Neurological

Spinocerebellar Ataxia

Also known as SCA, autosomal dominant cerebellar ataxia, ADCA, SCA1/SCA2/SCA3/SCA6/SCA7 and others

Spinocerebellar ataxias (SCAs) are a heterogeneous group of autosomal dominant neurodegenerative disorders characterized by progressive cerebellar ataxia, with over 40 genetic subtypes identified. The most common types (SCA1, SCA2, SCA3, SC

ORPHA:99 ↗Gene ATXN1 (SCA1)Gene ATXN2 (SCA2)Gene ATXN3 (SCA3/MJD)Gene CACNA1A (SCA6)Gene ATXN7 (SCA7)Gene TBP (SCA17)Prevalence 1-5 per 10,000 (Orphanet, all types combined)Onset Adult, AdolescentAutosomal dominant genetic (most types, trinucleotide or other repeat expansion)

42

studies recruiting now

as of 7 Sept 2026

286

studies registered in total

as of 7 Sept 2026

12

countries with a recruiting site

as of 7 Sept 2026

22 Jul 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 42 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 Ataxia FoundationPatient association
Visit website ↗

Registry: Clinical Research Consortium for Spinocerebellar Ataxias (CRC-SCA) Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Spinocerebellar Ataxia

Spinocerebellar ataxias (SCAs) are a heterogeneous group of autosomal dominant neurodegenerative disorders characterized by progressive cerebellar ataxia, with over 40 genetic subtypes identified. The most common types (SCA1, SCA2, SCA3, SCA6, SCA7) are caused by CAG trinucleotide repeat expansions in their respective genes, encoding polyglutamine tracts that cause toxic protein aggregation. Clinical features beyond cerebellar ataxia vary by subtype and include pyramidal signs, peripheral neuropathy, ophthalmoplegia, and cognitive decline.

Common clinical features

Progressive cerebellar ataxiaDysarthriaNystagmus and oculomotor abnormalitiesPyramidal signs (spasticity, hyperreflexia)Peripheral neuropathyCognitive declineDysphagia

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

Treatments being studied

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

Phase 3Rovatirelin
Phase 2/3Troriluzole
Phase 2/3Riluzole (Exservan)
Phase 2Human Immunoglobulin G (Flebogamma dif (previously flebogammadif))
Phase 2Nilotinib
Phase 1Ubidecarenone

Before you apply

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

  • SCA subtype must be genetically confirmed — repeat expansion length and subtype are required for all trials
  • Scale for Assessment and Rating of Ataxia (SARA) score is the primary eligibility and outcome measure
  • CAG repeat length predicts age of onset and progression rate — this affects trial stratification and eligibility windows
  • Antisense oligonucleotide (ASO) and gene silencing trials are subtype-specific (e.g., SCA3 ASO trials differ from SCA1)

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).