RARE DISEASERESEARCH ATLAS

ORPHA:438178

Fatty acyl-CoA reductase 1 deficiency

high confidenceDisorder

Also known as: FAR1 deficiency · PFCRD · Peroxisomal fatty acyl-CoA reductase 1 disorder

Query health: suspect — Only one of 2 strategies returned hits (phrase). Source fetch failed for trials.

Publications

38

43.1th percentile

Trials

Interventional, condition-specific

Researchers

324

Distinct authors in sample

Gene link

FAR1

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare disorder of plasmalogen biosynthesis characterized by syndromic severe with cataracts, early-onset , microcephaly, global , growth retardation and short stature, and spastic quadriparesis. facial features may be present, including high-arched eyebrows, flattened nasal root, hypertelorism, and long and smooth philtrum. Rhizomelia is not part of the syndrome. Cerebellar atrophy, white matter abnormalities, and Dandy-Walker have been described on brain imaging.

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 (7)

fatty acyl-CoA reductase 1 deficiency · fatty acyl-CoA reductase 1 disorder · fatty acyl-CoA reductase 1 disorder or fatty acyl-CoA reductase 1 deficiency · rhizomelic chondrodysplasia punctata type 4 · severe intellectual disability-epilepsy-cataract syndrome due to FAR1 deficiency · severe intellectual disability-epilepsy-cataract syndrome due to fatty acyl-CoA reductase 1 deficiency · severe intellectual disability-epilepsy-cataract syndrome due to peroxisomal disorder

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

Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.

  1. Gene identifiedPresent

    Definitive — FAR1

  2. LiteraturePresent

    38 matched papers (29 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 checked

    Trial fetch failed or incomplete

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 (FAR1).

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?

38

38 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.

38 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).

29 in the last 10 years · high confidence · 43.1th percentile (publications denominator)

Phrase hits: 38 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

324

Distinct author names in 38 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.

  1. 01
    Ferdinandusse S4 papers · 2025

    Laboratory Genetic Metabolic Diseases, Laboratory Division, Departments of Paediatrics and Clinical Chemistry, Academic Medical Center, Emma Children's Hospital, University of Amsterdam Amsterdam, Netherlands.

    Papers in Europe PMC
  2. 02
    Waterham HR4 papers · 2023

    Laboratory Genetic Metabolic Diseases, Laboratory Division, Departments of Paediatrics and Clinical Chemistry, Academic Medical Center, Emma Children's Hospital, University of Amsterdam Amsterdam, Netherlands.

    Papers in Europe PMC
  3. 03
    Sun Y3 papers · 2024

    BGI Genomics, BGI-Shenzhen, 518083, Shenzhen, China.

    Papers in Europe PMC
  4. 04
    Vaz FM3 papers · 2025

    Laboratory Genetic Metabolic Diseases, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

    Papers in Europe PMC
  5. 05
    Berger J2 papers · 2022

    Department of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Spitalgasse 4, 1090 Vienna, Austria. Electronic address: johannes.berger@meduniwien.ac.at.

    Papers in Europe PMC
  6. 06
    Braverman NE2 papers · 2023

    Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada. Electronic address: nancy.braverman@mcgill.ca.

    Papers in Europe PMC
  7. 07
    Dorninger F2 papers · 2022

    Department of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Spitalgasse 4, 1090 Vienna, Austria. Electronic address: fabian.dorninger@meduniwien.ac.at.

    Papers in Europe PMC
  8. 08
    Li H2 papers · 2023

    BGI-Anhui Clinical Laboratory, BGI-Shenzhen, 236000, Fuyang, China.

    Papers in Europe PMC
  9. 09
    Li Y2 papers · 2024

    School of Mathematics and Statistics, Wuhan University, Wuhan, P. R. China.

    Papers in Europe PMC
  10. 10
    McWalter K2 papers · 2022

    GeneDx, Gaithersburg, MD, USA.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

interventional trials for this specific condition

We could not load trial data for this condition right now.

Data as of 27 July 2026

high confidence

Recruiting interventional trials

From the matched ClinicalTrials.gov set

Trial data could not be loaded for this build. This is not the same as finding zero interventional trials.

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.

"Fatty acyl-CoA reductase 1 deficiency" OR "FAR1 deficiency" OR "PFCRD" OR "Peroxisomal fatty acyl-CoA reductase 1 disorder" OR "fatty acyl-CoA reductase 1 disorder" OR "fatty acyl-CoA reductase 1 disorder or fatty acyl-CoA reductase 1 deficiency" OR "rhizomelic chondrodysplasia punctata type 4" OR "severe intellectual disability-epilepsy-cataract syndrome due to FAR1 deficiency" OR "severe intellectual disability-epilepsy-cataract syndrome due to fatty acyl-CoA reductase 1 deficiency" OR "severe intellectual disability-epilepsy-cataract syndrome due to peroxisomal disorder"

Run this search on Europe PMC

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

(empty)

Recall-expansion terms: FAR1, fatty acyl-CoA reductase defects

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

Source errors: trials: Error: HTTP 400 for https://clinicaltrials.gov/api/v2/studies?query.cond=%22Fatty%20acyl-CoA%20reductase%201%20deficiency%22%20OR%20%22FAR1%20deficiency%22%20OR%20%22PFCRD%22%20OR%20%22Peroxisomal%20fatty%20acyl-CoA%20reductase%201%20disorder%22%20OR%20%22fatty%20acyl-CoA%20reductase%201%20disorder%22%20OR%20%22fatty%20acyl-CoA%20reductase%201%20disorder%20or%20fatty%20acyl-CoA%20reductase%201%20deficiency%22%20OR%20%22rhizomelic%20chondrodysplasia%20punctata%20type%204%22%20OR%20%22severe%20intellectual%20disability-epilepsy-cataract%20syndrome%20due%20to%20FAR1%20deficiency%22%20OR%20%22severe%20intellectual%20disability-epilepsy-cataract%20syndrome%20due%20to%20fatty%20acyl-CoA%20reductase%201%20deficiency%22%20OR%20%22severe%20intellectual%20disability-epilepsy-cataract%20syndrome%20due%20to%20peroxisomal%20disorder%22%20OR%20%22FAR1%22%20OR%20%22fatty%20acyl-CoA%20reductase%20defects%22&format=json&pageSize=100&countTotal=true

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 2026-07-27T16:14:11.732Z