RARE DISEASERESEARCH ATLAS

ORPHA:255132

Adult-onset autosomal recessive sideroblastic anemia

low confidenceDisorder

Also known as: GLRX5-related sideroblastic anemia

Publications

769

Trials

0

Interventional, condition-specific

Researchers

36

Distinct authors in sample

Gene link

GLRX5

Strong

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A very rare non-syndromic pyridoxine-refractory sideroblastic anemia due to a splice defect of glutaredoxin-5 (GLRX5) described in a single patient with adult onset microcytic hypochromic anemia with liver iron overload and type 2 diabetes.

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 (5)

GLRX5-related sideroblastic anaemia · SIDBA3 · adult-onset autosomal recessive sideroblastic anaemia · adult-onset autosomal recessive sideroblastic anemia · anemia, sideroblastic, 3, pyridoxine-refractory

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 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

    Strong — GLRX5

  2. LiteraturePresent

    769 matched papers (586 in last 10 years) Source

  3. Phenotype characterisedPresent

    15 HPO annotations (e.g. Cirrhosis; Hypochromia; Decreased mean corpuscular volume) Source

  4. Animal modelNot found

    No Alliance genotype “model of” associations via Monarch for these Mondo IDs

  5. Orphan designationNot found

    No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source

  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 (GLRX5).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

15

Associated phenotypes · MONDO:0014804

  • Cirrhosis
  • Hypochromia
  • Decreased mean corpuscular volume
  • Hepatomegaly
  • Increased circulating ferritin concentration

Showing 5 of 15 — open Monarch for the full list.

Animal models (Monarch / Alliance)

None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.

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)

No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.

Open Targets candidates

No drugs or clinical candidates returned for this Mondo ID on Open Targets.

CTD chemicals (MyDisease.info)

No CTD chemical associations returned for this Mondo ID.

Literature

Is anyone studying this?

769

769 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.

769 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).

586 in the last 10 years · low confidence

Phrase hits: 9 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

36

Distinct author names in 9 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
    Patnaik MM2 papers · 2019

    Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

    Papers in Europe PMC
  2. 02
    Tefferi A2 papers · 2019

    Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

    Papers in Europe PMC
  3. 03
    Andolfo I1 paper · 2020

    Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Naples, Italy; and.

    Papers in Europe PMC
  4. 04
    Baker MJ1 paper · 2022

    Department of Biochemistry and Pharmacology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria 3052, Australia.

    Papers in Europe PMC
  5. 05
    Banci L1 paper · 2022

    Magnetic Resonance Center CERM, University of Florence, 50019 Sesto Fiorentino, Italy.

    Papers in Europe PMC
  6. 06
    Calderone V1 paper · 2022

    Magnetic Resonance Center CERM, University of Florence, 50019 Sesto Fiorentino, Italy.

    Papers in Europe PMC
  7. 07
    Camponeschi F1 paper · 2022

    Magnetic Resonance Center CERM, University of Florence, 50019 Sesto Fiorentino, Italy.

    Papers in Europe PMC
  8. 08
    Cappellini MD1 paper · 2020

    Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy.

    Papers in Europe PMC
  9. 09
    Chai J1 paper · 2026

    Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, P.R. China.

    Papers in Europe PMC
  10. 10
    Chiabrando D1 paper · 2014

    Department of Molecular Biotechnology and Health Sciences and Molecular Biotechnology Center, University of Torino, Italy.

    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 11 September 2026 · last trial check 11 September 2026

No matched interventional trials. This is true for 77.2% of diseases in the trials denominator (5501 of 7126). Here are the researchers publishing on it.

low confidence · 38.6th 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.

Broader category autosomal recessive sideroblastic anemia also has no matched interventional trial. See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Broader category: autosomal recessive sideroblastic anemia

0

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

Parent-category matching found a broader label but no interventional trials under it. How we count trials.

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 0 · after dedupe 0 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 0 · dropped 0 · fetched 2026-07-30

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).

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 Adult-onset autosomal recessive sideroblastic anemia — 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.

("Adult-onset autosomal recessive sideroblastic anemia" OR "GLRX5-related sideroblastic anemia" OR "GLRX5-related sideroblastic anaemia" OR "SIDBA3" OR "adult-onset autosomal recessive sideroblastic anaemia" OR "anemia, sideroblastic, 3, pyridoxine-refractory") OR ("GLRX5" OR "GLRX5 syndrome" OR "GLRX5-related")

Run this search on Europe PMC

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

"Adult-onset autosomal recessive sideroblastic anemia" OR "GLRX5-related sideroblastic anemia" OR "GLRX5-related sideroblastic anaemia" OR "SIDBA3" OR "adult-onset autosomal recessive sideroblastic anaemia" OR "anemia, sideroblastic, 3, pyridoxine-refractory"

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

Parent-category trials query:

"autosomal recessive sideroblastic anemia"

Query health: ok — strategies attempted: phrase; 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 (769) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity

Ingested 2026-07-27T11:10:01.871Z