ORPHA:324299
EPAS1-related polycythemia-pheochromocytoma/paraganglioma syndrome
Also known as: EPAS1-related polycythemia-PPGL syndrome · Paraganglioma-somatostatinoma-polycythemia syndrome
Query health: suspect — Only one of 2 strategies returned hits (phrase).
Publications
113
66.4th percentile
Trials
0
Interventional, condition-specific
Researchers
626
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare, endocrine disease characterized by early onset of polycythemia, and later occuring multiple paragangliomas. Clinical presentation includes hypertension, headaches, fatigue, nausea, anxiety, and high concentration of red blood cells, leading to increased risk of stroke and pulmonary thromboembolism.
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.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0017926
- UMLS:C5679884
Additional Mondo synonyms (7)
EPAS1 gain-of-function mutation syndrome · EPAS1-related polycythemia-paraganglioma syndrome · Mosaic HIF2A gain-of-function disorder · Pacak-Zhuang syndrome · multiple paragangliomas associated with erythrocytosis · paraganglioma-somatostatinoma-polycythemia syndrome · polycythemia-paraganglioma-somatostatinoma 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 specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
113 matched papers (101 in last 10 years) Source
- Phenotype characterisedNot checked
Not yet enriched from Monarch / HPO
- Animal modelNot checked
Not yet enriched from Monarch / Alliance
- Orphan designationNot checked
FDA/EMA orphan-drug designation not enriched yet
- Interventional trialPartial
None under the specific name; 70 for broader category paraganglioma
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?
113
113 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.
113 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).
101 in the last 10 years · high confidence · 66.4th percentile (publications denominator)
Phrase hits: 113 · MeSH hits: 0
Who's working on it?
626
Distinct author names in 113 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.
- 01Pacak K37 papers · 2026
Eunice Kennedy Shriver National Institutes of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Papers in Europe PMC - 02Zhuang Z19 papers · 2026
Neuro-Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, 20892, USA.
Papers in Europe PMC - 03Rosenblum JS11 papers · 2025
Neuro-Oncology Branch, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Papers in Europe PMC - 04Wang H8 papers · 2025
Neuro-Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, 20892, USA.
Papers in Europe PMC - 05Jha A7 papers · 2025
Section on Medical Neuroendocrinology, Eunice Kennedy Shriver, National Institute of Child Health and Human Development, NIH, Bethesda, Maryland, USA.
Papers in Europe PMC - 06Ohh M7 papers · 2026
Department of Laboratory Medicine & Pathobiology, University of Toronto, 1 King's College Circle, Toronto, ON, M5S 1A8, Canada. michael.ohh@utoronto.ca.
Papers in Europe PMC - 07Taïeb D7 papers · 2024
Department of Nuclear Medicine, La Timone University Hospital, CERIMED, Aix-Marseille University, 264 rue Saint-Pierre, 13005, Marseille Cedex 05, France. david.taieb@ap-hm.fr.
Papers in Europe PMC - 08Alkaissi H6 papers · 2026
National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Papers in Europe PMC - 09Yang C6 papers · 2019
Neuro-Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, 20892, USA.
Papers in Europe PMC - 10Heiss JD5 papers · 2025
Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
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). 70 trials are registered for paraganglioma, the broader category — shown separately because they may or may not enrol this specific subtype.
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.
70 interventional trials matched paraganglioma, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: paraganglioma
70
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
- NCT04119024·RECRUITING·Gene Modified Immune Cells After Conditioning Regimen for the Treatment of Stage IIIC or IV Melanoma or Metastatic Solid Tumors
Conditions: Metastatic Malignant Solid Neoplasm · Metastatic Melanoma · Pathologic Stage IIIC Cutaneous Melanoma AJCC v8 · Pathologic Stage IV Cutaneous Melanoma AJCC v8·Matched via name phrase
- NCT06377033·RECRUITING·Using the EHR to Advance Genomic Medicine Across a Diverse Health System
Conditions: Genetic Predisposition · Paraganglioma · Pheochromocytoma · ALS·Matched via name phrase
- NCT07288931·RECRUITING·Al18F-NOTA-LM3 PET/CT in Patients With Pheochromocytoma and Paraganglioma
Conditions: Pheochromocytoma/Paraganglioma (PPGL)·Matched via name phrase
- NCT07167329·RECRUITING·Real-World Effectiveness and Pharmacogenetics of Belzutifan in VHL Syndrome: The BELIEVE-VHL Trial
Conditions: Von Hippel Lindau · Von Hippel Lindau Disease · Von Hippel Lindau-Deficient Clear Cell Renal Cell Carcinoma · Hemangioblastoma (HB) of the Central Nervous System (CNS)·Matched via name phrase
- NCT07661420·NOT YET RECRUITING·211At-MABG in Adults With Advanced Neuroendocrine Cancers
Conditions: Pheochromocytoma · Paraganglioma · Neuroendocrine Tumors · Medullary Thyroid Cancer·Matched via name phrase
- NCT06607692·RECRUITING·Study in Children and Adolescents of 177Lu-DOTATATE (Lutathera®) Combined With the PARP Inhibitor Olaparib for the Treatment of Recurrent or Relapsed Solid Tumours Expressing Somatostatin Receptor (SSTR) (LuPARPed).
Conditions: Solid Tumor Cancer · Medulloblastoma · High Risk Neuroblastoma · High Grade Gliomas·Matched via name phrase
- NCT04924075·RECRUITING·Belzutifan/MK-6482 for the Treatment of Advanced Pheochromocytoma/Paraganglioma (PPGL), Pancreatic Neuroendocrine Tumor (pNET), Von Hippel-Lindau (VHL) Disease-Associated Tumors, Advanced Gastrointestinal Stromal Tumor (wt GIST), or Solid Tumors With HIF-2α Related Genetic Alterations (MK-6482-015)
Conditions: Pheochromocytoma/Paraganglioma · Pancreatic Neuroendocrine Tumor · Von Hippel-Lindau Disease · Advanced Gastrointestinal Stromal Tumor·Matched via name phrase
- NCT05636540·RECRUITING·In Vivo PARP-1 Expression With 18F-FluorThanatrace PET/CT in Patients With Pheochromocytoma and Paraganglioma
Conditions: Pheochromocytoma · Paraganglioma·Matched via name phrase
- NCT03344016·RECRUITING·Multicenter Pheochromocytoma and Paraganglioma Evaluation
Conditions: Pheochromocytoma · Paraganglioma·Matched via name phrase
- NCT06121271·NOT YET RECRUITING·Trial of Lu-177 DOTATATE (Lutathera®) in Unlicensed Indications
Conditions: Bronchial and Thymic Neuroendocrine Tumour · Paraganglioma/ Phaeochromocytoma · Medullary Thyroid Carcinoma · Those Requiring Repeat Peptide Receptor Radionuclide Therapy·Matched via name phrase
- NCT07714551·NOT YET RECRUITING·Zanzalintinib in Unresectable and Progressive MPGGs
Conditions: Pheochromocytoma · Paraganglioma·Matched via name phrase
- NCT06683846·RECRUITING·Ivonescimab in the Treatment of Multiple Advanced Tumors
Conditions: Pheochromocytoma/Paraganglioma · Rhabdomyosarcoma · Paget Disease, Extramammary · Renal Angiomyolipoma·Matched via name phrase
- NCT03206060·RECRUITING·Lu-177-DOTATATE (Lutathera) in Therapy of Inoperable Pheochromocytoma/ Paraganglioma
Conditions: Pheochromocytoma · Paraganglioma · Neuroendocrine Tumors · Neuroendocrine Neoplasms·Matched via name phrase
- NCT07282587·RECRUITING·Study of ONC206 (JZP3507) in Advanced Pheochromocytoma and Paraganglioma
Conditions: Advanced Pheochromocytoma and Paraganglioma · PCPG·Matched via name phrase
- NCT00107289·RECRUITING·Iodine I 131 Metaiodobenzylguanidine in Treating Patients With Recurrent, Progressive, or Refractory Neuroblastoma or Malignant Pheochromocytoma or Paraganglioma
Conditions: Neuroblastoma · Pheochromocytoma·Matched via name phrase
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 2026-07-26This 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.
"EPAS1-related polycythemia-pheochromocytoma/paraganglioma syndrome" OR "EPAS1-related polycythemia-PPGL syndrome" OR "Paraganglioma-somatostatinoma-polycythemia syndrome" OR "EPAS1 gain-of-function mutation syndrome" OR "EPAS1-related polycythemia-paraganglioma syndrome" OR "Mosaic HIF2A gain-of-function disorder" OR "Pacak-Zhuang syndrome" OR "multiple paragangliomas associated with erythrocytosis" OR "polycythemia-paraganglioma-somatostatinoma syndrome"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"EPAS1-related polycythemia-pheochromocytoma/paraganglioma syndrome" OR "EPAS1-related polycythemia-PPGL syndrome" OR "Paraganglioma-somatostatinoma-polycythemia syndrome" OR "EPAS1 gain-of-function mutation syndrome" OR "EPAS1-related polycythemia-paraganglioma syndrome" OR "Mosaic HIF2A gain-of-function disorder" OR "Pacak-Zhuang syndrome" OR "multiple paragangliomas associated with erythrocytosis" OR "polycythemia-paraganglioma-somatostatinoma syndrome" OR "sporadic pheochromocytoma/secreting paraganglioma"
Recall-expansion terms: sporadic pheochromocytoma/secreting paraganglioma
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"paraganglioma"
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 2026-07-27T13:34:54.432Z
