ClinicalTrials.gg
Not yet recruitingNCT07328529Updated Oct 30, 2026

Inhibition of Aggressive Behavior in Participants With Fragile X Syndrome

A Phase 2 interventional study of SRX246 and Placebo in Aggressive Behavior in Fragile X Syndome, sponsored by Azevan Pharmaceuticals. Not yet recruiting at 3 sites in United States. Open to male participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Azevan Pharmaceuticals · Phase 2, Interventional, and Treatment

Updated Oct 30, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Male
01

Study summary

The goal of this clinical trial is to learn if drug SRX246 works to treat irritability, agitation, aggression and self-injury (IAAS) behaviors in adult males with Fragile X Syndrome (FXS). It will also learn about the safety of drug SRX246. The main questions it aims to answer are:

  • Does drug SRX246 lower the number of times participants experience IAAS behaviors?
  • What medical problems do participants have when taking drug SRX246? Researchers will compare drug SRX246 to a placebo (a look-alike substance that contains no drug) to see if drug SRX246 works to treat IAAS behaviors.

Participants will:

  • Take drug SRX246 or a placebo every day for up to 8 months
  • Have weekly checkups by phone or video to answer study questions
  • Have periodically scheduled home visits by nurses to conduct medical check-ups and tests
  • Keep a diary of their symptoms
02

Conditions studied

  • Aggressive Behavior in Fragile X Syndome

Keywords

  • Fragile X Syndrome
  • SRX246
  • vasopressin 1a
  • irritability
  • agitation
  • aggression
  • self-injury
03

In context

Fragile X Syndrome

114 studies on the registry are indexed under Fragile X Syndrome; 24 are open to participants now.

This study's planned enrollment of 80 is above the median of 50 across 91 interventional studies indexed under Fragile X Syndrome.

Browse Fragile X Syndrome studies →

Lead sponsor

Azevan Pharmaceuticals is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
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

  • Biological male, age 18 to 45 years inclusive
  • Molecular genetic confirmation of the full Fragile X messenger ribonucleoprotein mutation (≥200 CGG repetitions)
  • IAAS symptoms leading to a CGI-S score for Disruptive Behavior of 5 or more
  • Reported history of aggression based on the CMAI-Agg subscale (average score >22) and an average associated disruptiveness scale of at least 3.
  • IQ \< 70
  • Stable medication doses for the last month
  • Has a caregiver who lives with or spends extensive time with the participant most days and can report behavioral symptoms
  • Must be able to swallow study drug capsules whole

Exclusion criteria

Exclusion Criteria:

  • Medical condition contraindicating study participation
  • and SGOT values 2 or more times the
  • History of psychosis
  • Suicidal behavior
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    SRX246

    SRX246 will be provided as 120mg capsule to be taken orally, twice per day, once in the morning and once in the evening.

    Drug: SRX246

  • Placebo comparator
    Placebo

    Placebo will be provided as a matching capsule to be taken orally, twice per day, once in the morning and once in the evening.

    Drug: Placebo

Interventions

  • DrugSRX246

    SRX246 120mg capsules for oral administration

  • DrugPlacebo

    Placebo capsules for oral administration

06

What researchers measure

Primary outcomes

  1. Aberrant Behavior Checklist

    The Aberrant Behavior Checklist-Community Edition (ABC-C) Irritability subscale - Caregiver rated and then scored using the using the FXS-specific factoring system (ABCFX). Responses will be rated using a scale ranging from 0=not a problem to 3=severe problem.

    Time frame: Over an 8 month period

07

Study locations

3 sites
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Dec 2027, 12 months later.

Of 15 phase 2 interventional studies under Fragile X Syndrome, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 37. This study's planned 12 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 30, 2026: start Mar 2026 → Dec 2026, primary completion Mar 2027 → Dec 2027 and completion Mar 2028 → Dec 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jan 7, 2026
First posted
Jan 9, 2026
StartEst.
Dec 2026was Mar 2026
Primary completionEst.
Dec 2027was Mar 2027
CompletionEst.
Dec 2028was Mar 2028
Last update
Oct 30, 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.
Start date
Mar 2026→Dec 2026
Oct 30, 2026
Primary completion
Mar 2027→Dec 2027
Oct 30, 2026
Study completion
Mar 2028→Dec 2028
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    Start date Mar 2026→Dec 2026
    Primary completion Mar 2027→Dec 2027
    Study completion Mar 2028→Dec 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07328529
Lead sponsor
Azevan Pharmaceuticals
Collaborators
Congressionally Directed Medical Research Programs
Responsible party
Sponsor
First posted
Jan 9, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 30, 2026

Study contacts

Neal G Simon, PhD
Contact
ngsimon@azevan.com
610-610-0100

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 Oct 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: SRX246

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