ORPHA:439232
AApoAIV amyloidosis
Also known as: Apolipoprotein A-IV amyloidosis
Publications
31
39.6th percentile
Trials
0
Interventional, condition-specific
Researchers
284
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare nonhereditary systemic amyloidosis characterized by slowly renal dysfunction, increased serum creatinine, mostly normal urine analysis with no significant proteinuria and associated heart disease. Cardiac involvement presents as hypertrophic obstructive , left ventricular outflow tract obstruction, coronary artery disease and conduction system abnormalities. Histology reveals medullar amyloid deposits, renal tubular atrophy, interstitial fibrosis, and glomerular sclerosis.
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:0018589
- UMLS:C5568805
Additional Mondo synonyms (1)
apolipoprotein A-IV amyloidosis
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.”
3/6 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
31 matched papers (27 in last 10 years) Source
- Phenotype characterisedPresent
30 HPO annotations (e.g. Abnormal renal medulla morphology; Hypertension; Abnormal cardiac ventricular function) 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; 375 for broader category amyloidosis
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)
30
Associated phenotypes · MONDO:0018589
- Abnormal renal medulla morphology
- Hypertension
- Abnormal cardiac ventricular function
- Renal interstitial amyloid deposits
- Diabetes mellitus
Showing 5 of 30 — 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?
31
31 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.
31 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).
27 in the last 10 years · high confidence · 39.6th percentile (publications denominator)
Phrase hits: 31 · MeSH hits: 0
Who's working on it?
284
Distinct author names in 31 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.
- 01Theis JD7 papers · 2024
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Papers in Europe PMC - 02Sethi S5 papers · 2024
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. sethi.sanjeev@mayo.edu
Papers in Europe PMC - 03Vrana JA5 papers · 2024
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Papers in Europe PMC - 04Dasari S4 papers · 2024
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Papers in Europe PMC - 05Gillmore JD4 papers · 2023
National Amyloidosis Centre, University College London and Royal Free Hospital, London, UK.
Papers in Europe PMC - 06Hawkins PN4 papers · 2023
National Amyloidosis Centre, University College London and Royal Free Hospital, London, UK.
Papers in Europe PMC - 07Fontana M3 papers · 2023
National Amyloidosis Centre, Division of Medicine, University College London, Royal Free Hospital, London, UK.
Papers in Europe PMC - 08Leung N3 papers · 2024
Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Papers in Europe PMC - 09Nasr SH3 papers · 2018
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Papers in Europe PMC - 10Bellotti V2 papers · 2021
Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London, UK.
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). 375 trials are registered for amyloidosis, 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.
high 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.
375 interventional trials matched amyloidosis, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: amyloidosis
375
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
- NCT07079423·RECRUITING·Teclistamab in Newly Diagnosed Mayo Stage IIIB AL Amyloidosis
Conditions: AL Amyloidosis·Matched via name phrase
- NCT07085559·RECRUITING·Safety and Efficacy of Metabolically Armed BCMA CAR-T Cells (Meta10-BCMA) in the Treatment of r/r Plasma Cell Neoplasms Clinical Research
Conditions: Multiple Myeloma (MM) · Plasma Cell Leukemia (PCL) · AL Amyloidosis (AL)·Matched via name phrase
- NCT07413081·NOT YET RECRUITING·Increased Pacemaker Lower Rate in ATTR Cardiac Amyloidosis
Conditions: Cardiac Amyloidosis · Pacemaker·Matched via name phrase
- NCT07583823·RECRUITING·Elevated Rate Pacing of Cardiac Amyloidosis
Conditions: Cardiac Amyloidosis · Pacemaker·Matched via name phrase
- NCT07039578·RECRUITING·Study Evaluating the Efficacy and Safety of CM336 Injection in the Treatment of Light-Chain Amyloidosis
Conditions: Primary Light-Chain Amyloidosis·Matched via name phrase
- NCT04849754·RECRUITING·Analysis of the Evolution of SUVmax by Quantitative Analysis Method of Bisphosphonate Scintigraphy
Conditions: Cardiac Amyloidosis·Matched via name phrase
- NCT07624760·NOT YET RECRUITING·Early Detection of Amyloidosis in Monoclonal Gammopathy Using Nuclear Medicine Imaging
Conditions: Monoclonal Gammopathy · Monoclonal Gammopathy of Undetermined Significance (MGUS) · Multiple Myeloma · AL Amyloidosis·Matched via name phrase
- NCT06192979·RECRUITING·Optimize First-line Treatment for AL Amyloidosis With t (11; 14)
Conditions: Amyloidosis; Systemic · AL Amyloidosis·Matched via name phrase
- NCT04935021·RECRUITING·Clinical Study of ATTR-CM
Conditions: Transthyroxine Amyloidosis Cardiomyopathy·Matched via name phrase
- NCT05738005·RECRUITING·Dietary Reporting In The Amyloidoses
Conditions: Amyloidosis·Matched via name phrase
- NCT06128629·RECRUITING·MAGNITUDE: A Phase 3 Study of NTLA-2001 in Participants With Transthyretin Amyloidosis With Cardiomyopathy (ATTR-CM)
Conditions: Transthyretin Amyloidosis (ATTR) With Cardiomyopathy·Matched via name phrase
- NCT06420167·RECRUITING·DapagliFLOzin in Renal AL Amyloidosis (FLORAL)
Conditions: Renal AL Amyloidosis·Matched via name phrase
- NCT07644325·RECRUITING·Concordance for Transthyretin Amyloidosis Between Synovial Biopsy and Anterior Carpal Ligament Biopsy
Conditions: Carpal Tunnel · Transthyretin Amyloidosis·Matched via name phrase
- NCT06712030·NOT YET RECRUITING·Effect of Angiotensin Receptor/Neprilysin Inhibitors on Transthyretin Cardiac Amyloidosis and Heart Failure with Reduced Ejection Fraction
Conditions: Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM)·Matched via name phrase
- NCT02641145·RECRUITING·Molecular Imaging of Primary Amyloid Cardiomyopathy
Conditions: Amyloidosis, Primary · Cardiomyopathy·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 0 · after dedupe 0 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 0 · 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).
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 AApoAIV amyloidosis — 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.
"AApoAIV amyloidosis" OR "Apolipoprotein A-IV amyloidosis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"AApoAIV amyloidosis" OR "Apolipoprotein A-IV amyloidosis"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"amyloidosis"
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
Ingested 2026-07-27T16:18:08.213Z
