Antioxidant Cocktail vs. Placebo for Rett Syndrome in Children and Teens
Official title: A Pilot Study of an Antioxidant Cocktail vs. Placebo in the Treatment of Children and Adolescents With Rett Syndrome
Run by Holland Bloorview Kids Rehabilitation Hospital · NCT04041713 · Data updated 2026-11-12
This study tests Rett-T, an antioxidant cocktail, to see if it can help core motor problems in girls and young women with Rett syndrome.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 2 Years to 21 Years |
| Sex | Women only |
| Enrollment | 35 (estimated) |
| Sponsor | Holland Bloorview Kids Rehabilitation Hospital Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | August 24, 2026 |
| Main results expected | December 30, 2027 |
| Study ends | December 30, 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT04041713 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are females aged 2–21 with a Rett syndrome diagnosis who are at least partially ambulatory and able to complete assessments.
✕Probably not a fit
Patients without Rett syndrome, those who are not ambulatory enough, or those with unstable concurrent treatments may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2 interventional study will evaluate the safety and potential benefit of Rett-T compared with placebo in female outpatients aged 2–21 with Rett syndrome. The investigational treatment is designed to support mitochondrial function and reduce oxidative stress, based on preclinical data suggesting improvements in motor and behavioral aspects. The trial will monitor safety through lab tests and adverse events, and explore biological markers related to safety and treatment response. Eligible participants should be ambulatory to some degree and able to complete assessments, with assent and parental consent required.
Why it matters
Potential benefit: If successful, Rett-T could become an approved treatment offering improved motor function for Rett syndrome.
How similar studies have gone: Preclinical work in Rett models showed mitochondrial and behavioral improvements with antioxidant strategies, supporting translation to humans, though clinical efficacy remains to be established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Female outpatients 2-21 years of age inclusive. 2. Diagnosis of Rett syndrome. 3. At least partially ambulatory (may need assistive device to take a step). 4. If already receiving stable interventions must meet the following criteria: * If already receiving stable concomitant medications or nutraceuticals affecting behaviour, must be on a stable dose during the preceding 1 month prior to Screening (with the exception of fluoxetine, where a period of 6 weeks is needed), and will not electively initiate new or modify ongoing medications for study duration. 5. Have normal laboratory test results at Screening/Baseline. If abnormal, the finding(s) must be deemed clinically insignificant by the Investigator. 6. Ability to complete assessments, fluency in English (parent/legal guardian; participant, if verbal). 7. Ability to obtain assent (if developmentally appropriate), as well as written informed consent from their parent(s)/legal guardian(s). Exclusion Criteria: 1. Pregnant females; sexually active females on inadequate birth control (extremely unlikely in this population). 2. Have another serious medical condition that, based on Investigator judgment, might interfere with the conduct of the study, confound interpretation of the study results, or endanger their own well-being. Have evidence or history of malignancy or any significant hematological, endocrine, cardiovascular (including any rhythm disorder), respiratory, renal, hepatic, or gastrointestinal disease, not including mild common pediatric diseases in these areas that are stable (e.g. mild asthma, constipation, etc.). 3. Have hypersensitivity to any components of Rett-T. 4. Have one or more of the following: HIV, HBV, HCV, hemophilia (bleeding problems, recent nose and brain injuries), drug abuse, immunity disorder, major depressive episode or psychosis. 5. Unable to tolerate venipuncture procedures for blood sampling. 6. Receiving concomitant medications/nutraceuticals that include any of the components of Rett-T. 7. Actively enrolled in another intervention study.
Where it's running
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Holland Bloorview Kids Rehabilitation Hospital
Toronto, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Evdokia Anagnostou, MD — Holland Bloorview Kids Rehabilitation Hospital
- Study coordinator: Faiza Khawaja
- Email: fkhawaja@hollandbloorview.ca
- Phone: 416 425 6220
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Auditory EEG and behavioral testing for people with Rett syndrome
This project will record noninvasive EEG while people with Rett syndrome and matched controls listen to simple sounds to see how their brains process sound.
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Fenfluramine HCl for Rett Syndrome in a Phase 3 study
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Daily oral vorinostat for girls and young women with Rett syndrome
This trial will try daily oral vorinostat at two escalating dose levels, using a four-week placebo baseline and an N-of-1 design so each participant serves as her own control, to see if the drug is safe and shows clinical or molecular benefit in girls and young women with typical Rett syndrome.
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Efficacy of Bionetide for treating Rett syndrome in females
This study is testing if an oral medication called Bionetide can help improve behavior and communication in girls and young women aged 5 to 20 with Rett syndrome.
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Assessing cognitive function in Rett syndrome patients receiving trofinetide treatment
This study is testing how well eye-tracking tasks can measure cognitive abilities in people with Rett syndrome who are starting treatment with trofinetide.
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Identifying biomarkers in Rett Syndrome
This study is trying to find specific brain signals in girls with Rett Syndrome to see how they differ from girls without the condition and how these signals relate to the severity of their symptoms over time.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.