Neuromuscular

Inclusion Body Myositis

Also known as IBM, sporadic IBM, sIBM

Inclusion Body Myositis is the most common acquired muscle disease in adults over 50, characterised by progressive muscle weakness with a distinctive pattern of finger flexor and quadriceps involvement, often asymmetric. Muscle biopsy shows

ORPHA:611 ↗Prevalence 1 in 14,000 to 1 in 28,000 (most common inflammatory myopathy over age 50)Onset Adults over age 45; mean onset in 6th decadeSporadic (acquired, not inherited)

5

studies recruiting now

as of 7 Sept 2026

64

studies registered in total

as of 7 Sept 2026

2

countries with a recruiting site

as of 7 Sept 2026

17 Mar 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.

Search all Inclusion Body Myositis 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 Inclusion Body Myositis

Inclusion Body Myositis is the most common acquired muscle disease in adults over 50, characterised by progressive muscle weakness with a distinctive pattern of finger flexor and quadriceps involvement, often asymmetric. Muscle biopsy shows rimmed vacuoles, congophilic amyloid deposits, and cytoplasmic inclusions containing TDP-43 and p62. The pathogenesis involves both inflammatory and degenerative components, and the disease is refractory to standard immunosuppressive therapy.

Common clinical features

Finger flexor weakness (difficulty gripping, opening jars)Quadriceps weakness causing falls and difficulty rising from chairsAsymmetric muscle weakness patternDysphagia (in up to 60% of patients)Foot dropProgressive loss of ambulation (wheelchair dependency within 10–15 years of onset)Mild facial weakness

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

Treatments being studied

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

Phase 3Bimagrumab
Phase 3Sirolimus (Fyarro)
Phase 3Arimoclomol
Phase 2/3Ulviprubart
Phase 2Garetosmab
Phase 2Alemtuzumab (Campath mabcampath)
Phase 2Trevogrumab
Phase 2Ruxolitinib (Jakavi)

+ 4 more in development

Before you apply

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

  • IBM diagnosis must meet ENMC 2011 or 2013 diagnostic criteria (clinico-pathological or clinical IBM); a muscle biopsy report confirming rimmed vacuoles or endomysial inflammation with CD8+ T-cell invasion is usually required
  • Anti-cN1A (Mup44) antibody positivity supports diagnosis and may be an eligibility biomarker in some trials; serum samples for antibody testing should be obtained before applying
  • Trials frequently use grip strength dynamometry and the IBM Functional Rating Scale (IBMFRS) as primary endpoints; baseline functional scores should be documented

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).