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Neurological & Neuromuscular

CDKL5 Deficiency Disorder (CDD) Clinical Trials

Also called CDD, CDKL5-related infantile spasms, CDKL5-associated developmental and epileptic encephalopathy

CDKL5 deficiency disorder is a rare developmental and epileptic encephalopathy caused by mutations in the CDKL5 gene located on the X chromosome. The condition typically presents in the first weeks to months of life with frequent, treatment-resistant seizures that persist throughout life.

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About CDKL5 Deficiency Disorder

CDKL5 deficiency disorder is a rare developmental and epileptic encephalopathy caused by mutations in the CDKL5 gene located on the X chromosome. The condition typically presents in the first weeks to months of life with frequent, treatment-resistant seizures that persist throughout life. Beyond seizures, individuals experience severe limitations in motor function, cognitive development, and vision.

The hallmark feature is extremely early seizure onset combined with profound developmental impairment. Most people with CDKL5 continue to have multiple seizures daily despite anti-seizure medications. Additional challenges include movement disorders, sleep problems, and feeding difficulties that significantly impact quality of life for individuals and families.

Diagnosis requires genetic testing to identify CDKL5 mutations. While there is no cure, treatment focuses on seizure management, physical and occupational therapy, and supportive care to maximize quality of life.

Common Symptoms of CDKL5 Deficiency Disorder

Recognizing the signs of CDKL5 Deficiency Disorder early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Severe seizures starting in infancy (usually by 3 months of age)
  • Profound developmental delays affecting movement, speech, and cognition
  • Vision problems including reduced eye focus and abnormal eye movements
  • Sleep disruption with inability to sleep through the night
  • Involuntary movements such as hand and leg jerking or dystonia
  • Feeding difficulties and gastrointestinal problems like reflux and constipation

Who CDKL5 Deficiency Disorder Affects

CDKL5 is an X-linked condition affecting both males and females, though females are diagnosed about 4 times more often. Seizures begin within the first year of life, typically by 3 months. Males who inherit the condition often experience more severe developmental delays. About 99% of cases arise from new genetic mutations rather than being inherited from parents.

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FDA-Approved Treatments for CDKL5 Deficiency Disorder

There is currently 1 FDA-approved medication for CDKL5 Deficiency Disorder. These therapies represent the current standard of care and may be used alongside or compared against investigational treatments in active clinical trials.

ganaxolone
Immedica Pharma
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

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Help Paying for CDKL5 Deficiency Disorder Treatment

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Side Effect Explorer

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

The CDKL5 gene page lists every condition Orphanet links to the gene and the open trials that name it.

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Trusted CDKL5 Deficiency Disorder Resources

Reputable organizations and medical references for learning more about CDKL5 Deficiency Disorder, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for CDKL5 Deficiency Disorder

Use this CDKL5 Deficiency Disorder clinical trial finder to see the 3 studies recruiting patients and 2 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for neurological & neuromuscular conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timeline

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

5 active trials worldwide
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NOT YET RECRUITINGPHASE3Recently updatedNCT05249556

Double-blind, Randomized, Placebo-controlled Trial of Ganaxolone in CDKL5 Deficiency Patients 6 Months to Less Than 2 Years Old

Intervention: Ganaxolone, Placebo

Sponsor: Immedica Pharma AB

This study will assess the efficacy, safety, and tolerability of ganaxolone (GNX) compared with placebo (PBO) as adjunctive therapy to the participant's standard anti-epileptic medication for the treatment of seizures in pediatric patients from 6 months to less than 2 years old w...

Ages 6 Months – 2 Years
Started Mar 2027Updated 2 months agoEst. Dec 2029 (~3y 2m)
NOT YET RECRUITINGNAUpdated a few months agoNCT07602205

Efficacy and Safety of Daily Home-based Hyperthermic Baths for Reducing Epileptic Seizures in CDKL5 Deficiency Disorder: A PROBE Clinical Trial

Intervention: Home-based hyperthermic Baths

Sponsor: Xuanwu Hospital, Beijing

The primary objective of this research is to study the efficacy and safety of daily, home-based hyperthermic baths for reducing epileptic seizures in CDKL5 Deficiency Disorder.

Ages 6 Months – 14 Years
Started Aug 2026Updated 4 months agoEst. Dec 2027 (~1y 2m)
RECRUITINGNo updates in a whileNCT06585605

A Retrospective Survey-based Multicenter Study to Delineate the Molecular and Phenotypic Spectrum of Epilepsy-dyskinesia Syndromes

Sponsor: Boston Children's Hospital

The Epilepsy-Dyskinesia Study aims to advance the understanding of the clinical and molecular spectrum of epilepsy-dyskinesia syndromes, monogenic diseases that cause both movement disorders and epilepsy. Addressing challenges in rare disease research -such as small, geographical...

Ages 0 Years – 18 Years1 location
Started Jul 2024Updated 6 months agoEst. Dec 2029 (~3y 2m)
RECRUITINGHasn't posted an update in over a yearNCT06967727

Registry and Natural History of Epilepsy-Dyskinesia Syndromes

Sponsor: Boston Children's Hospital

The Registry and Natural History of Epilepsy-Dyskinesia Syndromes is focused on gathering longitudinal clinical data as well as biological samples (blood, urine, and/or skin/tissue) from male and female patients, of all ages, who have a genetic diagnosis of epilepsy-dyskinesia sy...

Ages 0 Years – 30 Years1 location
Started Jun 2025Updated 1 year agoEst. Jun 2030 (~3y 7m)
RECRUITINGHasn't posted an update in over a yearNCT05558371

International CDKL5 Clinical Research Network

Intervention: No intervention.

Sponsor: University of Colorado, Denver

Pathogenic variants in the Cyclin-dependent kinase like 5 (CDKL5) gene cause CDKL5 deficiency disorder (CDD, MIM 300672, 105830), a severe developmental and epileptic encephalopathy associated with cognitive and motor impairments and cortical visual impairment. While capability f...

Ages 1 Month – 100 Years9 locations
Started Feb 2021Updated 2 years agoEst. Feb 2026
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Active trial locations8 cities in the US

Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Neurological & Neuromuscular Conditions

Other rare diseases in the neurological & neuromuscular category. Patients with CDKL5 Deficiency Disorder may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing CDKL5 Deficiency Disorder Treatments

3 pharmaceutical companies have CDKL5 Deficiency Disorder in their rare disease portfolio

Frequently Asked Questions About CDKL5 Deficiency Disorder