RARE DISEASERESEARCH ATLAS

ORPHA:228329

CLN1 disease

low confidenceDisorder

Also known as: Neuronal ceroid lipofuscinosis type 1 · NCL1

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

Publications

318

Trials

0

Interventional, condition-specific

Researchers

1,273

Distinct authors in sample

Gene link

PPT1

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare neuronal ceroid lipofuscinosis characterized by , psychomotor regression, , , , movement disorders and visual impairment. It may present classically with -onset (6-18 months) however late (18 months-4 years), juvenile (4 years-early adolescence) or adult-onset (mid 20s-mid 30s) have also been described. Disease progression is rapid in both /late onset patients, manifesting with and rapid loss of speech, early cognitive and motor decline, impaired gait function, myoclonus, vision loss (observed bit later in late form) and brain atrophy. form is characterized by a short lifespan preceeded by a relatively long steady progression following the rapid decline. Disease progression is slow in juvenile-onset and protracted in adult-onset patients. Psychosis in juvenile-onset patients, depression and parkinsonism in adult-onset patients are reported in addition to the common clinical symptoms.

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 (11)

CLN1 · CLN1 variable age at onset · PPT1 neuronal ceroid lipofuscinosis · ceroid lipofuscinosis neuronal 1 · ceroid lipofuscinosis, neuronal, 1 · ceroid lipofuscinosis, neuronal, 1, variable Age at onset · ceroid lipofuscinosis, neuronal, type 1 · ceroid storage disease · neuronal ceroid lipofuscinosis 1 · neuronal ceroid lipofuscinosis caused by mutation in PPT1 · neuronal ceroid lipofuscinosis type 1

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.”

2/6 stages with a signal

No matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Definitive — PPT1

  2. LiteraturePresent

    318 matched papers (221 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 trialNot found

    No matched interventional trial under our ClinicalTrials.gov rules

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 (PPT1).

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?

318

318 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.

318 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).

221 in the last 10 years · low confidence

Phrase hits: 318 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

1,273

Distinct author names in 200 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
    Cooper JD25 papers · 2026

    Department of Pediatrics, and.

    Papers in Europe PMC
  2. 02
    Sands MS18 papers · 2026

    Department of Medicine.

    Papers in Europe PMC
  3. 03
    Nelvagal HR16 papers · 2025

    Department of Pediatrics, and.

    Papers in Europe PMC
  4. 04
    Dearborn JT9 papers · 2025

    Department of Internal Medicine, and.

    Papers in Europe PMC
  5. 05
    Eultgen EM8 papers · 2026

    Department of Pediatrics, and.

    Papers in Europe PMC
  6. 06
    Groh J7 papers · 2021

    Neurology, University Hospital Wuerzburg, Wuerzburg, Germany.

    Papers in Europe PMC
  7. 07
    Mukherjee AB7 papers · 2025

    Section on Developmental Genetics, Division of Translational Medicine, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.

    Papers in Europe PMC
  8. 08
    Takahashi K7 papers · 2025

    Department of Pediatrics, and.

    Papers in Europe PMC
  9. 09
    Wishart TM7 papers · 2025

    The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, Midlothian, UK.

    Papers in Europe PMC
  10. 10
    Appu AP6 papers · 2025

    Section on Developmental Genetics, Division of Translational Medicine, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.

    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. 1 observational study did — shown below because natural-history and cohort work can be an important step toward a trial.

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.

low 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.

See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Observational and natural-history studies

1 observational study matches 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

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

Likely covered — the policy lists Neuronal ceroid lipofuscinosis as a category (Group 3), and this condition is a form of it. Confirm eligibility with a Centre of Excellence.

Group 3 — high-cost / lifelong therapy with careful selection

Up to ₹50 lakh per patient

Financial support at notified Centres of Excellence is the figure commonly cited in recent MoHFW/PIB statements. Many Group 3 patients also use the MoHFW voluntary-contribution / crowdfunding portal.

Eligibility and patient selection rules change. Verify with a CoE; the crowdfunding portal is a separate mechanism from CoE funding. Verify

Centres of Excellence (15)
  • All India Institute of Medical Sciences (AIIMS)New Delhi, Delhi
  • Maulana Azad Medical CollegeNew Delhi, Delhi
  • Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknow, Uttar Pradesh
  • Post Graduate Institute of Medical Education and Research (PGIMER)Chandigarh, Chandigarh
  • Centre for DNA Fingerprinting & Diagnostics with Nizam’s Institute of Medical SciencesHyderabad, Telangana
  • King Edward Memorial HospitalMumbai, Maharashtra
  • Institute of Post-Graduate Medical Education and Research (IPGMER)Kolkata, West Bengal
  • Centre for Human Genetics with Indira Gandhi HospitalBengaluru, Karnataka
  • Institute of Child Health and Hospital for Children (ICH & HC)Chennai, Tamil Nadu
  • All India Institute of Medical Sciences (AIIMS)Jodhpur, Rajasthan
  • Sree Avittam Thirunal Hospital (SAT), Government Medical CollegeThiruvananthapuram, Kerala
  • All India Institute of Medical Sciences (AIIMS)Bhopal, Madhya Pradesh
  • Regional Institute of Medical Sciences (RIMS)Imphal, Manipur
  • All India Institute of Medical Sciences (AIIMS)Patna, Bihar
  • Assam Medical College & HospitalDibrugarh, Assam

Voluntary contributions / crowdfunding (separate from CoE funding): https://rarediseases.mohfw.gov.in/

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.

"CLN1 disease" OR "Neuronal ceroid lipofuscinosis type 1" OR "CLN1 variable age at onset" OR "PPT1 neuronal ceroid lipofuscinosis" OR "ceroid lipofuscinosis neuronal 1" OR "ceroid lipofuscinosis, neuronal, 1" OR "ceroid lipofuscinosis, neuronal, 1, variable Age at onset" OR "ceroid lipofuscinosis, neuronal, type 1" OR "ceroid storage disease" OR "neuronal ceroid lipofuscinosis 1" OR "neuronal ceroid lipofuscinosis caused by mutation in PPT1"

Run this search on Europe PMC

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

"CLN1 disease" OR "Neuronal ceroid lipofuscinosis type 1" OR "CLN1 variable age at onset" OR "PPT1 neuronal ceroid lipofuscinosis" OR "ceroid lipofuscinosis neuronal 1" OR "ceroid lipofuscinosis, neuronal, 1" OR "ceroid lipofuscinosis, neuronal, 1, variable Age at onset" OR "ceroid lipofuscinosis, neuronal, type 1" OR "ceroid storage disease" OR "neuronal ceroid lipofuscinosis 1" OR "neuronal ceroid lipofuscinosis caused by mutation in PPT1" OR "PPT1"

Recall-expansion terms: PPT1

Study-type breakdown: 0 interventional · 1 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

Synonyms dropped by stoplist: NCL1; CLN1

Confidence reasoning

  • Preferred label is short or not clearly distinctive
  • 2 synonym(s) dropped by stoplist (may under-count)
  • No label/synonym collisions with other diseases in this corpus

Ingested 2026-07-27T10:07:12.011Z