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Autosomal dominant Charcot-Marie-Tooth disease type 2A1 (CMT2A1) is a form of axonal Charcot-Marie-Tooth disease, a peripheral sensorimotor neuropathy. CMT2A presents with a more prominent muscle weakness in lower than upper limbs and frequent postural tremor.
Features include always present findings: Peripheral axonal neuropathy and Distal amyotrophy; and common findings: Facial palsy. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Hyporeflexia, Peripheral axonal neuropathy, Steppage gait |
Muscles | 4 | Distal muscle weakness, Peripheral axonal atrophy, Limb muscle weakness |
Arms and legs | 2 | Limb muscle weakness, Foot dorsiflexor weakness |
Head and neck | 1 | Facial palsy |
KIF1B encodes kinesin family member 1B (1,816 aa). Has a plus-end-directed microtubule motor activity and functions as a motor for transport of vesicles and organelles along microtubules Highest expression in Brain Cerebellar Hemisphere (105.8 TPM) and Brain Cerebellum (84.6 TPM).
Charcot-Marie-Tooth disease type 2A1 is associated with mutations in the KIF1B gene on chromosome 1.
KIF1B is classified as a druggable target (Clinically Actionable category) with score 0.0.
Genetic testing for KIF1B is available. Testing is considered unknown for diagnosis.
Biomarker and diagnostic research for Charcot-Marie-Tooth disease type 2A1 has been reported in the published literature.
No approved treatments are currently available for Charcot-Marie-Tooth disease type 2A1. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for Charcot-Marie-Tooth disease type 2A1, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for Charcot-Marie-Tooth disease type 2A1. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Small molecule mitofusin allosteric activator | Small molecule mitofusin allosteric activator | Mitochondria Emotion Inc. | 2020 | — | Designated |
Gene therapy approaches for Charcot-Marie-Tooth disease type 2A1 have been reported in the published literature.
1 trial found
Phenotype severity distribution: 2 always present features, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
24 publications have been identified in PubMed for Charcot-Marie-Tooth disease type 2A1. Research spans Basic Science / Preclinical (42%), Case Report / Case Series (21%), and Review / Meta-Analysis (17%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 10 | 42% |
Patient case studies | 5 | 21% |
Research summaries | 4 | 17% |
Disease patterns and progression | 3 | 13% |
Testing and diagnosis research | 1 | 4% |
New treatment approaches | 1 | 4% |
Ozes B (2026). [PMID: 41752078](https://pubmed.ncbi.nlm.nih.gov/41752078/). *Int J Mol Sci*. [Gene Therapy / Novel Therapeutics]
Ando M (2026). [PMID: 41030121](https://pubmed.ncbi.nlm.nih.gov/41030121/). *Ann Clin Transl Neurol*. [Epidemiology / Natural History]
Epstein L (2026). [PMID: 41889851](https://pubmed.ncbi.nlm.nih.gov/41889851/). *bioRxiv*. [Basic Science / Preclinical]
Abati E (2026). [PMID: 42020662](https://pubmed.ncbi.nlm.nih.gov/42020662/). *Sci Rep*. [Diagnostic / Biomarker]
Ando M (2026). [PMID: 41932155](https://pubmed.ncbi.nlm.nih.gov/41932155/). *Neurotherapeutics*. [Basic Science / Preclinical]
Zanfardino P (2025). [PMID: 40149969](https://pubmed.ncbi.nlm.nih.gov/40149969/). *Biomolecules*. [Review / Meta-Analysis]
Joaquim M (2025). [PMID: 40995860](https://pubmed.ncbi.nlm.nih.gov/40995860/). *J Cell Sci*. [Basic Science / Preclinical]
Barsa C (2025). [PMID: 40121276](https://pubmed.ncbi.nlm.nih.gov/40121276/). *Sci Rep*. [Basic Science / Preclinical]
Narendradev ND (2025). [PMID: 40444323](https://pubmed.ncbi.nlm.nih.gov/40444323/). *J Cell Sci*. [Basic Science / Preclinical]
Han Y (2025). [PMID: 39779340](https://pubmed.ncbi.nlm.nih.gov/39779340/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Data assembled from 9 of 12 sources · Last updated Sep 19, 2026, 5:20 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center