Head-to-head evidence
Azetukalner vs Opakalim
Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.
Epilepsy
Shared mechanism: Kv7 potassium channel · full Epilepsy pipeline
Azetukalner
Developed by Xenon Pharmaceuticals
NCT05614063 · Phase 3 · completed
This was a randomized, double-blind, placebo-controlled Phase 3 trial in 380 adults with focal epilepsy. Both azetukalner doses produced a significantly greater reduction in monthly seizure frequency than placebo, 25 mg: -53.2% vs -10.4%; 15 mg: -34.5% vs -10.4%, meeting the trial primary comparison.
Caveat: this result is taken from a company announcement or a news report of one, not from the trial registry or a peer-reviewed publication. Treat the figures as the sponsor's own statement, not as independently verified evidence.
Next expected readout: April 2027 · NCT05667142 (registry estimate)
Opakalim
Developed by Biohaven
No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.
Next expected readout: December 2026 · NCT06443463 (registry estimate)
Focal Onset Seizures
Shared mechanism: Kv7 potassium channel · full Focal Onset Seizures pipeline
Azetukalner
Developed by Xenon Pharmaceuticals
NCT05614063 · Phase 3 · completed
This was a randomized, double-blind, placebo-controlled Phase 3 trial in 380 adults with focal epilepsy. Both azetukalner doses produced a significantly greater reduction in monthly seizure frequency than placebo, 25 mg: -53.2% vs -10.4%; 15 mg: -34.5% vs -10.4%, meeting the trial primary comparison.
Caveat: this result is taken from a company announcement or a news report of one, not from the trial registry or a peer-reviewed publication. Treat the figures as the sponsor's own statement, not as independently verified evidence.
Opakalim
Developed by Biohaven
No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.
The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Azetukalner's landscape · Opakalim's landscape