Metabolic

Sanfilippo Syndrome

Also known as MPS III, mucopolysaccharidosis type III, heparan sulfate storage disease, Types A B C D

Sanfilippo syndrome (MPS III) is a group of four biochemically distinct lysosomal storage disorders (Types A-D) that all result in accumulation of heparan sulfate primarily in the brain, causing severe progressive neurodegeneration with rel

ORPHA:581 ↗Gene SGSH (A)Gene NAGLU (B)Gene HGSNAT (C)Gene GNS (D)Prevalence 1-9 per 100,000 (Orphanet)Onset Infantile, ChildhoodAutosomal recessive genetic

9

studies recruiting now

as of 7 Sept 2026

60

studies registered in total

as of 7 Sept 2026

4

countries with a recruiting site

as of 7 Sept 2026

27 Mar 2024

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 9 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

National MPS SocietyPatient association
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Registry: Sanfilippo Research Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Sanfilippo Syndrome

Sanfilippo syndrome (MPS III) is a group of four biochemically distinct lysosomal storage disorders (Types A-D) that all result in accumulation of heparan sulfate primarily in the brain, causing severe progressive neurodegeneration with relatively mild somatic involvement. Children typically develop normally for the first 1-3 years, then experience behavioral problems, hyperactivity, sleep disturbance, and relentless intellectual decline. No approved therapies exist, making clinical trials critical for this population.

Common clinical features

Hyperactivity and aggressionProgressive intellectual declineSleep disturbanceLanguage regressionSeizuresSwallowing difficultiesCoarse features (mild)

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

Treatments being studied

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

Phase 2/3Cannabidiol (Epidiolex)
Phase 2N-Sulfoglucosamine Sulfohydrolase Recombinant
Phase 1/2Sobi-003

Before you apply

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

  • Specify MPS III type (A, B, C, or D) — enzyme activity and gene mutations differ by type and trials are subtype-specific
  • CSF heparan sulfate level is the key CNS biomarker used in interventional trials for efficacy
  • Developmental staging and cognitive assessment scores are primary eligibility and outcome measures
  • Type A (SGSH) has the most active trial pipeline including gene therapy and enzyme replacement — enroll early before significant neurological decline

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).