MT-ND4L

gene
On this page

Also known as ND4LNAD4L

Summary

MT-ND4L (mitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 4L, HGNC:7460) is a protein-coding gene on chromosome mitochondria, encoding NADH-ubiquinone oxidoreductase chain 4L (P03901). Core subunit of the mitochondrial membrane respiratory chain NADH dehydrogenase (Complex I) which catalyzes electron transfer from NADH through the respiratory chain, using ubiquinone as an electron acceptor.

Enables NADH dehydrogenase (ubiquinone) activity. Predicted to be involved in mitochondrial electron transport, NADH to ubiquinone and proton motive force-driven mitochondrial ATP synthesis. Located in mitochondrial inner membrane. Part of respiratory chain complex I. Implicated in Leber hereditary optic neuropathy and diabetes mellitus.

Source: NCBI Gene 4539 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Leber hereditary optic neuropathy (Supportive, GenCC) — +1 more curated relationship
  • Clinical variants (ClinVar): 34 total — 1 pathogenic, 1 likely-pathogenic
  • Phenotypes (HPO): 28
  • Druggable target: yes

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:7460
Approved symbolMT-ND4L
Namemitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 4L
Locationmitochondria
Locus typegene with protein product
StatusApproved
AliasesND4L, NAD4L
Ensembl geneENSG00000212907
Ensembl biotypeprotein_coding
OMIM516004
Entrez4539

Gene structure

Transcript identifiers

Ensembl transcripts: 1 — 1 protein_coding

ENST00000361335

RefSeq mRNA: 0 — MANE Select: None

Canonical transcript exons

ENST00000361335 — 1 exons

ExonStartEnd
ENSE000015960971047010766

Expression profiles

Bgee: expression breadth ubiquitous, 134 present calls, max score 99.99.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 713.5706 / max 153161.6599, expressed in 1822 samples.

FANTOM5 promoters (1 alternative TSS)

Promoter IDTPM avgSamples expressed
194924713.57061822

Top tissues by expression

134 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
rectumUBERON:000105299.99gold quality
cortex of kidneyUBERON:000122599.99gold quality
apex of heartUBERON:000209899.99gold quality
primary visual cortexUBERON:000243699.99gold quality
superior frontal gyrusUBERON:000266199.99gold quality
hindlimb stylopod muscleUBERON:000425299.99gold quality
adipose tissueUBERON:000101399.98gold quality
right lobe of liverUBERON:000111499.98gold quality
right lobe of thyroid glandUBERON:000111999.98gold quality
smooth muscle tissueUBERON:000113599.98gold quality
transverse colonUBERON:000115799.98gold quality
fundus of stomachUBERON:000116099.98gold quality
mucosa of stomachUBERON:000119999.98gold quality
right adrenal glandUBERON:000123399.98gold quality
left adrenal glandUBERON:000123499.98gold quality
endometriumUBERON:000129599.98gold quality
right uterine tubeUBERON:000130299.98gold quality
left uterine tubeUBERON:000130399.98gold quality
gastrocnemiusUBERON:000138899.98gold quality
temporal lobeUBERON:000187199.98gold quality
caudate nucleusUBERON:000187399.98gold quality
putamenUBERON:000187499.98gold quality
amygdalaUBERON:000187699.98gold quality
nucleus accumbensUBERON:000188299.98gold quality
hypothalamusUBERON:000189899.98gold quality
Ammon’s hornUBERON:000195499.98gold quality
cerebellumUBERON:000203799.98gold quality
substantia nigraUBERON:000203899.98gold quality
heart left ventricleUBERON:000208499.98gold quality
cerebellar cortexUBERON:000212999.98gold quality

Single-cell (SCXA)

Detected in 30 experiment(s), a significant marker in 16.

ExperimentMarker?Max mean expression
E-CURD-122yes27654.73
E-CURD-77yes18758.26
E-CURD-84yes16670.44
E-CURD-88yes14982.94
E-CURD-120yes9881.27
E-MTAB-5061yes6043.10
E-MTAB-6678yes5429.11
E-MTAB-7316yes1713.26
E-GEOD-86618yes1712.63
E-MTAB-8205yes1706.55
E-CURD-112yes26.99
E-GEOD-125970yes26.92
E-HCAD-31yes24.07
E-GEOD-137537yes18.43
E-GEOD-130148yes9.23

Regulation

Is transcription factor: no

Literature-anchored findings (GeneRIF, showing 1)

  • Point mutation of PCLN-1 is associated with familial hypomagnesemia with hypercalciuria (PMID:17123117)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
mus_musculusmt-Nd4lENSMUSG00000065947
rattus_norvegicusMt-nd4lENSRNOG00000031053

Protein

Protein identifiers

NADH-ubiquinone oxidoreductase chain 4LP03901 (reviewed: P03901)

Alternative names: NADH dehydrogenase subunit 4L

All UniProt accessions (2): P03901, Q7GXZ4

UniProt curated annotations — full annotation on UniProt →

Function. Core subunit of the mitochondrial membrane respiratory chain NADH dehydrogenase (Complex I) which catalyzes electron transfer from NADH through the respiratory chain, using ubiquinone as an electron acceptor. Part of the enzyme membrane arm which is embedded in the lipid bilayer and involved in proton translocation.

Subunit / interactions. Core subunit of respiratory chain NADH dehydrogenase (Complex I) which is composed of 45 different subunits.

Subcellular location. Mitochondrion inner membrane.

Disease relevance. Leber hereditary optic neuropathy (LHON) [MIM:535000] A maternally inherited form of Leber hereditary optic neuropathy, a mitochondrial disease resulting in bilateral painless loss of central vision due to selective degeneration of the retinal ganglion cells and their axons. The disorder shows incomplete penetrance and male predominance. Cardiac conduction defects and neurological defects have also been described in some LHON patients. LHON results from primary mitochondrial DNA mutations affecting the respiratory chain complexes. The disease is caused by variants affecting the gene represented in this entry.

Similarity. Belongs to the complex I subunit 4L family.

RefSeq proteins (0): (*=MANE)

Domains & families (InterPro)

IDNameType
IPR001133NADH_UbQ_OxRdtase_chain4L/KFamily
IPR039428NUOK/Mnh_C1-likeFamily

Pfam: PF00420

Catalyzed reactions (Rhea), 1 shown:

  • a ubiquinone + NADH + 5 H(+)(in) = a ubiquinol + NAD(+) + 4 H(+)(out) (RHEA:29091)

UniProt features (9 total): sequence variant 5, transmembrane region 3, chain 1

Structure

Experimental structures (PDB)

5 structures.

PDBMethodResolution (Å)
9I4IELECTRON MICROSCOPY2.63
9TI4ELECTRON MICROSCOPY2.66
9CWTELECTRON MICROSCOPY3.44
5XTCELECTRON MICROSCOPY3.7
5XTDELECTRON MICROSCOPY3.7

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P03901-F188.220.55

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-5419276Mitochondrial translation termination

MSigDB gene sets: 161 (showing top): GOBP_ORGANOPHOSPHATE_METABOLIC_PROCESS, GOBP_NUCLEOSIDE_PHOSPHATE_BIOSYNTHETIC_PROCESS, GOBP_ORGANOPHOSPHATE_BIOSYNTHETIC_PROCESS, GOBP_CARBOHYDRATE_DERIVATIVE_METABOLIC_PROCESS, GOBP_MONOATOMIC_CATION_TRANSPORT, GOBP_NUCLEOBASE_CONTAINING_SMALL_MOLECULE_METABOLIC_PROCESS, GOBP_GENERATION_OF_PRECURSOR_METABOLITES_AND_ENERGY, GOBP_ATP_BIOSYNTHETIC_PROCESS, GOBP_OXIDATIVE_PHOSPHORYLATION, GOBP_CARBOHYDRATE_DERIVATIVE_BIOSYNTHETIC_PROCESS, GOBP_NUCLEOSIDE_TRIPHOSPHATE_METABOLIC_PROCESS, GOBP_NUCLEOSIDE_TRIPHOSPHATE_BIOSYNTHETIC_PROCESS, GOBP_ELECTRON_TRANSPORT_CHAIN, GOCC_MITOCHONDRIAL_ENVELOPE, GOMF_PROTON_TRANSMEMBRANE_TRANSPORTER_ACTIVITY

GO Biological Process (5): mitochondrial electron transport, NADH to ubiquinone (GO:0006120), aerobic respiration (GO:0009060), proton motive force-driven mitochondrial ATP synthesis (GO:0042776), ATP synthesis coupled electron transport (GO:0042773), proton transmembrane transport (GO:1902600)

GO Molecular Function (3): NADH dehydrogenase (ubiquinone) activity (GO:0008137), oxidoreductase activity, acting on NAD(P)H (GO:0016651), oxidoreductase activity (GO:0016491)

GO Cellular Component (4): mitochondrion (GO:0005739), mitochondrial inner membrane (GO:0005743), respiratory chain complex I (GO:0045271), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Mitochondrial translation1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
oxidative phosphorylation2
aerobic electron transport chain1
mitochondrial ATP synthesis coupled electron transport1
cellular respiration1
mitochondrion1
proton motive force-driven ATP synthesis1
respiratory electron transport chain1
monoatomic cation transmembrane transport1
NADH dehydrogenase activity1
electron transfer activity1
proton transmembrane transporter activity1
oxidoreduction-driven active transmembrane transporter activity1
oxidoreductase activity, acting on NAD(P)H, quinone or similar compound as acceptor1
active monoatomic ion transmembrane transporter activity1
oxidoreductase activity1
catalytic activity1
cytoplasm1
intracellular membrane-bounded organelle1
organelle inner membrane1
mitochondrial membrane1
NADH dehydrogenase complex1
respiratory chain complex1
transmembrane transporter complex1
cellular anatomical structure1

Protein interactions and networks

STRING

1321 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
MT-ND4LMT-ND6P03923999
MT-ND4LMT-ND1P03886999
MT-ND4LMT-ND2P03891999
MT-ND4LMT-ND3P03897999
MT-ND4LMT-ND4P03905999
MT-ND4LMT-ND5P03915999
MT-ND4LMT-ATP6P00846974
MT-ND4LMT-ATP8P03928974
MT-ND4LMT-CYBP00156971
MT-ND4LMT-CO3P00414953
MT-ND4LMT-CO1P00395919
MT-ND4LMT-CO2P00403915
MT-ND4LPTGS1P23219885
MT-ND4LNDUFB6O95139788
MT-ND4LNDUFS7O75251744

IntAct

5 interactions, top by confidence:

ABTypeScore
repMT-ND4Lpsi-mi:“MI:0915”(physical association)0.370
STAT1MT-ND4Lpsi-mi:“MI:0915”(physical association)0.370
ABHD16AMT-ND4Lpsi-mi:“MI:0915”(physical association)0.000

BioGRID (5): ND4L (PCA), ND4L (Affinity Capture-RNA), ND4L (Two-hybrid), ND4L (Affinity Capture-RNA), STAT1 (Two-hybrid)

ESM2 similar proteins: O03203, O21787, O78754, O79435, P03901, P24976, P48931, P56632, P61795, P61796, Q072K5, Q09EG3, Q15GS3, Q2V091, Q2V0A4, Q34572, Q35588, Q37809, Q3L6V0, Q3L6Z6, Q3L708, Q3LR84, Q598U3, Q5BU90, Q5I195, Q69B76, Q69B78, Q69B80, Q69B84, Q6EMS3, Q70RM6, Q70RN9, Q70S06, Q70S19, Q71RU5, Q7HLD2, Q7IVV2, Q7IVV3, Q7Y8E7, Q7YBC1

Diamond homologs: O03172, O03203, O21405, O21787, O79409, O99602, P03901, P18942, P23633, P24976, P34193, P48658, P67783, P67784, P69302, P69303, P69304, P69305, P69306, P69307, P92483, Q08GU6, Q08HF4, Q08HK6, Q15GM1, Q15GP7, Q15GR0, Q1AL67, Q1HUW0, Q1HUX2, Q1HUX8, Q1HUY4, Q1HUZ6, Q1HUZ9, Q1HV02, Q1HV05, Q1HV14, Q1HV23, Q1HV29, Q1HV35

SIGNOR signaling

2 interactions.

AEffectBMechanism
“Non-structural protein 10”“down-regulates activity”MT-ND4Lbinding
MT-ND4L“form complex”“NADH-ubiquinone oxidoreductase-Mitochondrial respiratory chain complex I”binding

Disease & clinical

Clinical variants and AI predictions

ClinVar

34 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic1
Likely pathogenic1
Uncertain significance14
Likely benign9
Benign6

Top pathogenic / likely-pathogenic (2)

Variant IDHGVSClassification
430682NC_012920.1(MT-TS2):m.8815_13722delPathogenic
9707NC_012920.1(MT-ND4L):m.10663T>CLikely pathogenic

SpliceAI

0 predictions. Top by Δscore:

AlphaMissense

618 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
M:10572:G:CG35R0.977
M:10689:G:CG74R0.976
M:10684:C:AA72E0.962
M:10590:T:CF41L0.961
M:10592:C:AF41L0.961
M:10592:C:GF41L0.961
M:10521:G:CG18R0.958
M:10563:T:CC32R0.957
M:10690:G:AG74D0.954
M:10570:A:TE34V0.951
M:10693:T:CL75P0.944
M:10683:G:CA72P0.941
M:10674:T:CC69R0.939
M:10573:G:AG35E0.938
M:10672:C:AA68D0.938
M:10513:C:GS15W0.934
M:10558:T:AL30Q0.932
M:10669:C:AA67D0.932
M:10693:T:AL75Q0.931
M:10572:G:TG35W0.928
M:10565:C:AC32W0.926
M:10565:C:GC32W0.926
M:10648:C:GP60R0.925
M:10761:T:CC98R0.924
M:10699:T:CL77P0.923
M:10571:A:CE34D0.921
M:10571:A:TE34D0.921
M:10503:T:CF12L0.919
M:10505:T:AF12L0.919
M:10505:T:GF12L0.919

dbSNP variants (sampled 300 via entrez): RS1057516063 (MT:9166 T>C), RS1057516064 (MT:9237 G>A), RS1057520074 (MT:10499 A>G), RS1057520079 (MT:9091 A>G), RS1057520102 (MT:8816 A>G), RS1057520204 (MT:8943 C>T), RS1064597 (MT:8647 C>G), RS112133961 (MT:10127 A>G), RS121434456 (MT:10438 A>G), RS121434475 (MT:9997 T>A,C), RS121434476 (MT:10010 T>C), RS1553140066 (MT:9247 G>A,C), RS1556423467 (MT:8470 A>G,T), RS1556423473 (MT:8488 C>G,T), RS1556423474 (MT:8497 A>G)

Disease associations

OMIM: gene MIM:516004 | disease phenotypes: MIM:256000, MIM:535000

GenCC curated gene-disease

DiseaseClassificationInheritance
Leber hereditary optic neuropathySupportiveMitochondrial

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
mitochondrial diseaseLimitedMT

Mondo (4): mitochondrial disease (MONDO:0044970), Leigh syndrome (MONDO:0009723), familial colorectal cancer (MONDO:0023113), Leber hereditary optic neuropathy (MONDO:0010788)

Orphanet (3): Mitochondrial disease (Orphanet:68380), Leigh syndrome (Orphanet:506), Leber hereditary optic neuropathy (Orphanet:104)

HPO phenotypes

28 total (28 of 28 shown, HPO-id order):

HPOTerm
HP:0000512Abnormal electroretinogram
HP:0000529Progressive visual loss
HP:0000551Color vision defect
HP:0000572Visual loss
HP:0000576Centrocecal scotoma
HP:0000603Central scotoma
HP:0000622Blurred vision
HP:0000648Optic atrophy
HP:0000649Abnormality of visual evoked potentials
HP:0001112Leber optic atrophy
HP:0001138Optic neuropathy
HP:0001251Ataxia
HP:0001271Polyneuropathy
HP:0001332Dystonia
HP:0001427Mitochondrial inheritance
HP:0002174Postural tremor
HP:0003198Myopathy
HP:0003829Typified by incomplete penetrance
HP:0004309Ventricular preexcitation
HP:0007763Retinal telangiectasia
HP:0007768Central retinal vessel vascular tortuosity
HP:0007924Slow decrease in visual acuity
HP:0009830Peripheral neuropathy
HP:0011675Arrhythmia
HP:0012841Retinal vascular tortuosity
HP:0020120Retinal nerve fiber edema
HP:0032036Reduced contrast sensitivity
HP:0200125Mitochondrial respiratory chain defects

GWAS associations

0 associations (top):

MeSH disease descriptors (2)

DescriptorNameTree numbers
D007888Leigh DiseaseC10.228.140.163.100.412; C16.320.565.189.412; C16.320.565.202.810.444; C18.452.132.100.412; C18.452.648.189.412; C18.452.648.202.810.444; C18.452.660.520
D029242Optic Atrophy, Hereditary, LeberC10.292.700.225.500.400; C10.574.500.662.400; C11.270.564.400; C11.640.451.451.400; C16.320.290.564.400; C16.320.400.630.400; C18.452.660.670

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL2363065 (PROTEIN COMPLEX)

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs2853826MT-CO3, MT-ND3, MT-ND4, MT-ND4L, MT-ND532.001efavirenz;lopinavir;Nucleoside and nucleotide reverse transcriptase inhibitors;ritonavir

ChEMBL bioactivities

8 potent at pChembl≥5 of 18 total, top 8 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
6.06IC50870nMR-(+)-MARMIN-6’-UNDECANOATE
6.04IC50920nMR-(+)-MARMIN-6’-LINOLEATE
5.63IC502350nMR-(+)-MARMIN-6’-LINOLEATE
5.51IC503080nMR-(+)-MARMIN-6’-OCTANOATE
5.43IC503670nMR-(+)-MARMIN-6’-UNDECANOATE
5.43IC503710nMR-(+)-MARMIN-6’-OCTANOATE
5.31IC504900nM(+)-9’-ISOVALEROXYLARICIRESINOL
5.04IC509100nM(+)-9’-ISOVALEROXYLARICIRESINOL

PubChem BioAssay actives

8 with measured affinity, of 28 total; 4 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
[(E,3R)-2-hydroxy-2,6-dimethyl-8-(2-oxochromen-7-yl)oxyoct-6-en-3-yl] undecanoate739270: Inhibition of mitochondrial ETC complex 1 in human T47D cells assessed as inhibition of 1% O2-induced HIF1 activation incubated for 30 mins prior to 1% O2-challenge measured after 16 hrs by luciferase reporter assayic500.8700uM
[(E,3R)-2-hydroxy-2,6-dimethyl-8-(2-oxochromen-7-yl)oxyoct-6-en-3-yl] (9Z,12Z)-octadeca-9,12-dienoate739270: Inhibition of mitochondrial ETC complex 1 in human T47D cells assessed as inhibition of 1% O2-induced HIF1 activation incubated for 30 mins prior to 1% O2-challenge measured after 16 hrs by luciferase reporter assayic500.9200uM
[(E,3R)-2-hydroxy-2,6-dimethyl-8-(2-oxochromen-7-yl)oxyoct-6-en-3-yl] octanoate739270: Inhibition of mitochondrial ETC complex 1 in human T47D cells assessed as inhibition of 1% O2-induced HIF1 activation incubated for 30 mins prior to 1% O2-challenge measured after 16 hrs by luciferase reporter assayic503.0800uM
[(2S,3R,4R)-2-(4-hydroxy-3-methoxyphenyl)-4-[(4-hydroxy-3-methoxyphenyl)methyl]oxolan-3-yl]methyl 3-methylbutanoate739269: Inhibition of mitochondrial ETC complex 1 in human T47D cells assessed as inhibition of 1,10-phenanthroline-induced HIF1 activation incubated for 30 mins prior to 1,10-phenanthroline-challenge measured after 16 hrs by luciferase reporter assayic504.9000uM

CTD chemical–gene interactions

30 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
beauvericinaffects cotreatment, increases expression, decreases expression3
enniatinsaffects cotreatment, increases expression, decreases expression3
Air Pollutantsdecreases expression, increases abundance2
Atrazinedecreases expression2
Plant Extractsaffects cotreatment, increases expression2
1-Methyl-4-phenylpyridiniumdecreases expression, decreases reaction2
aristolochic acid Idecreases expression1
methylmercuric chlorideincreases expression1
bisphenol Adecreases expression1
ochratoxin Aaffects cotreatment, increases expression1
aflatoxin G1affects cotreatment, increases expression1
aflatoxin B2increases expression, affects cotreatment1
aflatoxin G2affects cotreatment, increases expression1
1-methyl-4-phenyl-2,3-dihydropyridiniumdecreases expression1
arsenic trichlorideincreases abundance, increases expression1
licochalcone Bdecreases expression1
Arsenicincreases abundance, increases expression1
Cadmiumincreases abundance, increases expression1
Doxorubicindecreases expression1
Lipopolysaccharidesaffects expression, affects response to substance1
Smokedecreases expression, increases abundance1
Dronabinolincreases expression1
Tunicamycindecreases expression1
Urethaneincreases expression1
Valproic Aciddecreases expression1
Zearalenoneaffects cotreatment, increases expression1
Aflatoxin B1affects cotreatment, increases expression1
Cadmium Chlorideincreases abundance, increases expression1
Thapsigargindecreases expression1
Particulate Matterdecreases expression, increases abundance1

ChEMBL screening assays

4 unique, capped per target: 4 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL2353025BindingInhibition of mitochondrial ETC complex 1 in human T47D cells assessed as inhibition of 1% O2-induced HIF1 activation at 30 uM incubated for 30 mins prior to 1% O2-challenge measured after 16 hrs by luciferase reporter assaySemisynthetic studies identify mitochondria poisons from botanical dietary supplements–geranyloxycoumarins from Aegle marmelos. — Bioorg Med Chem

Cellosaurus cell lines

2 cell lines: 2 induced pluripotent stem cell

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_D6I4FINCBi005-AInduced pluripotent stem cellMale
CVCL_D6I5FINCBi006-AInduced pluripotent stem cellMale

Clinical trials (associated diseases)

135 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT03351998PHASE4COMPLETEDImpact of Statin Therapy on Muscle Mitochondrial Function and Aerobic Capacity
NCT03293524PHASE3COMPLETEDEfficacy & Safety Study of Bilateral IVT Injection of GS010 in LHON Subjects Due to the ND4 Mutation for up to 1 Year
NCT03406104PHASE3COMPLETEDRESCUE and REVERSE Long-term Follow-up
NCT07406854PHASE3ACTIVE_NOT_RECRUITINGA Phase 3, Multicenter, Randomized, Double-Masked, Sham-Controlled Clinical Trial for Leber’s Hereditary Optic Neuropathy (LHON) Associated With ND4 Mutation
NCT00432744PHASE3COMPLETEDPhase III Trial of Coenzyme Q10 in Mitochondrial Disease
NCT05162768PHASE3COMPLETEDStudy to Evaluate Efficacy and Safety of Elamipretide in Subjects With Primary Mitochondrial Disease From Nuclear DNA Mutations (nPMD)
NCT06451757PHASE3RECRUITINGKHENERFIN Study: A Trial to Evaluate the Efficacy and Safety of Sonlicromanol in Primary Mitochondrial Diseases
NCT02176733PHASE2UNKNOWNTrial of Cyclosporine in the Acute Phase of Leber Hereditary Optic Neuropathy
NCT02398201PHASE2COMPLETEDA Study of Bezafibrate in Mitochondrial Myopathy
NCT02473445PHASE2TERMINATEDA Long-term Extension of Study RP103-MITO-001 (NCT02023866) to Assess Cysteamine Bitartrate Delayed-release Capsules (RP103) in Children With Inherited Mitochondrial Disease
NCT02500628PHASE2COMPLETEDHeart Rate Variability in Response to Metformin Challenge
NCT02805790PHASE2COMPLETEDSafety, Tolerability, Efficacy of MTP-131 for Treatment of Mitochondrial Disease in Subjects From the MMPOWER Study
NCT02909400PHASE2COMPLETEDThe KHENERGY Study
NCT02976038PHASE2TERMINATEDOpen-Label Extension Trial to Characterize the Long-term Safety and Tolerability of Elamipretide in Subjects With Genetically Confirmed Primary Mitochondrial Myopathy (PMM)
NCT03177798PHASE2COMPLETEDMitochondria and Chronic Kidney Disease
NCT03866954PHASE2WITHDRAWNTrial of Erythrocyte Encapsulated Thymidine Phosphorylase In Mitochondrial Neurogastrointestinal Encephalomyopathy
NCT04165239PHASE2COMPLETEDThe KHENERGYZE Study
NCT04604548PHASE2COMPLETEDThe KHENEREXT Study
NCT04802707PHASE2RECRUITINGDeoxynucleosides Pyrimidines as Treatment for Mitochondrial Depletion Syndrome
NCT04846036PHASE2SUSPENDEDThe KHENERGYC Study
NCT05650229PHASE2RECRUITINGEfficacy of KL1333 in Adult Patients With Primary Mitochondrial Disease
NCT05972954PHASE2COMPLETEDOMT-28 in Patients With Primary Mitochondrial Disease (PMD) (PMD-OPTION)
NCT06017869PHASE2RECRUITINGEvaluate the Safety and Therapeutic Effects of a Single Intravenous Infusion (IV) of Autologous CD34+ Cells Enriched With Allogenic Placenta-derived Mitochondria in Patients With a Diagnosis of Pearson Syndrome (PS)
NCT07514338PHASE2NOT_YET_RECRUITINGOpen Label Extension to Assess Long Term Safety and Efficacy of KL1333 in Patients With Primary Mitochondrial Disease
NCT01721733PHASE2COMPLETEDSafety and Efficacy Study of EPI-743 in Children With Leigh Syndrome
NCT02352896PHASE2COMPLETEDLong-Term Safety and Efficacy Evaluation of EPI-743 in Children With Leigh Syndrome
NCT03747328PHASE2WITHDRAWNABI-009 (Nab-sirolimus) in Patients With Genetically-confirmed Leigh or Leigh-like Syndrome
NCT06843811PHASE2ENROLLING_BY_INVITATIONSirolimus for Leigh Syndrome
NCT06990984PHASE2NOT_YET_RECRUITINGA Dose-ranging Study of TTI-0102 in Adults and Children With Leigh Syndrome Spectrum (LSS)
NCT02544217PHASE1COMPLETEDA Dose-escalating Clinical Trial With KH176
NCT07258667PHASE1NOT_YET_RECRUITINGPilot Study of the Efficacy of Nicotinamide (Vitamin B3) in Leber’s Hereditary Optic Neuropathy
NCT00060515PHASE1TERMINATEDRG2133 (2’,3’,5’-Tri-O-Acetyluridine) in Mitochondrial Disease
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