ORPHA:365
Glycogen storage disease due to acid maltase deficiency
Also known as: Alpha-1,4-glucosidase acid deficiency · GSD due to acid maltase deficiency · GSD type 2 · GSD type II · Glycogen storage disease type 2 · Glycogen storage disease type II · Glycogenosis due to acid maltase deficiency · Glycogenosis type 2 · Glycogenosis type II · Pompe disease
Publications
7,549
Trials
86
Interventional, condition-specific
Researchers
1,445
Distinct authors in sample
Gene link
GAA
Definitive
Readiness
6/6
Stages with a signal
Clinical definition (Orphanet)
A rare lysosomal storage disease characterized by lysosomal accumulation of glycogen particularly in skeletal, cardiac, and respiratory muscles, as well as the liver and nervous system, due to acid maltase deficiency. The clinical spectrum comprises -onset disease with severe hypertrophic , generalized muscle weakness, poor feeding and , and respiratory insufficiency, and late-onset disease manifesting before or after twelve months of age without , with proximal muscle weakness and respiratory insufficiency.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0009290
- UMLS:C0017921
- NCIT:C84734
Additional Mondo synonyms (11)
GAA glycogen storage disease · Pompe Disease · acid maltase deficiency · generalised glycogenosis · glycogen storage disease II · glycogen storage disease caused by mutation in GAA · glycogen storage disease type 2 · glycogen storage disease type II · glycogenosis due to acid maltase deficiency · glycogenosis type 2 · glycogenosis type II
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.”
6/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedPresent
Definitive — GAA
- LiteraturePresent
7,549 matched papers (4,242 in last 10 years) Source
- Phenotype characterisedPresent
158 HPO annotations (e.g. Feeding difficulties in infancy; Oligosacchariduria; Delayed ability to sit) Source
- Animal modelPresent
8 genotype models (Mus musculus, Danio rerio) Source
- Orphan designationPresent
7 FDA designations (7 FDA orphan-indication approvals) — e.g. clervonafusp alfa Source
- Interventional trialPresent
86 matched on ClinicalTrials.gov (13 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 (GAA).
GenCC classification: Definitive.
Phenotypes (Monarch / HPO)
158
Associated phenotypes · MONDO:0009290
- Feeding difficulties in infancy
- Oligosacchariduria
- Delayed ability to sit
- Macroglossia
- Facial hypotonia
Showing 5 of 158 — open Monarch for the full list.
Animal models (Monarch / Alliance)
8
Model associations linked to this Mondo ID
- Gaatm1Rabn/Gaatm1Rabn Tg(CMV-GAA*P545L)#Kjv/0 [background:] involves: 129X1/SvJ * C57BL/6·MGI:5620663·Mus musculus
- WT + MO1-gaa·ZFIN:ZDB-FISH-210310-2·Danio rerio
- Gaatm1Rabn/Gaatm1Rabn [background:] involves: 129X1/SvJ * C57BL/6·MGI:3033756·Mus musculus
- WT + MO2-gaa·ZFIN:ZDB-FISH-210310-1·Danio rerio
- Gaatm2Rabn/Gaatm2Rabn [background:] involves: 129X1/SvJ * C57BL/6·MGI:3624423·Mus musculus
- Gaatm1.1Rabn/Gaatm1.1Rabn [background:] involves: 129X1/SvJ * C57BL/6 * FVB/N·MGI:3624424·Mus musculus
- Gaatm1Vdp/Gaatm1Vdp [background:] either: (involves: 129P2/OlaHsd * C57BL/6) or (involves: 129P2/OlaHsd * FVB)·MGI:3619140·Mus musculus
Monarch fetch 2026-07-27
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)
7
Designations · 7 with FDA orphan-indication approval
- FDA clervonafusp alfaPompe Disease · 2018-10-04 · Not FDA Approved for Orphan Indication
- FDA ClenbuterolPompe Disease Pompe disease · 2017-01-09 · Not FDA Approved for Orphan Indication
- FDA clenbuterolPompe Disease · 2014-10-27 · Not FDA Approved for Orphan Indication
- FDA avalglucosidase alfaPompe Disease · 2013-11-19 · Not FDA Approved for Orphan Indication
- FDA reveglucosidase alfaPompe Disease · 2010-08-20 · Not FDA Approved for Orphan Indication
- FDA Triheptanoinglycogen storage disorder Pompe Disease · 2008-02-01 · Not FDA Approved for Orphan Indication
- FDA duvoglustat hydrochloridePompe Disease · 2007-06-18 · Not FDA Approved for Orphan Indication
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
12
Drugs / clinical candidates · MONDO_0009290
- DUVOGLUSTAT·phase 3
- MIGLUSTAT·phase 3
- REVEGLUCOSIDASE ALFA·phase 3
- CLENBUTEROL·phase 2
- ZOCAGLUSAGENE NUZAPARVOVEC·phase 2
- PARIGLASGENE BRECAPARVOVEC·phase 1
- ALGLUCOSIDASE ALFA·approval
- AVALGLUCOSIDASE ALFA·approval
- CIPAGLUCOSIDASE ALFA·approval
- CLERVONAFUSP ALFA·phase 1 2
- RITUXIMAB·unknown
- VANGLUSAGENE ENSIPARVOVEC·phase 1 2
CTD chemicals (MyDisease.info)
1 associated chemical · 18 pathways. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Glycogen · marker/mechanism
Pathways: Galactose metabolism; Starch and sucrose metabolism; Metabolic pathways; Lysosome; Cardiac muscle contraction; Adrenergic signaling in cardiomyocytes; Hypertrophic cardiomyopathy (HCM); Dilated cardiomyopathy
Literature
Is anyone studying this?
7,549
7,549 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.
7,549 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).
4,242 in the last 10 years · low confidence
Phrase hits: 7,537 · MeSH hits: 0
Who's working on it?
1,445
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.
- 01Schoser B15 papers · 2026
Department of Neurology, Friedrich-Baur-Institute, Ludwig-Maximilians-University, Munich, Germany.
Papers in Europe PMC - 02van der Ploeg AT13 papers · 2026
Erasmus MC University Medical Center, Rotterdam, Netherlands.
Papers in Europe PMC - 03Kishnani PS11 papers · 2026
Division of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC 27710, USA.
Papers in Europe PMC - 04Laforêt P9 papers · 2026
Raymond Poincaré Teaching Hospital, APHP, Garches, France.
Papers in Europe PMC - 05
- 06Díaz-Manera J7 papers · 2026
The John Walton Muscular Dystrophy Research Centre, Newcastle University Translational and Clinical Research Institute, Newcastle Upon Tyne, UK.
Papers in Europe PMC - 07Domínguez-González C7 papers · 2026
Neuromuscular disorders Unit, Neurology department, 12 de Octubre Hospital, Madrid, Spain.
Papers in Europe PMC - 08Parenti G7 papers · 2026
Telethon Institute of Genetics and Medicine (TIGEM), Via Campi Flegrei 34, Pozzuoli, Italy. parenti@tigem.it.
Papers in Europe PMC - 09Byrne BJ6 papers · 2026
Powell Gene Therapy Center, University of Florida, Gainesville, USA.
Papers in Europe PMC - 10Li D6 papers · 2026
Department of Pediatric Neurology, Tianjin Children's Hospital, Tianjin University Children's Hospital, Tianjin, China.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
86
interventional trials for this specific condition
86 interventional trials matched this specific condition name; 13 currently recruiting in our sample.
Data as of 9 September 2026 · last trial check 28 July 2026
86 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 98.3th percentile).
low confidence · 98.3th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
86 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT07123155·RECRUITING·Study of S-606001 as an Add-on to Enzyme Replacement Therapy (ERT) in Participants With Late-onset Pompe Disease (LOPD)
Conditions: Pompe Disease·Matched via name phrase
- NCT06178432·NOT YET RECRUITING·Evaluation of the Safety, Tolerability and Efficacy of Gene Therapy Drug for Late Onset Pompe Disease (LOPD)
Conditions: Pompe Disease (Late-onset)·Matched via name phrase
- NCT06666413·RECRUITING·China Post-approval Commitment (PAC) Study of Avalglucosidase Alfa in Participants With IOPD
Conditions: Glycogen Storage Disease Type II · Pompe's Disease·Matched via name phrase
- NCT06833489·RECRUITING·Transcriptomic Analysis to Put an End to Misdiagnosis in Patients With Rare Muscle Diseases
Conditions: Rare Genetic Muscle Diseases · Muscular Dystrophy, Duchenne · Muscular Dystrophy, Becker · Congenital Myopathy·Matched via name phrase
- NCT07072676·ENROLLING BY INVITATION·The Use of Assistive Gait Devices Can Reduce the Risk of Falls in Patients With Neuromuscular Diseases Following a Training Period.
Conditions: Inclusion Body Myositis · Myotonic Dystrophy 1 · Myotonic Dystrophy 2 · Facio-Scapulo-Humeral Dystrophy·Matched via name phrase
- NCT06575829·NOT YET RECRUITING·Treatment Frequency Reduction in Pompe Disease
Conditions: Pompe Disease (Late-onset) · GAA Deficiency · Glycogen Storage Disease Type II · Acid Maltase Deficiency·Matched via name phrase
- NCT06391736·RECRUITING·Evaluation of the Safety and Efficacy of Late-onset Pompe Disease Gene Therapy Drug
Conditions: Pompe Disease (Late-onset)·Matched via name phrase
- NCT04532047·RECRUITING·PEARL (PrEnAtal Enzyme Replacement Therapy for Lysosomal Storage Disorders)
Conditions: MPS I · MPS II · MPS IVA · MPS VI·Matched via name phrase
- NCT04808505·RECRUITING·A Study to Evaluate the Safety, Efficacy, PK, PD and Immunogenicity of Cipaglucosidase Alfa/Miglustat in IOPD Subjects Aged 0 to <18
Conditions: Glycogen Storage Disease Type II Infantile Onset·Matched via name phrase
- NCT07282847·RECRUITING·A Study to Evaluate Safety, Tolerability, and Efficacy of AB-1009 Gene Therapy (GAA Gene) in Adult Participants With Late-Onset Pompe Disease (PROGRESS-GT LOPD)
Conditions: Pompe Disease (Late-onset) · Pompe Disease Late-Onset · LOPD·Matched via name phrase
- NCT07354724·RECRUITING·A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of DNL952 in Adult Participants With Late-Onset Pompe Disease
Conditions: Late-onset Pompe Disease·Matched via name phrase
- NCT07136844·RECRUITING·Gait Analysis Parameter and Upper Limb Evaluation in Adult Patients With Neurological or Metabolic Pathology
Conditions: Neuromuscular Diseases · Obesity (Disorder) · Myotonic Dystrophy 1 · Myasthenic Syndrome·Matched via name phrase
- NCT07478172·RECRUITING·Effects of Whole-body Electrical Muscle Stimulation Exercise on Adults With Neuromuscular Disease
Conditions: Neuromuscular Diseases (NMD) · Amyotrophic Lateral Sclerosis · Myasthenia Gravis · Lambert-eaton Myasthenic Syndrome·Matched via name phrase
Observational and natural-history studies
62 observational studies match 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
- NCT05619900·RECRUITING·Registry of Patients Diagnosed With Lysosomal Storage Diseases
Conditions: Mucopolysaccharidosis I · Mucopolysaccharidosis II · Mucopolysaccharidosis IV A · Mucopolysaccharidosis VI·Matched via name phrase
- NCT04639336·RECRUITING·Cognitive and Neurological Pathologies in Pompe Disease
Conditions: Pompe Disease·Matched via name phrase
- NCT06539169·RECRUITING·FLOWER: Following Longitudinal Outcomes With Epidemiology for Rare Diseases
Conditions: Alpha-Thalassemia · Beta-Thalassemia · Amyloidosis · Amyotrophic Lateral Sclerosis·Matched via name phrase
- NCT00231400·RECRUITING·Pompe Disease Registry Protocol
Conditions: Glycogen Storage Disease Type II · Pompe Disease·Matched via name phrase
- NCT01665326·RECRUITING·Determination of CRIM Status and Longitudinal Follow-up of Individuals With Pompe Disease
Conditions: Pompe Disease·Matched via name phrase
- NCT02399748·RECRUITING·A Long-term Study for the Outcome of Pompe Disease
Conditions: Pompe Disease·Matched via name phrase
- NCT06121011·RECRUITING·A Global Prospective Observational Registry of Patients With Pompe Disease
Conditions: Pompe Disease·Matched via name phrase
- NCT05017402·NOT YET RECRUITING·Higher Dose of Alglucosidase Alpha for Pompe Disease
Conditions: Glycogen Storage Disease Type II·Matched via name phrase
- NCT00567073·RECRUITING·Pompe Pregnancy Sub-Registry
Conditions: Glycogen Storage Disease Type II (GSD-II) · Pompe Disease (Late-onset) · Glycogenesis 2 Acid Maltase Deficiency·Matched via name phrase
- NCT07664930·RECRUITING·Phrenic Nerve and Diaphragm Electrophysiology in Pompe Disease
Conditions: Pompe Disease·Matched via name phrase
- NCT06605612·ENROLLING BY INVITATION·Development and Validation of the FBIndex to Determine the Risk of Falls for Patients With Neuromuscular Disorders
Conditions: Inclusion Body Myositis · Myotonic Dystrophy · Limb-girdle and Facioscapulohumeral Muscular Dystrophies · Pompe Disease·Matched via name phrase
- NCT05734521·RECRUITING·Avalglucosidase Alfa Pregnancy Study
Conditions: Pompe Disease · Pregnancy·Matched via name phrase
- NCT03564561·RECRUITING·Natural History of Pompe Disease
Conditions: Glycogen Storage Disease Type II, 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 21 · after dedupe 21 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 0 · dropped 21 · fetched 2026-07-27
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 Glycogen storage disease due to acid maltase deficiency — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26Directly listed under NPRD Group 3.
Group 3 — high-cost / lifelong therapy with careful selection
Up to ₹50 lakh per patient
Financial support at notified Centres of Excellence is the figure commonly cited in recent MoHFW/PIB statements. Many Group 3 patients also use the MoHFW voluntary-contribution / crowdfunding portal.
Eligibility and patient selection rules change. Verify with a CoE; the crowdfunding portal is a separate mechanism from CoE funding. Verify
Centres of Excellence (15)
- All India Institute of Medical Sciences (AIIMS) — New Delhi, Delhi
- Maulana Azad Medical College — New Delhi, Delhi
- Sanjay Gandhi Post Graduate Institute of Medical Sciences — Lucknow, Uttar Pradesh
- Post Graduate Institute of Medical Education and Research (PGIMER) — Chandigarh, Chandigarh
- Centre for DNA Fingerprinting & Diagnostics with Nizam’s Institute of Medical Sciences — Hyderabad, Telangana
- King Edward Memorial Hospital — Mumbai, Maharashtra
- Institute of Post-Graduate Medical Education and Research (IPGMER) — Kolkata, West Bengal
- Centre for Human Genetics with Indira Gandhi Hospital — Bengaluru, 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 College — Thiruvananthapuram, 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 & Hospital — Dibrugarh, 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.
("Glycogen storage disease due to acid maltase deficiency" OR "Alpha-1,4-glucosidase acid deficiency" OR "GSD due to acid maltase deficiency" OR "GSD type 2" OR "GSD type II" OR "Glycogen storage disease type 2" OR "Glycogen storage disease type II" OR "Glycogenosis due to acid maltase deficiency" OR "Glycogenosis type 2" OR "Glycogenosis type II" OR "Pompe disease" OR "GAA glycogen storage disease" OR "acid maltase deficiency" OR "generalised glycogenosis" OR "glycogen storage disease II") OR ("GAA syndrome" OR "GAA-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Glycogen storage disease due to acid maltase deficiency" OR "Alpha-1,4-glucosidase acid deficiency" OR "GSD due to acid maltase deficiency" OR "GSD type 2" OR "GSD type II" OR "Glycogen storage disease type 2" OR "Glycogen storage disease type II" OR "Glycogenosis due to acid maltase deficiency" OR "Glycogenosis type 2" OR "Glycogenosis type II" OR "Pompe disease" OR "GAA glycogen storage disease" OR "acid maltase deficiency" OR "generalised glycogenosis" OR "glycogen storage disease II"
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: 86 interventional · 62 observational · 4 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: glycogen storage disease caused by mutation in GAA
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 (7549) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-26T01:52:04.469Z
