A Study of NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome

Purpose

This Phase 3, randomized, double-blind, parallel-group (2-arm), placebo-controlled, multicenter study will evaluate the efficacy and safety of NNZ-2591 compared to placebo in pediatric participants with Phelan- McDermid Syndrome.

Condition

  • Phelan-McDermid Syndrome

Eligibility

Eligible Ages
Between 3 Years and 12 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

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.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Phase 3, randomized, double-blind, parallel-group (2-arm), placebo-controlled, multicenter study
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) This is a double-blind study in which pediatric participants, caregivers, investigators, and the sponsor are blinded to study drug for the duration of study. Dose escalation, dose modification, and treatment discontinuation will be performed in a blinded manner.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
NNZ-2591 Arm
The total duration of this study for each participant will be up to approximately 17 to 19 weeks. Participants will be randomized in a 1:1 ratio to receive orally administered NNZ-2591 during the 13-week Treatment Period.
  • Drug: NNZ-2591
    The study drug will be administered twice daily orally.
Placebo Comparator
Placebo Arm
The total duration of this study for each participant will be up to approximately 17 to 19 weeks. Participants will be randomized in a 1:1 ratio to receive orally administered placebo matching NNZ-2591 during the 13-week Treatment Period.
  • Drug: Placebo
    The study drug will be administered twice daily orally.

Recruiting Locations

Neuren PMS-301 Site#111
San Rafael, California 94903
Contact:
medicalinformation@neurenpharma.com
231-203-8050
medicalinformation@neurenpharma.com

Neuren PMS-301 Site#109
Chevy Chase, Maryland 20815
Contact:
medicalinformation@neurenpharma.com
231-203-8050
medicalinformation@neurenpharma.com

Neuren PMS-301 Site#101
New York, New York 10029
Contact:
medicalinformation@neurenpharma.com
231-203-8050
medicalinformation@neurenpharma.com

More Details

Status
Recruiting
Sponsor
Neuren Pharmaceuticals Limited

Study Contact

Medical Information Lead
231-203-8050
medicalinformation@neurenpharma.com

Detailed Description

After providing informed consent/assent, pediatric participants with Phelan-McDermid syndrome ages 3-12 years of age will enter the 4-week Screening Period and undergo assessments for eligibility, baseline characteristics and symptom severity. Once eligibility is confirmed, participants will be randomized in a 1:1 ratio to receive either orally administered NNZ-2591 or matching placebo during the 13-week Treatment Period. Subsequently, a 2-week safety follow-up period will occur immediately after the completion of the Treatment Period.