
The Kleefstra Clinic at Boston Children's Hospital
Funding this clinic was IDefine's very first initiative — and today it's one of only a few clinics in the world built entirely around Kleefstra syndrome. Every visit combines expert clinical care with active research, so families get answers today while helping build answers for tomorrow.
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ACTION Initiative
A three-year longitudinal natural history study following participants ages 2–21 to map the full clinical, molecular, and neurodevelopmental spectrum of Kleefstra syndrome — and identify the biomarkers future clinical trials will need.
Learn more & enroll →Circadian Biology of EHMT1 (Sleep Study)
Led by Dr. Jonathan Lipton and Dr. Joe Kossowsky, this study asked whether EHMT1 disrupts the body's sleep-wake clock before regression begins — tracing the link between circadian rhythm and the regression so many families see after puberty.
Read the story →Disease Concept Model
Genetic counselor Kristen Connors interviewed 16 families and 2 clinicians to build the first patient- and caregiver-centered model of what Kleefstra syndrome actually looks like day to day — now shaping educational materials and future treatment targets.
Meet the researcher →Novel Phenotypes & Genotype-Phenotype Correlations
The largest clinical cohort study of Kleefstra syndrome to date, led by Zoë Frazier and the clinic team — uncovering new phenotypes and connecting specific genetic changes to the symptoms they cause.
Read the paper →- Morison et al. (2024). Expanding the phenotype of Kleefstra syndrome: Speech, language and cognition in 103 individuals. Journal of Medical Genetics. DOI →
- Rots et al. (2024). Comprehensive EHMT1 variants analysis broadens genotype-phenotype associations. American Journal of Human Genetics. DOI →
- Vasireddi et al. (2024). Arrhythmias including atrial fibrillation and congenital heart disease in Kleefstra syndrome. Europace. DOI →
- Visits can be virtual or in person — most families in the current ACTION Initiative come in for three annual visits.
- Every visit includes neurobehavioral assessments; some families opt into extras like a research EEG, a blood sample, or a week wearing a Fitbit at home.
- Before you arrive, the team will send a medical records release so they can pull in history from your local providers.
- What to bring: insurance card, a current medication list, and any recent local specialist notes.
Ready to Schedule a Visit or Join a Study?
Reach the Kleefstra Syndrome Clinic research team directly:
617-919-7370 · KleefstraSyndromeClinic@childrens.harvard.edu