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Hepatic ImpairmentPhase 1NCT07457229

Radiprodil in Participants With Hepatic Impairment

A Phase 1 study testing Radiprodil in people with Hepatic Impairment, run by GRIN Therapeutics, Inc. at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This Phase 1, open-label study will evaluate the pharmacokinetics (PK), safety, and tolerability of a single oral dose of radiprodil in adults with varying degrees of hepatic impairment compared with healthy participants. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Hepatic Impairment
What is being tested?
Radiprodil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
2 sitesUnited States
Study dates
3 Mar 2026to Aug 2027
Phase
Phase 1
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or female participants aged 18 to 75 years, inclusive, at Screening.
  • Body mass index (BMI) within the range specified in the protocol.
  • Participants with hepatic impairment must have stable mild (Child-Pugh Class A), moderate (Child-Pugh Class B), or severe (Child-Pugh Class C) hepatic impairment, as applicable to cohort assignment.
  • Healthy participants must be medically healthy with no clinically significant abnormalities as determined by the investigator.
  • Participants must be willing and able to comply with all study procedures and confinement requirements.
  • Participants of childbearing potential must agree to use highly effective contraception methods as defined in the protocol.
  • Participants must provide written informed consent prior to any study procedures

Who cannot join

  • History or presence of clinically significant medical conditions that could interfere with study participation or interpretation of results.
  • Positive test for drugs of abuse, alcohol, or cotinine (where applicable) at Screening or check-in.
  • Positive serology for HIV, hepatitis B surface antigen, or hepatitis C virus.
  • Clinically significant abnormal laboratory values, vital signs, or ECG findings at Screening or Day -1, as judged by the investigator.
  • Use of prohibited concomitant medications or substances that may interfere with radiprodil metabolism.
  • Pregnant or breastfeeding women.
  • Participation in another clinical study or receipt of an investigational product within the protocol-specified timeframe prior to dosing.
  • Any condition that, in the opinion of the investigator or sponsor, would make participation not in the best interest of the participant or could confound study results.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Aneeta Saxena contact

United States2 sites, 2 recruiting
  • Epic Medical Research

    DeSoto, Texas, 75115

    Ketul Shah, CRC, 979-344-1980, kshah@epicmedresearch.com

    Haresh Boghara, MD

    Recruiting
  • Texas Liver Institute

    San Antonio, Texas, 78215

    Bryan Bernal, CRC, (210) 572-4986, bbernal@txliver.com

    Eric Lawtiz, MD

    Recruiting

Other trials in United States

About this study

Official title: Phase 1, Open-Label Study to Assess the Pharmacokinetics, Safety, and Tolerability of Radiprodil in Hepatically Impaired Participants

This Phase 1, open-label study will evaluate the pharmacokinetics (PK), safety, and tolerability of a single oral dose of radiprodil in adults with varying degrees of hepatic impairment compared with healthy participants. Radiprodil is being developed as a potential treatment for GRIN-related neurodevelopmental disorders, tuberous sclerosis complex, and focal cortical dysplasia.

Approximately 40 adults aged 18 to 75 years will be enrolled into five cohorts based on liver function (mild, moderate, or severe hepatic impairment) or healthy status. Participants will receive a single 15 mg oral dose of radiprodil and remain in the clinical research unit for intensive PK and safety monitoring through Day 6.

The primary objective is to characterize the PK profile of radiprodil in participants with hepatic impairment compared with healthy participants. Safety and tolerability will also be assessed. Results from this study will help determine whether dose adjustments are needed in individuals with impaired liver function.

Read the detailed description

This is a Phase 1, open-label, two-arm study designed to assess the pharmacokinetics (PK), safety, and tolerability of a single oral dose of radiprodil in adults with varying degrees of hepatic impairment compared with matched healthy participants.

Up to 40 participants aged 18 to 75 years will be enrolled across five cohorts. Participants will include individuals with mild (Child-Pugh Class A), moderate (Child-Pugh Class B), or severe (Child-Pugh Class C) hepatic impairment, as well as healthy participants matched for age, sex, and body mass index where feasible.

The study consists of a Screening Period (Days -28 to -2), check-in on Day -1, and a Treatment Period. Participants will be confined to the clinical research unit from Day -1 through completion of study assessments on Day 6. On Day 1, all participants will receive a single oral dose of radiprodil 15 mg administered as an oral suspension.

Serial blood samples will be collected to determine plasma concentrations of radiprodil and its major metabolites. Key PK parameters include area under the concentration-time curve (AUC), maximum observed concentration (Cmax), time to maximum concentration (Tmax), terminal half-life (t½), apparent clearance (CL/F), and apparent volume of distribution (Vz/F).

Safety and tolerability will be evaluated throughout the study by monitoring adverse events, vital signs, electrocardiograms, clinical laboratory tests, physical examinations, and Columbia Suicide Severity Rating Scale assessments.

Hepatic impairment can alter the metabolism and exposure of many drugs. Because radiprodil is primarily eliminated via hepatic metabolism, this study is intended to characterize the effect of liver impairment on radiprodil exposure and to inform potential dosing recommendations for future clinical use.

Being tested
Radiprodil
Keywords
Hepatic impairment, Radiprodil

What participants receive

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

  • RadiprodilDrug

    Also called RGH-896, Radiprodil oral suspension

    Radiprodil will be administered as a single oral dose of 15 mg (2.0 mL of 7.5 mg/mL oral suspension) on Day 1 under fed conditions. Participants will fast overnight for at least 10 hours prior to dosing and consume a standard breakfast approximately 30 minutes before administration. Study drug will be administered with approximately 240 mL of water. All participants across cohorts will receive the same single-dose regimen.

Study groups in NCT07457229
Study groupRoleWhat they receive
Mild Hepatic ImpairmentExperimentalParticipants with mild hepatic impairment (Child-Pugh Class A).
Receives: Drug: Radiprodil
Moderate Hepatic ImpairmentExperimentalParticipants with moderate hepatic impairment (Child-Pugh Class B).
Receives: Drug: Radiprodil
Healthy Participants (Matched to Mild/Moderate)ExperimentalHealthy participants matched to the mild and moderate hepatic impairment cohorts by age, sex, and body mass index where feasible.
Receives: Drug: Radiprodil
Severe Hepatic ImpairmentExperimentalParticipants with severe hepatic impairment (Child-Pugh Class C).
Receives: Drug: Radiprodil
Healthy Participants (Matched to Severe)ExperimentalHealthy participants matched to the severe hepatic impairment cohort by age, sex, and body mass index where feasible.
Receives: Drug: Radiprodil

What is being measured

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

  1. Area Under the Plasma Concentration-Time Curve from Time 0 to Time of Last Quantifiable Concentration (AUClast) of Radiprodil

    Plasma AUClast of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  2. Area Under the Plasma Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of Radiprodil

    Plasma AUCinf of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  3. Maximum Observed Plasma Concentration (Cmax) of Radiprodil

    Plasma Cmax of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  4. Time to Maximum Observed Plasma Concentration (Tmax) of Radiprodil

    Plasma Tmax of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  5. Time Before First Quantifiable Plasma Concentration (Tlag) of Radiprodil

    Plasma Tlag of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  6. Apparent Total Body Clearance (CL/F) of Radiprodil

    Apparent total body clearance of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  7. Apparent Volume of Distribution Based on the Terminal Phase (Vz/F) of Radiprodil

    Apparent volume of distribution of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  8. Terminal Elimination Half-Life (t½) of Radiprodil

    Plasma terminal elimination half-life of radiprodil following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

Secondary outcomes (23)
  1. Area Under the Plasma Concentration-Time Curve from Time 0 to Time of Last Quantifiable Concentration (AUClast) of FBPO

    Plasma AUClast of the radiprodil major metabolite FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  2. Area Under the Plasma Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of FBPO

    Plasma AUCinf of FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  3. Maximum Observed Plasma Concentration (Cmax) of FBPO

    Plasma Cmax of FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  4. Time to Maximum Observed Plasma Concentration (Tmax) of FBPO

    Plasma Tmax of FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  5. Time Before First Quantifiable Plasma Concentration (Tlag) of FBPO

    Plasma Tlag of FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  6. Terminal Elimination Half-Life (t½) of FBPO

    Plasma terminal half-life of FBPO following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  7. Area Under the Plasma Concentration-Time Curve from Time 0 to Time of Last Quantifiable Concentration (AUClast) of ORR-S

    Plasma AUClast of the radiprodil major metabolite ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  8. Area Under the Plasma Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of ORR-S

    Plasma AUCinf of ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  9. Maximum Observed Plasma Concentration (Cmax) of ORR-S

    Plasma Cmax of ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  10. Time to Maximum Observed Plasma Concentration (Tmax) of ORR-S

    Plasma Tmax of ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  11. Time Before First Quantifiable Plasma Concentration (Tlag) of ORR-S

    Plasma Tlag of ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  12. Terminal Elimination Half-Life (t½) of ORR-S

    Plasma terminal half-life of ORR-S following a single oral dose in participants with varying degrees of hepatic impairment and healthy participants.

    Measured: Day 1 (pre-dose) through Day 6 (120 hours post-dose)

  13. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Incidence of treatment-emergent adverse events following a single oral dose of radiprodil, summarized by system organ class and preferred term.

    Measured: Day 1 through Day 6 (120 hours post-dose)

  14. Number of Participants With Serious Adverse Events (SAEs)

    Incidence of serious adverse events following a single oral dose of radiprodil.

    Measured: Day 1 through Day 6 (120 hours post-dose)

  15. Number of Participants With Adverse Events Leading to Discontinuation

    Incidence of participants who discontinue the study due to an adverse event following a single oral dose of radiprodil.

    Measured: Day 1 through Day 6 (120 hours post-dose)

  16. Change From Baseline in Systolic Blood Pressure (mmHg)

    Change from baseline in systolic blood pressure following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  17. Change From Baseline in Diastolic Blood Pressure (mmHg)

    Change from baseline in diastolic blood pressure following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  18. Change From Baseline in Heart Rate (beats per minute)

    Change from baseline in heart rate following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  19. Change From Baseline in Respiratory Rate (breaths per minute)

    Change from baseline in respiratory rate following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  20. Change From Baseline in Body Temperature (°C)

    Change from baseline in body temperature following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  21. Change From Baseline in QT Interval Corrected Using Fridericia's Formula (QTcF) (milliseconds)

    Change from baseline in QT interval corrected using Fridericia's formula (QTcF) following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  22. Number of Participants With Clinically Significant Laboratory Abnormalities

    Incidence of participants with laboratory values meeting predefined criteria for clinical significance across hematology, serum chemistry, coagulation, and urinalysis following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

  23. Change From Baseline in Columbia-Suicide Severity Rating Scale (C-SSRS) Score

    Change from baseline in Columbia-Suicide Severity Rating Scale (C-SSRS) score following a single oral dose of radiprodil.

    Measured: Baseline (Day -1) through Day 6 (120 hours post-dose)

Timeline

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

  1. First posted9 Mar 2026
  2. Study start3 Mar 2026
  3. Primary completionMay 2027 (estimated)
  4. Study completionAug 2027 (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 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Participants will be assigned to parallel cohorts based on hepatic function (mild, moderate, or severe hepatic impairment) or healthy status. All participants will receive a single oral dose of radiprodil 15 mg. Healthy participants will be enrolled to match hepatically impaired cohorts by age, sex, and body mass index where feasible. Cohorts will be initiated sequentially following Safety Review Committee review of available safety and pharmacokinetic data, but participants will not cross over between cohorts.
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07457229
Sponsor's protocol ID
RAD-GRIN-505
Status last verified
May 2026
First submitted
26 Feb 2026
Last updated
8 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Radiprodil in people with Hepatic Impairment, run by GRIN Therapeutics, Inc. at 2 sites in United States.

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 7 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 8 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Contact Laura Bardell (+1-877-225-0014, ClinicalTrials@GrinTherapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Plasma Concentration-Time Curve from Time 0 to Time of Last Quantifiable Concentration (AUClast) of Radiprodil (time frame: Day 1 (pre-dose) through Day 6 (120 hours post-dose)). The study lists 8 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 8 May 2026.

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