Metabolic

Acute Intermittent Porphyria

Also known as AIP, HMBS deficiency, porphobilinogen deaminase deficiency, Swedish porphyria

Acute intermittent porphyria (AIP) is the most common acute hepatic porphyria, caused by mutations in the HMBS gene encoding hydroxymethylbilane synthase, resulting in haem biosynthesis dysfunction. Patients experience attacks of severe abd

ORPHA:79276 ↗Gene HMBSPrevalence 1-5 per 10,000 (Orphanet)Onset Adolescent, AdultAutosomal dominant genetic

3

studies recruiting now

as of 7 Sept 2026

22

studies registered in total

as of 7 Sept 2026

3

countries with a recruiting site

as of 7 Sept 2026

22 Feb 2024

most recent study posted

among recruiting studies

Recruiting trials

Showing the 3 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Acute Intermittent Porphyria 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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About Acute Intermittent Porphyria

Acute intermittent porphyria (AIP) is the most common acute hepatic porphyria, caused by mutations in the HMBS gene encoding hydroxymethylbilane synthase, resulting in haem biosynthesis dysfunction. Patients experience attacks of severe abdominal pain, neurological dysfunction, and autonomic instability triggered by factors including certain drugs, fasting, hormonal changes, and stress. Givosiran (Givlaari), an RNA interference therapy targeting ALAS1, is approved for recurrent attacks.

Common clinical features

Severe abdominal painPeripheral neuropathyAutonomic dysfunctionDark red/brown urineHyponatremiaSeizuresPsychiatric symptoms

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

Treatments being studied

2 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Phase 3Givosiran
Phase 2Hemin

Before you apply

Things trial teams commonly ask about for Acute Intermittent Porphyria. Not eligibility rules; those are set by each study.

  • Attack frequency in the prior 12 months (typically 2 or more) is the standard inclusion criterion for acute porphyria trials
  • Urinary aminolevulinic acid (ALA) and porphobilinogen (PBG) levels are required biomarkers — collect during both attacks and between attacks
  • Givosiran (Givlaari) is approved — trials may study alternative RNAi therapies, hemin formulations, or combination approaches
  • Drug interaction lists are critical — many common medications are porphyrinogenic and must be reviewed with trial coordinators

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).