ORPHA:2686
Cyclic neutropenia
Publications
23,595
97.8th percentile
Trials
1
Interventional, condition-specific
Researchers
1,061
Distinct authors in sample
Gene link
ELANE
Strong
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
A rare primary immunodeficiency characterized by regular oscillations in blood neutrophil counts from normal or subnormal levels to severe neutropenia, usually with a cycle length of about 21 days. Symptoms during the neutropenic phase include fever, mouth ulcers, but also pneumonia, and peritonitis, among others. Mode of inheritance is .
How rare: 1-9 / 1 000 000 — roughly one to nine people per million. In a city the size of Kolkata, perhaps a few dozen.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0008090
- MeSH:C536227
- OMIM:162800
- UMLS:C0221023
- NCIT:C3820
Additional Mondo synonyms (7)
CH · CN · cyclic agranulocytosis · cyclic hematopoiesis · dysplasia, myelocytic periodic · neutropenia, cyclic · periodic neutropenia
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.”
4/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedPresent
Strong — ELANE
- LiteraturePresent
23,595 matched papers (14,050 in last 10 years) Source
- Phenotype characterisedPresent
36 HPO annotations (e.g. Otitis media; Periodontitis; Thrombocytopenia) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
1 matched on ClinicalTrials.gov (1 recruiting in sample)
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 (ELANE).
GenCC classification: Strong.
Phenotypes (Monarch / HPO)
36
Associated phenotypes · MONDO:0008090
- Otitis media
- Periodontitis
- Thrombocytopenia
- Decreased total lymphocyte count
- Abdominal pain
Showing 5 of 36 — 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?
23,595
23,595 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
23,595 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).
14,050 in the last 10 years · medium confidence · 97.8th percentile (publications denominator)
Phrase hits: 1,582 · MeSH hits: 0
Who's working on it?
1,061
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.
- 01Welte K9 papers · 2026
Molecular Hematopoiesis, Hannover Medical School, Germany.
Papers in Europe PMC - 02Skokowa J8 papers · 2026
Department of Oncology, Hematology, Immunology, and Rheumatology, University Hospital Tübingen, Tuebingen, Germany.
Papers in Europe PMC - 03Zeidler C8 papers · 2026
Molecular Hematopoiesis, Hannover Medical School, Germany zeidler.cornelia@mh-hannover.de.
Papers in Europe PMC - 04
- 05Janczar S5 papers · 2026
Department of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.
Papers in Europe PMC - 06Klimiankou M5 papers · 2026
Department of Hematology, Oncology, Clinical Immunology and Rheumatology, University Hospital Tübingen, Tübingen, Germany.
Papers in Europe PMC - 07Liu L5 papers · 2026
Department of Clinical Immunology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Papers in Europe PMC - 08Corey SJ4 papers · 2024
Department of Cancer Biology, Cleveland Clinic, Cleveland, Ohio, USA.
Papers in Europe PMC - 09Li Y4 papers · 2025
Department of Immunology, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Papers in Europe PMC - 10Madzio J4 papers · 2025
Department of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.
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; 1 currently recruiting in our sample. 326 trials are registered for neutropenia, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 11 September 2026 · last trial check 28 July 2026
1 interventional trial — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 80.1th percentile).
medium confidence · 80.1th 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.
- NCT07066085·RECRUITING·Serial Blood Count Study
Not reviewed·Conditions: Cyclic Neutropenia · Congenital Neutropenia · Neutropenia·Matched via name phrase
Broader category: neutropenia
326
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
- NCT06293677·RECRUITING·Adjustment of Antibiotic Dosage in Pediatric Oncology Patients With Febrile Neutropenia and Augmented Renal Clearance
Not reviewed·Conditions: Febrile Neutropenia·Matched via name phrase
- NCT05537896·RECRUITING·Prospective Evaluation of Xerava Prophylaxis in Hematological Malignancy Patients With Prolonged Neutropenia
Not reviewed·Conditions: Hematological Malignancy · Neutropenia·Matched via name phrase
- NCT06135896·RECRUITING·Tripegfilgrastim Trial to Reduce the Risk of Severe Neutropenia in Patients With Unresectable Pancreaticobiliary Cancers
Not reviewed·Conditions: Unresectable Pancreatic Cancer · Unresectable Bile Duct Carcinoma · Unresectable Biliary Tract Carcinoma·Matched via name phrase
- NCT06988826·NOT YET RECRUITING·Comparison of G-CSF & Antibiotics Versus Antibiotics Alone in Resolution of Febrile Neutropenia
Not reviewed·Conditions: Febrile Neutropenia · Febrile Neutropenia, Rule of Clinical Decision, Chemotherapy · Febrile Neutropenia, Drug-Induced · G-CSF·Matched via name phrase
- NCT06926751·RECRUITING·Telpegfilgrastim vs Filgrastim for Secondary Prevention of Chemotherapy-Induced Neutropenia in Pediatric Solid Tumors
Not reviewed·Conditions: Solid Tumors · Children · Adolescent · Chemotherapy Induced Neutropenia·Matched via name phrase
- NCT05626530·RECRUITING·Letermovir for Secondary Prophylaxis in Solid Organ Transplant Recipients
Not reviewed·Conditions: Cytomegalovirus Infections · Infection in Solid Organ Transplant Recipients · Neutropenia · Antiviral Toxicity·Matched via name phrase
- NCT07187908·RECRUITING·Efbemalenograstim Alfa for Primary/Secondary Prevention in Patients With Solid Tumors at High Risk for Febrile Neutropenia (FN) or Intermediate Risk of Chemotherapy Regimens Associated With Other Risk Factors in FN
Not reviewed·Conditions: Primary/Secondary Prevention · High Risk for Febrile Neutropenia of Chemotherapy Regimens · Intermediate Risk of Chemotherapy Regimens Associated With Other Risk Factors in Febrile Neutropenia·Matched via name phrase
- NCT07047352·NOT YET RECRUITING·Prospective Study Evaluate the Timing of Empirical Treatment for Carbapenem-resistant Bacterials (CROEAT Study)
Not reviewed·Conditions: Carbapenem-resistant Enterobacterales · Neutropenia · Hematological Malignancies·Matched via name phrase
- NCT07071844·NOT YET RECRUITING·BETWEEN: Biweekly Bevacizumab + Trifluridine/Tipiracil to Reduce Grade 3-4 Neutropenia in mCRC Patients
Not reviewed·Conditions: Metastatic Colorectal Cancer·Matched via name phrase
- NCT07300735·RECRUITING·Comparing Diosmin-Hesperidin and Loratadine to Prevent Bone Pain From G-CSF in Patients With Blood Cancers
Not reviewed·Conditions: Hematologic Malignancy · Neutropenia · Bone Pain·Matched via name phrase
- NCT06649448·NOT YET RECRUITING·A Multi-cohort Study of Efbemalenograstim Alfa Injection for Preventing ANC Reduction in Solid Tumor Patients Post Immune-chemotherapy.
Not reviewed·Conditions: Solid Tumor Cancer · Chemotherapy Induced Neutropenia · G-CSF·Matched via name phrase
- NCT07578064·RECRUITING·A Randomized, Self-controlled Post-marketing Clinical Study on the Comparison of Shengbai Oral Liquid and Leucogen Tablets in the Treatment of Moderate Neutropenia Caused by Anti-tumor Drugs in Breast Cancer Patients
Not reviewed·Conditions: Breast Cancer · Bone Marrow Suppression·Matched via name phrase
- NCT07018271·NOT YET RECRUITING·A Study on the Use of Sulpegfilgrastim to Prevent the Incidence of Neutropenia With Infection in Newly Diagnosed Non-transplant Multiple Myeloma Patients
Not reviewed·Conditions: Multiple Myeloma · DRD · Sulpegfilgrastim · Neutropenia·Matched via name phrase
- NCT06616571·RECRUITING·Compare the Efficacy and Safety of QL0605 Injections at Different Timepoints
Not reviewed·Conditions: Chemotherapy-Induced Febrile Neutropenia·Matched via name phrase
- NCT06665737·NOT YET RECRUITING·Outcomes of Early and Late Administration G-CSF for Primary Prophylaxis in Non-Hodgkin's Lymphoma Patients
Not reviewed·Conditions: Non-Hodgkin's Lymphoma (NHL) · Granulocyte Colony Stimulating Factor · Febrile Neutropenia (FN) · Myelosuppression Adult·Matched via name phrase
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 2026-07-29
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 Cyclic neutropenia — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This 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.
("Cyclic neutropenia" OR "cyclic agranulocytosis" OR "cyclic hematopoiesis" OR "dysplasia, myelocytic periodic" OR "neutropenia, cyclic" OR "periodic neutropenia") OR ("ELANE" OR "ELANE syndrome" OR "ELANE-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Cyclic neutropenia" OR "cyclic agranulocytosis" OR "cyclic hematopoiesis" OR "dysplasia, myelocytic periodic" OR "neutropenia, cyclic" OR "periodic neutropenia"
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 · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"neutropenia"
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: CH; CN
Confidence reasoning
- Preferred label is multi-word and distinctive
- 2 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T20:51:09.085Z
