Dermatological

Xeroderma Pigmentosum

Also known as XP, nucleotide excision repair deficiency, DeSanctis-Cacchione syndrome

Xeroderma pigmentosum is a rare autosomal recessive disorder of DNA repair caused by defects in nucleotide excision repair (NER) pathway genes (XPA through XPG) or the translesion synthesis polymerase POLH (XP variant). Patients are exquisi

ORPHA:910 ↗Gene XPA-XPGGene POLHPrevalence 1 in 250,000 (USA/Europe); 1 in 22,000 (Japan)Onset ChildhoodAutosomal recessive

2

studies recruiting now

as of 7 Sept 2026

16

studies registered in total

as of 7 Sept 2026

2

countries with a recruiting site

as of 7 Sept 2026

2 Aug 2022

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.

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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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About Xeroderma Pigmentosum

Xeroderma pigmentosum is a rare autosomal recessive disorder of DNA repair caused by defects in nucleotide excision repair (NER) pathway genes (XPA through XPG) or the translesion synthesis polymerase POLH (XP variant). Patients are exquisitely sensitive to ultraviolet radiation and develop severe, early-onset sunburn reactions, progressive photodamage of the skin and eyes, and a dramatically elevated risk of cutaneous malignancies — estimated to be more than 10,000-fold above the general population before age 20. Neurological degeneration occurs in a subset of complementation groups, most prominently XPA and XPD, constituting the DeSanctis-Cacchione syndrome variant.

Common clinical features

Severe sunburn after minimal UV exposure, often evident in infancyProgressive freckling, lentigines, and mottled hypo- and hyperpigmentation on sun-exposed skinEarly-onset multiple skin cancers including squamous cell carcinoma, basal cell carcinoma, and melanomaPhotophobia, conjunctivitis, and corneal opacification from UV-induced ocular damagePterygium formation and eyelid skin cancers causing visual impairmentProgressive sensorineural hearing loss and neurological degeneration in XPA and XPD subtypesAtrophy and telangiectasia of sun-exposed skin giving a prematurely aged appearance

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

Treatments being studied

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

Phase 2Afamelanotide (Scenesse)

Before you apply

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

  • Genetic complementation group (XPA–XPG or XP-V) is frequently an eligibility criterion — confirm the specific subtype through functional NER assay or sequencing before applying to trials.
  • Prior or concurrent skin malignancies are common in this population; trials vary widely on whether active or historical cancers are exclusionary — review oncology history documentation carefully.
  • Many trials restrict enrolment to patients without prior systemic chemotherapy for skin cancers; document all past treatments with dates and agents to expedite eligibility review.

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).