Metabolic

Alpha-Mannosidosis

Also known as MAN2B1 deficiency, lysosomal alpha-mannosidase deficiency

Alpha-mannosidosis is a lysosomal storage disorder caused by deficiency of lysosomal alpha-mannosidase (MAN2B1), which is required to break down mannose-rich oligosaccharides. Accumulation of these glycoprotein fragments in cells throughout

ORPHA:61 ↗Gene MAN2B1Prevalence 1-9 per 1,000,000 (Orphanet)Onset Childhood, AdolescentAutosomal recessive genetic

6

studies recruiting now

as of 7 Sept 2026

29

studies registered in total

as of 7 Sept 2026

2

countries with a recruiting site

as of 7 Sept 2026

27 Aug 2020

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 6 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

International Mannosidosis and Related Diseases (ISMRD)Patient association
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Registry: ISMRD Global Patient Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Alpha-Mannosidosis

Alpha-mannosidosis is a lysosomal storage disorder caused by deficiency of lysosomal alpha-mannosidase (MAN2B1), which is required to break down mannose-rich oligosaccharides. Accumulation of these glycoprotein fragments in cells throughout the body causes intellectual disability, recurrent infections due to immune dysfunction, hearing loss, and skeletal abnormalities. Velmanase alfa (Lamzede) is an approved enzyme replacement therapy for non-neurological manifestations.

Common clinical features

Intellectual disabilityRecurrent infectionsHearing lossCoarse facial featuresAtaxiaSkeletal abnormalitiesPsychiatric symptoms

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

Treatments being studied

1 approved treatment, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Velmanase Alfa (Lamzede)

Before you apply

Things trial teams commonly ask about for Alpha-Mannosidosis. Not eligibility rules; those are set by each study.

  • Velmanase alfa (Lamzede) is approved — trials may focus on CNS outcomes, higher-dose regimens, or next-generation approaches
  • Urinary oligosaccharide excretion pattern is the diagnostic biomarker required for trial documentation
  • Neuropsychological testing battery results are key eligibility and outcome measures
  • Hematopoietic stem cell transplantation has been used in some patients — transplant status affects eligibility for ERT or gene therapy trials

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).