Neuromuscular

Facioscapulohumeral Muscular Dystrophy

Also known as FSHD, Landouzy-Dejerine disease

Facioscapulohumeral Muscular Dystrophy is caused by the aberrant expression of the transcription factor DUX4 in skeletal muscle, most commonly due to contraction of the D4Z4 repeat array on chromosome 4q35 (FSHD1). It presents with a descen

ORPHA:269 ↗Gene DUX4Prevalence 1 in 8,300 to 1 in 15,000Onset Adolescence to early adulthood (typically before age 20)Autosomal dominant (FSHD1); digenic (FSHD2)

20

studies recruiting now

as of 7 Sept 2026

93

studies registered in total

as of 7 Sept 2026

13

countries with a recruiting site

as of 7 Sept 2026

27 Feb 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 20 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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About Facioscapulohumeral Muscular Dystrophy

Facioscapulohumeral Muscular Dystrophy is caused by the aberrant expression of the transcription factor DUX4 in skeletal muscle, most commonly due to contraction of the D4Z4 repeat array on chromosome 4q35 (FSHD1). It presents with a descending pattern of weakness beginning in facial and shoulder girdle muscles, and its course is highly variable, from subclinical to wheelchair dependence. Approximately 20% of patients eventually require a wheelchair.

Common clinical features

Facial weakness (difficulty closing eyes, smiling, or whistling)Scapular winging and shoulder girdle weaknessFoot drop and lower leg weakness (peroneal pattern)Asymmetric muscle involvementSensorineural hearing loss in early-onset casesRetinal vascular disease (Coats disease variant) in severe casesPain and fatigue disproportionate to muscle loss

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

Treatments being studied

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

Phase 3Losmapimod
Phase 2Efmitermant Alfa
Phase 1/2Atyr-1940
Phase 1/2Stamulumab
Phase 1Somatropin (Genotropin)
Phase 1Testosterone Enanthate (Delatestryl)

Before you apply

Things trial teams commonly ask about for Facioscapulohumeral Muscular Dystrophy. Not eligibility rules; those are set by each study.

  • FSHD1 trials require genetic confirmation of D4Z4 repeat number (1–9 units on a permissive 4qA allele); Southern blot or molecular combing results are standard
  • Reachable Workspace (RWS) and scapular fixation assessments are common primary endpoints — physiotherapy documentation of scapular winging grade is useful
  • FSHD2 patients (SMCHD1 mutations) may be excluded from FSHD1-specific trials; clarify your genetic subtype before applying

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).