ClinicalTrials.gg
Not yet recruitingNCT07290530Updated Jul 1, 2026

24-Month Trial of NPI-001 for the Preservation of Photoreceptors in Retinitis Pigmentosa Associated With Usher Syndrome

A Phase 3 interventional study of N-acetylcysteine amide and Placebo in Retinitis Pigmentosa (RP) and Usher Syndrome, sponsored by Nacuity Pharmaceuticals, Inc.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-01.

Primary conditionUsher SyndromesRegistry: Retinitis PigmentosaReclassifiedWhy we changed it
Registry
Retinitis Pigmentosa — the first condition term the registry derived for this study.
ClinicalTrials.gg
Usher Syndromes
Why
  1. The study's listed conditions name Usher Syndromes, a narrower term within Retinitis Pigmentosa.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Nacuity Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if NPI-001 works to prevent progression of retinitis pigmentosa in adults diagnosed with Usher syndrome. It will also provide information about the safety of NPI-001. The main questions it aims to answer are:

Does NPI-001 slow down the loss of photoreceptors? What medical problems do participants have when taking NPI-001? Researchers will compare NPI-001 to a placebo (a look-alike substance that contains no drug) to see if NPI-001 works to preserve vision.

Participants will:

Take NPI-001 or a placebo twice a day, every day for 24 months Visit the clinic 9 times for checkups and tests

02

Conditions studied

  • Retinitis Pigmentosa (RP)
  • Usher Syndrome

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Keywords

  • N-acetylcysteine amide
03

In context

Usher Syndromes Reclassified

33 studies on the registry are indexed under Usher Syndromes; 13 are open to participants now.

This study's planned enrollment of 80 is above the median of 39 across 18 interventional studies indexed under Usher Syndromes.

Browse Usher Syndromes studies →

Lead sponsor

Nacuity Pharmaceuticals, Inc. is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Compared within Usher Syndromes, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Retinitis Pigmentosa. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

  1. Able to comprehend and willing to sign an form (ICF) and to adhere to the study protocol.
  2. Diagnosed with Usher syndrome.
  3. EZ zone width ≥ 500 microns, which includes the fovea in each eye at Visit 1 (Screening).
  4. All edges of the EZ area in both eyes can be visualized at Visit 1 (Screening).
  5. Have at least 20 detectable points on the MAIA grid in at least one eye at the Screening and Baseline visits (same eye for both visits).

5. On stable dose of medications associated with other conditions for at least one month.

6. Both female participants of and male participants able to father children must have (or have a partner who has) had a bilateral oophorectomy, hysterectomy or bilateral salpingectomy; must abstain from intercourse; or must agree to practice 2 acceptable methods of throughout the course of the study and 4 weeks after the last visit. Acceptable methods of contraception include hormonal contraception (i.e., birth control pills, injected hormones, dermal patch or vaginal ring), intrauterine device, barrier methods (diaphragm, condom) with spermicide, tubal ligation, and vasectomy.

Exclusion criteria

Exclusion Criteria:

  1. Concurrent retinal pathologies that result in vision loss or inability to fixate, including but not limited to, choroideremia, retinal vein occlusion, and neovascular age-related macular degeneration.
  2. Intraocular surgery within the last two months or capsulotomy within the last month.
  3. Current or history of uveitis, Coat's disease, diabetic retinopathy, glaucoma, herpes simplex of the eye, or currently has a cataract that prevents visualization of the posterior pole.
  4. Likely to require cataract surgery within the next 12 months.
  5. Unstable fixation during microperimetry in either eye at either Screening or Baseline visits.
  6. Use of any other new drug, or participation in another clinical trial within 12 weeks before the start of study treatment.
  7. Use of N-acetylcysteine containing products in the previous 30 days prior to the baseline visit or unwilling to refrain from such supplements for the duration of the study.
  8. Chronic liver or kidney disease, cystic fibrosis, severe asthma, or (COPD), history of thrombocytopenia not due to a reversible cause, or other blood dyscrasia.
  9. Suspected liver dysfunction determined by having (ALT), aspartate aminotransferase (AST), or values > 1.5 X the (ULN) at screening.
  10. or values \< 100 at screening.
  11. History of known sensitivity to N-acetylcysteine or similar thiol compounds or any ingredients of NPI-001.
  12. History of to any medication or food resulting in systemic symptoms.
  13. History of cancer (other than non-melanoma skin cancer) diagnosed or requiring treatment within the past 2 years.
  14. Pregnant women or women planning to become pregnant in the next 25 months or men with partners planning to become pregnant in the next 25 months.
  15. Lactating women who are breast-feeding.
  16. Potential participant lives in the same household as a current participant in this study.
  17. Subjects who are willing or unable to refrain from donation of blood from 30 days prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening until 56 days following the last study drug dose administered.
  18. Inability to provide blood samples, including difficulty with venous access.
  19. Any reason, in the opinion of the Principal Investigator, the participant should not participate.
Terms in these criteria, in plain language(11)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    NPI-001

    NPI-001 tablet, BID

    Drug: N-acetylcysteine amide

  • Placebo comparator
    Placebo

    Placebo tablet, BID

    Other: Placebo

Interventions

  • N-acetylcysteine amide (NPI-001) tablets (250 mg), taken BID

  • OtherPlacebo

    Placebo tablets, BID

06

What researchers measure

Primary outcomes

  1. EZ Area Rate of Change

    Time frame: 24 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — There is no plan to share IPD, in accordance with data sharing described in the informed consent documents and protocol.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Jul 2029, 31 months later.

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

Registered
Dec 16, 2025
First posted
Dec 18, 2025
StartEst.
Dec 2026
Primary completionEst.
Jul 2029
CompletionEst.
Jul 2029
Last update
Jul 1, 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 Jul 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07290530
Lead sponsor
Nacuity Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Dec 18, 2025
Start date
Dec 2026 (estimated)
Primary completion
Jul 2029 (estimated)
Completion
Jul 2029 (estimated)
Last update
Jul 1, 2026

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

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Discussion

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Studies of the drug tested here: N-Acetylcysteinamide

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