Neurological

Fragile X Syndrome

Also known as FXS, FMRP deficiency, Martin-Bell syndrome, FMR1 CGG repeat expansion

Fragile X syndrome is the most common inherited cause of intellectual disability and the leading single-gene cause of autism spectrum disorder, caused by CGG trinucleotide repeat expansion in the FMR1 gene leading to silencing of FMRP prote

ORPHA:908 ↗Gene FMR1Prevalence 1-5 per 10,000 (Orphanet)Onset ChildhoodX-linked genetic (trinucleotide repeat expansion)

16

studies recruiting now

as of 7 Sept 2026

121

studies registered in total

as of 7 Sept 2026

4

countries with a recruiting site

as of 7 Sept 2026

17 Jun 2026

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 16 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

FRAXA Research FoundationPatient association
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Registry: Fragile X Online Registry with Accessible Research Database (FORWARD) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Fragile X Syndrome

Fragile X syndrome is the most common inherited cause of intellectual disability and the leading single-gene cause of autism spectrum disorder, caused by CGG trinucleotide repeat expansion in the FMR1 gene leading to silencing of FMRP protein expression. Clinical features include intellectual disability, social anxiety, repetitive behaviors, large ears, macroorchidism in males, and hyperarousal. Females are typically less severely affected. Premutation carriers (55-200 repeats) are at risk for fragile X-associated tremor/ataxia syndrome (FXTAS).

Common clinical features

Intellectual disabilityAutism spectrum featuresSocial anxiety and avoidanceHyperactivityMacroorchidism (males)Large ears and prominent jawSeizures (20-25%)

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

Treatments being studied

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

Phase 3Baclofen (Baclofen)
Phase 3Zatolmilast
Phase 3Vitamin E (Aquasol e)
Phase 3Cannabidiol (Epidiolex)
Phase 3Arbaclofen Placarbil
Phase 3Arbaclofen
Phase 2/3Mavoglurant
Phase 2Roflumilast (Daliresp)

+ 19 more in development

Before you apply

Things trial teams commonly ask about for Fragile X Syndrome. Not eligibility rules; those are set by each study.

  • Full mutation CGG repeat count (>200 repeats) confirmed by Southern blot or PCR is the diagnostic requirement for FXS trials
  • Premutation carriers (55-200 repeats) qualify for FXTAS trials — these are distinct populations from full mutation FXS trials
  • Cognitive and behavioral endpoints (VABS, SNAP-IV, ABC-C) are standard baseline and outcome assessments
  • FMRP-targeting trials (metformin, mGluR5 antagonists) may require washout from prior investigational therapies

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).