Gene editing to correct common MECP2 mutations in Rett syndrome
Official title: Personalized MECP2 Gene Therapy Using CRISPR/Cas9 Technology Coupled to AAV-mediated Delivery in 3D Cell Culture and KI Mice
Run by University of Siena · NCT05740761 · Data updated 2026-11-12
This project will test CRISPR/Cas9 delivered with AAV to correct common MECP2 mutations in females with Rett syndrome using lab and animal work.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 6 Months and up |
| Sex | Women only |
| Enrollment | 40 (estimated) |
| Sponsor | University of Siena Academic / other |
| Locations | 1 site (Siena, Siena) |
| Status | Recruiting |
| Started | March 1, 2021 |
| Main results expected | November 1, 2025 |
| Study ends | March 1, 2026 |
| Registry record updated | August 20, 2025 |
| Trial ID | NCT05740761 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are females aged over 6 months with a genetic diagnosis confirming one of the specified recurrent MECP2 mutations (T158M, R168X, R255X, or R306C) and whose parents or legal guardians can provide informed consent.
✕Probably not a fit
Patients with no genetic confirmation, with MECP2 mutations other than the listed hotspots, males, or those unable or unwilling to consent are unlikely to benefit from this project, which is primarily preclinical.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The project aims to validate CRISPR/Cas9-based gene editing combined with AAV delivery to correct recurrent MECP2 mutations associated with Rett syndrome. Work includes in vitro experiments and in vivo validation in preclinical models. The research focuses on the most frequent MECP2 hotspot mutations and is conducted by a laboratory that is part of the European Reference Network ERN-ITHACA. The protocol is observational for patient-derived samples and experimental for laboratory and animal phases.
Why it matters
Potential benefit: If successful, the approach could correct the underlying MECP2 genetic defects and potentially restore normal gene function, which might reduce or prevent Rett-related symptoms.
How similar studies have gone: Similar gene-therapy and gene-editing approaches for MECP2 and other neurodevelopmental disorders have shown promising results in preclinical models, but clinical success in humans has not yet been demonstrated and MECP2 editing remains experimental.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients -exclusively female- since the pathology is linked to the X chromosome, with a clinical diagnosis of Rett syndrome confirmed at the genetic level by the identification, through NGS analysis, for one of the recurrent mutations (mutational hotspots) in the MECP2 gene object of the study: c. 473C\>T - (p.(T158M)), c.502C\>T (p(R168X)), c.763C\>T (p.(R255X)), c.916C\>T (p.(R306C)); * Age above 6 months; * Availability of parents or legal guardians to provide free and informed consent to participate in the study Exclusion Criteria: * NGS diagnosis with the normal outcome; * Positive NGS diagnosis for mutation in MECP2 but with the presence of a mutation different from those under study. * Unwillingness of parents or legal guardians to provide free and informed consent to participate in the study;
Where it's running
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University of Siena
Siena, Siena, Italy Recruiting
Study contacts
- Study coordinator: Ilaria Meloni, BS.PhD
- Email: ilaria.meloni@dbm.unisi.it
- Phone: +390577233259
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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.