ClinicalTrials.gg
Active, not recruitingNCT05898620Updated Jun 10, 2026

A Novel, Regulated Gene Therapy (NGN-401) Study for Females With Rett Syndrome

A Phase 3 interventional study of NGN-401 in Rett Syndrome, sponsored by Neurogene Inc.. Active, not recruiting at 16 sites in 3 countries. Open to female participants aged 3 Years and older. Per ClinicalTrials.gov, last updated 2026-06-10.

Sponsored by Neurogene Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
33
Allocation
Non-randomized
Ages
3 Years and older
Sex
Female
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Study summary

This study will evaluate the efficacy and safety profiles of the investigational gene therapy, NGN-401, in females with typical Rett syndrome.

Read the detailed description

The pivotal study, Embolden (TM), is a conversion of the phase 1/2 study and is an open-label, baseline-controlled, multicenter, single-arm study designed to assess the efficacy, safety, and tolerability of administration of NGN401, an adeno-associated viral vector serotype 9 (AAV9) using Neurogene's proprietary transgene regulation technology. NGN-401 contains a full-length human MECP2 gene and is designed to express therapeutic levels of the MeCP2 protein while avoiding overexpression.

The study treatment will be given as a single administration under general anesthesia via intracerebroventricular (ICV) delivery. Each participant will be followed for efficacy and safety for 3 years after treatment, and is expected to enroll in a long-term follow-up study for 12 years.

02

Conditions studied

  • Rett Syndrome

Keywords

  • Typical Rett Syndrome
  • MECP2
  • Rett Disorder
  • Genetic Diseases, Inborn
  • Genetic Diseases, X-Linked
  • Neurodevelopmental Disorders
  • Neurobehavioral Manifestations
  • Neurologic Manifestations
  • Intellectual Disability
  • Nervous System Diseases
  • Pathologic Processes
  • RTT
03

In context

Rett Syndrome

96 studies on the registry are indexed under Rett Syndrome; 19 are open to participants now.

This study's planned enrollment of 33 is close to the median of 30 across 64 interventional studies indexed under Rett Syndrome.

Browse Rett Syndrome studies →

Lead sponsor

Neurogene Inc. is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Females who are between the ages of ≥4 and ≤10 years for Arms 1 and 2 (Arms closed). Females who are ≥11 years of age or older for Arm 3 (Arm closed). Females who are ≥3 for Arm 4, the pivotal cohort.
  • Diagnosis of typical Rett syndrome with a documented disease-causing mutation in the methyl-CpG-binding protein 2 (MECP2) gene
  • Current anti-epileptic drug regimen has been stable for at least 12 weeks
  • Participant must be in the post-regression stage
  • Participant and caregiver should reside within a 2-hour drive of the study center for at least 3 months following treatment
  • Participant must have never taken trofinetide or have taken trofinetide and discontinued due to tolerability, lack of efficacy, or other reasons. Following NGN-401 dosing, trofinetide may be initiated after a specified time period and with the support of the treating clinician.

Exclusion criteria

Exclusion Criteria:

  • Normal or near normal hand function
  • Has a current condition other than Rett syndrome
  • Presence of a concomitant medical condition that precludes intracerebroventricular administration, or use of anesthetics or immune suppression needed for study related procedures

Other inclusion and exclusion criteria apply.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
33 participants (estimated)

Study arms

  • Experimental
    Pediatric 1e15 vg dose (fully enrolled)

    Dose Level 1 for ages 4-10 years

    Genetic: NGN-401

  • Experimental
    Adolescent/Adult 1e15 vg Dose (fully enrolled)

    Dose Level 1 for ages 11 years \& above

    Genetic: NGN-401

  • Experimental
    Pediatric 3e15 vg dose (discontinued)

    Dose Level 2 for ages 4-10 years (discontinued)

    Genetic: NGN-401

  • Experimental
    Pivotal Cohort

    Dose Level 1 for ages 3 and above

    Genetic: NGN-401

Interventions

  • GeneticNGN-401

    NGN-401 is a non-replicating, recombinant AAV9 carrying a full length human MECP2 transgene.

06

What researchers measure

Primary outcomes

  1. Efficacy of NGN-401

    Responders will be defined as participants who: * Attain a CGI-I score of ≤ 3 ("minimally improved"); * and gain any one developmental milestone/skill from a list of 28, as captured through standardized video recordings and independently verified by blinded central raters.

    Time frame: 52 Weeks

07

Study locations

16 sites
08

References and documents

Publications

  • Ross PD, Gadalla KKE, Thomson SR, Selfridge J, Bahey NG, Benito J, Burstein SR, McMinn R, Bolon B, Hector RD, Cobb SR. Self-regulating gene therapy ameliorates phenotypes and overcomes gene dosage sensitivity in a mouse model of Rett syndrome. Sci Transl Med. 2025 Apr 2;17(792):eadq3614. doi: 10.1126/scitranslmed.adq3614. Epub 2025 Apr 2. PubMed 40173263 ↗
  • Jagadeeswaran I, Oh J, Sinnett SE. Preclinical Milestones in MECP2 Gene Transfer for Treating Rett Syndrome. Dev Neurosci. 2025;47(2):147-156. doi: 10.1159/000539267. Epub 2024 May 9. PubMed 38723617 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2023 (actual). Primary completion is estimated for Dec 2029, 78 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 1, 2023
First posted
Jun 12, 2023
StartActual
Jun 13, 2023
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Jun 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05898620
Lead sponsor
Neurogene Inc.
Responsible party
Sponsor
First posted
Jun 12, 2023
Start date
Jun 13, 2023
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Jun 10, 2026

Study contacts

Julie Jordan, MD
study director · Neurogene Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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