Rare condition

Klinefelter Syndrome

Also known as 47, XXY syndrome, XXY male

Klinefelter syndrome (47,XXY) is the most common sex chromosome disorder in males, characterised by an extra X chromosome. It affects testosterone production, fertility, and development.

Gene Extra X chromosome (47Gene XXY karyotype)Prevalence 1 in 500–1,000 male birthsOnset Congenital (47,XXY karyotype)

7

studies recruiting now

as of 7 Sept 2026

46

studies registered in total

as of 7 Sept 2026

5

countries with a recruiting site

as of 7 Sept 2026

22 Jul 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.

See all 7 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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Support

Patient organisations

Klinefelter Syndrome AssociationPatient association
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About Klinefelter Syndrome

Klinefelter syndrome (47,XXY) is the most common sex chromosome disorder in males, characterised by an extra X chromosome. It affects testosterone production, fertility, and development. Most individuals are not diagnosed until puberty or adulthood when fertility issues or testosterone deficiency become apparent. Testosterone replacement therapy (TRT) is the cornerstone of treatment. Clinical trials are investigating fertility preservation, early testosterone intervention, and bone density outcomes. The syndrome is substantially underdiagnosed — estimated 75% of affected males are never diagnosed.

Common clinical features

Small testes (hypogonadism)Infertility (azoospermia)Reduced testosteroneTall stature with long limbsGynaecomastiaReduced facial and body hairLearning and language difficultiesAnxiety and depression

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

Before you apply

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

  • Klinefelter syndrome is diagnosed by karyotype (chromosomal analysis) — a standard blood test can confirm 47,XXY.
  • Micro-TESE (testicular sperm extraction) is available to some Klinefelter males with azoospermia and is offered through specialised fertility centres — clinical trials are assessing fertility preservation timing.
  • The American Association for Klinefelter Syndrome Information and Support (AAKSIS) connects individuals to research programmes and peer networks.

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).