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Neurological & Neuromuscular

SCN2A Encephalopathy Clinical Trials and Treatments

Also called SCN2A-DEE, SCN2A-Related Disorders, SCN2A Developmental and Epileptic Encephalopathy, SCN2A Epilepsy, SCN2A-Related Epilepsy, Nav1.2 Channelopathy, SCN2A Autism

Nerve cells talk to each other with electrical pulses, and those pulses depend on tiny doors in the cell membrane that let sodium in. SCN2A carries the instructions for one of those doors, a channel called Nav1.

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About SCN2A Encephalopathy

Nerve cells talk to each other with electrical pulses, and those pulses depend on tiny doors in the cell membrane that let sodium in. SCN2A carries the instructions for one of those doors, a channel called Nav1.2. A change in the gene can jam the door open, so the cell fires too easily, or stick it shut, so the cell cannot fire well enough. Those 2 faults produce 2 different conditions from the same gene. Gain-of-function changes cause early seizures and the brain injury that repeated seizures bring, which is what doctors mean by developmental and epileptic encephalopathy. Loss-of-function changes more often cause autism, intellectual disability and movement problems, with seizures arriving later if at all.

That split matters for treatment, and it is not something a genetic test report states on its own. Anti-seizure medicines that block sodium channels, such as phenytoin, carbamazepine, oxcarbazepine and lamotrigine, are considered contraindicated when the channel is underactive, so the functional effect of the variant shapes which medicines are safe to try. Families often need a neurologist or geneticist familiar with the specific variant to work out which side of the line their child falls on.

Many children with SCN2A encephalopathy need several seizure medicines at once. Feeding tubes, physical, occupational and speech therapy, and careful seizure monitoring are part of daily life for many families, and the risk of sudden unexpected death in epilepsy (SUDEP) is a conversation every care team should have.

Common Symptoms of SCN2A Encephalopathy

Recognizing the signs of SCN2A Encephalopathy early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Seizures beginning in the first days or months of life, often of several types and often hard to control
  • Developmental delay, or loss of skills a child had already gained
  • Autism or autism-like behavior, with or without seizures
  • Low muscle tone, feeding difficulty and trouble with balance or coordination
  • Abnormal movements such as stiffening, jerking or writhing
  • Intellectual disability, from mild to severe

Who SCN2A Encephalopathy Affects

SCN2A changes almost always arise new in the child (de novo) rather than being inherited, so there is usually no family history. The timing of the first seizure is a clue to the type: seizures before 3 months of age usually mean the channel is overactive (gain of function), while seizures after 3 months, or autism without seizures, more often mean it is underactive (loss of function) or has mixed effects. A milder form, self-limited infantile epilepsy, causes seizures between 3 and 20 months that stop within about a year with normal development. The FamilieSCN2A Foundation estimates that about 75% of cases are still undiagnosed because genetic testing for autism is not routine.

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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted SCN2A Encephalopathy Resources

Reputable organizations and medical references for learning more about SCN2A Encephalopathy, including disease registries, foundation resources, and clinical guidelines.

FDA decision ahead
The FDA is due to decide on Relutrigine (Praxis Precision Medicines) for SCN2A and SCN8A developmental and epileptic encephalopathies by December 27, 2026. Review extended 3 months from the original September date.
See all upcoming rare disease FDA decisions →

Active Clinical Trials for SCN2A Encephalopathy

Use this SCN2A Encephalopathy clinical trial finder to see the 2 studies recruiting patients in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for neurological & neuromuscular conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timeline

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

2 active trials worldwide
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RECRUITINGPHASE3Recently updatedNCT07019922

A Clinical Trial of Elsunersen in Pediatric SCN2A-DEE to Assess Efficacy and Safety

Intervention: 1mg elsunersen, 0.5mg elsunersen

Sponsor: Praxis Precision Medicines

A Multi-Center, Single-Arm Clinical Trial to Investigate the Efficacy and Safety of Elsunersen in Pediatric Participants with Early Onset SCN2A Developmental and Epileptic Encephalopathy

Ages 1 Day – 18 Years10 locations
Started Aug 2025Updated 2 months agoEst. Dec 2026 (~2 months)
RECRUITINGRecently updatedNCT01238250

Online Study of People Who Have Genetic Changes and Features of Autism: Simons Searchlight

Sponsor: Simons Searchlight

Simons Searchlight is an observational, online, international research program for families with rare genetic variants that cause neurodevelopmental disorders and may be associated with autism. Simons Searchlight collects medical, behavioral, learning, and developmental informati...

Ages not specified2 locations
Started Oct 2010Updated 2 months agoEst. Oct 2050 (~24y 1m)
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Active trial locations8 cities in the US

Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Patient Communities

Connect with other SCN2A Encephalopathy patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about SCN2A Encephalopathy treatments, clinical trial participation, and day-to-day disease management.

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Related Neurological & Neuromuscular Conditions

Other rare diseases in the neurological & neuromuscular category. Patients with SCN2A Encephalopathy may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Frequently Asked Questions About SCN2A Encephalopathy