Neurological

Pelizaeus-Merzbacher Disease

Also known as PMD, PLP1 mutation, hypomyelinating leukodystrophy 1, connatal and classic Pelizaeus-Merzbacher

Pelizaeus-Merzbacher disease (PMD) is an X-linked hypomyelinating leukodystrophy caused by mutations in PLP1, encoding proteolipid protein 1, a major component of myelin in the central nervous system. Inadequate or abnormal myelination caus

ORPHA:702 ↗Gene PLP1Prevalence 1-9 per 100,000 (Orphanet)Onset Neonatal, InfantileX-linked genetic

7

studies recruiting now

as of 7 Sept 2026

13

studies registered in total

as of 7 Sept 2026

9

countries with a recruiting site

as of 7 Sept 2026

18 Dec 2025

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 7 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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Patient organisations

United Leukodystrophy FoundationPatient association
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Registry: Global Leukodystrophy Initiative (GLIA) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Pelizaeus-Merzbacher Disease

Pelizaeus-Merzbacher disease (PMD) is an X-linked hypomyelinating leukodystrophy caused by mutations in PLP1, encoding proteolipid protein 1, a major component of myelin in the central nervous system. Inadequate or abnormal myelination causes progressive neurological impairment including nystagmus, hypotonia, ataxia, spasticity, and intellectual disability. The connatal form is most severe with onset at birth; the classic form presents in early infancy. There are no approved therapies; stem cell and gene therapy approaches are in active development.

Common clinical features

Nystagmus (early onset)HypotoniaStridorAtaxiaSpasticityIntellectual disabilitySeizures

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

Before you apply

Things trial teams commonly ask about for Pelizaeus-Merzbacher Disease. Not eligibility rules; those are set by each study.

  • PLP1 mutation type (duplication, point mutation, deletion, null mutation) determines phenotype and is a critical eligibility factor for gene therapy trials
  • Brain MRI showing hypomyelination pattern is required for diagnostic confirmation and trial documentation
  • Allogeneic stem cell transplantation has been attempted in small studies — transplant status may affect future trial eligibility
  • PLP1 null mutations causing a distinct milder spastic paraplegia form (SPG2) may be excluded from PMD-specific trials

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).