Neuromuscular

Kennedy Disease

Also known as SBMA, spinal and bulbar muscular atrophy, X-linked bulbospinal neuropathy

Kennedy Disease, or Spinal and Bulbar Muscular Atrophy, is an X-linked motor neuron disease caused by a CAG trinucleotide repeat expansion in exon 1 of the androgen receptor (AR) gene, resulting in toxic gain-of-function of the mutant polyg

ORPHA:481 ↗Gene ARPrevalence 1 in 40,000 malesOnset Adult males, typically 3rd–5th decadeX-linked recessive (trinucleotide repeat expansion)

53

studies recruiting now

as of 7 Sept 2026

228

studies registered in total

as of 7 Sept 2026

11

countries with a recruiting site

as of 7 Sept 2026

7 Aug 2026

most recent study posted

among recruiting studies

Recruiting trials

RecruitingNot applicableNCT05647564

PET/CT Characterization of Treatment Resistance

Sponsor University of Wisconsin, MadisonWhere United States (1 site)Studying F-fluorodeoxyglucose positron emission tomography (FDG PET), prostate-specific membrane antigen positron emission tomography (PSMA PET)Updated 1 Sept 2026

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 53 recruiting 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

Kennedy's Disease AssociationPatient association
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Registry: KDA Patient Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Kennedy Disease

Kennedy Disease, or Spinal and Bulbar Muscular Atrophy, is an X-linked motor neuron disease caused by a CAG trinucleotide repeat expansion in exon 1 of the androgen receptor (AR) gene, resulting in toxic gain-of-function of the mutant polyglutamine-expanded AR protein in motor neurons and muscles. It affects only males (females are carriers) and is characterised by progressive limb and bulbar muscle weakness, androgen insensitivity features, and sensory neuronopathy. Disease progression is slow compared to ALS.

Common clinical features

Slowly progressive proximal limb muscle weaknessBulbar dysfunction (dysarthria, dysphagia, tongue fasciculations)Gynecomastia and reduced fertility (androgen insensitivity)Postural tremor of the handsMuscle cramps and fasciculationsSensory abnormalities (reduced vibration sense)Elevated serum creatine kinase

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

Treatments being studied

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

Phase 2/3Mexiletine Hydrochloride (Mexiletine hydrochloride)
Phase 2Clenbuterol (Spiropent)
Phase 2Dutasteride (Avodart)

Before you apply

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

  • Genetic confirmation of CAG repeat length in the AR gene (≥38 repeats) is required; repeat length correlates inversely with age of onset and may be a stratification variable in trials
  • Testosterone levels are frequently collected as a pharmacodynamic biomarker; baseline hormonal profile including LH, FSH, and testosterone should be documented
  • SBMA Functional Rating Scale (SBMAFRS) and 40-metre walk test are standard clinical endpoints; formal neuromuscular assessment documentation strengthens your application

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).