Can a Weight-Loss drug ease rett syndrome?
NCT ID NCT07503444
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 4 times
Summary
This Phase 3 trial tests whether fenfluramine (Fintepla) can reduce behavioral and emotional symptoms in people with Rett syndrome. About 200 participants will receive either the drug or a placebo for 14 weeks. The study measures changes in behavior, sleep, and overall condition using caregiver questionnaires and clinician ratings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fenfluramine hydrochloride (also known as Fintepla)
- What this could lead to
- If successful, this could provide a new treatment option to ease behavioral and emotional symptoms in Rett syndrome.
- What could go wrong
- This is an early-stage Phase 3 trial with only 200 participants. Results may not show significant benefit over placebo, and fenfluramine has known risks including heart valve issues and pulmonary hypertension.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Aug 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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5 to 35 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant has typical or classic Rett Syndrome (RTT) according to the RettSearch Consortium 2010 revised criteria * Participant has a documented disease-causing mutation or deletion in the methyl-CpG-binding protein 2 (MECP2) gene * Participant meets criteria for postregression for at least 6 months prior to Screening, defined as: * No loss or degradation of ambulation (including gait, coordination, or independence of walking/standing); * No loss or degradation of hand function; no loss or degradation of speech (including babbling, words, or previously developed communicative vocalizations); * No loss or degradation of nonverbal communicative or social skills (including eye gaze, using body to indicate communicative intent, or social attentiveness) * Participant has an Rett Syndrome Clinical Severity Scale (RTT-CSS) rating of 10 to 36 (inclusive) * Participant has a Clinical Global Impression-Severity (CGIS) score of ≥4 * Participant has a legal representative capable of providing signed informed consent on behalf of the participant as described in the protocol, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol. * Participant is aged 5 to 35 years of age (inclusive) at the time of first administration of investigational intervention. * Male or female. * Participant has a consistent caregiver who is ≥18 years of age at the Screening Visit. The caregiver needs to be able to complete the caregiver assessments defined for the entire study. Every attempt should be made to have the same evaluator complete the assessments for the duration of the study. Exclusion Criteria: * Participant has a history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. * Participant has clinically significant abnormality in vital signs according to the Investigator * Participant has an exclusionary cardiovascular or cardiopulmonary abnormality based on echocardiogram (ECHO), electrocardiogram (ECG), or physical examination, and is not approved for entry by the central cardiac reader. Exclusionary abnormalities include, but are not limited to: 1. Greater than trace aortic valve regurgitation. 2. Greater than mild mitral valve regurgitation. 3. Possible signs of pulmonary arterial hypertension (PAH) with abnormal pulmonary artery systolic pressure (PASP) or PASP ≥35 mmHg. 4. Evidence of left ventricular dysfunction (systolic or diastolic). 5. Clinically significant structural cardiac abnormality, including but not limited to mitral valve prolapse, atrial or ventricular septal defects, or patent ductus arteriosus with reversal of shunt (right to left shunt). Note: Patent foramen ovale without a reversal of shunt or a bicuspid aortic valve is not considered exclusionary * Participant has a clinically significant medical condition, including chronic obstructive pulmonary disease, interstitial lung disease, portal hypertension, or need for invasive mechanical ventilation (eg, via tracheostomy), or has had clinically relevant symptoms or a clinically significant illness currently or in the 4 weeks prior to the Screening Visit that would negatively impact study participation, collection of study data, or pose a risk to the participant * Participant is taking \>4 concomitant antiseizure medications (ASMs). Rescue medications are not included in the count
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ep0247 11001
RECRUITINGBrussels, Belgium
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Ep0247 11102
RECRUITINGSeville, Spain
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Ep0247 11103
RECRUITINGMálaga, Spain
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Ep0247 11105
RECRUITINGMadrid, Spain
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Ep0247 12005
RECRUITINGBrest, France
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Ep0247 12006
RECRUITINGParis, France
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Ep0247 15001
RECRUITINGBudapest, Hungary
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Ep0247 15002
RECRUITINGDebrecen, Hungary
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Ep0247 17002
RECRUITINGPisa, Italy
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Ep0247 17006
RECRUITINGTroina, Italy
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Ep0247 17008
RECRUITINGNaples, Italy
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Ep0247 19002
RECRUITINGKrakow, Poland
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Ep0247 21005
RECRUITINGHouston, Texas, 77030, United States
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Ep0247 21007
RECRUITINGAtlanta, Georgia, 30322, United States
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Ep0247 21009
RECRUITINGMiami, Florida, 33155, United States
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Ep0247 21010
RECRUITINGLittle Rock, Arkansas, 72202, United States
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Ep0247 21011
RECRUITINGOrlando, Florida, 32806, United States
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Ep0247 21013
RECRUITINGIrving, Texas, 75062, United States
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Ep0247 43001
RECRUITINGKurume, Japan
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Ep0247 43002
RECRUITINGOsaka, Japan
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Ep0247 43003
RECRUITINGSetagaya-ku, Japan
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Ep0247 43004
RECRUITINGKodaira, Japan
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Ep0247 43006
RECRUITINGMusashimurayama-shi, Japan
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Other studies related to the condition(s) this trial covers.
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