Study of Zatolmilast (BPN14770) in Participants With PPP2R5D Neurodevelopmental Disorder (Jordan's Syndrome [JS])

NCT06717438 — Phase 2, Active not recruiting, 30 participants, Shionogi

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A Phase 2 Randomized, Double-blind, Placebo-controlled, Study of Zatolmilast (BPN14770) in Subjects With PPP2R5D Neurodevelopmental Disorder (Jordan's Syndrome)

RegistryNCT06717438
StatusActive not recruiting
PhasePhase 2
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment30 (Actual)
SponsorShionogi (Industry)
ConditionsJordan's Syndrome, PPP2R5D Neurodevelopmental Disorder
InterventionsBPN14770, Placebo (Drug)
Datesstart 2025-05-13, primary completion 2027-12-31 (estimated), completion 2027-12-31 (estimated), first posted 2024-12-05, last updated 2026-06-09
Locations3 sites in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Jordan's Syndrome All trials for PPP2R5D Neurodevelopmental Disorder All trials of BPN14770 All trials of Placebo

-Summary

The primary objective of this study is to assess the efficacy, safety, and tolerability of BPN14770 in participants aged 9 to 45 years with JS.

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+Arms and interventions

ArmTypeInterventionsDescription
BPN14770ExperimentalDrug: BPN14770Participants will receive a weight adjusted dose of BPN14770 twice daily (BID) during the 24-week double-blind period. Participants who complete the double-blind period will have the opportunity to continue in the open-label extension (OLE) period. Participants will receive a weight adjusted dose of BPN14770 BID during the 24-week OLE period. Eligible participants who complete the double-blind period and OLE period may be offered the opportunity to participate in a 48-week extended open-label extension (Ext OLE) period. Adult participants (≥18 years of age at the start of Ext OLE) will receive an age-adjusted dose of BPN14770 BID during the Ext OLE period, while participants younger than 18 years at the start of Ext OLE will receive a weight-adjusted dose of BPN14770 BID.
PlaceboPlacebo comparatorDrug: BPN14770; Drug: PlaceboParticipants will receive BPN14770-matching placebo BID during the 24-week double-blind period. Participants who complete the double-blind period will have the opportunity to continue in the OLE period. Participants will receive a weight adjusted dose of BPN14770 BID during the 24-week OLE period. Eligible participants who complete the double-blind period and OLE period may be offered the opportunity to participate in a 48-week Ext OLE period. Adult participants (≥18 years of age at the start of Ext OLE) will receive an age-adjusted dose of BPN14770 BID during the Ext OLE period, while participants younger than 18 years at the start of Ext OLE will receive a weight-adjusted dose of BPN14770 BID.
  • BPN14770 (Drug), also known as Zatolmilast: Capsules for oral administration
  • Placebo (Drug): Capsules for oral administration

+Outcome measures

Primary outcomes

  • Change From Baseline at Week 24 in Numerical Rating Scale Within the Domain of Language/Communication [Baseline, Week 24]
  • Number of Participants with Treatment-emergent Adverse Events (TEAEs) [Day 1 up to Week 96]
  • Discontinuation-emergent Signs and Symptoms (DESS) Questionnaire Score [Week 98]
  • Number of Participants with Seizures [Up to Week 96]
  • Number of Participants at Suicidality Risk [Up to Week 96]

+Eligibility

Sex: All, ages: 9 Years to 45 Years

Inclusion Criteria:

1. Participant is aged 9 to 45 years, inclusive.
2. Participant has confirmed/documented history of PPP2R5D Neurodevelopmental Disorder.
3. Current treatment with no more than 3 prescribed psychotropic medications.
4. Participant has a parent, legal authorized guardian or consistent caregiver.

Exclusion Criteria:

1. Participant has body weight less than 25 kilograms (kg).
2. Clinically significant abnormalities, in the investigator's judgment, in safety laboratory tests, vital signs, or electrocardiogram (ECG), as measured during Screening.
3. Concurrent major psychiatric condition (e.g., Major Depressive Disorder, Schizophrenia or Bipolar Disorder) as diagnosed by the investigator. Participants with additional diagnosis of Autism Spectrum Disorder or Anxiety Disorder will be allowed.
4. Participant is planning to commence psychotherapy or cognitive behavior therapy (CBT) during the period of the study or had begun psychotherapy or CBT within 4 weeks prior to Screening.

+Locations (3)

FacilityCityCountryStatus
Rush University Medical CenterChicago, IllinoisUnited States
Boston Children's HospitalBoston, MassachusettsUnited States
Seattle Children's HospitalSeattle, WashingtonUnited States