NNZ-2591 for children with Phelan-McDermid syndrome
Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of Orally Administered NNZ-2591 Compared With Placebo in Pediatric Participants With Phelan-McDermid Syndrome
Run by Neuren Pharmaceuticals Limited · NCT07281079 · Data updated 2026-11-12
This randomized, placebo-controlled trial will test whether NNZ-2591 helps children ages 3–12 with Phelan-McDermid syndrome over a 13-week treatment period.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 3 Years to 12 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Neuren Pharmaceuticals Limited Industry-sponsored |
| Locations | 18 sites (Birmingham, Alabama and 17 other locations) |
| Status | Recruiting |
| Started | November 12, 2025 |
| Main results expected | October 31, 2027 |
| Study ends | November 15, 2027 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT07281079 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children 3 to 12 years old with a documented disease-causing SHANK3 abnormality, weighing at least 10 kg, with a PMSA-S overall score ≥3 and not undergoing active regression are ideal candidates.
✕Probably not a fit
Patients who are actively regressing, on excluded or unstable medication regimens, or with uncontrolled seizures may not receive benefit or may be ineligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, double-blind, parallel-group (2-arm) trial compares orally administered NNZ-2591 to matching placebo in pediatric participants with genetically confirmed Phelan-McDermid syndrome. After a 4-week screening period to confirm eligibility and baseline measures, participants are randomized 1:1 to receive NNZ-2591 or placebo for 13 weeks, followed by a 2-week safety follow-up. Key eligibility includes ages 3–12, documented SHANK3 abnormality, body weight ≥10 kg, a PMSA-S overall score ≥3, and no active regression. The study monitors efficacy and safety outcomes across multiple clinical sites in the United States.
Why it matters
Potential benefit: If successful, NNZ-2591 could improve core symptoms and everyday functioning for children with Phelan-McDermid syndrome.
How similar studies have gone: Preclinical data and early-stage clinical work on NNZ-2591 suggested potential benefit, but this Phase 3 trial is the first large randomized test in pediatric Phelan-McDermid syndrome.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female pediatric participants with Phelan-McDermid syndrome ages 3 to 12 years (inclusive) at the time of signing the informed consent. 2. Clinical diagnosis of Phelan-McDermid syndrome with a documented disease-causing genetic abnormality of SHANK3. 3. Body weight ≥ 10 kg at Screening. 4. Participants with a PMSA-S overall score ≥ 3 at the Screening and Baseline visits. 5. Not actively undergoing regression or loss of skills. Exclusion Criteria: 1. Use of exclusionary medication or unstable treatment regimens of acceptable concomitant medications as required by the protocol. 2. Current treatment with more than 3 allowable psychotropic medications. 3. Participants with seizures must be controlled on no more than 2 anticonvulsant medications (not counting rescue medications). 4. Psychotropic medications or any other medication used for a chronic illness (not including antibiotics, pain relievers, anti-diarrheals, and laxatives) with doses and dosing regimen that have not been stable for at least 4 weeks before Screening. If the treatment was discontinued, the discontinuation must have occurred no fewer than 2 weeks before the start of Screening. 5. Any intercurrent seizures in the past 6 months and /or more than 1 seizure in the past 12 months. •A single febrile seizure in the 6 months prior to screening is allowable if no rescue medication was required. 6. Abnormal liver function laboratory results during the Screening period, as defined by the protocol 7. Abnormal QT interval on Screening ECG as defined by the protocol.
Where it's running
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Neuren PMS-301 Site #116
Birmingham, Alabama, United States Recruiting -
Neuren PMS-301 Site#122
Glendale, California, United States Recruiting -
Neuren PMS-301 Site #112
Palo Alto, California, United States Recruiting -
Neuren PMS-301 Site#103
San Diego, California, United States Recruiting -
Neuren PMS-301 Site#111
San Rafael, California, United States Recruiting -
Neuren PMS-301 Site #107
Washington D.C., District of Columbia, United States Recruiting
Show 12 more locations
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Neuren PMS-301 Site #105
Atlanta, Georgia, United States Recruiting -
Neuren PMS-301 Site#102
Chicago, Illinois, United States Recruiting -
Neuren PMS-301 Site#109
Chevy Chase, Maryland, United States Recruiting -
Neuren PMS-301 Site#106
Brookline, Massachusetts, United States Recruiting -
Neuren PMS-301 Site#104
Lexington, Massachusetts, United States Recruiting -
Neuren PMS-301 Site #117
Ann Arbor, Michigan, United States Recruiting -
Neuren PMS-301 Site#101
New York, New York, United States Recruiting -
Neuren PMS-301 Site#108
Cincinnati, Ohio, United States Recruiting -
Neuren PMS-301 Site#110
Columbus, Ohio, United States Recruiting -
Neuren PMS-301 Site#115
Houston, Texas, United States Recruiting -
Neuren PMS-301 Site #113
Charlottesville, Virginia, United States Recruiting -
Neuren PMS-301 Site#201
Toronto, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Medical Information Lead
- Email: medicalinformation@neurenpharma.com
- Phone: 231-203-8050
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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NNZ-2591 in kids with Phelan-McDermid syndrome
This study tests whether NNZ-2591 is safe and helpful for children with Phelan-McDermid syndrome over a year.
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Gene therapy for children and adults with SHANK3 haploinsufficiency
This study is testing a new gene therapy for children and possibly adults with SHANK3 haploinsufficiency to see if it is safe and helps improve their condition.
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.