Mitochondrial

Pearson Syndrome

Also known as Pearson marrow-pancreas syndrome, sideroblastic anemia with exocrine pancreatic dysfunction

Pearson syndrome is a rare, usually fatal disorder of infancy caused by large-scale deletions of mitochondrial DNA, characterised by refractory sideroblastic anaemia with vacuolisation of marrow precursors and exocrine pancreatic dysfunctio

ORPHA:699 ↗Gene mtDNA deletionPrevalence Fewer than 100 cases reported; extremely rareOnset Neonatal / Infancy

3

studies recruiting now

as of 7 Sept 2026

8

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

30 Aug 2023

most recent study posted

among recruiting studies

Recruiting trials

Showing the 3 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Pearson Syndrome 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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Patient organisations

United Mitochondrial Disease FoundationPatient association
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About Pearson Syndrome

Pearson syndrome is a rare, usually fatal disorder of infancy caused by large-scale deletions of mitochondrial DNA, characterised by refractory sideroblastic anaemia with vacuolisation of marrow precursors and exocrine pancreatic dysfunction. Children who survive the haematological phase often show partial haematopoietic improvement, but may subsequently develop features of Kearns-Sayre syndrome as the mitochondrial deletion persists in other tissues. Supportive care, including transfusions and pancreatic enzyme replacement, is the mainstay of management.

Common clinical features

Transfusion-dependent sideroblastic anaemia in infancyVacuolisation of bone marrow precursorsExocrine pancreatic insufficiency with malabsorptionLactic acidosisHepatic dysfunctionFailure to thriveRisk of progression to Kearns-Sayre syndrome

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 2Vatiquinone

Before you apply

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

  • Bone marrow biopsy confirming vacuolisation and ringed sideroblasts, together with mtDNA deletion analysis, are required for definitive diagnosis and trial enrolment.
  • Due to extreme rarity, trials may be conducted under compassionate use or expanded access frameworks; contact the treating centre and the UMDF for guidance on access programmes.
  • Transfusion dependency and haematological status at the time of screening are key eligibility variables; maintain accurate transfusion records.

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).