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Metabolic & Lysosomal

Glycogen Storage Disease Type II (GSD II) Clinical Trials

Also called GSD II, Pompe Disease, Acid Alpha-Glucosidase Deficiency

Glycogen Storage Disease Type II results from mutations in the GAA gene encoding acid alpha-glucosidase, the sole enzyme responsible for degrading glycogen within lysosomes. GAA deficiency leads to massive glycogen accumulation, particularly in cardiac myocytes, skeletal muscle fibers, and anterior horn cells.

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About Glycogen Storage Disease Type II

Glycogen Storage Disease Type II results from mutations in the GAA gene encoding acid alpha-glucosidase, the sole enzyme responsible for degrading glycogen within lysosomes. GAA deficiency leads to massive glycogen accumulation, particularly in cardiac myocytes, skeletal muscle fibers, and anterior horn cells. The pathophysiology involves lysosomal dysfunction, autophagic impairment, cellular stress, and ultimately muscle fiber death. The infantile form, with complete or near-complete GAA deficiency, manifests with rapid glycogen accumulation primarily in cardiac tissue, leading to severe cardiomyopathy.

Infantile-onset GSD II presents before age 1 year with hypotonia, poor feeding, failure to thrive, and cardiomegaly. Cardiac dysfunction is life-limiting, with most untreated patients dying from cardiac failure by age 2 years. Respiratory muscles are progressively affected. Late-onset GSD II begins in childhood with progressive proximal muscle weakness, preserving cardiac function initially. Adult-onset form is even more indolent, with slow progressive myopathy predominantly affecting lower extremities and trunk, presenting years or decades after birth. Respiratory insufficiency develops insidiously, often becoming apparent initially during sleep. CK levels are markedly elevated. Muscle biopsy shows characteristic glycogen-filled vacuoles. Enzyme replacement therapy with alglucosidase alfa has dramatically improved outcomes, particularly in infantile-onset disease, converting what was a uniformly fatal condition to a manageable chronic disease.

Common Symptoms of Glycogen Storage Disease Type II

Recognizing the signs of Glycogen Storage Disease Type II 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.

  • Infantile form: hypotonia, failure to thrive, and profound muscle weakness
  • Cardiomyopathy with heart enlargement and failure
  • Progressive respiratory muscle weakness requiring ventilation
  • Late-onset: progressive proximal muscle weakness starting in childhood
  • Adult-onset: slow progressive myopathy primarily affecting legs and trunk
  • Respiratory insufficiency particularly during sleep

Who Glycogen Storage Disease Type II Affects

Infantile-onset (classic) form presents before age 1 year with severe symptoms. Late-onset form presents in early childhood to adolescence. Adult-onset form presents in adulthood with slower progression. Affects males and females equally. Autosomal recessive inheritance. Occurs in all populations with variable prevalence.

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Help Paying for Glycogen Storage Disease Type II Treatment

Charity funds and drugmaker programs for Glycogen Storage Disease Type II, checked at the source. Pick your insurance to see what fits.

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Charity funds
  • From a charity · TotalAssist (formerly PAN Foundation)
    Pompe Disease fund
    Open

    Pays for: Out-of-pocket costs for approved medications, up to $9,500 per year. Requires health insurance (any kind).

  • From a charity · The Assistance Fund
    Pompe Disease fund
    Waitlist

    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

    The foundation says: “WAITLIST — Accepting Waitlist Patients. TAF is currently accepting requests to join the enrollment waitlist for this program. Waitlists a…”
Status as each foundation showed it on September 28, 2026.

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

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Trusted Glycogen Storage Disease Type II Resources

Reputable organizations and medical references for learning more about Glycogen Storage Disease Type II, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Glycogen Storage Disease Type II

Use this Glycogen Storage Disease Type II clinical trial finder to see the 24 studies recruiting patients and 5 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for metabolic & lysosomal 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.

31 active trials worldwide
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RECRUITINGRecently updatedNCT07834320

Pompe Disease RWE Long-term Monitoring Program

Sponsor: National Taiwan University Hospital

Evaluate short- and long-term biomarker, motor function, respiratory function and safety with avalglucosidase alfa in IOPD and LOPD patients who switched from other ERT.

Ages not specified1 location
Started Oct 2023Updated 1 week agoEst. Oct 2036 (~10 years)
NOT YET RECRUITINGPHASE1Recently updatedNCT07787650

A Study of S-606001 as Monotherapy in Participants With Late-onset Pompe Disease (LOPD)

Intervention: S-606001

Sponsor: Shionogi

The primary purpose of this study is to evaluate the safety and tolerability profile of S-606001 in participants with LOPD.

Ages 18 Years+
Started Sep 2026Updated 1 month agoEst. Oct 2028 (~2y 1m)
RECRUITINGPHASE1Recently updatedNCT07354724

A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of DNL952 in Adult Participants With Late-Onset Pompe Disease

Intervention: DNL952

Sponsor: Denali Therapeutics Inc.

This is a Phase 1, multicenter, open-label study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of DNL952 in adult participants with late-onset Pompe disease. The principal aim of this study is to obtain safety and tolerability data across ...

Ages 18 Years – 75 Years4 locations
Started May 2026Updated 1 month agoEst. Aug 2028 (~1y 11m)
NOT YET RECRUITINGPHASE2Recently updatedNCT07750990

An Extension Study of S-606001 in Participants With Late-onset Pompe Disease (LOPD)

Intervention: S-606001, ERT

Sponsor: Shionogi

The primary purpose of this study is to evaluate the long-term safety and tolerability profile of S-606001 in participants with LOPD.

Ages 18 Years+
Started Aug 2026Updated 1 month agoEst. Aug 2028 (~1y 11m)
RECRUITINGPHASE1, PHASE2Recently updatedNCT07282847

A Study to Evaluate Safety, Tolerability, and Efficacy of AB-1009 Gene Therapy (GAA Gene) in Adult Participants With Late-Onset Pompe Disease (PROGRESS-GT LOPD)

Intervention: AB-1009 (GAA Gene)

Sponsor: AskBio Inc · Bayer

This is a single-arm, open-label, dose-escalation study to evaluate the safety, tolerability and efficacy of a single intravenous infusion of AB-1009 in adult participants with late-onset Pompe disease (LOPD).

Ages 18 Years – 65 Years9 locations
Started Apr 2026Updated 2 months agoEst. Sep 2028 (~2 years)
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Metabolic & Lysosomal Conditions

Other rare diseases in the metabolic & lysosomal category. Patients with Glycogen Storage Disease Type II may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Glycogen Storage Disease Type II Treatments

7 pharmaceutical companies have Glycogen Storage Disease Type II in their rare disease portfolio

Frequently Asked Questions About Glycogen Storage Disease Type II