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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 3 Years to 12 Years |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | Neuren Pharmaceuticals Limited Industry-sponsored |
| Locations | 12 sites (Birmingham, Alabama and 11 other locations) |
| Status | Recruiting |
| Started | June 8, 2026 |
| Main results expected | October 29, 2028 |
| Study ends | November 12, 2028 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07593391 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
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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
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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
- 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.
-
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.
-
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.