Clinical Trials

Zatolmilast (BPN14770) is evaluated across multiple Phase 1 through Phase 3 clinical trials sponsored by organizations including Tetra Discovery Partners, Shionogi, and the National Institute of Mental Health. Primary indications under investigation include Fragile X Syndrome, Alzheimer's disease, depression, and PPP2R5D neurodevelopmental disorder (Jordan's Syndrome), alongside Phase 1 assessments of brain target occupancy, safety, and pharmacokinetics in healthy participants and individuals with hepatic or renal impairment. Recruitment statuses for these studies encompass completed, active not recruiting, enrolling by invitation, and withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06717438 ACTIVE_NOT_RECRUITING
Jordan's Syndrome; PPP2R5D Neurodevelopmental Disorder
Shionogi
2025-05-13 PHASE2
NCT05367960 ACTIVE_NOT_RECRUITING
Fragile X Syndrome
Tetra Discovery Partners
2022-11-01 PHASE3
NCT07012005 COMPLETED
Renal Impairment
Shionogi
2025-08-25 PHASE1
NCT07018492 COMPLETED
Hepatic Impairment
Shionogi
2025-08-30 PHASE1
NCT05163808 COMPLETED
Fragile X Syndrome
Tetra Discovery Partners
2022-03-29 PHASE2; PHASE3
NCT07011992 COMPLETED
Healthy Participants
Shionogi
2025-07-18 PHASE1
NCT05358886 COMPLETED
Fragile X Syndrome
Tetra Discovery Partners
2022-11-01 PHASE3
NCT05367960 Enrolling by invitation
Fragile X Syndrome
Tetra Discovery Partners
2022-11-01 Phase 3
NCT03569631 COMPLETED
Fragile X Syndrome; FXS; Fra(X) Syndrome
Tetra Discovery Partners
2018-07-09 PHASE2
NCT04044781 WITHDRAWN
To Determine Brain Target Occupancy of BPN14770
Tetra Discovery Partners
2020-01-10 PHASE1
NCT03861000 COMPLETED
Depression
National Institute of Mental Health (NIMH)
2019-03-12 PHASE1; PHASE2
NCT03817684 COMPLETED
Alzheimer's Disease
Tetra Discovery Partners
2019-04-30 PHASE2
NCT03030105 COMPLETED
Alzheimer Disease
Tetra Discovery Partners
2017-01 PHASE1
NCT02840279 COMPLETED
Alzheimer's Disease
Tetra Discovery Partners
2016-06 PHASE1
NCT02648672 COMPLETED
Alzheimer's Disease
Tetra Discovery Partners
2015-12 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-06-09)

Check the Zatolmilast (BPN14770) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Zatolmilast acts as a selective allosteric inhibitor of phosphodiesterase 4D, specifically targeting PDE4D3 and PDE4D7 with IC50 values of 7.4 nM and 7.8 nM to suppress the enzymatic hydrolysis of cyclic adenosine monophosphate and restore downstream intracellular signaling cascades. This elevation of intracellular cyclic adenosine monophosphate promotes synaptic plasticity and neuronal network function, providing the biological mechanism for treating cognitive and neurodevelopmental deficits in clinical trial conditions such as Fragile X Syndrome and Alzheimer's disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.