Metabolic

Tyrosinemia Type 1

Also known as HT1, fumarylacetoacetase deficiency, FAH deficiency, hepatorenal tyrosinemia

Tyrosinemia type 1 is the most severe form of tyrosinemia, caused by deficiency of fumarylacetoacetase (FAH), the final enzyme in the tyrosine degradation pathway. Accumulation of toxic metabolites, particularly succinylacetone, causes prog

ORPHA:882 ↗Gene FAHPrevalence 1-9 per 100,000 (Orphanet)Onset Infantile, ChildhoodAutosomal recessive genetic

1

studies recruiting now

as of 7 Sept 2026

20

studies registered in total

as of 7 Sept 2026

1

countries with a recruiting site

as of 7 Sept 2026

23 Apr 2025

most recent study posted

among recruiting studies

Recruiting trials

Showing the 1 most recently updated recruiting study, as recorded 7 Sept 2026. Live status on each study page.

Search all Tyrosinemia Type 1 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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About Tyrosinemia Type 1

Tyrosinemia type 1 is the most severe form of tyrosinemia, caused by deficiency of fumarylacetoacetase (FAH), the final enzyme in the tyrosine degradation pathway. Accumulation of toxic metabolites, particularly succinylacetone, causes progressive liver failure, renal tubular dysfunction (Fanconi syndrome), and a high risk of hepatocellular carcinoma. Nitisinone (NTBC/Orfadin), which blocks an upstream step in the pathway, has dramatically improved outcomes and is now standard of care.

Common clinical features

Liver failureHepatocellular carcinoma riskRenal Fanconi syndromeRicketsPorphyria-like crisesElevated alpha-fetoproteinFailure to thrive

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

Treatments being studied

1 approved treatment, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Nitisinone (Nitisinone mdk (previously nitisinone mendelikabs))

Before you apply

Things trial teams commonly ask about for Tyrosinemia Type 1. Not eligibility rules; those are set by each study.

  • Nitisinone (NTBC) treatment is near-universal — trials may study dose optimization, gene therapy, or nitisinone alternatives
  • Alpha-fetoprotein (AFP) level is a critical biomarker and tumor surveillance marker required at baseline
  • Succinylacetone in urine or blood is the diagnostic gold standard and an eligibility confirmation marker
  • Liver transplantation cures the hepatic phenotype — transplanted patients are typically ineligible for hepatic gene therapy 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).