RARE DISEASERESEARCH ATLAS

ORPHA:156

Carnitine palmitoyl transferase 1A deficiency

medium confidenceDisorder

Also known as: CPT1A deficiency · Carnitine palmitoyl transferase IA deficiency · Hepatic carnitine palmitoyl transferase 1 deficiency · Hepatic carnitine palmitoyl transferase I deficiency · L-CPT1 deficiency · L-CPTI deficiency

Query health: suspect — Only one of 2 strategies returned hits (phrase).

Publications

270

78th percentile

Trials

1

Interventional, condition-specific

Researchers

1,416

Distinct authors in sample

Gene link

CPT1A

Definitive

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

Carnitine palmitoyltransferase 1A (CPT-1A) deficiency is an inborn error of metabolism that affects oxidation of long chain fatty acids (LCFA) in the liver and kidneys, and is characterized by recurrent attacks of fasting-induced hypoketotic and risk of liver failure.

How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.

Orphanet entry

Cross-references

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

Additional Mondo synonyms (9)

CPT1A disorder of carnitine cycle and carnitine transport · Carnitine Palmitoyltransferase 1A Deficiency · carnitine palmitoyl transferase 1A deficiency · carnitine palmitoyl transferase IA deficiency · carnitine palmitoyltransferase I deficiency · cpt deficiency, hepatic, type IA · disorder of carnitine cycle and carnitine transport caused by mutation in CPT1A · hepatic carnitine palmitoyl transferase 1 deficiency · hepatic carnitine palmitoyl transferase I deficiency

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.”

3/6 stages with a signal

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

  1. Gene identifiedPresent

    Definitive — CPT1A

  2. LiteraturePresent

    270 matched papers (191 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialPresent

    1 matched on ClinicalTrials.gov

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 (CPT1A).

GenCC classification: Definitive.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

270

270 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

270 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

191 in the last 10 years · medium confidence · 78th percentile (publications denominator)

Phrase hits: 270 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

1,416

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 · 2025

    Key Laboratory of Pathobiology, Ministry of Education, Jilin University, Changchun, Jilin, China.

    Papers in Europe PMC
  2. 02
    Li X8 papers · 2025

    Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.

    Papers in Europe PMC
  3. 03
    Zhang Y7 papers · 2025

    Department of Pharmacology, SKLFZCD, (State Key Laboratory -Province Key Laboratories of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Research, Ministry of Education), College of Pharmacy, Harbin Medical University, Harbin, 150081, China.

    Papers in Europe PMC
  4. 04
    Huang X6 papers · 2025

    Pharmacology Laboratory of Prevention and Treatment of High Incidence of Disease, Guilin Medical University, Guilin, China.

    Papers in Europe PMC
  5. 05
    Li Y6 papers · 2026

    Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.

    Papers in Europe PMC
  6. 06
    Carmeliet P4 papers · 2025

    Laboratory of Angiogenesis and Vascular Metabolism, Department of Oncology and Leuven Cancer Institute, KU Leuven, VIB Center for Cancer Biology, VIB, Leuven, Brussels, 3000, Belgium.

    Papers in Europe PMC
  7. 07
    Chen Y4 papers · 2025

    Department of Pharmacology, SKLFZCD, (State Key Laboratory -Province Key Laboratories of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Research, Ministry of Education), College of Pharmacy, Harbin Medical University, Harbin, 150081, China.

    Papers in Europe PMC
  8. 08
    Gao Y4 papers · 2025

    Pharmacology Laboratory of Prevention and Treatment of High Incidence of Disease, Guilin Medical University, Guilin, China.

    Papers in Europe PMC
  9. 09
    Koeller DM4 papers · 2023

    Department of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon, USA.

    Papers in Europe PMC
  10. 10
    Lee BH4 papers · 2026

    *Department of Pediatrics †Medical Genetics Center ‡Genome Research Center for Birth Defects and Genetic Disorders, Asan Medical Center, University of Ulsan College of Medicine §Green Cross Reference Laboratory ||Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

1

interventional trials for this specific condition

1 interventional trial matched this specific condition name; none in our sample are currently recruiting.

Data as of 27 July 2026

1 interventional trial — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 76.8th percentile).

medium confidence · 76.8th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

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

No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.

Observational and natural-history studies

2 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.

None of the matched observational studies is currently listed as recruiting.

Open the complete matched search on ClinicalTrials.gov

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

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.

"Carnitine palmitoyl transferase 1A deficiency" OR "CPT1A deficiency" OR "Carnitine palmitoyl transferase IA deficiency" OR "Hepatic carnitine palmitoyl transferase 1 deficiency" OR "Hepatic carnitine palmitoyl transferase I deficiency" OR "L-CPT1 deficiency" OR "L-CPTI deficiency" OR "CPT1A disorder of carnitine cycle and carnitine transport" OR "CPT1A disorder of the carnitine cycle and carnitine transport" OR "Carnitine Palmitoyltransferase 1A Deficiency" OR "carnitine palmitoyltransferase I deficiency" OR "cpt deficiency, hepatic, type IA" OR "disorder of carnitine cycle and carnitine transport caused by mutation in CPT1A" OR "disorder of the carnitine cycle and carnitine transport caused by mutation in CPT1A"

Run this search on Europe PMC

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

"Carnitine palmitoyl transferase 1A deficiency" OR "CPT1A deficiency" OR "Carnitine palmitoyl transferase IA deficiency" OR "Hepatic carnitine palmitoyl transferase 1 deficiency" OR "Hepatic carnitine palmitoyl transferase I deficiency" OR "L-CPT1 deficiency" OR "L-CPTI deficiency" OR "CPT1A disorder of carnitine cycle and carnitine transport" OR "CPT1A disorder of the carnitine cycle and carnitine transport" OR "Carnitine Palmitoyltransferase 1A Deficiency" OR "carnitine palmitoyltransferase I deficiency" OR "cpt deficiency, hepatic, type IA" OR "disorder of carnitine cycle and carnitine transport caused by mutation in CPT1A" OR "disorder of the carnitine cycle and carnitine transport caused by mutation in CPT1A" OR "CPT1A"

Recall-expansion terms: CPT1A

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: 1 interventional · 2 observational · 0 expanded access. Only interventional studies enter the trial headline.

Query health: suspect — strategies attempted: phrase, recall-expansion; with hits: phrase

Run this search on ClinicalTrials.gov

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • No synonyms dropped by stoplist
  • No label/synonym collisions with other diseases in this corpus
  • Publication count (270) is high for prevalence class "<1 / 1 000 000" — confidence capped at medium

Ingested 2026-07-26T12:40:51.299Z