Metabolic

Fucosidosis

Also known as FUCA1 deficiency, alpha-L-fucosidase deficiency

Fucosidosis is an extremely rare lysosomal storage disorder caused by mutations in the FUCA1 gene encoding alpha-L-fucosidase, an enzyme needed to break down fucose-containing glycoproteins and glycolipids. Accumulation of these substrates

ORPHA:349 ↗Gene FUCA1Prevalence 1-9 per 1,000,000 (Orphanet)Onset Infantile, ChildhoodAutosomal recessive genetic

1

studies recruiting now

as of 7 Sept 2026

10

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

29 May 2026

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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Support

Patient organisations

International Mannosidosis and Related Diseases (ISMRD)Patient association
Visit website ↗

Registry: ISMRD Global Patient Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Fucosidosis

Fucosidosis is an extremely rare lysosomal storage disorder caused by mutations in the FUCA1 gene encoding alpha-L-fucosidase, an enzyme needed to break down fucose-containing glycoproteins and glycolipids. Accumulation of these substrates causes progressive neurological deterioration, coarse facial features, angiokeratoma, and recurrent infections. The disease course is variable, with two clinical forms described: an early-severe form and a later-milder form with longer survival.

Common clinical features

Progressive intellectual disabilityCoarse facial featuresAngiokeratomaRecurrent infectionsSpasticityGrowth retardationSeizures

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 2/3Cyclophosphamide (Cyclophosphamide)
Phase 2/3Busulfan (Busilvex)

Before you apply

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

  • Alpha-L-fucosidase enzyme activity in leukocytes is the primary diagnostic and eligibility biomarker
  • Fucosidosis is extremely rare — contact ISMRD and Orphanet for active trial information and patient advocacy support
  • Natural history studies and registries are the most accessible research participation option given current lack of approved therapies
  • Hematopoietic stem cell transplantation has been attempted in some patients — transplant status affects future trial eligibility

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).