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Metabolic & Lysosomal

Krabbe Disease Clinical Trials and Treatments

Also called Globoid Cell Leukodystrophy, Galactocerebrosidase Deficiency

Krabbe Disease is a lysosomal lipid storage disorder resulting from mutations in the GALC gene encoding galactocerebrosidase. This enzyme normally catalyzes the breakdown of galactocerebroside, a major galactose-containing lipid component of myelin.

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About Krabbe Disease

Krabbe Disease is a lysosomal lipid storage disorder resulting from mutations in the GALC gene encoding galactocerebrosidase. This enzyme normally catalyzes the breakdown of galactocerebroside, a major galactose-containing lipid component of myelin. GALC deficiency leads to accumulation of galactocerebroside and its toxic metabolite psychosine in oligodendrocytes, Schwann cells, and macrophages. Psychosine accumulation is particularly neurotoxic, triggering cell death through multiple pathways including apoptosis, autophagy dysfunction, and oxidative stress. This results in progressive demyelination of both central and peripheral nervous systems.

The infantile form, accounting for 90% of Krabbe cases, is the most severe. It typically begins between 3-6 months of age with developmental regression, loss of developmental milestones, progressive spasticity, and loss of visual and hearing function. Without treatment, infantile Krabbe is rapidly progressive and fatal by age 2-4 years. Late-infantile forms show delayed but still progressive neurological decline. Juvenile and adult forms progress more slowly but still cause significant disability. Diagnosis relies on demonstrating reduced GALC enzyme activity in leukocytes or fibroblasts, elevated lyso-galactosylceramide levels, and genetic testing. MRI shows progressive white matter changes and demyelination.

Common Symptoms of Krabbe Disease

Recognizing the signs of Krabbe Disease 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: developmental regression, irritability, and spasticity from 3-6 months of age
  • Peripheral neuropathy with loss of sensation
  • Progressive visual loss and blindness
  • Seizures starting in infancy or childhood
  • Severe developmental delays and intellectual disability
  • Progressive loss of motor function leading to paralysis

Who Krabbe Disease Affects

Most common presentation is infantile-onset form appearing in first 3-6 months of life with rapid progression. Late-infantile form appears between 6 months and 3 years.

Juvenile form appears between 3 and 30 years with slower progression. Adult-onset forms are rare. Affects males and females equally. Autosomal recessive inheritance. Higher prevalence in certain populations including Scandinavian ancestry.

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Help Paying for Krabbe Disease Treatment

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

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Charity funds
  • From a charity · Hunter's Hope Foundation
    Equipment and Supply Exchange Program fund
    Open

    Pays for: Donated durable medical equipment matched to families; shipping covered in the contiguous US.

    The foundation says: “Items Available (active listing)”
  • From a charity · United Leukodystrophy Foundation
    Hultman Memorial Fund fund
    Open

    Pays for: Expenses directly related to the affected family member, based on demonstrated hardship (per 12 months), up to $500 per year.

    The foundation says: “Applications are reviewed on a rolling basis as funding is available.”
  • From a charity · Hunter's Hope Foundation
    Hunter's Wish Gift fund
    Apply directly

    Pays for: Big-ticket equipment for leukodystrophy families (wheelchair lifts, accessible vans, service dogs), case by case.

    The foundation says: “Status not shown on page”
Status as each foundation showed it on September 28, 2026.

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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

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

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Trusted Krabbe Disease Resources

Reputable organizations and medical references for learning more about Krabbe Disease, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Krabbe Disease

Use this Krabbe Disease clinical trial finder to see the 7 studies recruiting patients and 1 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.

8 active trials worldwide
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RECRUITINGPHASE1Recently updatedNCT02254863

UCB Transplant of Inherited Metabolic Diseases With Administration of Intrathecal UCB Derived Oligodendrocyte-Like Cells

Intervention: DUOC-01

Sponsor: Joanne Kurtzberg, MD

The primary objective of the study is to determine the safety and feasibility of intrathecal administration of DUOC-01 in patients who are undergoing standard treatment with umbilical cord blood transplant (UCBT) for inborn errors of metabolism and who have evidence of early demy...

Ages 1 Week – 22 Years1 location
Started Sep 2014Updated 3 weeks agoEst. Oct 2027 (~1y 1m)
NOT YET RECRUITINGPHASE2Recently updatedNCT07740512

Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of PLX-200 in Pediatric Patients (Master Protocol)

Intervention: PLX-200

Sponsor: Polaryx Therapeutics, Inc.

The purpose of this study is to evaluate the safety, tolerability and clinical activity of PLX-200 in pediatric patients with lysosomal storage disorders.

Ages 2 Years – 15 Years
Started Dec 2026Updated 2 months agoEst. Dec 2028 (~2y 3m)
RECRUITINGRecently updatedNCT02993796

Krabbe Disease Global Patient Registry

Sponsor: State University of New York at Buffalo

The purpose of this study is to develop a clinical database of individuals diagnosed with Krabbe disease in order to determine which symptoms herald the onset of clinical disease in the various phenotypes of Krabbe disease; to determine whether level of GALC enzyme activity, or a...

Ages not specified1 location
Started Sep 2014Updated 2 months agoEst. Sep 2026 (0 days)
RECRUITINGNo updates in a whileNCT03333200

Longitudinal Study of Neurodegenerative Disorders

Intervention: Palliative Care, Hematopoetic Stem Cell Transplantation

Sponsor: University of Pittsburgh

The purpose of this study is to understand the course of rare genetic disorders that affect the brain. This data is being analyzed to gain a better understanding of the progression of the rare neurodegenerative disorders and the effects of interventions.

Ages not specified1 location
Started Jan 2012Updated 7 months agoEst. Jan 2030 (~3y 4m)
RECRUITINGNo updates in a whileNCT04528355

Data Collection Study of Patients With Non-Malignant Disorders Undergoing UCBT, BMT or PBSCT With RIC

Intervention: data collection

Sponsor: Paul Szabolcs

This is a data collection study that will examine the general diagnostic and treatment data associated with the reduced-intensity chemotherapy-based regimen paired with simple alemtuzumab dosing strata designed to prevented graft failure and to aid in immune reconstitution follow...

Ages 2 Months – 60 Years1 location
Started Aug 2020Updated 8 months agoEst. Dec 2027 (~1y 3m)
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Active trial locations23 cities in the US
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Trial Pipeline

Jan 2021 to Sep 2031
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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 Krabbe Disease may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Krabbe Disease Treatments

2 pharmaceutical companies have Krabbe Disease in their rare disease portfolio

Frequently Asked Questions About Krabbe Disease