ORPHA:420259
Secondary pulmonary alveolar proteinosis
Also known as: Secondary PAP
Publications
490
76.1th percentile
Trials
0
Interventional, condition-specific
Researchers
1,205
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare, acquired, interstitial lung disease, characterized by alveolar surfactant accumulation, cough, dyspnea and respiratory insufficiency. The disease may be secondary to hematological disorder, toxic inhalation, and infection or may occur within the setting of immunosuppression after transplantation.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018483
- UMLS:C3873302
Additional Mondo synonyms (2)
SPAP · secondary PAP
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
490 matched papers (304 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- 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; 22 for broader category pulmonary alveolar proteinosis
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)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
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?
490
490 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=3967) is 59.
490 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).
304 in the last 10 years · medium confidence · 76.1th percentile (publications denominator)
Phrase hits: 490 · MeSH hits: 0
Who's working on it?
1,205
Distinct author names in 200 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.
- 01Nakata K12 papers · 2026
Bioscience Medical Research Center, Niigata University, 1-754 Asahimachi Dori, Chuoku, Niigata 951-8520, Japan. Electronic address: radical@med.niigata-u.ac.jp.
Papers in Europe PMC - 02Ishii H8 papers · 2020
Department of Respiratory Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, 181-8611, Japan. Electronic address: h141@ks.kyorin-u.ac.jp.
Papers in Europe PMC - 03McCarthy C6 papers · 2026
Department of Respiratory Medicine, St. Vincent's University Hospital, Dublin, Ireland.
Papers in Europe PMC - 04Bonella F5 papers · 2026
Center for Interstitial and Rare Lung Diseases, Pneumology Department, Ruhrlandklinik University Hospital, University of Duisburg-Essen, Essen, Germany.
Papers in Europe PMC - 05Chen J5 papers · 2025
Department of Thoracic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China. Electronic address: chenjy@wuxiph.com.
Papers in Europe PMC - 06Inoue Y5 papers · 2024
Department of Diffuse Lung Diseases and Respiratory Failure, Clinical Research Center, NHO Kinki-Chuo Chest Medical Center, Osaka, Japan.
Papers in Europe PMC - 07Takada T5 papers · 2020
Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-754 Asahimachi-dori, Chuo-ku, Niigata 951-8520, Japan. Electronic address: ttakada@med.niigata-u.ac.jp.
Papers in Europe PMC - 08Zhang J5 papers · 2024
Guanganmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Papers in Europe PMC - 09Chen Y4 papers · 2026
Department of Thoracic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Papers in Europe PMC - 10Ichiwata T4 papers · 2014
Department of Respiratory Medicine, Dokkyo University Hospital, Saitama, Japan.
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). 22 trials are registered for pulmonary alveolar proteinosis, 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.
medium 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.
22 interventional trials matched pulmonary alveolar proteinosis, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: pulmonary alveolar proteinosis
22
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
- NCT06989333·NOT YET RECRUITING·Local Spraying of GM-CSF Via Bronchoscopy in the Treatment of Autoimmune Pulmonary Alveolar Proteinosis
Conditions: Pulmonary Alveolar Proteinosis·Matched via name phrase
- NCT06431776·RECRUITING·Inhaled Molgramostim in Pediatric Participants With Autoimmune Pulmonary Alveolar Proteinosis (aPAP).
Conditions: Autoimmune Pulmonary Alveolar Proteinosis·Matched via name phrase
- NCT05761899·RECRUITING·Safety and Efficacy of PMT Therapy of hPAP
Conditions: Hereditary Pulmonary Alveolar Proteinosis·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 27 · after dedupe 27 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 27 · 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 (27)
- isrctn·ISRCTN68710585·Recruiting·Functioning and quality of life in pediatric cancer survivors, 5-10 years after diagnosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13475234·Recruiting·Exacerbation prevention in patients with both chronic obstructive pulmonary disease and obstructive sleep apnoea
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15658653·No longer recruiting·Harnessing the potential of fermentation for healthy and sustainable foods
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN33082642·No longer recruiting·Comparative study of vitamin D vaginal suppository and oral administration on vaginal symptoms in women with breast cancer
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN89405844·Recruiting·Exacerbation Prevention in chronic obstructive pulmonary disease (COPD) - using High Flow Therapy at home to reduce hospital readmission (EPIC-HFT UK)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17794752·No longer recruiting·Can the use of a VasQ external support device improve the maturation and utilization of wrist distal arteriovenous fistulas?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN87431813·No longer recruiting·The effect of Deflagyn vaginal gel in premenopausal women with precancerous changes of the cervix
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN76318215·No longer recruiting·A clinical trial to see if LPRI-424 is safe and works for Polycystic Ovary Syndrome compared to a placebo for 9 months
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13132810·No longer recruiting·Urine human papillomavirus (HPV) testing for cervical pre-cancer screening
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15949009·No longer recruiting·Humidified nasal high flow to improve clinical outcomes following severe exacerbations of chronic obstructive pulmonary disease
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11523089·No longer recruiting·Strategies for cervical cancer screening invitation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN80102009·No longer recruiting·An abnormal Pap smear and the impact of notification manner on women’s health-related quality of life, coping and awareness of human papillomavirus
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN46559299·No longer recruiting·Bioavailability study of a new testosterone tablet formulation administered as single doses of 1, 2 and 3 mg to healthy postmenopausal women
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13688211·No longer recruiting·PiPS2: A study investigating predictions about how long patients with advanced cancer have left to live
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN23349576·No longer recruiting·Trial of treatment of vaginal intraepithelial neoplasia (VAIN)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN99459678·No longer recruiting·Feasibility of a single-visit approach using rapid HPV-testing in Cameroon
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13049111·No longer recruiting·Bioavailability study of a new testosterone orodispersible tablet (ODT) administered as single doses of 6 and 12 mg to healthy postmenopausal women
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11274464·No longer recruiting·The use of a portable positive airway pressure device to relieve shortness of breath after exercise
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN60323736·No longer recruiting·Riociguat in patients with respiratory disease and hypoxia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN22944015·No longer recruiting·Comparison of cervical screening using visual inspection with acetic acid (VIA) with Swede score using Gynocular in detecting cervical intraepithelial Neoplasia (CIN) lesions
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN50028060·No longer recruiting·Study of perception of a new generation of continuous positive airway pressure (CPAP) device, PR1-PFlex
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN04363711·No longer recruiting·Evaluation of fixed continuous positive airway pressure (CPAP) with C-Flex+ against fixed CPAP
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN87124254·No longer recruiting·The oscillation for acute respiratory distress syndrome (ARDS) treated early trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN00260427·No longer recruiting·TransNasal Insufflation for obstructive sleep apnoea (OSA)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN19572887·No longer recruiting·Treatment of sleep-disordered breathing with predominant central sleep apnoea by adaptive Servo-ventilation in patients with Heart Failure
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 Secondary pulmonary alveolar proteinosis — 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.
"Secondary pulmonary alveolar proteinosis" OR "Secondary PAP"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Secondary pulmonary alveolar proteinosis" OR "Secondary PAP"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"pulmonary alveolar proteinosis"
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: SPAP
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-27T15:46:32.154Z
