Metabolic

Carnitine Palmitoyltransferase Deficiency

Also known as CPT deficiency, CPT1 deficiency, CPT2 deficiency, carnitine palmitoyltransferase I/II deficiency

Carnitine palmitoyltransferase (CPT) deficiencies are fatty acid oxidation disorders caused by mutations in CPT1A or CPT2 genes, impairing the transport of long-chain fatty acids into mitochondria for energy production. CPT1 deficiency prim

ORPHA:157 ↗Gene CPT1AGene CPT2Prevalence 1-9 per 1,000,000 (Orphanet)Onset Neonatal, Infantile, AdultAutosomal recessive genetic

1

studies recruiting now

as of 7 Sept 2026

17

studies registered in total

as of 7 Sept 2026

1

countries with a recruiting site

as of 7 Sept 2026

26 Oct 2020

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.

Search all Carnitine Palmitoyltransferase Deficiency 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

Fatty Oxidation Disorders (FOD) Family Support GroupPatient association
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About Carnitine Palmitoyltransferase Deficiency

Carnitine palmitoyltransferase (CPT) deficiencies are fatty acid oxidation disorders caused by mutations in CPT1A or CPT2 genes, impairing the transport of long-chain fatty acids into mitochondria for energy production. CPT1 deficiency primarily affects the liver, causing hypoketotic hypoglycemia; CPT2 deficiency has multiple forms ranging from lethal neonatal disease to an adult-onset muscle form causing exercise-induced rhabdomyolysis. Management involves avoidance of prolonged fasting and high-fat diets.

Common clinical features

Hypoketotic hypoglycemiaHepatomegalyExercise-induced rhabdomyolysisMyalgiaCardiomyopathyRenal failureEncephalopathy

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

Treatments being studied

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

Phase 3Bezafibrate (Bezagen xl)

Before you apply

Things trial teams commonly ask about for Carnitine Palmitoyltransferase Deficiency. Not eligibility rules; those are set by each study.

  • Specify CPT1 versus CPT2 deficiency — they are distinct biochemically and clinically, and trials are subtype-specific
  • Acylcarnitine profile (elevated C16, C18 in CPT2) on plasma tandem mass spectrometry is a required biomarker
  • Creatine kinase level and urine myoglobin are key biomarkers for muscle-type CPT2 deficiency trials
  • Fasting tolerance testing and triglyceride levels are required for hepatic CPT1 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).