Neurological

Tuberous Sclerosis Complex

Also known as TSC, tuberous sclerosis, Bourneville disease, TSC1/TSC2 haploinsufficiency

Tuberous sclerosis complex (TSC) is a multi-system genetic disorder caused by mutations in TSC1 or TSC2, encoding hamartin and tuberin respectively, which together regulate the mTOR signaling pathway. Loss of function leads to benign tumors

ORPHA:805 ↗Gene TSC1Gene TSC2Prevalence 1-5 per 10,000 (Orphanet)Onset Neonatal, Infantile, ChildhoodAutosomal dominant genetic (de novo in ~2/3)

23

studies recruiting now

as of 7 Sept 2026

119

studies registered in total

as of 7 Sept 2026

3

countries with a recruiting site

as of 7 Sept 2026

17 Dec 2025

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 23 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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Support

Patient organisations

Tuberous Sclerosis AlliancePatient association
Visit website ↗

Registry: TSC Natural History Database · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Tuberous Sclerosis Complex

Tuberous sclerosis complex (TSC) is a multi-system genetic disorder caused by mutations in TSC1 or TSC2, encoding hamartin and tuberin respectively, which together regulate the mTOR signaling pathway. Loss of function leads to benign tumors (hamartomas) in multiple organs including the brain (cortical tubers, subependymal nodules, SEGA), kidneys (angiomyolipomata), lungs (LAM), and skin. Neurological manifestations include epilepsy, intellectual disability, autism spectrum disorder, and ADHD.

Common clinical features

Cortical tubers causing epilepsySubependymal giant cell astrocytoma (SEGA)Renal angiomyolipomataSkin manifestations (facial angiofibromas, ash-leaf spots)Intellectual disabilityAutism spectrum disorderPulmonary LAM

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

Treatments being studied

2 approved treatments and 4 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Everolimus (Afinitor)Approved: Sirolimus (Fyarro)
Phase 3Ganaxolone (Ztalmy)
Phase 2/3Vigabatrin (Kigabeq)
Phase 2Basimglurant
Phase 2Soticlestat

Before you apply

Things trial teams commonly ask about for Tuberous Sclerosis Complex. Not eligibility rules; those are set by each study.

  • TSC1 versus TSC2 mutation affects phenotype severity — TSC2 mutations are generally more severe; genotype must be documented
  • mTOR inhibitors (everolimus, sirolimus) are approved for SEGA, renal AML, and pulmonary LAM — prior mTOR inhibitor use and current blood levels must be documented
  • Seizure frequency, type, and current antiseizure medication regimen are key eligibility determinants for epilepsy trials
  • TSC-associated neuropsychiatric disorders (TAND) assessment scores are eligibility and outcome measures for behavioral trials

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).