Disease Directory Hunter Syndrome
Metabolic

Hunter Syndrome

Also known as: MPS II, mucopolysaccharidosis type II, IDS deficiency, iduronate-2-sulfatase deficiency

Prevalence

1-9 per 100,000 (Orphanet)

Onset

Infantile, Childhood

Type

X-linked genetic

Gene

IDS

About Hunter Syndrome

Hunter syndrome (MPS II) is an X-linked lysosomal storage disorder caused by deficiency of iduronate-2-sulfatase (IDS), leading to accumulation of dermatan sulfate and heparan sulfate. It affects almost exclusively males. The severe form includes progressive neurodegeneration with behavioral problems and intellectual decline, while the attenuated form spares cognitive function. Idursulfase (Elaprase) is approved as intravenous ERT; intrathecal idursulfase beta is approved in Japan for the neuronopathic form.

Common Clinical Features

Coarse facial features Hepatosplenomegaly Joint stiffness Progressive intellectual decline (severe form) Obstructive airway disease Hearing loss Cardiac valve disease

Clinical Trial Eligibility Tips

What to know before applying to Hunter Syndrome trials.

Distinguish severe (neuronopathic) from attenuated Hunter syndrome — CNS trials target severe form; somatic ERT trials may accept both

IDS enzyme activity in plasma or leukocytes and urinary heparan/dermatan sulfate are required eligibility biomarkers

Idursulfase (Elaprase) IV ERT is standard — intrathecal delivery trials require no prior intrathecal therapy

CNS biomarkers including CSF heparan sulfate and brain MRI findings are key eligibility and outcome measures for neuronopathic trials

Patient Resources

Patient Organization

National MPS Society

Visit website ↗

Natural History Registry

MPS Society Patient Registry

Join registry ↗

Orphanet

European reference resource for rare diseases (ORPHA:580)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

Search NORD ↗

Find recruiting Hunter Syndrome trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Hunter Syndrome. Updated daily.

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