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Williams Syndrome (WS) Clinical Trials and Treatments

Also called WS, Williams-Beuren syndrome, 7q11.23 deletion

Williams syndrome (WS) is caused by a microdeletion at chromosome 7q11.23 encompassing approximately 26 genes, with the elastin (ELN) gene deletion being the most clinically significant.

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About Williams Syndrome

Williams syndrome (WS) is caused by a microdeletion at chromosome 7q11.23 encompassing approximately 26 genes, with the elastin (ELN) gene deletion being the most clinically significant. Deletion of elastin leads to connective tissue abnormalities causing vascular pathology including supravalvular aortic stenosis. Clinically characterized by distinctive "elfin" facial features including broad forehead, short nose with anteverted nares, full lips and cheeks, widely spaced teeth, and long philtrum.

Intellectual disability ranges from mild (IQ 50-85) to moderate (IQ <50) with characteristic neuropsychological profile including visuospatial dysfunction with preserved verbal and musical abilities. Developmental delays in motor and cognitive milestones are nearly universal. Short stature (approximately 10-15 cm below expected) is present in ~80%.

The behavioral phenotype is distinctive with marked social drive and social disinhibition, strong verbal skills, musical abilities, and characteristic overfriendliness even with strangers. Hypercalcemia and hypercalciuria occur in approximately 15% of infants (typically between 6-12 weeks of age). Cardiac involvement including supravalvular aortic stenosis, peripheral pulmonary stenosis, and mitral valve abnormalities is a major source of morbidity and mortality.

Common Symptoms of Williams Syndrome

Recognizing the signs of Williams Syndrome 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.

  • Distinctive 'elfin' facial features
  • Supravalvular aortic stenosis and other cardiac defects
  • Hypercalcemia and hypercalciuria in infancy
  • Intellectual disability (mild to moderate)
  • Developmental delays
  • Distinctive behavioral profile with social disinhibition and strong verbal skills
  • Short stature

Who Williams Syndrome Affects

WS results from a microdeletion at 7q11.23 that occurs de novo (new mutation) in approximately 95-99% of cases, with only 1-5% inherited from an affected parent. The condition affects males and females equally. The deletion occurs across all ethnic groups and geographic populations with similar prevalence (~1 in 7,500-10,000).

The microdeletion is not usually inherited because affected individuals, while of reproductive age, often face reproductive challenges due to developmental delay and learning disability; transmission to offspring occurs in only approximately 2-4% of cases when affected individuals do reproduce.

When inherited, affected offspring have a 50% chance of being carriers due to autosomal dominant inheritance. Advanced paternal age slightly increases risk of de novo deletions, as with other chromosomal rearrangements. Recurrence risk for unaffected parents is <1% (risk of germline mosaicism is very low).

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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 Williams Syndrome Resources

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

Active Clinical Trials for Williams Syndrome

Use this Williams Syndrome clinical trial finder to see the 9 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 other 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.

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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.

11 active trials worldwide
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RECRUITINGRecently updatedNCT01132885

Defining the Brain Phenotype of Children With Williams Syndrome

Sponsor: National Institute of Mental Health (NIMH)

Background:

Ages 5 Years+1 location
Started Jan 2011Updated 1 week agoCompletion date not listed
RECRUITINGNARecently updatedNCT07469566

Characterization of the Natural History of Microduplication Syndrome 7q11.23

Intervention: clinical assessment, Parental questionnaires, Cognitive assessment, Reasoning assessment, Motor assessment, Social assessment, Brain MRI (structural and functional)

Sponsor: Hospices Civils de Lyon

7q11.23 duplication syndrome (7q duplication syndrome/7DUP) is caused by a microduplication of the 7q11.23 chromosomal region, encompassing 26-28 genes, including the GTF2I gene. This syndrome, often considered as a "mirror" phenotype of Williams-Beuren syndrome (WBS), is charact...

Ages 5 Years – 50 Years2 locations
Started Jul 2026Updated 2 months agoEst. Jan 2028 (~1y 2m)
RECRUITINGUpdated a few months agoNCT06930417

Characterization and Natural History of Williams Syndrome and Other Chromosome 7q11.23 Variants

Sponsor: University of Pennsylvania

The goal of this observational natural history study is to better characterize development, transition to adulthood, health and behavior of individuals diagnosed with Williams syndrome (WS) or carrying other variants of 7q11.23 chromosome and to build a DNA and tissue biobank wit...

Ages not specified1 location
Started Oct 2024Updated 3 months agoEst. Oct 2040 (~14 years)
NOT YET RECRUITINGUpdated a few months agoNCT07537374

A Case-Control Observational Study of Peripheral Blood-Derived iPSC Models to Investigate Oligodendrocyte Lineage Development in Children With Williams Syndrome and Healthy Controls

Intervention: one-time peripheral blood collection

Sponsor: Qilu Hospital of Shandong University

This study aims to collect peripheral blood samples from children with Williams syndrome (WS) and healthy children, establish a cell line of induced pluripotent stem cells (iPSCs) derived from the subjects, and further induce and differentiate them into neural progenitor cells (N...

Ages 3 Years – 12 Years
Started Apr 2026Updated 5 months agoEst. Jan 2027 (~2 months)
NOT YET RECRUITINGNo updates in a whileNCT07509879

Research on the Molecular Mechanism of Cognitive Differences Between Williams Syndrome and Autism Spectrum Disorder

Sponsor: Qilu Hospital of Shandong University

23) region of chromosome 7. Children with this syndrome often exhibit distinctive facial features, mild to moderate intellectual disability, impaired spatial cognition, pronounced social extraversion, and relatively reserved language-expression characteristics. Although individua...

Ages 3 Years – 12 Years1 location
Started Apr 2026Updated 6 months agoEst. Dec 2026 (~1 month)
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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 Other Conditions

Other rare diseases in the other category. Patients with Williams Syndrome may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Frequently Asked Questions About Williams Syndrome