Mitochondrial

Leigh Syndrome

Also known as subacute necrotizing encephalomyelopathy, Leigh disease

Leigh syndrome is a severe, early-onset progressive neurodegenerative disorder caused by defects in mitochondrial energy production, resulting in characteristic bilateral symmetric lesions in the brainstem and basal ganglia. It is genetical

ORPHA:506 ↗Gene MT-ATP6Gene SURF1Gene SDHA (multiple)Prevalence Approximately 1 in 40,000 live birthsOnset Infantile (typically first 2 years of life); rarely adult onset

6

studies recruiting now

as of 7 Sept 2026

20

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

13 May 2025

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 6 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.

Keep watching

Get an email when a new Leigh Syndrome study opens.

One email a day at most. Unsubscribe with one click.

Used only for these alerts. Privacy.

Support

Patient organisations

United Mitochondrial Disease FoundationPatient association
Visit website ↗

Registry: Leigh Syndrome Patient Registry (Global Leigh Map) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Leigh Syndrome

Leigh syndrome is a severe, early-onset progressive neurodegenerative disorder caused by defects in mitochondrial energy production, resulting in characteristic bilateral symmetric lesions in the brainstem and basal ganglia. It is genetically heterogeneous, with causative mutations identified in both mitochondrial and nuclear DNA affecting multiple oxidative phosphorylation complexes. Prognosis is poor, with most affected children surviving only into early childhood, though adult-onset variants have been described.

Common clinical features

Psychomotor regression or developmental delayHypotoniaBrainstem dysfunction (respiratory irregularities, swallowing difficulties)Lactic acidosisSeizuresOphthalmoplegia and nystagmusCharacteristic bilateral lesions on brain MRI

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 2Ubidecarenone
Phase 2Sirolimus (Fyarro)
Phase 2Vatiquinone

Before you apply

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

  • Brain MRI demonstrating bilateral symmetric signal abnormalities in basal ganglia and/or brainstem is a key diagnostic criterion required for enrolment; ensure recent neuroimaging is available.
  • Given genetic heterogeneity, comprehensive mitochondrial gene panel or whole exome sequencing results are increasingly required to stratify participants by genetic subtype.
  • Leigh syndrome progression is episodic; enrolment windows may specify a stable neurological baseline for a minimum period to allow meaningful outcome assessment.

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).