Endocrine

Multiple Endocrine Neoplasia Type 2

Also known as MEN2, MEN2A, MEN2B, Sipple syndrome

Multiple Endocrine Neoplasia Type 2 is an autosomal dominant syndrome caused by activating mutations in the RET proto-oncogene, subdivided into MEN2A (medullary thyroid carcinoma, pheochromocytoma, and primary hyperparathyroidism), MEN2B (m

ORPHA:653 ↗Gene RETPrevalence 1 per 35,000Onset Variable; medullary thyroid carcinoma can occur in infancy (MEN2B) to adulthoodAutosomal dominant

19

studies recruiting now

as of 7 Sept 2026

129

studies registered in total

as of 7 Sept 2026

25

countries with a recruiting site

as of 7 Sept 2026

25 Mar 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 19 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

Association for Multiple Endocrine Neoplasia DisordersPatient association
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Registry: International MTC Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Multiple Endocrine Neoplasia Type 2

Multiple Endocrine Neoplasia Type 2 is an autosomal dominant syndrome caused by activating mutations in the RET proto-oncogene, subdivided into MEN2A (medullary thyroid carcinoma, pheochromocytoma, and primary hyperparathyroidism), MEN2B (medullary thyroid carcinoma, pheochromocytoma, mucosal neuromas, and marfanoid habitus without hyperparathyroidism), and familial medullary thyroid carcinoma. Medullary thyroid carcinoma, arising from calcitonin-secreting parafollicular C-cells, is the most penetrant and life-threatening component, with virtually 100% penetrance in RET mutation carriers, and prophylactic thyroidectomy is recommended at an age determined by the specific RET codon mutation. The genotype-phenotype correlation for RET mutations is among the best characterised in clinical genetics.

Common clinical features

Medullary thyroid carcinoma (elevated calcitonin and CEA)Neck mass or thyroid nodule on examination or ultrasoundPheochromocytoma causing hypertension and adrenergic symptomsPrimary hyperparathyroidism with hypercalcaemia (MEN2A)Mucosal neuromas of the lips, tongue, and conjunctiva (MEN2B)Marfanoid body habitus (MEN2B)Intestinal ganglioneuromatosis causing constipation (MEN2B)Diarrhoea due to calcitonin or VIP secretion from MTC

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

Before you apply

Things trial teams commonly ask about for Multiple Endocrine Neoplasia Type 2. Not eligibility rules; those are set by each study.

  • Identification of the specific RET codon mutation is essential; trials targeting RET kinase inhibitors require documented RET variant with known risk classification (moderate, high, or highest risk).
  • Exclude active phaeochromocytoma biochemically before enrolment in any surgical or systemic therapy trial, as unresected phaeochromocytoma is an absolute contraindication to many interventions.
  • Calcitonin and CEA doubling times are used as prognostic and eligibility criteria in MTC-focused trials; longitudinal serial measurements are more informative than single values.

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).