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Congenital myasthenic syndrome (CMS) is a group of genetic disorders of impaired neuromuscular transmission at the motor endplate characterized by fatigable muscle weakness.
Biomarker and diagnostic research for congenital myasthenic syndrome has been reported in the published literature.
No approved treatments are currently available for congenital myasthenic syndrome. An additional 5 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for congenital myasthenic syndrome, 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 congenital myasthenic syndrome. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Estimated prevalence: 1-9 in 1,000,000 (Rare).
5 clinical trials registered, 3 recruiting. Interventions under study include other interventions and biologic therapy. Pipeline includes 1 PHASE3, 2 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06078553](https://clinicaltrials.gov/study/NCT06078553) |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 7:19 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
adeno-associated virus serotype 9 human choline acetyltransferase (AVCHAT-01X) | adeno-associated virus serotype 9 human choline acetyltransferase (AVCHAT-01X) | Muscular Dystrophy Association, Inc. | 2024 | — | Designated |
a fully humanized immunoglobulin gamma 1 (IgG1) agonistic monoclonal antibody (mAb) that specifically targets and activates MuSK | a fully humanized immunoglobulin gamma 1 (IgG1) agonistic monoclonal antibody (mAb) that specifically targets and activates MuSK | argenx BV | 2023 | — | Designated |
AAV9 gene therapy encoding the Dok7 protein | AAV9 gene therapy encoding the Dok7 protein | Amplo Biotechnology Inc. | 2020 | — | Designated |
3,4-diaminopyridine | 3,4-diaminopyridine | Catalyst Pharmaceuticals, Inc. | 2017 | — | Designated |
amifampridine phosphate | amifampridine phosphate | Catalyst Pharmaceuticals | 2015 | — | Withdrawn |
Gene therapy approaches for congenital myasthenic syndrome have been reported in the published literature.
5 trials found
A Natural History Study in Participants With Congenital Myasthenic Syndromes (CMS) Due to Mutations in DOK7, MUSK, AGRN, or LRP4
— |
argenx |
RECRUITING |
[NCT06436742](https://clinicaltrials.gov/study/NCT06436742) | A Phase 1b Study to Investigate Safety and Tolerability of ARGX-119 in Adult Participants With DOK7-Congenital Myasthenic Syndromes (CMS) | PHASE1 | argenx | UNKNOWN |
[NCT07226726](https://clinicaltrials.gov/study/NCT07226726) | Patients With Congenital Myasthenic Syndrome Will be Treated With Mesenchymal Stem Cell Exosome Solution | PHASE1 | The Foundation for Orthopaedics and Regenerative Medicine | RECRUITING |
[NCT01403402](https://clinicaltrials.gov/study/NCT01403402) | Congenital Muscle Disease Study of Patient and Family Reported Medical Information | — | Cure CMD | RECRUITING |
[NCT07746089](https://clinicaltrials.gov/study/NCT07746089) | A Study to Assess Efficacy and Safety of Adimanebart in Adult and Pediatric Participants With DOK7-,MUSK-, AGRN-, or LRP4- Congenital Myasthenic Syndromes (CMS) | PHASE3 | argenx | NOT_YET_RECRUITING |
129 publications have been identified in PubMed for congenital myasthenic syndrome. Research spans Case Report / Case Series (38%), Review / Meta-Analysis (19%), and Basic Science / Preclinical (17%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 49 | 38% |
Research summaries | 25 | 19% |
Laboratory research | 22 | 17% |
Disease patterns and progression | 18 | 14% |
Testing and diagnosis research | 7 | 5% |
New treatment approaches | 6 | 5% |
Clinical study results | 2 | 2% |
Ehrlich KC (2026). [PMID: 41892369](https://pubmed.ncbi.nlm.nih.gov/41892369/). *Epigenomes*. [Basic Science / Preclinical]
Mroczek M (2026). [PMID: 41575592](https://pubmed.ncbi.nlm.nih.gov/41575592/). *Journal of neurology*. [Diagnostic / Biomarker]
Bulut N (2026). [PMID: 42090667](https://pubmed.ncbi.nlm.nih.gov/42090667/). *Rev Assoc Med Bras (1992)*. [Clinical Trial Publication]
Ramezani M (2026). [PMID: 41312578](https://pubmed.ncbi.nlm.nih.gov/41312578/). *Muscle & nerve*. [Epidemiology / Natural History]
Gill H (2026). [PMID: 41838965](https://pubmed.ncbi.nlm.nih.gov/41838965/). *Neurology*. [Case Report / Case Series]
Baskar D (2026). [PMID: 41406637](https://pubmed.ncbi.nlm.nih.gov/41406637/). *Neuromuscular disorders : NMD*. [Case Report / Case Series]
McInnes A (2026). [PMID: 41058509](https://pubmed.ncbi.nlm.nih.gov/41058509/). *Human gene therapy*. [Gene Therapy / Novel Therapeutics]
Fischer AF (2026). [PMID: 41870109](https://pubmed.ncbi.nlm.nih.gov/41870109/). *Int Ophthalmol Clin*. [Review / Meta-Analysis]
Torrey K (2026). [PMID: 42247610](https://pubmed.ncbi.nlm.nih.gov/42247610/). *J Neuromuscul Dis*. [Case Report / Case Series]
Kubota T (2026). [PMID: 41485931](https://pubmed.ncbi.nlm.nih.gov/41485931/). *Nihon yakurigaku zasshi. Folia pharmacologica Japonica*. [Review / Meta-Analysis]
AI-curated news mentioning congenital myasthenic syndrome
Updated Aug 27, 2026
A recent study highlights the clinical variability and genotype-driven outcomes in CHRND-related congenital myasthenic syndrome. This research provides insights into how different genetic mutations can influence disease presentation and patient management.
A study highlights the diagnostic challenges and therapeutic pathways for congenital myasthenic syndromes in Southeast Asian adults. The findings underscore the need for improved awareness and resources in this region.