Clinical trial Recruiting at 18 sites Phase 3 Interventional Ages 3 to 12

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.

More Phelan-McDermid Syndrome trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages3 Years to 12 Years
SexAll
Enrollment160 (estimated)
SponsorNeuren Pharmaceuticals Limited
Industry-sponsored
Locations18 sites (Birmingham, Alabama and 17 other locations)
StatusRecruiting
StartedNovember 12, 2025
Main results expectedOctober 31, 2027
Study endsNovember 15, 2027
Registry record updatedSeptember 28, 2026
Trial IDNCT07281079 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

  • 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
  • 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

Similar studies

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

  • 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.

    Recruiting at 12 sites Phase 3 Neuren Pharmaceuticals Limited · Birmingham, Alabama and 11 other locations · NCT07593391

  • 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.

    Recruiting at 3 sites Phase 1/2 Jaguar Gene Therapy, LLC · Chicago, Illinois and 2 other locations · NCT06662188

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.