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Praxis Precision Medicines Inc. (PRAX): Next potential mid-cap growth story in biotech, led by >$10B market opportunity in essential tremor; Initiate at Buy, $447 PT
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Praxis Precision Medicines Inc. (PRAX): Next potential mid-cap growth story in biotech, led by >$10B market opportunity in essential tremor; Initiate at Buy, $447 PT
Goldman Sachs Praxis Precision Medicines Inc. (PRAX)
Exhibit 1: Summary of key pipeline
Development Stage Catalyst
Peak
Program Trial PoS Indication PC IND Ph1 Ph2 Ph3 Approved Event Timing
Sales ($M)
January
Ulixacaltamide NDA $4,780 90% Essential tremor PDUFA
29th, 2027
December
NDA $470 90% SCN2A/SCN8A DEE PDUFA
27th, 2026
Relutrigine
Ph3 $2,580 50% Broader DEEs Topline data 4Q26
Elsunersen Ph3 $530 65% SCN2A DEE Topline data 2027
Vormatrigine - NM Focal epilepsy
Total Opportunity $8,400
Source: Company data, Goldman Sachs Global Investment Research
Company overview
Praxis Precision Medicines, Inc. (PRAX) is a biopharmaceutical company leveraging the
genetics of epilepsy in pursuit of CNS (central nervous system) drug discovery and
development. PRAX has two drug discovery platforms - Cerebrum and Solidus - aimed
at discovering small molecules (Cerebrum) and antisense oligonucleotides or ASOs
(Solidus), which have produced 4 clinical candidates to-date (3 small molecules and 1
ASO). The company has recently transitioned toward commercial readiness, with two
PDUFA dates in the next several months.
Clinical pipeline assets
n Ulixacaltamide in essential tremor. PRAX’s lead program is ulixacaltamide, a
selective T-type calcium channel inhibitor, in essential tremor (ET), with
breakthrough designation (BTD) and a PDUFA date of January 29, 2027. The NDA
filing was based on Ph3 ESSENTIAL3 data, which was toplined in October 2025 and
presented at the American Academy of Neurology (AAN) meeting in April 2026. The
data showed a statistically significant 4.3 point improvement in the modified
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