New drug shows promise for Long-Term fragile x management

NCT ID NCT05367960

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This 4-year study tests the long-term safety of the drug BPN14770 (zatolmilast) in 314 people with Fragile X syndrome who completed earlier trials. Participants include adult males and adolescents. The main goal is to see if the drug is safe over time, with secondary measures looking at cognitive function. This is an open-label study, so everyone receives the drug.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

BPN14770 (zatolmilast)

What this could lead to

If successful, this study could show that BPN14770 is safe to take long-term, potentially leading to a daily medication that helps manage Fragile X syndrome symptoms.

What could go wrong

This is an open-label extension study, meaning everyone knows they are getting the drug, which can bias results. It focuses on safety, not proof of effectiveness, and side effects or lack of benefit may still emerge.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

fragile X syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Amnova Clinical Research

    Irvine, California, 92604, United States

  • Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • Children's Hospital Colorado

    Aurora, Colorado, 80045, United States

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229, United States

  • Clinic for Special Children

    Strasburg, Pennsylvania, 17579, United States

  • Emory University School of Medicine

    Atlanta, Georgia, 30322, United States

  • Greenwood Genetic Center

    Greenville, South Carolina, 29605, United States

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029, United States

  • Kennedy Krieger Institute

    Baltimore, Maryland, 21205, United States

  • MIND Institute UC Davis Medical Center

    Sacramento, California, 95817, United States

  • Rush University Medical Center

    Chicago, Illinois, 60612, United States

  • Suburban Research Associates

    Media, Pennsylvania, 19063, United States

  • Thompson Autism & Neurodevelopment Center - CHOC

    Orange, California, 92828, United States

  • U Mass

    Worcester, Massachusetts, 01655, United States

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160, United States

  • University of Miami

    Miami, Florida, 33136, United States

  • University of Utah and Primary Children's Hospital

    Salt Lake City, Utah, 84113, United States