Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Neuronal ceroid lipofuscinosis 5 (CLN5-NCL) is a rare condition that affects the nervous system. Signs and symptoms of the condition generally develop between ages 4.5 and 7 years, although later onset cases have been reported. Affected people may experience loss of muscle coordination (ataxia), seizures that do not respond to medications, muscle twitches (myoclonus), visual impairment, and cognitive/motor decline. It occurs predominantly in the Finnish population. CLN5-NCL is caused by changes (mutations) in the CLN5 gene and is inherited in an autosomal recessive manner. Treatment options are limited to therapies that can help relieve some of the symptoms.
Features include always present findings: Shrinkage of the cerebellum (cerebellar atrophy), Cerebral cortical atrophy, Seizure, and Limb tremor and others; and sometimes findings: Dysmetria, Nystagmus, Dysarthria, and Dysdiadochokinesis. 23 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Cerebral cortical atrophy, Seizure, Ataxia |
Muscles | 3 | Shrinkage of the cerebellum (cerebellar atrophy), Cerebral cortical atrophy, Loss of ambulation |
Eyes | 2 | Nystagmus, Retinal degeneration |
Arms and legs | 2 | Fingerprint intracellular accumulation of autofluorescent lipopigment storage material, Limb tremor |
Age of onset: adolescence.
CLN5 encodes CLN5 lysosomal BMP synthase (358 aa). Catalyzes the synthesis of bis(monoacylglycero)phosphate (BMP) via transacylation of 2 molecules of lysophosphatidylglycerol (LPG). Highest expression in Thyroid (10.3 TPM) and Nerve Tibial (6.6 TPM).
Neuronal ceroid lipofuscinosis 5 is associated with mutations in the CLN5 gene on chromosome 13.
CLN5 is classified as a druggable target with score 0.0.
Genetic testing for CLN5 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for neuronal ceroid lipofuscinosis 5 has been reported in the published literature.
No approved treatments are currently available for neuronal ceroid lipofuscinosis 5. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for neuronal ceroid lipofuscinosis 5, 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 neuronal ceroid lipofuscinosis 5. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Adeno-associated virus serotype 9 vector with engineered transgene encoding the human CLN5 gene | Adeno-associated virus serotype 9 vector with engineered transgene encoding the human CLN5 gene | Neurogene Inc. | 2020 | — | Designated |
Gene therapy approaches for neuronal ceroid lipofuscinosis 5 have been reported in the published literature.
2 trials found
Phenotype severity distribution: 7 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
2 clinical trials registered, 2 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
24 publications have been identified in PubMed for neuronal ceroid lipofuscinosis 5. Research spans Case Report / Case Series (33%), Basic Science / Preclinical (21%), and Gene Therapy / Novel Therapeutics (21%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 33% |
Laboratory research | 5 | 21% |
New treatment approaches | 5 | 21% |
Disease patterns and progression | 3 | 13% |
Clinical study results | 2 | 8% |
Testing and diagnosis research | 1 | 4% |
Dutton AE (2026). [PMID: 40966007](https://pubmed.ncbi.nlm.nih.gov/40966007/). *J Child Neurol*. [Case Report / Case Series]
Kim WD (2026). [PMID: 42031177](https://pubmed.ncbi.nlm.nih.gov/42031177/). *Biochim Biophys Acta Mol Basis Dis*. [Basic Science / Preclinical]
Petersen M (2026). [PMID: 42175674](https://pubmed.ncbi.nlm.nih.gov/42175674/). *J Inherit Metab Dis*. [Clinical Trial Publication]
Drobňaková S (2026). [PMID: 42195294](https://pubmed.ncbi.nlm.nih.gov/42195294/). *Life (Basel)*. [Epidemiology / Natural History]
Liu K (2026). [PMID: 41986128](https://pubmed.ncbi.nlm.nih.gov/41986128/). *Zhonghua Yi Xue Za Zhi*. [Case Report / Case Series]
Chaoul V (2026). [PMID: 41827875](https://pubmed.ncbi.nlm.nih.gov/41827875/). *Cells*. [Basic Science / Preclinical]
Singh C (2025). [PMID: 40316283](https://pubmed.ncbi.nlm.nih.gov/40316283/). *BMJ case reports*. [Case Report / Case Series]
Fote GM (2025). [PMID: 40845388](https://pubmed.ncbi.nlm.nih.gov/40845388/). *Journal of neurosurgery. Pediatrics*. [Basic Science / Preclinical]
Parshina OP (2025). [PMID: 40927191](https://pubmed.ncbi.nlm.nih.gov/40927191/). *Frontiers in medicine*. [Case Report / Case Series]
Auvin S (2025). [PMID: 41354011](https://pubmed.ncbi.nlm.nih.gov/41354011/). *European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society*. [Gene Therapy / Novel Therapeutics]
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 6:51 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center