GM2 gangliosidosis

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ORPHA:309152E75.0
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4Active trials15Specialists8Treatment centers

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

GM2 gangliosidosis is a group of rare inherited metabolic diseases in which the body cannot properly break down a fatty substance called GM2 ganglioside. This substance builds up in nerve cells of the brain and spinal cord, causing progressive damage to the nervous system. The group includes three related conditions: Tay-Sachs disease (caused by a deficiency of the enzyme hexosaminidase A), Sandhoff disease (caused by a deficiency of both hexosaminidase A and B), and the AB variant (caused by a deficiency of the GM2 activator protein). All three forms share similar symptoms but are caused by different gene defects. The most common and severe form begins in infancy, typically between 3 and 6 months of age. Affected babies may appear normal at birth but gradually lose skills they had already learned, such as sitting, crawling, and turning over. Symptoms include an exaggerated startle response to loud noises, progressive weakness, loss of vision and hearing, seizures, and intellectual decline. A characteristic cherry-red spot may be seen in the back of the eye during an exam. There are also later-onset forms that appear in childhood, adolescence, or even adulthood. These tend to progress more slowly and may cause muscle weakness, difficulty with coordination and balance, speech problems, and psychiatric symptoms. Currently, there is no cure for GM2 gangliosidosis. Treatment focuses on managing symptoms and providing comfort and supportive care. Research into gene therapy, substrate reduction therapy, and enzyme replacement therapy is ongoing and offers hope for future treatments.

Key symptoms:

Loss of previously learned skills (developmental regression)Exaggerated startle response to loud soundsProgressive muscle weaknessSeizuresVision loss and eventual blindnessHearing lossCherry-red spot in the eyeDifficulty swallowingIntellectual disability and cognitive declineLoss of ability to move (paralysis)Muscle stiffness or spasticityProblems with coordination and balanceSpeech difficultiesPsychiatric symptoms in later-onset formsEnlarged head (macrocephaly) in some cases

Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Variable

Can begin at different ages, from infancy through adulthood

Orphanet ↗NORD ↗

FDA & Trial Timeline

5 events
May 2026Translational Potential of ex Vivo Gene Therapy in GM2 Gangliosidosis

Assistance Publique - Hôpitaux de Paris

TrialNOT YET RECRUITING
Feb 2026A Study to Evaluate the Safety and Efficacy of Nizubaglustat (AZ-3102) in Patients With GM2 Gangliosidosis or Niemann-Pick Type C Disease

Azafaros A.G. — PHASE2

TrialRECRUITING
Sep 2024Long-Term Follow-Up of Subjects Treated With AXO-AAV-GM2 for Tay-Sachs or Sandhoff Disease

Terence Flotte

TrialACTIVE NOT RECRUITING
Apr 2023Phase 2 Study Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Oral AZ-3102 in Patients with GM2 Gangliosidosis or Niemann-Pick Type C Disease

Azafaros A.G. — PHASE2

TrialACTIVE NOT RECRUITING
Sep 2022Caregiving Networks Across Disease Context and the Life Course

National Human Genome Research Institute (NHGRI)

TrialRECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for GM2 gangliosidosis.

4 clinical trialsare actively recruiting — trials can provide access to cutting-edge therapies.

View clinical trials →

Clinical Trials

4 recruitingView all trials with filters →
Phase 22 trials
Phase 2 Study Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Oral AZ-3102 in Patients with GM2 Gangliosidosis or Niemann-Pick Type C Disease
Phase 2
Active
· Sites: Curitiba; Porto Alegre +1 more · Age: 1299 yrs
A Study to Evaluate the Safety and Efficacy of Nizubaglustat (AZ-3102) in Patients With GM2 Gangliosidosis or Niemann-Pick Type C Disease
Phase 2
Actively Recruiting
· Sites: Água Verde, Curitiba; Porto Alegre, Rio Grande do Sul +1 more · Age: 1299 yrs
Other2 trials
Caregiving Networks Across Disease Context and the Life Course
Actively Recruiting
PI: Laura M Koehly, Ph.D. (National Human Genome Research Institute (NHGRI)) · Sites: Bethesda, Maryland · Age: 18100 yrs
Long-Term Follow-Up of Subjects Treated With AXO-AAV-GM2 for Tay-Sachs or Sandhoff Disease
Active
PI: Terence Flotte, MD (UMass Chan Medical School) · Sites: Worcester, Massachusetts

Specialists

15 foundView all specialists →
PM
Paul Orchard, MD
MINNEAPOLIS, MN
Specialist
PI on 15 active trials
FM
Florian Eichler, MD
BOSTON, MA
Specialist
PI on 4 active trials
AM
Adeline Vanderver, MD
Los Angeles, California
Specialist

Rare Disease Specialist

PI on 4 active trials1 GM2 gangliosidosis publication
JP
Jeanine R. Jarnes, PharmD
MINNEAPOLIS, MN
Specialist
PI on 3 active trials
JM
Joanne Kurtzberg, MD
DURHAM, NC
Specialist
PI on 11 active trials
JM
Joe TR Clarke, MD
Specialist
PI on 1 active trial
JM
Joe T Clarke, MD
Specialist
PI on 1 active trial
CM
Cynthia J Tifft, M.D.
Bethesda, Maryland
Specialist

Rare Disease Specialist

PI on 2 active trials
CP
Cynthia J TIfft, MD, PhD
WASHINGTON, DC
Specialist
PI on 1 active trial
AM
Anupam Sehgal, MBBS
Kingston, Ontario
Specialist

Rare Disease Specialist

PI on 1 active trial
TM
Terence Flotte, MD
WORCESTER, MA
Specialist
PI on 2 active trials
JP
Jeffrey Krischer, PhD
Specialist
PI on 3 active trials
GM
Guillaume Sillon, MSc
Specialist
PI on 1 active trial
CM
Chester B. Whitley, PhD, MD
LAS VEGAS, NV
Specialist
PI on 1 active trial
WM
Weston Miller, MD
MINNEAPOLIS, MN
Specialist
PI on 1 active trial

Treatment Centers

8 centers
⚗️ Trial Site

Hospital de Clinicas de Porto Alegre

📍 Porto Alegre

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

Travel Grants

No travel grants are currently matched to GM2 gangliosidosis.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about GM2 gangliosidosis

Disease timeline:

New trial: Phase 2 Study Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Oral AZ-

Phase PHASE2 trial recruiting. AZ-3102 (Dose 1)

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What specific type of GM2 gangliosidosis does my child have, and what does this mean for the expected disease course?,Are there any clinical trials or experimental treatments that my child might be eligible for?,What symptoms should I watch for that would require emergency medical attention?,When should we consider a feeding tube or other supportive interventions?,What palliative care and support services are available for our family?,Should other family members be tested as carriers, and what are the options for future pregnancies?,How often should we schedule follow-up visits, and which specialists should be involved in my child's care?

Common questions about GM2 gangliosidosis

What is GM2 gangliosidosis?

GM2 gangliosidosis is a group of rare inherited metabolic diseases in which the body cannot properly break down a fatty substance called GM2 ganglioside. This substance builds up in nerve cells of the brain and spinal cord, causing progressive damage to the nervous system. The group includes three related conditions: Tay-Sachs disease (caused by a deficiency of the enzyme hexosaminidase A), Sandhoff disease (caused by a deficiency of both hexosaminidase A and B), and the AB variant (caused by a deficiency of the GM2 activator protein). All three forms share similar symptoms but are caused by d

How is GM2 gangliosidosis inherited?

GM2 gangliosidosis follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

Are there clinical trials for GM2 gangliosidosis?

Yes — 4 recruiting clinical trials are currently listed for GM2 gangliosidosis on UniteRare. See the clinical trials section on this page for phase, sponsor, and site details sourced from ClinicalTrials.gov.

Which specialists treat GM2 gangliosidosis?

15 specialists and care centers treating GM2 gangliosidosis are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.