Mitochondrial

Kearns-Sayre Syndrome

Also known as KSS, oculocraniosomatic syndrome, mtDNA large deletion

Kearns-Sayre syndrome is a sporadic mitochondrial disease defined by the triad of onset before age 20, chronic progressive external ophthalmoplegia, and pigmentary retinopathy, plus at least one of cardiac conduction defects, cerebellar ata

ORPHA:480 ↗Gene mtDNA deletionPrevalence Approximately 1–3 per 100,000Onset Before age 20

3

studies recruiting now

as of 7 Sept 2026

10

studies registered in total

as of 7 Sept 2026

5

countries with a recruiting site

as of 7 Sept 2026

26 Sept 2022

most recent study posted

among recruiting studies

Recruiting trials

Showing the 3 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Kearns-Sayre Syndrome 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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Patient organisations

United Mitochondrial Disease FoundationPatient association
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About Kearns-Sayre Syndrome

Kearns-Sayre syndrome is a sporadic mitochondrial disease defined by the triad of onset before age 20, chronic progressive external ophthalmoplegia, and pigmentary retinopathy, plus at least one of cardiac conduction defects, cerebellar ataxia, or elevated CSF protein. It is caused by large-scale single deletions in mitochondrial DNA, typically several kilobases in size, arising de novo and leading to multisystem dysfunction. Cardiac involvement, including complete heart block, is the most life-threatening feature and may require pacemaker implantation.

Common clinical features

Chronic progressive external ophthalmoplegia (ptosis and ophthalmoplegia)Pigmentary retinopathyCardiac conduction defects and heart blockCerebellar ataxiaProximal muscle weaknessElevated cerebrospinal fluid proteinSensorineural hearing loss and endocrine dysfunction

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

Before you apply

Things trial teams commonly ask about for Kearns-Sayre Syndrome. Not eligibility rules; those are set by each study.

  • Molecular confirmation of a large-scale mtDNA deletion by Southern blot or long-range PCR is required for most KSS trials; blood heteroplasmy may be low, so muscle tissue testing is preferred.
  • Cardiac monitoring history, including Holter and ECG, is a standard pre-screening requirement given the high risk of sudden cardiac death from conduction defects.
  • Trials may exclude patients with pacemakers if study devices or imaging protocols are incompatible; confirm your pacemaker model details in advance.

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).