Rapport Therapeutics Receives FDA Clearance for RAP‑219 Phase 3 and Expands Epilepsy Pipeline

RAPP
January 07, 2026

Rapport Therapeutics received FDA clearance to advance its lead candidate, RAP‑219, into registrational Phase 3 trials for focal onset seizures, with the first cohort scheduled to begin in the second quarter of 2026. The clearance represents a significant acceleration from the company’s original timeline and removes a key regulatory hurdle that had previously delayed the program’s progression.

The company also announced a new Phase 3 program for primary generalized tonic‑clonic seizures, slated to start in the first half of 2027. By adding this indication, Rapport broadens the potential market for RAP‑219 beyond focal onset seizures, positioning the drug to address a larger share of drug‑resistant epilepsy patients and potentially capturing a multi‑billion‑dollar opportunity in the U.S. market.

In addition to the epilepsy expansion, Rapport confirmed that its Phase 2 bipolar mania study will continue enrolling patients, with topline results expected in the first half of 2027. The company also plans to initiate IND‑enabling activities for a long‑acting injectable formulation of RAP‑219 in the first quarter of 2026, a strategy aimed at improving patient adherence. The clinical hold on the diabetic peripheral neuropathic pain trial was lifted, although the company has chosen to defer further investment in that indication to focus resources on the epilepsy and bipolar programs.

Rapport’s cash balance of $513 million provides a runway that extends into the second half of 2029, giving the company ample time to fund the accelerated Phase 3 schedule and the new programs without immediate financing pressure. The strong balance sheet supports the company’s ability to sustain the intensified clinical development pace and to absorb the costs associated with the long‑acting injectable and bipolar mania studies.

CEO Abraham Ceesay emphasized that the FDA clearance “aligns with the robust Phase 2a data in focal onset seizures and confirms the multi‑billion‑dollar market potential for RAP‑219.” He added that expanding into primary generalized tonic‑clonic seizures and advancing the bipolar and injectable programs “strengthen our core epilepsy portfolio and reinforce our precision‑medicine approach to high‑unmet‑need indications.” The announcement has been well received by investors and analysts, who view the accelerated timeline and expanded pipeline as key drivers of future growth.

Overall, the FDA clearance and portfolio expansion signal a decisive shift in Rapport’s development strategy, moving the company from a promising early‑stage candidate to a company with a clear path toward a registrational product and a broader market footprint. The combination of regulatory approval, a robust financial position, and a diversified pipeline positions Rapport to capitalize on a significant share of the drug‑resistant epilepsy market while maintaining flexibility to pursue additional high‑potential indications.

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