RARE DISEASERESEARCH ATLAS

ORPHA:221145

Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies

high confidenceDisorder

Also known as: ARCL1C · Autosomal recessive cutis laxa type 1C · Urban-Rifkin-Davis syndrome

Query health: suspect — Only one of 3 strategies returned hits (phrase).

Publications

45

43.1th percentile

Trials

0

Interventional, condition-specific

Researchers

284

Distinct authors in sample

Gene link

LTBP4

Strong

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic, dermis elastic tissue disorder characterized by generalized cutis laxa associated with severe, usually early-onset, pulmonary emphysema, frequent and severe gastrointestinal and genitourinary involvement (i.e. bladder/intestine diverticula and/or tortuosity, gastrointestinal fragility, hydronephrosis), and mild cardiovascular involvement (typically limited to peripheral pulmonary artery stenosis only).

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 (1)

autosomal recessive cutis laxa type 1C

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

No specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.

  1. Gene identifiedPresent

    Strong — LTBP4

  2. LiteraturePresent

    45 matched papers (29 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 trialPartial

    None under the specific name; 3 for broader category cutis laxa

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 (LTBP4).

GenCC classification: Strong.

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?

45

45 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.

45 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).

29 in the last 10 years · high confidence · 43.1th percentile (publications denominator)

Phrase hits: 45 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

284

Distinct author names in 45 sampled papers — named people below.

Who's working on it?

No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.

  1. 01
    Urban Z11 papers · 2026

    Department of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110, USA. urban_z@kids.wustl.edu

    Papers in Europe PMC
  2. 02
    Callewaert B5 papers · 2025

    Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium.

    Papers in Europe PMC
  3. 03
    Baldock C4 papers · 2022

    Wellcome Centre for Cell-Matrix Research, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester M13 9PT, UK.

    Papers in Europe PMC
  4. 04
    Davis EC4 papers · 2015

    Department of Anatomy and Cell Biology, McGill University, Montreal, Quebec, H3A 0C7 Canada.

    Papers in Europe PMC
  5. 05
    Su CT4 papers · 2021

    Department of Human Genetics, University of Pittsburgh Graduate School of Public Health, 130 DeSoto Street, Crabtree Hall A300, Pittsburgh, PA 15261, USA.

    Papers in Europe PMC
  6. 06
    Alanazi YF3 papers · 2022

    Department of Biochemistry, Faculty of Science, University of Tabuk, Tabuk 71491, Saudi Arabia.

    Papers in Europe PMC
  7. 07
    Beyens A3 papers · 2025

    Center for Medical Genetics Ghent, Ghent University Hospital, 9000 Ghent, Belgium.

    Papers in Europe PMC
  8. 08
    Cain SA3 papers · 2021

    Wellcome Trust Centre for Cell-Matrix Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M13 9PT, UK; Division of Cell-Matrix Biology and Regenerative Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M13 9PT, UK.

    Papers in Europe PMC
  9. 09
    Dabovic B3 papers · 2015

    The Department of Cell Biology, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA.

    Papers in Europe PMC
  10. 10
    Malfait F3 papers · 2022

    Center for Metabolic Diseases, Department of Pediatrics, University Hospitals Leuven, Leuven 3000, Belgium. Fransiska.Malfait@UGent.be.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

0

interventional trials for this specific condition

No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present). 3 trials are registered for cutis laxa, the broader category — shown separately because they may or may not enrol this specific subtype.

Data as of 27 July 2026

No matched interventional trials. This is true for 73% of diseases in the trials denominator (5114 of 7003). Here are the researchers publishing on it.

high confidence · 36.5th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.

3 interventional trials matched cutis laxa, the broader category — listed below. Those studies are not counted in the condition-specific total.

Broader category: cutis laxa

3

Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.

Worth raising with a clinician. How we count trials.

Recruiting under the broader category

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.

"Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies" OR "ARCL1C" OR "Autosomal recessive cutis laxa type 1C" OR "Urban-Rifkin-Davis syndrome"

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Cutis Laxa With Severe Pulmonary, Gastrointestinal, And Urinary Abnormalities

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

"Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies" OR "ARCL1C" OR "Autosomal recessive cutis laxa type 1C" OR "Urban-Rifkin-Davis syndrome" OR "Cutis Laxa With Severe Pulmonary, Gastrointestinal, And Urinary Abnormalities" OR "LTBP4" OR "inherited cutis laxa"

Recall-expansion terms: LTBP4, inherited cutis laxa

Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Parent-category trials query:

"cutis laxa"

Query health: suspect — strategies attempted: phrase, mesh, 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

Ingested 2026-07-27T09:58:05.459Z