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Stiff-man syndrome (SMS) is a rare neurological disorder comprising fluctuating trunk and limb stiffness, painful muscle spasms, task-specific phobia, an exaggerated startle response, and ankylosing deformities such as fixed lumbar hyperlordosis.
Features include very common findings: Anxiety, Excessive sweating (hyperhidrosis), Falls, and Abnormal electrical muscle activity (EMG) (emg abnormality) and others; and common findings: Exaggerated startle response, Muscle stiffness (rigidity), Agoraphobia, and Overactive reflexes (hyperreflexia) and others. 43 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 | Exaggerated startle response, Muscle stiffness (rigidity), Depression |
Muscles | 8 | Proximal limb muscle stiffness, Asymmetric limb muscle stiffness, Frequent falls |
Lab test results | 7 | Autoimmune antibody positivity, Anti-Amphiphysin antibody, Anti-DPPX antibody |
Blood and immune system | 3 | Autoimmunity, Low red blood cell count (anemia), Autoimmune antibody positivity |
Skin | 2 | Vitiligo, Excessive sweating (hyperhidrosis) |
Bones and joints | 2 | Severe backward arching of the body (opisthotonus), Excessive inward curve of the lower back (lumbar hyperlordosis) |
Hormones | 2 | Diabetes mellitus, Hypothyroidism |
Arms and legs | 2 | Proximal limb muscle stiffness, Asymmetric limb muscle stiffness |
Heart and blood vessels | 2 | Hypertension, Tachycardia |
Digestive system | 2 | Difficulty swallowing (dysphagia), Constipation |
Metabolism | 1 | Fever |
Eyes | 1 | Diplopia |
Lungs and breathing | 1 | Apnea |
Ears | 1 | Vertigo |
Biomarker and diagnostic research for stiff-person syndrome has been reported in the published literature.
No approved treatments are currently available for stiff-person syndrome. An additional 2 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for stiff-person 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 stiff-person syndrome. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
autologous T cells transduced with lentiviral vector containing a chimeric antigen receptor directed against CD19 | autologous T cells transduced with lentiviral vector containing a chimeric antigen receptor directed against CD19 | Kyverna Therapeutics, Inc | 2024 | — | Designated |
Intravenous immune globulin (human) 10% | Intravenous immune globulin (human) 10% | Octapharma USA, Inc. | 2008 | — | Designated |
Gene therapy approaches for stiff-person syndrome have been reported in the published literature.
10 trials found
Phenotype severity distribution: 5 very common features, 18 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
10 clinical trials registered, 2 recruiting. Interventions under study include biologic therapy, drug therapy, other interventions, and procedural interventions. Pipeline includes 1 PHASE3, 3 PHASE2, 3 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06502015](https://clinicaltrials.gov/study/NCT06502015) | Biomarkers in Autoimmune Disease of Nervous System | — | Tongji Hospital | RECRUITING |
[NCT07403188](https://clinicaltrials.gov/study/NCT07403188) | A Long-Term Follow-Up Study for Participants Previously Treated With KYV-101 | — | Kyverna Therapeutics | RECRUITING |
166 publications have been identified in PubMed for stiff-person syndrome. Research spans Case Report / Case Series (43%), Review / Meta-Analysis (27%), and Epidemiology / Natural History (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 72 | 43% |
Research summaries | 44 | 27% |
Disease patterns and progression | 12 | 7% |
Laboratory research | 10 | 6% |
Other research | 9 | 5% |
New treatment approaches | 7 |
Nigro A (2026). [PMID: 42273950](https://pubmed.ncbi.nlm.nih.gov/42273950/). *Vasc Med*. [Other]
Suenaga M (2026). [PMID: 42273282](https://pubmed.ncbi.nlm.nih.gov/42273282/). *JCEM Case Rep*. [Case Report / Case Series]
Svendsen M (2026). [PMID: 41081611](https://pubmed.ncbi.nlm.nih.gov/41081611/). *J Palliat Med*. [Case Report / Case Series]
Wu CC (2026). [PMID: 40916839](https://pubmed.ncbi.nlm.nih.gov/40916839/). *Mov Disord Clin Pract*. [Case Report / Case Series]
Nair BS (2026). [PMID: 41797642](https://pubmed.ncbi.nlm.nih.gov/41797642/). *Ann Indian Acad Neurol*. [Case Report / Case Series]
Calabresi PA (2026). [PMID: 41454463](https://pubmed.ncbi.nlm.nih.gov/41454463/). *Mult Scler*. [Clinical Trial Publication]
Dalakas MC (2026). [PMID: 41526143](https://pubmed.ncbi.nlm.nih.gov/41526143/). *Handb Clin Neurol*. [Review / Meta-Analysis]
Alaeddine L (2026). [PMID: 41669064](https://pubmed.ncbi.nlm.nih.gov/41669064/). *J Orthop Case Rep*. [Case Report / Case Series]
Zhao L (2026). [PMID: 42147223](https://pubmed.ncbi.nlm.nih.gov/42147223/). *Front Oncol*. [Case Report / Case Series]
Friedman AR (2026). [PMID: 41934064](https://pubmed.ncbi.nlm.nih.gov/41934064/). *Best Pract Res Clin Rheumatol*. [Review / Meta-Analysis]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 9:40 PM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Testing and diagnosis research | 6 | 4% |
Clinical study results | 6 | 4% |