ORPHA:363400
Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome
Also known as: Celia disease · Celia encephalopathy · Severe neurodegenerative syndrome due to BSCL2 deficiency
Publications
1,502
Trials
0
Interventional, condition-specific
Researchers
56
Distinct authors in sample
Gene link
BSCL2
Strong
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
A rare neurodegenerative disease characterized by severe (notably speech delay), psychomotor and cognitive regression (associated with variable degrees of lipodystrophy, , hypertriglyceridemia and muscular hypertrophy), and mild to severe . Patients present with gait , spasticity, tretraplegia or tetraparesis, loss of language, tremors as well as early-onset subtle myoclonic that develops into refractory tonic-clonic and other forms of as the disease progress.
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:0014402
- OMIM:615924
- UMLS:C4014700
Additional Mondo synonyms (1)
severe neurodegenerative syndrome due to BSCL2 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.”
4/6 stages with a signal
No specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.
- Gene identifiedPresent
Strong — BSCL2
- LiteraturePresent
1,502 matched papers (1,032 in last 10 years) Source
- Phenotype characterisedPresent
56 HPO annotations (e.g. Progressive encephalopathy; Hyperinsulinemia; Insulin resistance) 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 trialPartial
None under the specific name; 124 for broader category lipodystrophy
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 (BSCL2).
GenCC classification: Strong.
Phenotypes (Monarch / HPO)
56
Associated phenotypes · MONDO:0014402
- Progressive encephalopathy
- Hyperinsulinemia
- Insulin resistance
- Reduced subcutaneous adipose tissue
- Progressive psychomotor deterioration
Showing 5 of 56 — 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?
1,502
1,502 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.
1,502 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).
1,032 in the last 10 years · low confidence
Phrase hits: 7 · MeSH hits: 0
Who's working on it?
56
Distinct author names in 7 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.
- 01Aguiar P1 paper · 2019
Division of Nuclear Medicine, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Papers in Europe PMC - 02Ajina R1 paper · 2026
Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Papers in Europe PMC - 03Aldriwesh MG1 paper · 2026
Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Papers in Europe PMC - 04Alghoribi MF1 paper · 2026
Infectious Disease Research Department, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Papers in Europe PMC - 05Alotibi RS1 paper · 2026
Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Papers in Europe PMC - 06Alqurainy N1 paper · 2026
Infectious Disease Research Department, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Papers in Europe PMC - 07Alrabiah S1 paper · 2026
Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Papers in Europe PMC - 08Álvarez-Escudero J1 paper · 2019
Anesthesia and Reanimation Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago, Spain.
Papers in Europe PMC - 09Arafah AM1 paper · 2026
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Papers in Europe PMC - 10Araújo-Vilar D1 paper · 2019
Thyroid and Metabolic Diseases Unit, Biomedical Research Institute (CIMUS)-IDIS, School of Medicine, Universidade de Santiago de Compostela, Santiago, Spain. david.araujo@usc.es.
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). 124 trials are registered for lipodystrophy, the broader category — shown separately because they may or may not enrol this specific subtype.
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.
124 interventional trials matched lipodystrophy, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: lipodystrophy
124
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
- NCT06484868·RECRUITING·Open-label Study to Evaluate Metreleptin in Patients With Partial Lipodystrophy
Conditions: Partial Lipodystrophy·Matched via name phrase
- NCT07313787·NOT YET RECRUITING·Effects of Meal Macronutrients on Postprandial Lipids
Conditions: Nephrotic Syndrome · Lipodystrophy · Metabolic Syndrome · Healthy Volunteer·Matched via name phrase
- NCT07091734·RECRUITING·Tirzepatide for Partial Lipodystrophy Treatment: A New Horizon in 2024
Conditions: Lipodystrophy, Partial·Matched via name phrase
- NCT05470504·RECRUITING·Study of Growth Hormone Inhibition Using Pegvisomant in Severe Insulin Resistance
Conditions: Insulin Receptor Mutation · Partial Lipodystrophy·Matched via name phrase
- NCT03900286·RECRUITING·Low Energy Diet and Familial Partial Lipodystrophy
Conditions: Lipodystrophy · Diabetes · Diet Modification·Matched via name phrase
- NCT06679270·RECRUITING·Open-label Extension Study to Evaluate Metreleptin in Patients With Partial Lipodystrophy
Conditions: Familial Partial Lipodystrophy·Matched via name phrase
- NCT06236932·RECRUITING·Susceptibility to Infectious Diseases in obEsity: an endocRine trAnslational socioLogic Evaluation, "SIDERALE"
Conditions: Obesity · Type2diabetes · Lipodystrophy · Infections·Matched via name phrase
- NCT07412028·RECRUITING·Identification of Women With Severe Insulin Resistant Syndromes of Genetic Origin Among Patients With "Classic" Polycystic Ovary Syndrome (PCOS)
Conditions: Polycystic Ovary Syndrome · Familial Partial Lipodystrophy · LMNA (LaMin Nuclear A) Related Disorders·Matched via name phrase
- NCT07220785·RECRUITING·Efficacy and Safety of Mibavademab in Adult and Pediatric Patients With Generalized Lipodystrophy
Conditions: Generalized Lipodystrophy·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 4 · after dedupe 4 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 4 · 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).
Uncertain / not reviewed (4)
- isrctn·ISRCTN32315753·No longer recruiting·Comparison of the JOURNEY II Bi-Cruciate Stabilised and GENESIS II Total Knee Arthroplasty in Performance and functional ABILITY: a randomised controlled trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN65893282·No longer recruiting·Film forming devices in the treatment of children with acute gastroenteritis receiving oral rehydration solution (ORS): the Tasectan Plus in Children Study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN04179596·No longer recruiting·Developing a Dose Adjustment For Normal Eating (DAFNE) structured education course for adults with Type 1 diabetes incorporating insulin infusion pump start
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN48398526·No longer recruiting·Assessing the impact of escalating fish oil consumption on n-3 polyunsaturated fatty acid (PUFA) content of transport, storage and functional pools
skipped — LLM skipped (--skip-llm)
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 Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome — 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.
("Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome" OR "Celia disease" OR "Celia encephalopathy" OR "Severe neurodegenerative syndrome due to BSCL2 deficiency") OR ("BSCL2" OR "BSCL2 syndrome" OR "BSCL2-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome" OR "Celia disease" OR "Celia encephalopathy" OR "Severe neurodegenerative syndrome due to BSCL2 deficiency"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"lipodystrophy"
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 (1502) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity
Ingested 2026-07-27T14:33:52.906Z
