Disease Directory Maple Syrup Urine Disease
Metabolic

Maple Syrup Urine Disease

Also known as: MSUD, branched-chain ketoaciduria, branched-chain ketoacid decarboxylase deficiency, BCKDHA/BCKDHB/DBT deficiency

Prevalence

1-9 per 100,000 (Orphanet)

Onset

Neonatal, Infantile

Type

Autosomal recessive genetic

Gene

BCKDHA, BCKDHB, DBT

About Maple Syrup Urine Disease

Maple syrup urine disease (MSUD) is an inherited metabolic disorder caused by deficiency of the branched-chain alpha-ketoacid dehydrogenase (BCKAD) enzyme complex, which is required to break down the branched-chain amino acids leucine, isoleucine, and valine. Accumulation of these amino acids and their toxic ketoacid metabolites causes acute metabolic crises, encephalopathy, and if untreated, death or severe neurological damage. The disease is named for the characteristic maple syrup odor of urine in affected infants.

Common Clinical Features

Maple syrup odor of urine Poor feeding Encephalopathy Metabolic crisis Hypertonia then hypotonia Seizures Intellectual disability

Clinical Trial Eligibility Tips

What to know before applying to Maple Syrup Urine Disease trials.

Thiamine-responsive MSUD is a distinct subtype — thiamine responsiveness testing may be required for certain trial arms

Liver transplantation corrects BCKAD deficiency — transplanted patients are typically excluded from enzyme-replacement trials

Leucine levels and branched-chain amino acid ratios are the primary biomarkers for eligibility and monitoring

Dietary management history including formula compliance is often reviewed during screening

Patient Resources

Patient Organization

MSUD Family Support Group

Visit website ↗

Natural History Registry

MSUD Family Support Group Registry

Join registry ↗

Orphanet

European reference resource for rare diseases (ORPHA:511)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

Search NORD ↗

Find recruiting Maple Syrup Urine Disease trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Maple Syrup Urine Disease. Updated daily.

Related Rare Diseases