Metabolic

Methylmalonic Acidemia

Also known as MMA, methylmalonyl-CoA mutase deficiency, MUT deficiency, cobalamin metabolism defect

Methylmalonic acidemia (MMA) is a group of inherited metabolic disorders caused by inability to metabolize certain amino acids and odd-chain fatty acids, resulting in accumulation of methylmalonic acid. The most common form involves deficie

ORPHA:26 ↗Gene MMUTGene MMAAGene MMABGene MMADHCPrevalence 1-9 per 100,000 (Orphanet)Onset Neonatal, InfantileAutosomal recessive genetic

6

studies recruiting now

as of 7 Sept 2026

32

studies registered in total

as of 7 Sept 2026

7

countries with a recruiting site

as of 7 Sept 2026

25 Feb 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 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.

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About Methylmalonic Acidemia

Methylmalonic acidemia (MMA) is a group of inherited metabolic disorders caused by inability to metabolize certain amino acids and odd-chain fatty acids, resulting in accumulation of methylmalonic acid. The most common form involves deficiency of methylmalonyl-CoA mutase (MUT). Patients experience recurrent metabolic crises with lethargy and vomiting, chronic kidney disease, and neurological complications. Some forms respond to vitamin B12 (cobalamin), while mut0 forms do not.

Common clinical features

Metabolic crisisHyperammonemiaChronic kidney diseaseAnemiaPancreatitisDevelopmental delayMovement disorder

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

Before you apply

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

  • Vitamin B12 (cobalamin) responsiveness testing distinguishes responsive forms from mut0 — trial eligibility often separates these groups
  • Estimated GFR (eGFR) is a primary eligibility criterion — significant renal impairment may exclude patients from certain trials
  • Urinary and plasma methylmalonic acid levels are the primary biomarkers; document baseline values carefully
  • Liver-kidney transplant recipients may be eligible for quality-of-life or long-term outcome studies

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).