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A peroxisomal disease characterized by severe inflammatory demyelination in the brain, and often associated with adrenal insufficiency.
Biomarker and diagnostic research for X-linked cerebral adrenoleukodystrophy has been reported in the published literature.
1 FDA-approved treatment is available for X-linked cerebral adrenoleukodystrophy, including elivaldogene autotemcel (Skysona, approved 2022).
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
Estimated prevalence: Unknown (Unknown prevalence).
19 clinical trials registered, 10 recruiting. Interventions under study include other interventions, drug therapy, gene therapy, and biologic therapy. Pipeline includes 1 PHASE4, 1 PHASE3, 2 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06224413](https://clinicaltrials.gov/study/NCT06224413) |
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 10:22 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Skysona
elivaldogene autotemcel |
— |
2022 |
Available |
19 trials found
A Study of Participants With Cerebral Adrenoleukodystrophy (CALD) Treated With Elivaldogene Autotemcel |
— |
Genetix Biotherapeutics Inc. |
RECRUITING |
[NCT03047369](https://clinicaltrials.gov/study/NCT03047369) | The Myelin Disorders Biorepository Project | — | Children's Hospital of Philadelphia | RECRUITING |
[NCT05443906](https://clinicaltrials.gov/study/NCT05443906) | Home Exercise for Individuals With Neurodegenerative Disease | NA | Hugo W. Moser Research Institute at Kennedy Krieger, Inc. | RECRUITING |
[NCT05939232](https://clinicaltrials.gov/study/NCT05939232) | Registry of X-linked Adrenoleukodystrophy | — | Beijing Tiantan Hospital | RECRUITING |
[NCT04675749](https://clinicaltrials.gov/study/NCT04675749) | Quality of Life in Women With X-linked Adrenoleukodystrophy | — | Leipzig University Medical Center | RECRUITING |
10 publications have been identified in PubMed for X-linked cerebral adrenoleukodystrophy. Research spans Case Report / Case Series (30%), Basic Science / Preclinical (30%), and Other (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 3 | 30% |
Laboratory research | 3 | 30% |
Other research | 2 | 20% |
Testing and diagnosis research | 1 | 10% |
Research summaries | 1 | 10% |
Guerreiro G (2026). [PMID: 42068145](https://pubmed.ncbi.nlm.nih.gov/42068145/). *Int J Dev Neurosci*. [Diagnostic / Biomarker]
Rinaldi S (2026). [PMID: 42042750](https://pubmed.ncbi.nlm.nih.gov/42042750/). *Neurol Int*. [Basic Science / Preclinical]
Zhou J (2026). [PMID: 42046392](https://pubmed.ncbi.nlm.nih.gov/42046392/). *CNS Neurosci Ther*. [Other]
Zaher E (2026). [PMID: 42133959](https://pubmed.ncbi.nlm.nih.gov/42133959/). *J Neuroophthalmol*. [Case Report / Case Series]
Wright MA (2026). [PMID: 40696909](https://pubmed.ncbi.nlm.nih.gov/40696909/). *J Child Neurol*. [Review / Meta-Analysis]
Marten LM (2026). [PMID: 41177236](https://pubmed.ncbi.nlm.nih.gov/41177236/). *Free Radic Biol Med*. [Basic Science / Preclinical]
Fontani V (2025). [PMID: 41163638](https://pubmed.ncbi.nlm.nih.gov/41163638/). *Cureus*. [Case Report / Case Series]
Hashemi E (2025). [PMID: 39467011](https://pubmed.ncbi.nlm.nih.gov/39467011/). *Ann Neurol*. [Basic Science / Preclinical]
Coucke A (2025). [PMID: 41372736](https://pubmed.ncbi.nlm.nih.gov/41372736/). *Acta Neurol Belg*. [Other]
Toshniwal SS (2025). [PMID: 39525903](https://pubmed.ncbi.nlm.nih.gov/39525903/). *Radiol Case Rep*. [Case Report / Case Series]
AI-curated news mentioning X-linked cerebral adrenoleukodystrophy
Updated Jul 28, 2026
The CHMP has issued a positive opinion for Nezglyal, paving the way for treatment access for boys with cerebral adrenoleukodystrophy (cALD). This decision marks a significant step towards potential approval in the European market.
Recent research highlights the role of the complex lipidome in driving tissue-specific pathology in adrenoleukodystrophy. This study provides insights that could inform future therapeutic strategies for this rare disease.
New research identifies potential biomarkers for disease progression in X-linked adrenoleukodystrophy through the profiling of fatty acids and lipids in both animal and human tissues. This study could enhance monitoring and treatment strategies for affected patients.
A recent study published in PubMed explores the phenotypes and genetic variants associated with pediatric X-linked adrenoleukodystrophy, along with outcomes from hematopoietic stem cell transplantation (HSCT). This research provides valuable insights into the disease's variability and treatment efficacy.
Gene therapies are priced between $2.1M and $4.25M, creating significant access barriers for families affected by rare diseases. Notable therapies include Hemgenix for hemophilia B at $3.5M and Lyfgenia for sickle cell disease at $3.1M, raising concerns about insurance coverage and Medicaid gaps.