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Metabolic & Lysosomal

Mucopolysaccharidosis Type VI (MPS VI) Clinical Trials

Also called MPS VI, Maroteaux-Lamy Syndrome, Maroteaux-Lamy

Mucopolysaccharidosis Type VI is caused by mutations in the ARSB gene, resulting in deficiency of the enzyme arylsulfatase B (also called N-acetylgalactosamine-4-sulfatase). This enzyme is needed to break down dermatan sulfate and chondroitin 4-sulfate, glycosaminoglycans found throughout connective tissues.

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About Mucopolysaccharidosis Type VI

Mucopolysaccharidosis Type VI is caused by mutations in the ARSB gene, resulting in deficiency of the enzyme arylsulfatase B (also called N-acetylgalactosamine-4-sulfatase). This enzyme is needed to break down dermatan sulfate and chondroitin 4-sulfate, glycosaminoglycans found throughout connective tissues. Without it, these substrates accumulate in lysosomes, progressively damaging bones, joints, heart valves, corneas, and other organs.

The disease has a wide clinical spectrum. The severe, rapidly progressing form causes significant skeletal deformity, cardiac disease, and respiratory compromise that can be life-threatening by the second or third decade. Milder forms progress more slowly but still cause cumulative organ damage over time. Naglazyme (galsulfase), an enzyme replacement therapy developed by BioMarin and FDA-approved in 2005, is administered as a weekly intravenous infusion and has been shown to improve walking capacity and stair-climbing ability. Early treatment before significant organ damage has occurred leads to the best outcomes, which has driven interest in including MPS VI in newborn screening programs.

Common Symptoms of Mucopolysaccharidosis Type VI

Recognizing the signs of Mucopolysaccharidosis Type VI 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.

  • Short stature and progressive growth failure
  • Joint stiffness and contractures limiting mobility
  • Coarse facial features that become more prominent with age
  • Corneal clouding and progressive vision loss
  • Heart valve abnormalities including stenosis and regurgitation
  • Carpal tunnel syndrome with hand numbness and weakness
  • Cervical spinal stenosis with risk of spinal cord compression
  • Enlarged liver and spleen (hepatosplenomegaly)
  • Progressive hearing loss and recurrent ear infections
  • Respiratory compromise from chest wall deformity and airway obstruction

Who Mucopolysaccharidosis Type VI Affects

Severe forms present in early childhood (ages 2-3) with rapid progression, while milder forms may not be recognized until late childhood or adolescence.

Severe cases can be life-threatening by the teens or twenties; milder forms allow survival into adulthood with reduced life expectancy. Affects males and females equally. Autosomal recessive inheritance requiring mutations in both copies of the ARSB gene. Intelligence is normal, distinguishing MPS VI from several other MPS types.

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Help Paying for Mucopolysaccharidosis Type VI Treatment

Charity funds and drugmaker programs for Mucopolysaccharidosis Type VI, checked at the source. Pick your insurance to see what fits.

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Charity funds
  • From a charity · NORD RareCare
    MPS VI Medical Assistance fund
    Open

    Pays for: Medical and medication costs.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · NORD RareCare
    MPS VI Premium Copay Assistance fund
    Open

    Pays for: Insurance premiums and copays.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · NORD RareCare
    Mucopolysaccharidosis type VI (MPS VI) Emergency Relief fund
    Open

    Pays for: Emergency relief.

    The foundation says: “Accepting Applications”
  • From a charity · National MPS Society
    Family Assistance Program fund
    Apply directly

    Pays for: Specialized equipment and medical aids not covered by insurance (requires insurance denial and 10% family copay), up to $3,000 per year.

    The foundation says: “Status not shown on page”
  • From a charity · National MPS Society
    Medical Travel Assistance Program fund
    Apply directly

    Pays for: Travel to out-of-town medical appointments more than 125 miles away (per year), up to $550 per year.

    The foundation says: “Status not shown on page”
  • From a charity · National MPS Society
    Journey Assistance Program fund
    Apply directly

    Pays for: Items that ease daily life (40% of purchase price), up to $500 per year.

    The foundation says: “Status not shown on page”
Status as each foundation showed it on October 5, 2026.

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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.

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Trusted Mucopolysaccharidosis Type VI Resources

Reputable organizations and medical references for learning more about Mucopolysaccharidosis Type VI, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Mucopolysaccharidosis Type VI

Use this Mucopolysaccharidosis Type VI clinical trial finder to see the 3 studies recruiting patients 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.

3 active trials worldwide
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RECRUITINGNo updates in a whileNCT05619900

Registry of Patients Diagnosed With Lysosomal Storage Diseases

Intervention: There is no intervention

Sponsor: University of California, San Francisco

This is an international prospective and retrospective registry of patients with Lysosomal Storage Diseases (LSDs) to understand the natural history of the disease and the outcomes of fetal therapies, with the overall goal of improving the prenatal management of patients with LSDs.

Ages up to 64 Years1 location
Started May 2022Updated 6 months agoEst. May 2050 (~23y 8m)
RECRUITINGPHASE1No updates in a whileNCT04532047

PEARL (PrEnAtal Enzyme Replacement Therapy for Lysosomal Storage Disorders)

Intervention: Aldurazyme (laronidase)

Sponsor: University of California, San Francisco

For detailed information, please view our study website: https://pearltrial.ucsf.edu/

The investigators aims to determine the the maternal and fetal safety and feasibility of in utero fetal enzyme replacement therapy in fetuses with Lysosomal Storage Diseases.

Ages 18 Years – 50 Years1 location
Started Jul 2021Updated 6 months agoEst. Jul 2031 (~4y 9m)
RECRUITINGNo updates in a whileNCT06036693

MPS (RaDiCo Cohort) (RaDiCo-MPS)

Sponsor: Institut National de la Santé Et de la Recherche Médicale, France

The goal of this observational study is to characterize the epidemiology and natural history of MPS diseases by building a retrospective and prospective collection of extensive phenotypic data from French MPS patients.

Ages not specified23 locations
Started Dec 2017Updated 7 months agoEst. Dec 2026 (~2 months)
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Active trial locations1 city in the US

Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Patient Communities

Connect with other Mucopolysaccharidosis Type VI patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about Mucopolysaccharidosis Type VI treatments, clinical trial participation, and day-to-day disease management.

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Related Metabolic & Lysosomal Conditions

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

Companies Developing Mucopolysaccharidosis Type VI Treatments

2 pharmaceutical companies have Mucopolysaccharidosis Type VI in their rare disease portfolio

Frequently Asked Questions About Mucopolysaccharidosis Type VI