Blood

Shwachman-Diamond Syndrome

Also known as SDS, Shwachman-Bodian-Diamond syndrome, SBDS deficiency

Shwachman-Diamond syndrome is a multisystem inherited bone marrow failure syndrome caused most commonly by biallelic mutations in the SBDS gene, which encodes a protein involved in ribosome assembly and mitotic spindle stabilization. The co

ORPHA:811 ↗Gene SBDSPrevalence 1 in 76,000 to 1 in 200,000Onset Infancy; exocrine pancreatic insufficiency typically apparent in early infancyAutosomal recessive

4

studies recruiting now

as of 7 Sept 2026

21

studies registered in total

as of 7 Sept 2026

25

countries with a recruiting site

as of 7 Sept 2026

31 May 2025

most recent study posted

among recruiting studies

Recruiting trials

Showing the 4 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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Patient organisations

Shwachman-Diamond Syndrome FoundationPatient association
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Registry: SDS Foundation Patient Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Shwachman-Diamond Syndrome

Shwachman-Diamond syndrome is a multisystem inherited bone marrow failure syndrome caused most commonly by biallelic mutations in the SBDS gene, which encodes a protein involved in ribosome assembly and mitotic spindle stabilization. The condition is characterized by the triad of exocrine pancreatic insufficiency, skeletal abnormalities, and bone marrow dysfunction manifesting as neutropenia, thrombocytopenia, and risk of aplastic anemia or progression to myelodysplastic syndrome and acute myeloid leukemia. It is the second most common inherited bone marrow failure syndrome after Fanconi anemia.

Common clinical features

Exocrine pancreatic insufficiency causing malabsorption and failure to thriveChronic or intermittent neutropenia with recurrent infectionsThrombocytopenia and anemia of variable severitySkeletal dysplasia including metaphyseal dysostosis and short statureElevated risk of MDS and AML transformationFatty replacement of pancreatic parenchyma on imagingHepatomegaly with elevated transaminases in infancyLearning difficulties and cognitive challenges in some patients

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

Before you apply

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

  • SBDS gene mutation confirmation (most commonly c.183-184TA>CT and c.258+2T>C compound heterozygous mutations) with pancreatic function testing results (fecal elastase) are required for most trial enrollment.
  • Hematologic monitoring data including serial complete blood counts, bone marrow biopsies, and cytogenetic studies (particularly for monosomy 7 and isochromosome 7q) are critical for MDS-related trial eligibility.
  • Nutritional status, growth parameters, and enzyme replacement therapy history are relevant to trials assessing hematopoietic outcomes and should be documented thoroughly.

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).