Clinical trial Recruiting at 1 site Observational Ages 6 Months and up Women only

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 typeObservational
Ages6 Months and up
SexWomen only
Enrollment40 (estimated)
SponsorUniversity of Siena
Academic / other
Locations1 site (Siena, Siena)
StatusRecruiting
StartedMarch 1, 2021
Main results expectedNovember 1, 2025
Study endsMarch 1, 2026
Registry record updatedAugust 20, 2025
Trial IDNCT05740761 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

  • University of Siena
    Siena, Siena, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • 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.

    Recruiting University of Rochester · Rochester, New York · NCT07569445

  • Fenfluramine HCl for Rett Syndrome in a Phase 3 study

    This study tests whether fenfluramine hydrochloride helps people with Rett syndrome when compared to a placebo.

    Recruiting at 40 sites Phase 3 UCB Pharma · Little Rock, Arkansas and 39 other locations · NCT07503444

  • 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.

    Recruiting Phase 1 Unravel Biosciences, Inc. · Medellín · NCT07150013

  • 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.

    Recruiting at 18 sites Phase 3 Biomed Industries, Inc. · Phoenix, Arizona and 17 other locations · NCT06840496

  • 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.

    Recruiting University of Minnesota · Minneapolis, Minnesota · NCT06705816

  • 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.

    Recruiting at 6 sites Children's Hospital of Philadelphia · Los Angeles, California and 5 other locations · NCT05932589

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.