Neuromuscular

Bethlem Myopathy

Also known as COL6-related myopathy, benign congenital myopathy

Bethlem Myopathy is the milder end of the COL6-related myopathy spectrum, caused by heterozygous mutations in one of the three collagen VI genes (COL6A1, COL6A2, or COL6A3). It presents with proximal muscle weakness, joint hyperlaxity in in

ORPHA:610 ↗Gene COL6A1Gene COL6A2Gene COL6A3Prevalence Less than 1 in 100,000Onset Birth to early childhood; symptoms may be subtle initiallyAutosomal dominant (occasionally recessive)

1

studies recruiting now

as of 7 Sept 2026

5

studies registered in total

as of 7 Sept 2026

1

countries with a recruiting site

as of 7 Sept 2026

27 Jul 2011

most recent study posted

among recruiting studies

Recruiting trials

Showing the 1 most recently updated recruiting study, as recorded 7 Sept 2026. Live status on each study page.

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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

Cure CMD (Congenital Muscular Dystrophy)Patient association
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Registry: CMDIR (Congenital Muscular Dystrophy International Registry) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Bethlem Myopathy

Bethlem Myopathy is the milder end of the COL6-related myopathy spectrum, caused by heterozygous mutations in one of the three collagen VI genes (COL6A1, COL6A2, or COL6A3). It presents with proximal muscle weakness, joint hyperlaxity in infancy transitioning to contractures in older patients, and characteristic skin changes including follicular hyperkeratosis and keloid scarring. The condition is slowly progressive but most patients remain ambulatory throughout life.

Common clinical features

Proximal limb muscle weaknessFinger flexion contractures and elbow flexion contracturesJoint hyperlaxity in infancyFollicular hyperkeratosis (rough bumpy skin over extensor surfaces)Slowly progressive loss of walking distanceMildly elevated or normal serum creatine kinaseRigid spine in some cases

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

Before you apply

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

  • COL6-related trials often enrol both Bethlem and Ullrich patients on a spectrum basis — confirm whether your trial distinguishes between subtypes or uses COL6 mutation status alone
  • Skin biopsy for collagen VI immunofluorescence and fibroblast culture studies may be requested as biomarker endpoints alongside genetic confirmation
  • Six-minute walk test and hand-held dynamometry are standard endpoints; formal physiotherapy assessment prior to application is advisable

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).