New pill aims to slow rare brain disease in landmark trial
NCT ID NCT06355531
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 2 trial tests an oral drug called FNP-223 in 241 people with progressive supranuclear palsy (PSP), a rare brain disorder that causes problems with balance, eye movement, and thinking. The study compares the drug to a placebo over 52 weeks to see if it can slow the disease's progression and is safe. Participants must be 50-80 years old and have a specific type of PSP.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- FNP-223 (oral tablet)
- What this could lead to
- If successful, this could point toward a treatment that slows the progression of progressive supranuclear palsy, a rare and devastating brain disease.
- What could go wrong
- This is an early Phase 2 trial with only 241 participants, so results may not confirm benefit. The drug may cause side effects or fail to slow the disease.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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241 people
The number who actually took part.
- Started
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Jul 2024
- Expected to finish
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Nov 2026
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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50 to 80 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: * Male or female participants aged 50 to 80 years, inclusive, at the time of informed consent. * Diagnosis of possible or probable PSP of the Richardson's Syndrome (PSP-RS) phenotypes according to the Movement Disorders Society's Progressive Supranuclear Palsy (MDS PSP) clinical features criteria. At least 1 (either 1 or both) of the following 2 items must be met: 1. Vertical supranuclear gaze palsy. 2. Slowing of vertical saccades AND postural instability with falls within the first 3 years of PSP symptoms. * Presence of PSP symptoms within ≤3 years prior to screening. * MoCA score ≥23 * Full 28-item PSPRS score ≤40. * Able to ambulate independently or with minimal assistance defined as the ability to take at least 10 steps (stabilization of 1 arm \[ie, use of cane\]). * Body weight range ≥43 kg/95 lbs to ≤120 kg/265 lbs. * Reside outside a skilled nursing facility or dementia care facility, except for participants residing in an assisted living facility. * Has a caregiver or study partner who will accompany them to the study visits. The caregiver or study partner must be a person who has frequent contact (at least 7 hours per week at 1 time or in different days) with the participant and is able to provide information about the participant's medication and overall condition. Prior to the conduct of any study procedures, the caregiver or study partner must be willing to sign the independent ethics committee (IEC)/institutional review board (IRB) approved informed consent. Exclusion Criteria: Non-PSP- RS Movement Disorders or other central nervous system (CNS) Diseases * Score of 3 on any functional domain in the PSP-CDS. * Participants with known PSP genetic mutation (based on familiar or clinical history). * Evidence of other neurological disorder that could explain signs of PSP (eg, Parkinson's disease, Alzheimer disease, etc.). * Brain magnetic resonance imaging (MRI) within 1 year of screening consistent with: * Primary degenerative diseases other than PSP. Procedures * For the optional substudy only: Contraindication or refusal to undergo 2 lumbar punctures for obtaining CSF. * Contraindication or inability to tolerate MRI for screening MRI and volumetric brain MRI assessments throughout the substudy.
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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.
Contacts and locations
Locations
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Augusta University
Augusta, Georgia, 30912, United States
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Azienda Ospedale Università di Padova
Padova, 35128, Italy
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Azienda Ospedaliera Universitaria San Giovanni di Dio Ruggi d'Aragona
Salerno, 84081, Italy
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Azienda Ospedaliero-Universitaria Pisana
Pisa, 56126, Italy
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Campus Neurológico Senior - Torres Vedras
Torres Vedras, 2560-280, Portugal
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Central Texas Neurology Consultants
Round Rock, Texas, 78681, United States
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Columbia University Irving Medical Center
New York, New York, 10032, United States
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Complejo Hospitalario Universitario A Coruña
A Coruña, 15006, Spain
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Duke Neurology
Durham, North Carolina, 27705, United States
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Groupe Hospitalier Pellegrin
Bordeaux, 33076, France
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Hospital Clínic de Barcelona
Barcelona, 08036, Spain
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Hospital Germans Trias i Pujol
Badalona, 08916, Spain
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Hospital Universitari i Politècnic La Fe
Valencia, 46086, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Cruces
Barakaldo, 48903, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen del Rocío
Seville, 41013, Spain
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Hospital Universitario de Navarra
Pamplona, 31008, Spain
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Hospital de Braga
Braga, 4710-243, Portugal
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Hôpital Pierre-Paul Riquet
Toulouse, 31059, France
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Hôpital Universitaire Pitié Salpêtrière
Paris, 75013, France
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Hôpital de la Timone
Marseille, 13005, France
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IRCCS Istituto Delle Scienze Neurologiche di Bologna
Bologna, 40139, Italy
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Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana
Roma, 00163, Italy
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L'Hôpital Universitaire Carémeau
Nîmes, 30029, France
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Ludwig-Maximilians-Universität München (LMU)
Munich, 81377, Germany
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mazowiecki Szpital Bródnowski w Warszawie
Warsaw, 03-242, Poland
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Neurologia Śląska Centrum Medyczne
Katowice, 40-571, Poland
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Neurologisches Fachkrankenhaus für Bewegungsstörungen/Parkinson
Beelitz, 14547, Germany
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Newcastle Upon Tyne Hospitals
Newcastle, NE4 5PL, United Kingdom
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Pécsi Tudományegyetem Általános Orvostudományi Kar
Pécs, 7623, Hungary
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Quest Research Institute
Farmington Hills, Michigan, 48334, United States
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Robert & John M. Bendheim Parkinson and Movement Disorders Center at Mount Sinai
New York, New York, 10029, United States
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Rocky Mountain Movement Disorders Center
Denver, Colorado, 80113, United States
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The Neurology Center of Southern California - Carlsbad
Carlsbad, California, 92011, United States
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UCSF Weill Institute for Neurosciences
San Francisco, California, 94158, United States
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University College London Hospitals
London, NW1 ePG, United Kingdom
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University Hospital Southampton
Southampton, SO16 6YD, United Kingdom
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University of Cambridge
Cambridge, CB2 3EB, United Kingdom
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University of Miami Miller School of Medicine
Miami, Florida, 33136, United States
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Universitätsklinikum Düsseldorf
Düsseldorf, 40225, Germany
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Universitätsklinikum Leipzig
Leipzig, 04103, Germany
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Vanderbilt University Medical Center
Nashville, Tennessee, 37212, United States
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Other studies related to the condition(s) this trial covers.
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