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

NNZ-2591 in kids with Phelan-McDermid syndrome

Official title: A Phase 3 Open-label Extension Study to Investigate the Long-term Safety and Efficacy of Orally Administered NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome

Run by Neuren Pharmaceuticals Limited · NCT07593391 · Data updated 2026-11-12

This study tests whether NNZ-2591 is safe and helpful for children with Phelan-McDermid syndrome over a year.

More Phelan-McDermid Syndrome trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages3 Years to 12 Years
SexAll
Enrollment180 (estimated)
SponsorNeuren Pharmaceuticals Limited
Industry-sponsored
Locations12 sites (Birmingham, Alabama and 11 other locations)
StatusRecruiting
StartedJune 8, 2026
Main results expectedOctober 29, 2028
Study endsNovember 12, 2028
Registry record updatedNovember 9, 2026
Trial IDNCT07593391 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Pediatric participants aged 3 to 12 with Phelan-McDermid syndrome who completed the related prior studies and meet weight and scoring criteria without active regression.

Probably not a fit

Children with unstable treatments, uncontrolled seizures on more than two anticonvulsants, or certain concurrent medications may not benefit or participate.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 3, open-label extension study evaluating long-term safety, tolerability, and potential efficacy of NNZ-2591 in pediatric participants who previously completed related studies. Eligible children aged 3 to 12 with Phelan-McDermid syndrome will receive oral NNZ-2591 for 52 weeks, with a 2-week safety follow-up after the treatment period. Assessments focus on baseline characteristics, symptom severity, and ongoing safety monitoring across multiple centers. Prior participants from NEU-2591-PMS-301 and NEU-2591-PMS-001 are invited to enroll if eligible. The trial excludes unstable regimens and certain seizure-related medication scenarios to ensure safety.

Why it matters

Potential benefit: If successful, NNZ-2591 could provide continued symptom management and potential improvements for children with Phelan-McDermid syndrome.

How similar studies have gone: Previous studies in this program have informed safety and potential signals, and this extension aims to build on those findings.

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 for the antecedent study.
2. Participant must have completed all applicable study visits for the antecedent study in which they participated.
3. Body weight ≥ 10 kg at Screening/Baseline.
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. Participants with seizures must be controlled on no more than 2 anticonvulsant medications (not counting rescue medications).
3. 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.
4. 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.
5. Abnormal liver function laboratory results during the Screening period, as defined by the protocol
6. Abnormal QT interval on Screening ECG as defined by the protocol.

Where it's running

  • Neuren PMS-302 Site #116
    Birmingham, Alabama, United States
    Recruiting
  • Neuren PMS-302 Site#122
    Glendale, California, United States
    Recruiting
  • Neuren PMS-302 Site#103
    San Diego, California, United States
    Recruiting
  • Neuren PMS-302 Site#111
    San Rafael, California, United States
    Recruiting
  • Neuren PMS-302 Site#102
    Chicago, Illinois, United States
    Recruiting
  • Neuren PMS-302 Site#109
    Chevy Chase, Maryland, United States
    Recruiting
Show 6 more locations
  • Neuren PMS-302 Site#106
    Brookline, Massachusetts, United States
    Recruiting
  • Neuren PMS-302 Site#104
    Lexington, Massachusetts, United States
    Recruiting
  • Neuren PMS-302 Site#101
    New York, New York, United States
    Recruiting
  • Neuren PMS-302 Site#108
    Cincinnati, Ohio, United States
    Recruiting
  • Neuren PMS-302 Site#115
    Houston, Texas, United States
    Recruiting
  • Neuren PMS-302 Site#113
    Charlottesville, Virginia, United States
    Recruiting

Study contacts

Similar studies

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

  • NNZ-2591 for children with Phelan-McDermid syndrome

    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.

    Recruiting at 18 sites Phase 3 Neuren Pharmaceuticals Limited · Birmingham, Alabama and 17 other locations · NCT07281079

  • 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.