Clinical trial Recruiting at 1 site Observational Ages 1 Day to 100

Understanding Smith-Lemli-Opitz Syndrome and Related Cholesterol Disorders

Official title: Natural History Investigation Into Biochemical and Phenotypical Aspects of Smith-Lemli-Opitz Syndrome and Related Disorders of Cholesterol Metabolism

Run by National Institutes of Health Clinical Center (CC) · NCT05047354 · Data updated 2026-11-12

This study is trying to learn more about Smith-Lemli-Opitz Syndrome and similar cholesterol disorders by regularly checking on people with the condition and their families to help find better treatments in the future.

Quick facts

Study typeObservational
Ages1 Day to 100 Years
SexAll
Enrollment250 (estimated)
SponsorNational Institutes of Health Clinical Center (CC)
NIH
Drugs / interventionsradiation
Locations1 site (Bethesda, Maryland)
StatusRecruiting
StartedJune 23, 2021
Main results expectedMay 31, 2031
Study endsMay 31, 2031
Registry record updatedAugust 17, 2026
Trial IDNCT05047354 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals of any age with a diagnosis or clinical suspicion of SLOS or other inherited cholesterol metabolism disorders.

Probably not a fit

Patients without a diagnosis or clinical suspicion of cholesterol metabolism disorders may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to characterize the natural history of Smith-Lemli-Opitz Syndrome (SLOS) and related cholesterol metabolism disorders by collecting both cross-sectional and longitudinal data. Participants, including individuals diagnosed with SLOS and their relatives, will undergo regular evaluations, including physical exams, surveys, and potential neurodevelopmental assessments. The study will also gather biorepository samples and maintain a comprehensive database of information collected over the past two decades to facilitate future therapeutic trials. The primary goal is to identify laboratory or clinical outcome measures for future treatments.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and measurement of treatment efficacy for SLOS and related disorders.

How similar studies have gone: While this study focuses on a specific group of disorders, similar observational studies have shown success in understanding genetic and biochemical aspects of rare diseases.

Who can join: the full rules

Show full inclusion / exclusion criteria
* INCLUSION CRITERIA:

Males or females of any age with any one of the following:

* Clinical, biochemical, or genetic diagnosis of Smith-Lemli-Opitz Syndrome OR
* Clinical, biochemical, or genetic diagnosis of desmosterolosis, lathosterolosis, CHILD syndrome, X-linked dominant chondrodysplasia type2 or another inborn error of cholesterol synthesis OR
* Clinical suspicion of an inborn error of cholesterol synthesis, metabolism or impaired cholesterol homeostasis. Clinical observations may include, but are not limited to lipid-laden macrophages, abnormal LDL, HDL, total cholesterol, triglycerides, abnormal lipid

electrophoresis, lipid storage in other tissues. OR

-Biologic parents of affected individuals or known carriers based on previously done genetic testing who are willing and able to provide samples of any or all of the following: blood, urine, a skin biopsy, and/or tissue derived from clinically indicated surgery or autopsy.

EXCLUSION CRITERIA:

* Affected individuals who cannot travel to the NIH because of their medical condition will be excluded from on-site participation. They may participate in the telemedicine or in the biomaterials parts of the study.
* Affected individuals who, in the opinion of the investigator, are unable to comply with the protocol or have medical conditions that would potentially increase the risk of participation will be excluded from on-site participation. They may participate in the telemedicine or in the

biomaterials parts of the study.

* Carrier adults who are unable to or unwilling to provide any of the following samples: Blood, urine, skin biopsy sample or tissue derived from clinically indicated surgery or skin biopsy.
* Female participants who are pregnant will be excluded from evaluations requiring sedation, radiation and LP. Total blood draw volumes will be kept at a minimum or if anemia of pregnancy is known, no blood will be taken for research testing.

Where it's running

  • National Institutes of Health Clinical Center
    Bethesda, Maryland, United States
    Recruiting

Study contacts

  • Principal investigator: Forbes D Porter, M.D. — Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • Study coordinator: Derek M Alexander
  • Email: derek.alexander@nih.gov
  • Phone: (301) 827-0387

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.