Neurological

Rett Syndrome

Also known as MECP2 disorder, RTT, MECP2 duplication syndrome

Rett syndrome is caused almost exclusively by de novo mutations in the MECP2 gene on the X chromosome, making it the second most common genetic cause of intellectual disability in females. After 6-18 months of typical development, children

ORPHA:778 ↗Gene MECP2Prevalence 1-9 per 100,000 (Orphanet)Onset InfancyGenetic (X-linked, de novo in most cases)

15

studies recruiting now

as of 7 Sept 2026

101

studies registered in total

as of 7 Sept 2026

9

countries with a recruiting site

as of 7 Sept 2026

6 May 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 15 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

Rett Syndrome Research TrustPatient association
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Registry: Rett Syndrome Natural History Study · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Rett Syndrome

Rett syndrome is caused almost exclusively by de novo mutations in the MECP2 gene on the X chromosome, making it the second most common genetic cause of intellectual disability in females. After 6-18 months of typical development, children lose purposeful hand use and speech, develop stereotyped hand movements, breathing irregularities, seizures, and scoliosis. Trofinetide (Daybue) was approved in 2023 as the first treatment.

Common clinical features

Developmental regressionAbsent speechStereotypical hand wringingAbnormal pattern of respirationProgressive language deteriorationProgressive microcephalyAbnormal repetitive mannerismsSeizures

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 approved treatment and 18 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Trofinetide (Daybue)
Phase 3Cannabidiol (Epidiolex)
Phase 3Blarcamesine Hydrochloride (Anavex)
Phase 3Risperidone (Okedi)
Phase 2/3Sarizotan
Phase 2Mecasermin (Bio-fd&c igf1)
Phase 2Lovastatin (Altoprev)
Phase 2Dextromethorphan
Phase 2Vatiquinone

+ 10 more in development

Before you apply

Things trial teams commonly ask about for Rett Syndrome. Not eligibility rules; those are set by each study.

  • MECP2 mutation type (missense, truncating, deletion) affects eligibility in some precision trials
  • Stage of Rett syndrome (I through IV) and presence of regression phase affect study design
  • Age windows are often narrow in pediatric Rett trials - check eligibility promptly

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).