Praxis Precision Medicines announces alignment with the FDA on its NDA submission plan for ulixacaltamide in essential tremor treatment.
Quiver AI Summary
Praxis Precision Medicines, Inc. has announced the successful completion of its pre-New Drug Application (NDA) meeting with the FDA, receiving positive feedback and confirming alignment on the NDA content, which is expected to be submitted in early 2026. The company is advancing its treatment for essential tremor, a common movement disorder affecting millions, for which current therapies are inadequate. Ulixacaltamide, a selective inhibitor of T-type calcium channels, aims to address inadequate treatment options for patients suffering from the condition. Praxis's CEO emphasized the significance of their discussions with the FDA and the opportunity to provide a much-needed therapy for those affected by essential tremor. With a diversified CNS portfolio, Praxis focuses on developing innovative therapies grounded in genetic insights.
Potential Positives
- Successful completion of the pre-NDA meeting with the FDA indicates positive momentum towards regulatory approval for ulixacaltamide.
- Alignment gained with the FDA on NDA content signals confidence in the drug’s development and potential market entry.
- Ulixacaltamide addresses a significant unmet medical need for essential tremor, which affects approximately seven million people in the U.S., representing a substantial commercial opportunity.
- Strong clinical results from the Essential3 program demonstrate that ulixacaltamide provides statistically significant improvements in daily functioning for patients suffering from essential tremor.
Potential Negatives
- While the company announced positive feedback from the FDA regarding its pre-NDA meeting, the expectation to submit the NDA in early 2026 suggests potential delays in bringing its product to market, which could impact their competitive positioning.
- The reliance on a single product (ulixacaltamide) as the most advanced program raises concerns about the company's diversification and resilience against potential setbacks in drug approval.
- The press release highlights the inadequacy of current treatment options, suggesting that significant patient need exists, which underscores the urgency for effective solutions that Praxis is yet to fully deliver.
FAQ
What is the recent FDA meeting about?
Praxis completed a pre-NDA meeting with the FDA, receiving feedback and aligning on NDA content for ulixacaltamide.
When does Praxis expect to submit its NDA?
Praxis anticipates completing its NDA submission in early 2026.
What is essential tremor and its prevalence?
Essential tremor (ET) is the most common movement disorder, affecting about seven million people in the U.S.
What is ulixacaltamide used for?
Ulixacaltamide is designed to treat essential tremor by blocking abnormal neuronal firing linked to tremors.
How does Praxis approach CNS disorder treatments?
Praxis utilizes genetic insights and its proprietary platforms to develop therapies for CNS disorders, including movement disorders and epilepsy.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
BOSTON, Dec. 04, 2025 (GLOBE NEWSWIRE) -- Praxis Precision Medicines , Inc. (NASDAQ: PRAX), a clinical-stage biopharmaceutical company translating genetic insights into the development of therapies for central nervous system (CNS) disorders characterized by neuronal excitation-inhibition imbalance, today announced the successful completion of its pre-NDA (New Drug Application) meeting with the FDA, including receipt of written feedback and an in-person meeting. Praxis has gained alignment from the agency on the content of the NDA and expects to complete its NDA submission in early 2026.
“We are very pleased with the collaborative discussions we recently had with the FDA and remain on track to submit Praxis’ first NDA in early 2026. Building on the strong momentum from the positive Essential3 program, where ulixacaltamide demonstrated statistically significant and clinically meaningful improvements in daily functioning, the FDA feedback moves us closer to delivering a much-needed therapy to the millions of people living with essential tremor who currently lack effective and safe treatment options,” said Marcio Souza, president and chief executive officer.
About Essential Tremor (ET)
Essential tremor is the most common movement disorder, affecting roughly seven million people in the United States alone, representing a multi-billion-dollar commercial opportunity. ET is characterized by involuntary rhythmic movement in the upper limbs, with or without tremor in other body locations such as the head, vocal cords, or legs. These tremors significantly disrupt daily living and are progressive in nature, with increases in tremor severity and amplitude commonly observed over the course of the disease. Propranolol, a beta-blocker, is the only approved pharmacotherapy for ET, offering limited efficacy and poor tolerability and is also contraindicated for comorbidities that affect a significant share of the ET population. Other beta blockers and anti-convulsants are used off-label, though similarly are characterized by limited efficacy and tolerability. The vast majority of patients are left without a treatment option, with an estimated minimum of 2 million patients seeking treatment. In a patient survey, up to 77% of patients felt their ET is inadequately controlled and up to 50% of patients are not receiving treatment. Similarly, U.S. neurologists surveyed indicated that 85% of their visits are for patients seeking treatment, and 40% of their patients are not receiving any treatment. These findings underscore the need for more effective treatments for ET.
About Ulixacaltamide
Ulixacaltamide is a differentiated and highly selective small molecule inhibitor of T-type calcium channels designed to block abnormal neuronal burst firing in the Cerebello-Thalamo-Cortical (CTC) circuit correlated with tremor activity. Ulixacaltamide is the most advanced program within Praxis’ Cerebrum™ small molecule platform.
About Praxis
Praxis Precision Medicines is a clinical-stage biopharmaceutical company translating insights from genetic epilepsies into the development of therapies for CNS disorders characterized by neuronal excitation-inhibition imbalance. Praxis is applying genetic insights to the discovery and development of therapies for rare and more prevalent neurological disorders through our proprietary small molecule platform, Cerebrum™, and antisense oligonucleotide (ASO) platform, Solidus™, using our understanding of shared biological targets and circuits in the brain. Praxis has established a diversified, multimodal CNS portfolio including multiple programs across movement disorders and epilepsy, with four clinical-stage product candidates. For more information, please visit
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Forward-Looking Statements
This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995 and other federal securities laws, including express or implied statements regarding Praxis’ future expectations, plans and prospects, including, without limitation, statements regarding the development of Praxis’ product candidates and the anticipated timing of regulatory submissions and interactions, as well as other statements containing the words “anticipate,” “believe,” “continue,” “could,” “endeavor,” “estimate,” “expect,” “anticipate,” “intend,” “may,” “might,” “plan,” “potential,” “predict,” “project,” “seek,” “should,” “target,” “will” or “would” and similar expressions that constitute forward-looking statements under the Private Securities Litigation Reform Act of 1995.
The express or implied forward-looking statements included in this press release are only predictions and are subject to a number of risks, uncertainties and assumptions, including, without limitation: uncertainties inherent in clinical trials; the expected timing of clinical trials, data readouts and the results thereof, and submissions for regulatory approval or review by governmental authorities; regulatory approvals to conduct trials; and other risks concerning Praxis’ programs and operations as described in its Annual Report on Form 10-K for the year ended December 31, 2024 and as updated in its Quarterly Report on Form 10-Q for the quarter ended June 30, 2025, as well as other filings made with the Securities and Exchange Commission. Although Praxis’ forward-looking statements reflect the good faith judgment of its management, these statements are based only on information and factors currently known by Praxis. As a result, you are cautioned not to rely on these forward-looking statements. Any forward-looking statement made in this press release speaks only as of the date on which it is made. Praxis undertakes no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future developments or otherwise.