Asset profile

Bexicaserin

Small molecule

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Phase 3underway

Evidence outlook · registrational

Epilepsy: registrational readout pending

Entered Phase 3 on partial signal mid-stage evidence. Registrational readout expected around 2026-10-31.

PACIFIC (NCT05364021): The study randomized 52 participants to LP352 or matching placebo and masked participants, clinicians, investigators, and outcome assessors. Registry results were not posted at the time of grading; the key result shown was recovered from the cited external source.

Registered primary outcome of this phase 1b/2a is safety/tolerability; the seizure-frequency comparison shown is the sponsor-designated primary efficacy endpoint (no significance test reported; small randomized cohort). Since peer reviewed (Epilepsia 2026). 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.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 43 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Bexicaserin: this drugPhase 3Small moleculeSerotonin 5-HT2C receptor (agonist)
BrivaracetamApprovedSmall moleculeSynaptic vesicle glycoprotein 2A (SV2A)
Cannabidiol (Epidiolex)ApprovedSmall moleculeGPR55 / TRPV1 / adenosine transport (multi-target), cannabinoid
CarbamazepineApprovedSmall moleculeSodium channels
Cenobamate (Xcopri)ApprovedSmall moleculeSodium channels + GABA-A receptors
Clobazam (Onfi)ApprovedSmall moleculeGABA-A receptor
Clobazam (Sympazan)ApprovedSmall moleculeGABA-A receptor (benzodiazepine site)
DiastatApprovedCombinationGABA-A receptor
Diazepam (Valium)ApprovedSmall moleculeGABA-A receptor
Diazepam (Valtoco)ApprovedSmall moleculeGABA-A receptor
Divalproex Sodium (Depakote)ApprovedSmall moleculeGABAergic neurotransmission
Eslicarbazepine Acetate (Aptiom)ApprovedSmall moleculeVoltage-gated sodium channel
EthosuximideApprovedSmall moleculeT-type calcium channel
EverolimusApprovedSmall moleculemTOR kinase, mTOR (mTORC1) (inhibitor)
Ezogabine (Potiga)ApprovedSmall moleculeKv7 potassium channel
FelbamateApprovedSmall moleculeNMDA receptor (glycine site, antagonist)

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(3 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (2)
October 2026 (1)
Phase 3EpilepsyActive not recruiting
Est. primary completion 2026-10-31 · NCT06719141 · CT.gov ↗
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December 2026 (1)
Phase 3EpilepsyActive not recruiting
Est. primary completion 2026-12-31 · NCT06660394 · CT.gov ↗
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2027 (1)
November 2027 (1)
Phase 3EpilepsyEnrolling by invitation
Est. primary completion 2027-11-11 · NCT06908226 · CT.gov ↗
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.