Metabolic

Classic Galactosemia

Also known as GALT deficiency, galactose-1-phosphate uridyltransferase deficiency, type I galactosemia

Classic galactosemia is caused by severe deficiency of galactose-1-phosphate uridyltransferase (GALT), which is essential for metabolizing galactose found in lactose (milk sugar). Newborns present with jaundice, liver failure, E.

ORPHA:79239 ↗Gene GALTPrevalence 1-9 per 100,000 (Orphanet)Onset NeonatalAutosomal recessive genetic

2

studies recruiting now

as of 7 Sept 2026

12

studies registered in total

as of 7 Sept 2026

2

countries with a recruiting site

as of 7 Sept 2026

10 Mar 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 2 most recently updated recruiting studies, 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

Galactosemia FoundationPatient association
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Registry: Galactosemia Foundation Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Classic Galactosemia

Classic galactosemia is caused by severe deficiency of galactose-1-phosphate uridyltransferase (GALT), which is essential for metabolizing galactose found in lactose (milk sugar). Newborns present with jaundice, liver failure, E. coli sepsis, and cataracts within days of milk feeding. Despite dietary galactose restriction, most patients develop long-term complications including intellectual disability, speech problems, and in females, primary ovarian insufficiency.

Common clinical features

Neonatal liver failureCataractsE. coli neonatal sepsisIntellectual disabilitySpeech apraxiaPrimary ovarian insufficiencyTremor

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 3Govorestat
Phase 2Arginine Aspartate

Before you apply

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

  • Erythrocyte GALT enzyme activity is the gold standard diagnostic test — Beutler test results should be documented
  • Galactose-1-phosphate level in red blood cells is the primary efficacy biomarker in dietary and drug trials
  • Long-term complication trials (cognitive, fertility) often enroll adults with confirmed classic galactosemia on lifelong galactose restriction
  • New substrate reduction and small molecule therapies are in early trials — no prior investigational therapy is typically an inclusion criterion

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).