matching placebo. Part B is randomized 1:1 75mg BHV-7000 or matching placebo. Part B will start after Part A.

Conditions
Focal Epilepsy
Being tested
BHV-7000, Placebo
Keywords
Focal Epilepsy, Epilepsy, Seizure, Refractory Epilepsy, Partial Epilepsy
Medical subject headings
Epilepsies, Partial, Epilepsy, Seizures, Drug Resistant Epilepsy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BHV-7000Drug

    BHV-7000 25 mg. Participants will take blinded investigational product (IP) once daily

  • BHV-7000Drug

    BHV-7000 50 mg. Participants will take blinded investigational product (IP) once daily

  • PlaceboDrug

    Matching placebo taken once daily

  • BHV-7000Drug

    BHV-7000 75 mg. Participants willtake blinded investigational product(IP) once daily

  • PlaceboDrug

    Matching placebo taken once daily

Study groups in NCT06132893
Study groupRoleWhat they receive
BHV-7000 25 mg Part AExperimentalNot described
Receives: Drug: BHV-7000
BHV-7000 50 mg Part AExperimentalNot described
Receives: Drug: BHV-7000
Placebo Part APlacebo comparatorNot described
Receives: Drug: Placebo
BHV-7000 75 mg Part BExperimentalNot described
Receives: Drug: BHV-7000
Placebo Part BPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part B: Change from Baseline in 28-day average seizure frequency

    To compare the efficacy of each of 2 doses of BHV-7000 to placebo as an adjunctive therapy for refractory focal onset epilepsy as measured by the change from OP (observational phase) in 28-day average seizure frequency. The primary objective will be measured by comparing the observation phase (8 weeks) to the 12-week double-blind treatment phase.

    Measured: Baseline, Week 8 to Week 20 of Part B

  2. Part A: Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs.

    Measured: Week 8 to Week 20 of Part A

  3. Part A: Number of Participants With Clinically Significant Laboratory Abnormalities

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 and 4 laboratory abnormalities.

    Measured: Week 8 to Week 20 of Part A

Secondary outcomes (8)
  1. Part B: Percentage of Participants with at at least 50% reduction in seizure frequency per month

    To compare the efficacy of 2 dose strengths of BHV-7000 to placebo as adjunctive therapy for refractory focal onset epilepsy as measured by the proportion of subjects that have at least a 50% reduction in seizures per month (28 days). This objective will be measured by comparing the proportion of subjects with at least a 50% reduction in 28-day average seizure frequency over the course of the 12 week double-blind phase to the observation phase.

    Measured: Baseline, Week 8 to Week 20 of Part B

  2. Part B: Change from Baseline in 28-day average seizure frequency during first month of treatment

    To compare the efficacy of BHV-7000 to placebo during the first month of treatment. This objective will be measured by the change in log-transformed 28-day adjusted seizure frequency from observation phase over the first month of the double blind phase.

    Measured: Baseline, Week 8 to Week 12 of Part B

  3. Part B: Percentage of Participants with at at least 75% reduction in seizure frequency per month

    To compare the efficacy of BHV-7000 to placebo as measured by the proportion of subjects that have at least a 75% reduction in seizures per month (28 days). This objective will be measured by comparing the proportion of subjects with at least a 75% reduction in 28-day average seizure frequency over the course of the double-blind phase compared to the observation phase.

    Measured: Baseline, Week 8 to Week 20 of Part B

  4. Part B: Percentage of Participants with seizure freedom during DB Phase

    To compare the efficacy of BHV-7000 to placebo on seizure freedom (100% seizure reduction during the DB phase). This objective will be measured by proportion of subjects that are seizure free during the double-blind phase.

    Measured: Week 8 to Week 20 of Part B

  5. Part B: Change from baseline in 7-day adjusted seizure frequency during first week of treatment

    To compare the efficacy of BHV-7000 to placebo during the first week of treatment. This objective will be measured by the change in log-transformed 7-day adjusted seizure frequency from observation phase over the first week of the double-blind phase.

    Measured: Baseline, Week 8 to Week 9 of Part B

  6. Part B: Change from baseline in Patient Global Impression of Change (PGI-C)

    To compare the efficacy of BHV-7000 to placebo on the patient global impression of change (PGI-C). This objective will be measured by proportion of subjects at week 12 of double-blind treatment phase with a PGI-C response of "minimally improved", "much improved" or "very much improved". This scale is a 7-point Likert scale with response options of:

    (1) "very much improved" , (2) "much improved", (3) "minimally improved", (4) "no change", (5) "minimally worse", (6) "much worse", (7) and "very much worse"

    Measured: Baseline, Week 20 of Part B

  7. Part B: Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs.

    Measured: Week 8 to Week 20 of Part B

  8. Part B: Number of Participants With Clinically Significant Laboratory Abnormalities

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 and 4 laboratory abnormalities.

    Measured: Week 8 to Week 20 of Part B

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2023
  2. Study start14 Mar 2024
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
390 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06132893
Sponsor's protocol ID
BHV7000-302
Other IDs
2023-508539-30, 2023
Acronym
RISE 2
Status last verified
Sep 2026
First submitted
10 Nov 2023
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing BHV-7000 in people with Focal Epilepsy, run by Biohaven Therapeutics Ltd. at 104 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 104 sites in United States, Poland, Argentina, France, Belgium and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part B: Change from Baseline in 28-day average seizure frequency (time frame: Baseline, Week 8 to Week 20 of Part B). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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