RARE DISEASERESEARCH ATLAS

ORPHA:141

Canavan disease

low confidenceDisorder

Also known as: ACY2 deficiency · Aminoacylase 2 deficiency · Aspartoacylase deficiency · Spongy degeneration of the brain

Publications

6,454

Trials

6

Interventional, condition-specific

Researchers

1,470

Distinct authors in sample

Gene link

ASPA

Definitive

Readiness

6/6

Stages with a signal

Clinical definition (Orphanet)

Canavan disease (CD) is a neurodegenerative disorder; its spectrum varies between severe forms with leukodystrophy, macrocephaly and severe , and a very rare mild/juvenile form characterized by mild .

How rare: How common this is has not been clearly measured.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (5)

Canavan-VAN Bogaert-Bertrand disease · aminoacylase 2 deficiency · aspartoacylase deficiency · spongy degeneration of central nervous system · spongy degeneration of the brain

Research stages

Trial readiness signals

Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”

6/6 stages with a signal

An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.

  1. Gene identifiedPresent

    Definitive — ASPA

  2. LiteraturePresent

    6,454 matched papers (4,002 in last 10 years) Source

  3. Phenotype characterisedPresent

    92 HPO annotations (e.g. Bilateral tonic-clonic seizure; Nystagmus; Elevated urine N-acetylaspartic acid level) Source

  4. Animal modelPresent

    8 genotype models (Mus musculus) Source

  5. Orphan designationPartial

    2 EMA designations (none yet with FDA orphan-indication approval) — e.g. recombinant adeno-associated virus Olig001 containing human aspartoacylase cDNA Source

  6. Interventional trialPresent

    6 matched on ClinicalTrials.gov (2 recruiting in sample)

Biology

Genes and phenotypes

Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.

Do we know what causes it?

Yes — we know a specific gene responsible (ASPA).

GenCC classification: Definitive.

Phenotypes (Monarch / HPO)

92

Associated phenotypes · MONDO:0010079

  • Bilateral tonic-clonic seizure
  • Nystagmus
  • Elevated urine N-acetylaspartic acid level
  • Epileptic spasm
  • Increased circulating N-acetylaspartic acid concentration

Showing 5 of 92 — open Monarch for the full list.

Animal models (Monarch / Alliance)

8

Model associations linked to this Mondo ID

Monarch fetch 2026-07-29

Therapies

Designations, candidates, and chemicals

FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.

Orphan designation (FDA · EMA)

2

Designations · no FDA orphan-indication approval yet

  • EMA recombinant adeno-associated virus Olig001 containing human aspartoacylase cDNATreatment of Canavan disease · 09/12/2022 · PositiveEMA designation
  • EMA adeno-associated virus serotype 9 containing the human ASPA geneTreatment of Canavan disease · 04/06/2020 · PositiveEMA designation

Sources: FDA OOPD · EMA orphan designations

Open Targets candidates

1

Drugs / clinical candidates · MONDO_0010079

CTD chemicals (MyDisease.info)

No CTD chemical associations returned for this Mondo ID.

Literature

Is anyone studying this?

6,454

6,454 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.

6,454 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).

4,002 in the last 10 years · low confidence

Phrase hits: 1,433 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

1,470

Distinct author names in 200 sampled papers — named people below.

Who's working on it?

People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.

  1. 01
    Wang Y13 papers · 2026

    Institute for Pediatric Regenerative Medicine, University of California, Davis, Sacramento, CA 95817, USA.

    Papers in Europe PMC
  2. 02
    Feng L6 papers · 2026

    Shenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, China.

    Papers in Europe PMC
  3. 03
    Li Y6 papers · 2026

    Department of Pharmacy Sciences, School of Pharmacy, Southwest Medical University, Luzhou, Sichuan, 646000, People's Republic of China.

    Papers in Europe PMC
  4. 04
    Lindorff-Larsen K6 papers · 2026

    Linderstrøm-Lang Centre for Protein Science, Department of Biology, University of Copenhagen, Ole Maaløes Vej 5, DK2200N Copenhagen, Denmark.

    Papers in Europe PMC
  5. 05
    Sun G6 papers · 2026

    Division of Stem Cell Biology Research, Department of Stem Cell Biology and Regenerative Medicine, Beckman Research Institute of City of Hope, 1500 E. Duarte Road, Duarte, CA 91010, USA.

    Papers in Europe PMC
  6. 06
    Burns T5 papers · 2024

    Institute for Pediatric Regenerative Medicine, University of California, Davis, Sacramento, CA 95817, USA.

    Papers in Europe PMC
  7. 07
    Chao J5 papers · 2026

    Division of Stem Cell Biology Research, Department of Stem Cell Biology and Regenerative Medicine, Beckman Research Institute of City of Hope, 1500 E. Duarte Road, Duarte, CA 91010, USA.

    Papers in Europe PMC
  8. 08
    Grønbæk-Thygesen M5 papers · 2026

    Linderstrøm-Lang Centre for Protein Science, Department of Biology, University of Copenhagen, Ole Maaløes Vej 5, DK2200N Copenhagen, Denmark.

    Papers in Europe PMC
  9. 09
    Guo F5 papers · 2024

    Institute for Pediatric Regenerative Medicine, University of California, Davis, Sacramento, CA 95817, USA.

    Papers in Europe PMC
  10. 10
    Hartmann-Petersen R5 papers · 2026

    Linderstrøm-Lang Centre for Protein Science, Department of Biology, University of Copenhagen, Ole Maaløes Vej 5, DK2200N Copenhagen, Denmark.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

6

interventional trials for this specific condition

6 interventional trials matched this specific condition name; 2 currently recruiting in our sample.

Data as of 11 September 2026 · last trial check 28 July 2026

6 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 90.1th percentile).

low confidence · 90.1th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

6 interventional trials matched after quoted-phrase search and title/condition post-filter.

Observational and natural-history studies

5 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.

Recruiting or not-yet-recruiting

Open the complete matched search on ClinicalTrials.gov

Other registries (secondary)

Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.

raw 1 · after dedupe 1 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 1 · dropped 0 · fetched 2026-07-29

Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri

No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).

Uncertain / not reviewed (1)

Where to find support

Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.

Orphanet entry for Canavan disease — check Associations / patient organisations on that page.

India — NPRD

Last verified 2026-07-26

This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.

Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.

How we counted this

Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.

("Canavan disease" OR "ACY2 deficiency" OR "Aminoacylase 2 deficiency" OR "Aspartoacylase deficiency" OR "Spongy degeneration of the brain" OR "Spongy degeneration of brain" OR "Canavan-VAN Bogaert-Bertrand disease" OR "spongy degeneration of central nervous system" OR "spongy degeneration of the central nervous system") OR ("ASPA" OR "ASPA syndrome" OR "ASPA-related")

Run this search on Europe PMC

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Canavan disease" OR "ACY2 deficiency" OR "Aminoacylase 2 deficiency" OR "Aspartoacylase deficiency" OR "Spongy degeneration of the brain" OR "Spongy degeneration of brain" OR "Canavan-VAN Bogaert-Bertrand disease" OR "spongy degeneration of central nervous system" OR "spongy degeneration of the central nervous system"

Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).

Study-type breakdown: 6 interventional · 5 observational · 1 expanded access. Only interventional studies enter the trial headline.

Query health: ok — strategies attempted: phrase; with hits: phrase

Run this search on ClinicalTrials.gov

Confidence reasoning

  • Preferred label is short or not clearly distinctive
  • No synonyms dropped by stoplist
  • No label/synonym collisions with other diseases in this corpus
  • Publication count (6454) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity

Ingested 2026-07-26T12:36:58.917Z