RARE DISEASERESEARCH ATLAS

ORPHA:3042

Intellectual disability-cataracts-calcified pinnae-myopathy syndrome

high confidenceDisorder

Also known as: Primrose syndrome

Publications

106

64.2th percentile

Trials

0

Interventional, condition-specific

Researchers

841

Distinct authors in sample

Gene link

ZBTB20

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

-cataracts-calcified pinnae- syndrome is a rare, genetic syndrome characterized by macrocephaly, , facial features (wide forehead, ptosis, downslanting palpebral fissures, enlarged and calcified external ears, large jaw), sparse body hair, tall stature, and . Hearing loss, insulin-resistant diabetes, and distal muscle wasting (leading to joint contractures) have also been reported in adulthood. Rare manifestations include behavioral abnormalities (aggression and restlessness), hypothyroidism, cerebral calcification, , and peripheral .

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 (1)

intellectual disability-cataracts-calcified pinnae-myopathy syndrome

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 — ZBTB20

  2. LiteraturePresent

    106 matched papers (88 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 (ZBTB20).

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?

106

106 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.

106 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).

88 in the last 10 years · high confidence · 64.2th percentile (publications denominator)

Phrase hits: 106 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

841

Distinct author names in 106 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
    Zhang WJ7 papers · 2025

    Department of Pathophysiology, Second Military Medical University, Shanghai, China.

    Papers in Europe PMC
  2. 02
    Zhang H5 papers · 2024

    Department of Pathophysiology, Second Military Medical University, Shanghai, China.

    Papers in Europe PMC
  3. 03
    Hennekam RC4 papers · 2020

    1] Department of Clinical Genetics, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. [2] Department of Pediatrics, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. [3].

    Papers in Europe PMC
  4. 04
    Tartaglia M4 papers · 2020

    1] Dipartimento di Ematologia, Oncologia e Medicina Molecolare, Istituto Superiore di Sanità, Rome, Italy. [2].

    Papers in Europe PMC
  5. 05
    Carvalho DR3 papers · 2020

    Medical Genetic Unit, SARAH Network of Rehabilitation Hospitals, Brasilia-DF, Brazil. danielcarvalho@sarah.br

    Papers in Europe PMC
  6. 06
    Espay AJ3 papers · 2020

    Department of Neurology, University of Cincinnati, Gardner Family Center for Parkinson's Disease and Movement Disorders, Cincinnati, Ohio, USA.

    Papers in Europe PMC
  7. 07
    Hove HB3 papers · 2020

    Department of Pediatrics, Division of Rare Diseases.

    Papers in Europe PMC
  8. 08
    Melis D3 papers · 2020

    Dipartimento di Pediatria, Facoltà di Medicina e Chirurgia, Università 'Federico II', Naples, Italy.

    Papers in Europe PMC
  9. 09
    Posmyk R3 papers · 2020

    Podlaskie Center of Clinical Genetics, Białystok, Poland. rposmyk@gmail.com

    Papers in Europe PMC
  10. 10
    Stoykova A3 papers · 2026

    Molecular Developmental Neurobiology Laboratory, Max Planck Institute of Biophysical Chemistry, Am Fassberg, 37077, Gottingen, Germany. astoyko@gwdg.de.

    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.

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.

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

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.

"Intellectual disability-cataracts-calcified pinnae-myopathy syndrome" OR "Primrose syndrome"

Run this search on Europe PMC

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

"Intellectual disability-cataracts-calcified pinnae-myopathy syndrome" OR "Primrose syndrome" OR "ZBTB20"

Recall-expansion terms: ZBTB20

Study-type breakdown: 0 interventional · 1 observational · 0 expanded access. Only interventional studies enter the trial headline.

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

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 2026-07-26T22:05:01.025Z