Metabolic

Late-Onset Pompe Disease

Also known as LOPD, late-onset glycogen storage disease type II, adult-onset acid maltase deficiency, GAA deficiency

Late-onset Pompe disease (LOPD) is caused by partial deficiency of acid alpha-glucosidase (GAA), distinguishing it from the more severe infantile-onset form. Glycogen accumulates progressively in skeletal muscle and respiratory muscle, caus

ORPHA:308 ↗Gene GAAPrevalence 1-5 per 100,000 (Orphanet)Onset Childhood, AdultAutosomal recessive genetic

8

studies recruiting now

as of 7 Sept 2026

70

studies registered in total

as of 7 Sept 2026

45

countries with a recruiting site

as of 7 Sept 2026

21 Jan 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 8 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

Acid Maltase Deficiency AssociationPatient association
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Registry: Pompe Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Late-Onset Pompe Disease

Late-onset Pompe disease (LOPD) is caused by partial deficiency of acid alpha-glucosidase (GAA), distinguishing it from the more severe infantile-onset form. Glycogen accumulates progressively in skeletal muscle and respiratory muscle, causing limb-girdle weakness and respiratory failure that worsens over years to decades. Alglucosidase alfa (Myozyme/Lumizyme) was the first approved ERT; avalglucosidase alfa (Nexviazyme) and cipaglucosidase alfa with miglustat (Pombiliti+Opfolda) represent next-generation options.

Common clinical features

Proximal muscle weaknessRespiratory insufficiencyExercise intoleranceLordosis and scoliosisSleep-disordered breathingWheelchair dependenceDysphagia

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

Treatments being studied

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

Phase 3Brivaracetam (Briviact)
Phase 3Human Immunoglobulin G (Flebogamma dif (previously flebogammadif))

Before you apply

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

  • GAA enzyme activity and GAA genotype are required eligibility confirmations — document residual enzyme activity level
  • Forced vital capacity (FVC) percent predicted is a primary eligibility criterion — many trials require FVC above a minimum threshold
  • Document current ERT (alglucosidase alfa vs. avalglucosidase alfa) and anti-GAA antibody titer — antibody-positive patients may be excluded or enrolled in immune tolerance induction sub-studies
  • Six-minute walk test (6MWT) distance is a key baseline and outcome measure

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).