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Active, not recruitingNCT06717438Updated Jun 9, 2026

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

A Phase 2 interventional study of BPN14770 and Placebo in Jordan's Syndrome and PPP2R5D Neurodevelopmental Disorder, sponsored by Shionogi. Active, not recruiting at 3 sites in United States. Open to participants aged 9 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-06-09.

Sponsored by Shionogi · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
9 Years to 45 Years
Sex
All
01

Study 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.

02

Conditions studied

  • Jordan's Syndrome
  • PPP2R5D Neurodevelopmental Disorder

Keywords

  • Jordan's Syndrome
  • JS
  • PPP2R5D Neurodevelopmental Disorder
  • Zatolmilast
  • BPN14770
03

In context

Lead sponsor

Shionogi is the lead sponsor of 104 studies on the registry; 10 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 21 (54%) have results posted.

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

04

Who can participate

Ages eligible
9 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

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.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    BPN14770

    Participants 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.

    Drug: BPN14770

  • Placebo comparator
    Placebo

    Participants 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.

    Drug: BPN14770 · Drug: Placebo

Interventions

  • DrugBPN14770

    Capsules for oral administration

    Also known as: Zatolmilast

  • DrugPlacebo

    Capsules for oral administration

06

What researchers measure

Primary outcomes

  1. Change From Baseline at Week 24 in Numerical Rating Scale Within the Domain of Language/Communication

    Time frame: Baseline, Week 24

  2. Number of Participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: Day 1 up to Week 96

  3. Discontinuation-emergent Signs and Symptoms (DESS) Questionnaire Score

    Time frame: Week 98

  4. Number of Participants with Seizures

    Time frame: Up to Week 96

  5. Number of Participants at Suicidality Risk

    Time frame: Up to Week 96

07

Study locations

3 sites
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Seattle Children's Hospital
    Seattle, Washington 98101, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06717438
Lead sponsor
Shionogi
Responsible party
Sponsor
First posted
Dec 5, 2024
Start date
May 13, 2025
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jun 9, 2026

Oversight

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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