NIH-funded research R21 grant

Medications to restore RAI1 in Smith-Magenis syndrome

Official title: Therapeutics that Correct the Underlying Cause of Smith-Magenis Syndrome (SMS)

Funded at Neurosant Therapeutics LLC · NIH-11136553 · Data updated 2026-11-12

This project explores medicines that might raise RAI1 levels to help children and teens with Smith-Magenis syndrome.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionNeurosant Therapeutics LLC
NIH-funded
Lab location1 site (San Marcos, United States)
Project startJuly 10, 2024
Project endJune 30, 2026
Funding year2025
Award (this year)$195,944
NIH project number5R21HD115076-02
Project IDNIH-11136553 on NIH RePORTER

Who could benefit from this research

Could help

This work is aimed at people with Smith-Magenis syndrome caused by a deletion or loss of one RAI1 allele, particularly children and adolescents who typically show symptoms.

Less likely to help

People whose symptoms are caused by conditions unrelated to RAI1 loss, or those without SMS, are unlikely to benefit from these specific compounds.

What this research studies

Researchers are testing a small library of compounds chosen because they increase RAI1 (RAI1) expression. They will use lab assays and animal models to see whether these compounds raise RAI1 and correct the downstream gene-expression changes caused by the RAI1 deletion. The team aims to show a pharmacologic approach can fix many of the transcriptomic defects linked to SMS. If the lab results are promising, these findings could guide the development of future treatments for people with SMS.

Why it matters

Potential benefit: If successful, this work could lead to drugs that restore RAI1 activity and improve neurodevelopmental symptoms in people with Smith-Magenis syndrome.

How similar studies have gone: This is early preclinical work; some gene-boosting approaches have shown promise in lab models but have had limited translation to people so far.

Where this research is happening

  • Neurosant Therapeutics LLC
    San Marcos, United States
    Active

Researchers

  • Principal investigator: Defrees, Shawn — Neurosant Therapeutics LLC
  • Study coordinator: Defrees, Shawn

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.