Disease Directory Glutaric Aciduria Type 1
Metabolic

Glutaric Aciduria Type 1

Also known as: GA1, glutaric acidemia type 1, glutaryl-CoA dehydrogenase deficiency, GCDH deficiency

Prevalence

1-9 per 100,000 (Orphanet)

Onset

Infantile, Childhood

Type

Autosomal recessive genetic

Gene

GCDH

About Glutaric Aciduria Type 1

Glutaric aciduria type 1 is an organic acidemia caused by mutations in the GCDH gene encoding glutaryl-CoA dehydrogenase, an enzyme involved in lysine and tryptophan catabolism. The hallmark feature is susceptibility to acute striatal injury during febrile illness in the first 6 years of life, causing dystonia and dyskinesia that can be severely disabling. Many patients are macrocephalic at birth, and some are identified through newborn screening before the first crisis.

Common Clinical Features

Macrocephaly Acute striatal crisis during illness Dystonia Dyskinesia Frontotemporal atrophy on MRI Hypotonia Subdural hemorrhage

Clinical Trial Eligibility Tips

What to know before applying to Glutaric Aciduria Type 1 trials.

Crisis prevention through emergency protocols during illness is standard care — trial sites must accommodate emergency management plans

Urinary glutarylcarnitine and plasma C5DC acylcarnitine are the key eligibility biomarkers

Post-crisis patients with established dystonia are a distinct cohort from pre-crisis or pre-symptomatic patients

Newborn screening programs vary by country — documentation of screening status and variant classification is required

Patient Resources

Patient Organization

Glutaric Aciduria Type 1 Family Network

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Orphanet

European reference resource for rare diseases (ORPHA:25)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting Glutaric Aciduria Type 1 trials

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