RARE DISEASERESEARCH ATLAS

ORPHA:277

T-B-NK- severe combined immunodeficiency due to adenosine deaminase deficiency

high confidenceDisorder

Also known as: ADA deficiency · T-B-NK- SCID due to adenosine deaminase deficiency

Query health: suspect — Only one of 2 strategies returned hits (phrase). Source fetch failed for trials.

Publications

2,995

93.9th percentile

Trials

Interventional, condition-specific

Researchers

1,318

Distinct authors in sample

Gene link

ADA

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

Severe combined immunodeficiency (SCID) due to adenosine deaminase (ADA) deficiency is a form of SCID characterized by profound lymphopenia and very low immunoglobulin levels of all isotypes resulting in severe and recurrent opportunistic infections.

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.

Orphanet entry

Cross-references

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

Additional Mondo synonyms (9)

ADA-SCID · SCID due to ADA deficiency · SCID due to ADA deficiency, early-onset · SCID due to adenosine deaminase deficiency · adenosine deaminase deficiency · adenosine deaminase deficiency, partial, Autosomal recessive, Somatic mosaicism · adenosine deaminase deficient severe combined immunodeficiency · severe combined immunodeficiency due to ADA deficiency, Autosomal recessive, Somatic mosaicism · severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase 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.”

2/6 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 identifiedPresent

    Definitive — ADA

  2. LiteraturePresent

    2,995 matched papers (1,246 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 checked

    Trial fetch failed or incomplete

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 (ADA).

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?

2,995

2,995 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=5449) is 41.

2,995 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).

1,246 in the last 10 years · high confidence · 93.9th percentile (publications denominator)

Phrase hits: 2,995 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

1,318

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.

  1. 01
    Kohn DB21 papers · 2026

    Departments of Microbiology, Immunology & Molecular Genetics; Pediatrics; and Molecular and Medical Pharmacology, University of California, Los Angeles, 3163 Terasaki Life Science Bldg., 610 Charles E. Young Drive East, Los Angeles, CA, 90095, USA. dkohn1@mednet.ucla.edu.

    Papers in Europe PMC
  2. 02
    Aiuti A19 papers · 2025

    San Raffaele Telethon Institute for Gene Therapy (SR-TIGET), San Raffaele Scientific Institute, Milan, Italy.

    Papers in Europe PMC
  3. 03
    Hershfield MS14 papers · 2026

    Departments of Medicine and Biochemistry, Duke University School of Medicine, Durham, NC.

    Papers in Europe PMC
  4. 04
    Booth C10 papers · 2025

    Department of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK. c.booth@ucl.ac.uk.

    Papers in Europe PMC
  5. 05
    Candotti F10 papers · 2023

    Genetics and Molecular Biology Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD; and.

    Papers in Europe PMC
  6. 06
    Cicalese MP10 papers · 2024

    San Raffaele Telethon Institute for Gene Therapy (SR-TIGET), San Raffaele Scientific Institute, Milan, Italy.

    Papers in Europe PMC
  7. 07
    Gaspar HB10 papers · 2025

    Molecular and Cellular Immunology Section, UCL Institute of Child Health, University College London, London, UK.

    Papers in Europe PMC
  8. 08
    Ferrua F9 papers · 2024

    San Raffaele Telethon Institute for Gene Therapy, Milan, Italy.

    Papers in Europe PMC
  9. 09
    Garabedian E9 papers · 2025

    Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.

    Papers in Europe PMC
  10. 10
    Barzaghi F8 papers · 2024

    Pediatric Immunohematology Unit and BMT Program, IRCCS San Raffaele Scientific Institute, Milan, Italy.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

interventional trials for this specific condition

We could not load trial data for this condition right now.

Data as of 27 July 2026

high confidence

Recruiting interventional trials

From the matched ClinicalTrials.gov set

Trial data could not be loaded for this build. This is not the same as finding zero interventional trials.

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 Severe combined immunodeficiency (SCID) as a category (Group 1), and this condition is a form of it. Confirm eligibility with a Centre of Excellence.

Group 1 — one-time curative treatment

Up to ₹50 lakh per patient

Financial support for treatment at notified Centres of Excellence (figures evolved from the original ₹20 lakh Group-1 ceiling).

Policy figures change. Verify current MoHFW / CoE guidance before relying on any amount. 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.

"T-B-NK- severe combined immunodeficiency due to adenosine deaminase deficiency" OR "ADA deficiency" OR "T-B-NK- SCID due to adenosine deaminase deficiency" OR "ADA-SCID" OR "SCID due to ADA deficiency" OR "SCID due to ADA deficiency, early-onset" OR "SCID due to adenosine deaminase deficiency" OR "adenosine deaminase deficiency" OR "adenosine deaminase deficiency, partial, Autosomal recessive, Somatic mosaicism" OR "adenosine deaminase deficient severe combined immunodeficiency" OR "severe combined immunodeficiency due to ADA deficiency, Autosomal recessive, Somatic mosaicism" OR "severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency"

Run this search on Europe PMC

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

(empty)

Recall-expansion terms: ADA, T-B- severe combined immunodeficiency, familial severe combined immunodeficiency

Query health: suspect — strategies attempted: phrase, recall-expansion; with hits: phrase

Source errors: trials: Error: Failed after 5 retries: https://clinicaltrials.gov/api/v2/studies?query.cond=%22T-B-NK-%20severe%20combined%20immunodeficiency%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA%20deficiency%22%20OR%20%22T-B-NK-%20SCID%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA-SCID%22%20OR%20%22SCID%20due%20to%20ADA%20deficiency%22%20OR%20%22SCID%20due%20to%20ADA%20deficiency%2C%20early-onset%22%20OR%20%22SCID%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22adenosine%20deaminase%20deficiency%22%20OR%20%22adenosine%20deaminase%20deficiency%2C%20partial%2C%20Autosomal%20recessive%2C%20Somatic%20mosaicism%22%20OR%20%22adenosine%20deaminase%20deficient%20severe%20combined%20immunodeficiency%22%20OR%20%22severe%20combined%20immunodeficiency%20due%20to%20ADA%20deficiency%2C%20Autosomal%20recessive%2C%20Somatic%20mosaicism%22%20OR%20%22severe%20combined%20immunodeficiency%2C%20autosomal%20recessive%2C%20T%20cell-negative%2C%20B%20cell-negative%2C%20NK%20cell-negative%2C%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA%22%20OR%20%22T-B-%20severe%20combined%20immunodeficiency%22%20OR%20%22familial%20severe%20combined%20immunodeficiency%22&format=json&pageSize=100&countTotal=true — Error: HTTP 400 for https://clinicaltrials.gov/api/v2/studies?query.cond=%22T-B-NK-%20severe%20combined%20immunodeficiency%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA%20deficiency%22%20OR%20%22T-B-NK-%20SCID%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA-SCID%22%20OR%20%22SCID%20due%20to%20ADA%20deficiency%22%20OR%20%22SCID%20due%20to%20ADA%20deficiency%2C%20early-onset%22%20OR%20%22SCID%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22adenosine%20deaminase%20deficiency%22%20OR%20%22adenosine%20deaminase%20deficiency%2C%20partial%2C%20Autosomal%20recessive%2C%20Somatic%20mosaicism%22%20OR%20%22adenosine%20deaminase%20deficient%20severe%20combined%20immunodeficiency%22%20OR%20%22severe%20combined%20immunodeficiency%20due%20to%20ADA%20deficiency%2C%20Autosomal%20recessive%2C%20Somatic%20mosaicism%22%20OR%20%22severe%20combined%20immunodeficiency%2C%20autosomal%20recessive%2C%20T%20cell-negative%2C%20B%20cell-negative%2C%20NK%20cell-negative%2C%20due%20to%20adenosine%20deaminase%20deficiency%22%20OR%20%22ADA%22%20OR%20%22T-B-%20severe%20combined%20immunodeficiency%22%20OR%20%22familial%20severe%20combined%20immunodeficiency%22&format=json&pageSize=100&countTotal=true

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 2026-07-26T13:11:49.351Z