An Open-label Study of NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome
Neuren Pharmaceuticals Limitedn = 1808 Jun 2026 to est. 12 Nov 2028
Phelan-McDermid Syndrome
PepBank has 3 NNZ-2591 studies with results. All of them gave NNZ-2591, with 23 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 23 results and 10 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
NNZ-2591 is cyclo-L-glycyl-L-2-allylproline, a synthetic analog of cyclic glycine-proline. It differs from native cyclic glycine-proline and trofinetide. Its diketopiperazine ring contains a modified proline residue.
No molecular target is recorded for this peptide.
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
2 amino acids · 2 modifications
No sequence is listed for the parent, so no alignment is shown.NNZ-2591 is the 2-allylproline analog of cyclic glycine-proline. The PubChem description identifies cyclic glycine-proline as an IGF-1 breakdown product.
Some values cannot be calculated. The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
No charge curve
The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
2 residues. Each residue counts in one class; F and W count as aromatic.
No 3D structure
No experimental structure (PDB) and no UniProt entry for an AlphaFold model are listed for this peptide. Synthetic peptides often have neither. The sequence view above is the reference.
Draws the structure in your browser with RDKit (about 2.3 MB, loaded once).
SMILES fromPubChem CID 11735696(opens in a new tab)
C=CC[C@@]12CCCN1C(=O)CNC2=OPeople first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Studies by year
3 of 10 studies have results (30%), published 2007 to 2010. Top row: every study. Bottom row: studies with results about NNZ-2591, by class. The rows use different scales.
Studies10 in all, 2007 to 2026
Studies with results3 in all, 2007 to 2010
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
7 trials match. Highest phase first. Data from ClinicalTrials.gov.
7 trials · 2 ongoing · 4 completed · 1 stopped early · 2 with posted results
To Evaluate the Safety, Tolerability and Pharmacokinetics of Oral NNZ-2591 in Healthy Volunteers
NCT0437986929 May 2020 to 11 Feb 2021
A Study of NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome
NCT0728107912 Nov 2025 to est. 15 Nov 2027
An Open-label Study of NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome
NCT075933918 Jun 2026 to est. 12 Nov 2028
7 trials · 2 ongoing · 4 completed · 1 stopped early · 2 with posted results · source ClinicalTrials.gov (opens in a new tab)
Neuren Pharmaceuticals Limitedn = 1808 Jun 2026 to est. 12 Nov 2028
Phelan-McDermid Syndrome
Neuren Pharmaceuticals Limitedn = 16012 Nov 2025 to est. 15 Nov 2027
Phelan-McDermid Syndrome
Neuren Pharmaceuticals Limitedn = 2814 Oct 2022 to 3 May 2024
Pitt Hopkins Syndrome
Neuren Pharmaceuticals Limitedn = 188 Aug 2022 to 17 Nov 2023
Phelan-McDermid Syndrome
Neuren Pharmaceuticals Limitedn = 1712 Jul 2022 to 16 Jul 2024
Angelman Syndrome
Neuren Pharmaceuticals Limitedn = 01 Sept 2023 to est. 30 Jun 2025
Prader-Willi Syndrome
Neuren Pharmaceuticals Limitedn = 2829 May 2020 to 11 Feb 2021
Healthy Volunteers
Studies on this peptide. Some have results. The others have none yet.
10 studies match. Retracted studies are left out.
Showing 10 of 10 studiesquery qry_ab613475ddd7f693654beb5b
3 studies
Animal study (in vivo) · rat · 2007
Guan et al. 2007Neuropharmacologycited by 38
PMID 17904590DOI 10.1016/j.neuropharm.2007.08.010PUB-17904590
Animal study (in vivo) · rat · 2010
Guan et al. 2010Behavioural brain researchcited by 21
PMID 20188767DOI 10.1016/j.bbr.2010.02.039PUB-20188767
Animal study (in vivo) · rat · 2009
Krishnamurthi et al. 2009British journal of pharmacologycited by 10
PMID 19154439PMC2697702DOI 10.1111/j.1476-5381.2008.00064.xPUB-19154439
7 studies
PubMed tag: review-article, Review · 2009
Guan et al. 2009British journal of pharmacologycited by 39
PMID 19438508PMC2737647DOI 10.1111/j.1476-5381.2009.00256.xPUB-19438508
PubMed tag: Review · 2015
Guan et al. 2015Expert opinion on therapeutic targetscited by 39
PMID 25652713DOI 10.1517/14728222.2015.1010514PUB-25652713
PubMed tag: Review · 2008
Guan et al. 2008Recent patents on CNS drug discoverycited by 26
PMID 18537771DOI 10.2174/157488908784534630PUB-18537771
PubMed tag: Review · 2013
Guan et al. 2013Recent patents on CNS drug discoverycited by 19
PMID 23597305DOI 10.2174/1574889811308020004PUB-23597305
PubMed tag: none · 2026
Neumeyer et al. 2026Neurology. Geneticscited by 1
PMID 41450730PMC12735298DOI 10.1212/nxg.0000000000200338PUB-41450730
PubMed tag: Preprint · 2024
Trivedi et al. 2024Research Squarecited by 1
DOI 10.21203/rs.3.rs-4228679/v1PUB-90593447
PubMed tag: none · 2026
Neumeyer et al. 2026Neurology. Genetics
PMID 42325945PMC13276696DOI 10.1212/nxg.0000000000200405PUB-42325945
Page 1 of 1
Guan J · Neuropharmacology · 2007
Animal study (in vivo) · rat · 13 results
Guan J · Behavioural brain research · 2010
Animal study (in vivo) · rat · 5 results
Krishnamurthi RV · British journal of pharmacology · 2009
Animal study (in vivo) · rat · 5 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA | Neuren reports FDA orphan designation for Phelan-McDermid syndrome and clinical development. This does not establish marketing approval. The FDA search page did not return a product-specific record during this check. | 27 Oct 2026 | neurenpharma.com (opens in a new tab) |
| EU | EMA | EMA confirms orphan designation EU/3/20/2394 for Phelan-McDermid syndrome. Orphan designation is not marketing authorisation. Current central and national approvals were not independently established. | 27 Oct 2026 | ema.europa.eu (opens in a new tab) |
| Sport | WADA | Status unknown The 2026 List prohibits non-approved pharmacological substances under S0 if no later section applies. | 2026 List | wada-ama.org (opens in a new tab) |
Reported effects from study results.
No safety results from studies in people
The doses that these studies used. They are not recommendations.
30 mg/kgAnimal
20 ng.day(-1)Animal
0.2, 1 and 5 mg.day(-1)Animal
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ nnz-2591Evidence summary for NNZ-2591: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 6 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| NeuroprotectionNervous system and cognition | No results | Animal: 8 results from 2 studies: 4 increase, 4 decrease. Strongest design: Animal study (in vivo) | No results | No results | 8 |
| Receptor activity and mechanismNervous system and cognition | No results | Animal: 6 results from 3 studies: 1 increase, 2 decrease, 2 no significant change, 1 not reported. Strongest design: Animal study (in vivo) | No results | No results | 6 |
| Exercise and physical functionNervous system and cognition | No results | Animal: 3 results from 2 studies: 2 increase, 1 decrease. Strongest design: Animal study (in vivo) | No results | No results | 3 |
| PharmacokineticsPharmacology | No results | Animal: 3 results from 1 study: 3 not reported. Strongest design: Animal study (in vivo) | No results | No results | 3 |
| Cognition and memoryNervous system and cognition | No results | Animal: 2 results from 1 study: 1 increase, 1 no significant change. Strongest design: Animal study (in vivo) | No results | No results | 2 |
| Inflammation markersNervous system and cognition | No results | Animal: 1 result from 1 study: 1 decrease. Strongest design: Animal study (in vivo) | No results | No results | 1 |
6 outcome groups shown of 6 · 23 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Trials by phase
7 registered trials, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.