CClinicalTrials.gg
RecruitingNCT06705816Updated Jun 18, 2026

Cognitive Function in Rett Syndrome During Trofinetide Treatment

An observational study in Rett Syndrome, sponsored by University of Minnesota. Recruiting at 1 site in United States. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by University of Minnesota · Observational

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years to 99 Years
Sex
All
01

Study summary

Assessing cognitive functions among individuals with severe intellectual and developmental disabilities (IDD), including RTT, is often challenging due to floor effects of many standardized assessment batteries in this population. In addition, deficits in motor function and verbal ability may obscure certain abilities in this population when using standard IQ measures. Remote eye-tracking tasks have been proposed as an alternative approach for assessing cognitive functions among individuals with severe IDD, because eye-tracking tasks can be designed to minimize the influence of gross motor and receptive language deficits on performance. Although several types of eye-tracking tasks have been evaluated in RTT, most have been implemented only at a single time-point. As a result, it is unclear whether these measures are stable over time, or sensitive to developmental changes or alterations to health status that occur in RTT (e.g., developmental regression, development of seizures, change in medication, etc.). With the recent FDA approval of trofinetide for the treatment of RTT, we have a novel opportunity to test the sensitivity of eye-tracking and other psychophysiological measures to treatment changes. Anecdotally, parents and clinicians have reported improvements in attention and alertness during trofinetide treatment, but currently available outcome measures do not capture these types of effects. Therefore, we propose to conduct a pilot trial of changes in measures of attention, oculomotor function, learning, and autonomic function, all collected using non-invasive measures, during trofinetide treatment. This is an observational within-subject design with a 4-week post-treatment assessment compared to two pre-treatment assessments. Additional optional follow-up assessments will be performed with families who are interested and returning for standard-of-care visits to Gillette or who are willing to travel for a research-only visit.

02

Conditions studied

  • Rett Syndrome

Browse trials for

03

In context

Rett Syndrome

98 studies on the registry are indexed under Rett Syndrome; 20 are open to participants now.

This study's planned enrollment of 20 is below the median of 98 across 32 observational studies indexed under Rett Syndrome.

Browse Rett Syndrome studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,184 studies on the registry; 195 are open to participants now.

Of its 132 completed or terminated interventional studies of FDA-regulated products, 91 (69%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Any individuals who are initiating trofinetide treatment for RTT through the physicians associated with the Gillette Children's RTT clinic will be potentially eligible for participation, regardless of age.

Inclusion criteria

  • Any individuals who are initiating trofinetide treatment for RTT through the physicians associated with the Gillette Children's RTT clinic will be potentially eligible for participation, regardless of age. To enroll, participants must meet the following criteria:

    1. Provision of signed and dated informed consent form by the individual\'s parent/legal guardian
    2. Stated willingness to comply with all study procedures and availability for the duration of the study
    3. Documented diagnosis of Rett syndrome
    4. Participant is not showing active signs of developmental regression, defined as: no loss or degradation of ambulation within the past 6 months; no loss or degradation of hand function within the past 6 months; and no loss or degradation of verbal or non-verbal communication or social skills in the past 6 months.
    5. Participant's current pharmacological treatment regimen has been stable for at least 4 weeks.
    6. Seeking prescription for trofinetide through the Gillette Children's Rett syndrome clinic

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of a progressive medical or neurological condition that in the opinion of the investigator would interfere with the conduct of the study.
  2. Current clinically significant systemic illness that is likely to result in the deterioration of the participant\'s condition during the study.
  3. Participants taking any other investigational drug currently or within the past 30 days.
  4. Known, uncorrected visual impairment that would limit the ability to view images during eye-tracking tasks.
  5. Severe behavioral problems (i.e., aggression, property destruction, extreme hyperactivity) that would interfere with participation in study activities.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Study group

    Patients with Rett Syndrome who are interested in Trofinetide treatment

    Other: None interventional

Interventions

  • OtherNone interventional

    This is an observational study

06

What researchers measure

Primary outcomes

  1. Cognitive Function in Rett Syndrome During Trofinetide Treatment

    change in saccade latencies during the 'statistical learning' paradigm

    Time frame: baseline, 6weeks to 12 months

  2. Eye movement gaze fixations

    change in duration of gaze fixation to the correct image during the 'Looking While Listening' paradigm.

    Time frame: baseline, 6weeks to 12 months

Secondary outcomes

  1. Heart rate variability

    Change in baseline heart rate variability during sustained attention during eye-tracking tasks.

    Time frame: baseline, 6weeks to 12 months

  2. Heart rate suppression

    Change in baseline heart rate suppression during sustained attention during eye-tracking tasks.

    Time frame: baseline, 6weeks to 12 months

07

Study locations

1 of 1 sites recruiting
  • University of Minnesota
    Minneapolis, Minnesota 55414, United States
    • Breanne Byiers · Contact
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06705816
Lead sponsor
University of Minnesota
Responsible party
Sponsor
First posted
Nov 26, 2024
Start date
Dec 1, 2024
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jun 18, 2026

Study contacts

Breanne Byiers
Contact
byier001@umn.edu
612-626-7892
Breanne Byiers
principal investigator · University of Minnesota

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion