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No HPO annotations are available for this condition.
CHMP2B frontotemporal dementia (CHMP2B-FTD) is an early-onset dementia affecting primarily frontal lobe functions. CHMP2B-FTD typically starts with subtle personality changes, behavioral changes, dyscalculia, and a dysexecutive syndrome . To date, CHMP2B-FTD has been described in a family that originates and resides in western Jutland, Denmark. The first description of this family was by . CHMP2B-FTD has also been described in an affected individual with familial FTD from Belgium . In addition, one individual from the United Kingdom with FTD and no clear family history was reported to have a CHMP2B missense variant . Symptoms usually start between ages 46 and 70 years, with an average age of onset of 57 years. Disease duration is from three to more than 20 years.
CHMP2B frontotemporal dementia (CHMP2B-FTD) should be suspected in individuals with the following:
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
No approved treatments are currently available for frontotemporal dementia and/or amyotrophic lateral sclerosis. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with CHMP2B frontotemporal dementia (CHMP2B-FTD), the following evaluations (if not performed as part of the evaluation that led to the diagnosis) are recommended:
Members of the Danish family with CHMP2B-FTD are followed in the Copenhagen Memory Disorders Clinic, a multidisciplinary clinic involving neurologic and psychiatric services, genetic counseling, molecular genetic testing, and clinical diagnostic and follow-up medical service.
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
5 clinical trials registered, 2 recruiting. Interventions under study include other interventions and drug therapy. Pipeline includes 2 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT04363684](https://clinicaltrials.gov/study/NCT04363684) |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 6:52 AM UTC
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
Pathogenic variants in CHMP2B have been identified in one large Danish family with frontotemporal dementia and in an affected individual with familial frontotemporal dementia (FTD) from Belgium . (A CHMP2B missense variant in one individual from the United Kingdom with FTD and no clear family history was also reported ). Pathogenic variants in CHMP2B are considered to be a much rarer cause of frontotemporal dementia than pathogenic variants in MAPT (encoding tau), GRN (encoding progranulin), or C9orf72. Table 2. Genes of Interest in the Differential Diagnosis of CHMP2B Frontotemporal Dementia (CHMP2B-FTD)
Gene(s) | DiffDx Disorder | MOI | Clinical Features of DiffDx Disorder |
|---|---|---|---|
Overlapping w/CHMP2B-FTD | Distinguishing from CHMP2B-FTD APPPSEN1PSEN21 | Early-onset familial Alzheimer disease (EOFAD) | AD |
C9orf72-ALS/FTD | AD | Adult-onset rapidly progressive features of FTD, ALS, or a combination of both | May not be clinically distinguishable; Psychotic symptoms more common in C9orf72-ALS/FTD |
FUS | ALS 6 w/or w/o FTD | AD | MND w/FTD |
Incomplete penetrance GBA1 (GBA)SNCASNCB | Lewy body dementia (OMIM 127750) | AD | Dementia; Extrapyramidal signs (rigidity, bradykinesia) |
GRN-FTD | AD | Adult-onset behavioral-variant FTD; Parietal cortex basal ganglia may be affected as well, resulting in parkinsonism, cortical basal syndrome, memory impairment; Age of onset: 48-83 yrs | Clinically indistinguishable; Metabolic changes (on FDG-PET) preceding structural changes of frontal atrophy (on MRI) HTT |
Huntington disease | AD | Changes in personality (apathy or depression); Cognitive decline; Dementia; Dystonia | Chorea; Delusions; Visual hallucinations MAPT |
FTD w/parkinsonism-17 | AD | Adult-onset behavioral variant FTD; Extrapyramidal signs (rigidity, bradykinesia, supranuclear palsy, saccadic eye movement disorders); Symptoms usually start at ages 40-60 yrs but may occur earlier or later.; Disease progresses over few yrs to profound dementia w/mutism. | Clinically indistinguishable; Onset before 5th decade; Metabolic changes (on FDG-PET) preceding structural changes of frontal atrophy (on MRI) |
TARDBP | TARDBP frontotemporal lobar degeneration (See TARDBP-ALS-FTD.) | AD | Adult-onset behavioral variant FTD; Generalized cerebral atrophy on MRI |
TBK1 | FTD /or ALS 4 (OMIM 616439) | AD | Adult-onset behavioral variant FTD; Disinh... |
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
Physical and neurologic examination
Evaluation of the extent and profile of cognitive disturbance by neuropsychological examination
Discussion of capabilities for job and for driving
Consultation with a clinical geneticist and/or genetic counselor
Discussion of advanced care planning
Behavioral changes and the loss of insight and judgment in individuals with CHMP2B-FTD often present a considerable burden for caregivers. Information about the disease and psychological support for partners or other caregivers is essential. Caregiver support groups are valuable. Psychosocial support is essential in the management of FTD and should include occupational therapy and environmental and physical interventions. The behavioral and psychological symptoms should be treated as in other types of FTD. There is no consensus treatment guideline for CHMP2B-FTD. In clinical practice those affected individuals who present with very aggressive symptoms have proven quite difficult to treat and in some instances have been treated with high doses of antipsychotics and/or antidepressants in order to relieve the physical aggressiveness.
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions.
Source: GeneReviews — "CHMP2B Frontotemporal Dementia"
5 trials found
ARTFL LEFFTDS Longitudinal Frontotemporal Lobar Degeneration (ALLFTD)
— |
Mayo Clinic |
RECRUITING |
[NCT07204977](https://clinicaltrials.gov/study/NCT07204977) | Acamprosate in C9orf72 Hexanucleotide Repeat Expansion Amyotrophic Lateral Sclerosis (ACALS) | PHASE1 | National Institute of Neurological Disorders and Stroke (NINDS) | ACTIVE_NOT_RECRUITING |
[NCT00317616](https://clinicaltrials.gov/study/NCT00317616) | The Pre-symptomatic Familial Amyotrophic Lateral Sclerosis (Pre-fALS) Study | — | University of Miami | RECRUITING |
[NCT04747431](https://clinicaltrials.gov/study/NCT04747431) | A Study of PBFT02 in Participants With FTD and Mutations in the Granulin Precursor (GRN) or C9ORF72 Genes | PHASE1 | Passage Bio, Inc. | ACTIVE_NOT_RECRUITING |
[NCT04516499](https://clinicaltrials.gov/study/NCT04516499) | Neurofilament Surveillance Project (NSP) | — | The Bluefield Project to Cure Frontotemporal Dementia | ACTIVE_NOT_RECRUITING |
3 publications have been identified in PubMed for frontotemporal dementia and/or amyotrophic lateral sclerosis. Research spans Review / Meta-Analysis (33%), Basic Science / Preclinical (33%), and Gene Therapy / Novel Therapeutics (33%).
Genin EC (2026). [PMID: 41570741](https://pubmed.ncbi.nlm.nih.gov/41570741/). *Curr Opin Neurobiol*. [Review / Meta-Analysis]
Labarre A (2025). [PMID: 40452868](https://pubmed.ncbi.nlm.nih.gov/40452868/). *MicroPubl Biol*. [Basic Science / Preclinical]
Labarre A (2025). [PMID: 40452867](https://pubmed.ncbi.nlm.nih.gov/40452867/). *MicroPubl Biol*. [Gene Therapy / Novel Therapeutics]