Neuromuscular

Nemaline Myopathy

Also known as NEM, rod myopathy, nemaline rod disease

Nemaline Myopathy is a clinically and genetically heterogeneous congenital myopathy defined by the presence of nemaline rods (abnormal protein aggregates) on muscle biopsy. At least 12 causative genes have been identified, with NEB (nebulin

ORPHA:607 ↗Gene NEBGene ACTA1Gene TPM2Gene TPM3Prevalence 1 in 50,000Onset Congenital or early childhood (occasionally adult onset)Autosomal recessive or dominant (gene-dependent)

5

studies recruiting now

as of 7 Sept 2026

13

studies registered in total

as of 7 Sept 2026

3

countries with a recruiting site

as of 7 Sept 2026

23 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.

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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 Nemaline Myopathy

Nemaline Myopathy is a clinically and genetically heterogeneous congenital myopathy defined by the presence of nemaline rods (abnormal protein aggregates) on muscle biopsy. At least 12 causative genes have been identified, with NEB (nebulin) and ACTA1 (skeletal muscle alpha-actin) accounting for the majority of cases. Clinical severity ranges from severe neonatal forms with respiratory failure to mild adult-onset weakness.

Common clinical features

Generalised muscle hypotonia from birth or early childhoodProximal greater than distal muscle weaknessFacial weakness and a long, narrow faceHigh-arched palate and feeding difficultiesRespiratory insufficiency (variable severity)Scoliosis and foot deformitiesDelayed motor milestones

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

Treatments being studied

1 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Phase 2Tyrosine

Before you apply

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

  • Muscle biopsy demonstrating nemaline rods by Gomori trichrome staining is the diagnostic hallmark and is usually required for trial enrolment alongside genetic confirmation
  • Gene-specific trials exist (especially for ACTA1 and NEB); identifying your causative gene via a congenital myopathy NGS panel is essential before applying
  • Pulmonary function testing (FVC, MIP, MEP) is a standard eligibility and endpoint measure, particularly for moderate-to-severe phenotypes

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).