Neurological

Stiff Person Syndrome

Also known as SPS, stiff man syndrome, anti-GAD65 autoimmune syndrome, progressive encephalomyelitis with rigidity and myoclonus (PERM)

Stiff person syndrome (SPS) is a rare autoimmune neurological disorder characterized by progressive fluctuating muscular rigidity of the trunk and proximal limbs, with painful episodic muscle spasms triggered by emotional stress, noise, or

ORPHA:3198 ↗Gene GAD1 (autoantigen)Prevalence 1-9 per 1,000,000 (Orphanet)Onset AdultAutoimmune

2

studies recruiting now

as of 7 Sept 2026

19

studies registered in total

as of 7 Sept 2026

2

countries with a recruiting site

as of 7 Sept 2026

11 Feb 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 2 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Stiff Person Syndrome 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

Stiff Person Syndrome Research FoundationPatient association
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About Stiff Person Syndrome

Stiff person syndrome (SPS) is a rare autoimmune neurological disorder characterized by progressive fluctuating muscular rigidity of the trunk and proximal limbs, with painful episodic muscle spasms triggered by emotional stress, noise, or touch. Most patients have high-titer anti-GAD65 autoantibodies. SPS is associated with other autoimmune conditions, particularly type 1 diabetes. VGCC and glycine receptor antibodies define rarer variants. Treatment includes GABAergic medications and immunotherapy.

Common clinical features

Fluctuating trunk and limb rigidityPainful muscle spasmsExaggerated lumbar lordosisHypersensitivity to stimuliFallsAnxiety and phobiaCo-existing autoimmune conditions

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

Treatments being studied

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

Approved: Diazepam (Alupram 10)
Phase 2Efgartigimod Alfa (Efgartigimod alfa component of vyvgart hytrulo)
Phase 2Rituximab (Blitzima)

Before you apply

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

  • Anti-GAD65 antibody titer (markedly elevated, typically >1000 IU/mL) is required for SPS diagnosis and trial eligibility
  • Stiffness index measurement and surface EMG documentation of continuous motor unit firing are objective eligibility markers
  • Immunotherapy trial history (IVIG, plasmapheresis, rituximab) must be documented — washout periods are required
  • SPS variants (PERM with glycine receptor antibodies vs. classic anti-GAD65 SPS) may have separate trial eligibility criteria

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).