RARE DISEASERESEARCH ATLAS

ORPHA:254864

Mitochondrial myopathy with reversible cytochrome C oxidase deficiency

high confidenceDisorder

Also known as: Benign COX deficiency · Infantile reversible cytochrome C oxidase deficiency myopathy · Mitochondrial myopathy with reversible COX deficiency · Mitochondrial myopathy with reversible complex IV deficiency · Reversible infantile cytochrome C oxidase deficiency · Reversible infantile respiratory chain deficiency

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

Publications

49

44.5th percentile

Trials

0

Interventional, condition-specific

Researchers

349

Distinct authors in sample

Gene link

Readiness

1/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic, oxidative phosphorylation disorder characterized by a potentially life-threatening, severe manifesting in the to early period, followed by marked, spontaneous improvement of muscular function by early childhood. Associated biochemical findings include lactic and a transient, marked decrease in respiratory chain activity.

Orphanet entry

Cross-references

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

Additional Mondo synonyms (6)

benign COX deficiency · infantile reversible cytochrome C oxidase deficiency myopathy · mitochondrial myopathy with reversible COX deficiency · mitochondrial myopathy with reversible complex IV deficiency · reversible infantile cytochrome C oxidase deficiency · reversible infantile respiratory chain 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.”

1/6 stages with a signal

Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.

  1. Gene identifiedNot found

    No GenCC disease–gene assertion in this build

  2. LiteraturePresent

    49 matched papers (31 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?

Not yet — the cause hasn't been pinned down in GenCC.

No strong gene–disease assertion joined for this Orphanet entity.

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?

49

49 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.

49 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).

31 in the last 10 years · high confidence · 44.5th percentile (publications denominator)

Phrase hits: 49 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

349

Distinct author names in 49 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
    Horvath R11 papers · 2026

    Wellcome Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Central Parkway, Newcastle upon Tyne NE1 3BZ, U.K. rita.horvath@ncl.ac.uk.

    Papers in Europe PMC
  2. 02
    Boczonadi V7 papers · 2020

    Wellcome Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Central Parkway, Newcastle upon Tyne NE1 3BZ, U.K.

    Papers in Europe PMC
  3. 03
    Tulinius M5 papers · 2020

    Department of Paediatrics, The Sahlgrenska Academy, University of Gothenburg, Box 400, Göteborg SE-405 30, Sweden.

    Papers in Europe PMC
  4. 04
    Chinnery PF4 papers · 2020

    Department of Clinical Neurosciences, School of Clinical Medicine, University of Cambridge, Cambridge, UK.

    Papers in Europe PMC
  5. 05
    Gomez-Duran A4 papers · 2020

    Wellcome Trust Mitochondrial Research Centre and the John Walton Muscular Dystrophy Research Centre, Institute of Genetic Medicine, Newcastle University, Central Parkway, Newcastle upon Tyne, UK.

    Papers in Europe PMC
  6. 06
    Minczuk M4 papers · 2020

    Mitochondrial Genetics, Mitochondrial Biology Unit, Medical Research Council, Cambridge, UK.

    Papers in Europe PMC
  7. 07
    Poulton J4 papers · 2022

    Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, United Kingdom.

    Papers in Europe PMC
  8. 08
    Pyle A4 papers · 2020

    Wellcome Centre for Mitochondrial Research, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.

    Papers in Europe PMC
  9. 09
    Schara U4 papers · 2020

    Department of Paediatric Neurology, University of Essen, Hufelandstraße 55, Essen 45122, Germany.

    Papers in Europe PMC
  10. 10
    Cotta A3 papers · 2021

    Department of Pathology, Neuromuscular Unit, SARAH Network of Rehabilitation Hospitals, Belo Horizonte, Brazil.

    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).

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.

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

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.

"Mitochondrial myopathy with reversible cytochrome C oxidase deficiency" OR "Benign COX deficiency" OR "Infantile reversible cytochrome C oxidase deficiency myopathy" OR "Mitochondrial myopathy with reversible COX deficiency" OR "Mitochondrial myopathy with reversible complex IV deficiency" OR "Reversible infantile cytochrome C oxidase deficiency" OR "Reversible infantile respiratory chain deficiency"

Run this search on Europe PMC

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

"Mitochondrial myopathy with reversible cytochrome C oxidase deficiency" OR "Benign COX deficiency" OR "Infantile reversible cytochrome C oxidase deficiency myopathy" OR "Mitochondrial myopathy with reversible COX deficiency" OR "Mitochondrial myopathy with reversible complex IV deficiency" OR "Reversible infantile cytochrome C oxidase deficiency" OR "Reversible infantile respiratory chain deficiency" OR "inborn mitochondrial myopathy" OR "congenital structural myopathy" OR "inborn mitochondrial metabolism disorder"

Recall-expansion terms: inborn mitochondrial myopathy, congenital structural myopathy, inborn mitochondrial metabolism disorder

Study-type breakdown: 0 interventional · 0 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

Ingested 2026-07-27T11:07:35.867Z