ORPHA:566192
Congenital autosomal recessive small-platelet thrombocytopenia
Also known as: CARST
Publications
107
51.9th percentile
Trials
0
Interventional, condition-specific
Researchers
504
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare isolated constitutional thrombocytopenia characterized by onset of small-platelet thrombocytopenia with significantly increased bleeding tendency. Bleeding symptoms include petechial rash, mucosal bleeding, and heavy menstrual bleeding. Growth and development are normal, and there is no increased susceptibility to infections.
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:0035441
- UMLS:C5680129
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
107 matched papers (68 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; 624 for broader category thrombocytopenia
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?
107
107 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.
107 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).
68 in the last 10 years · high confidence · 51.9th percentile (publications denominator)
Phrase hits: 107 · MeSH hits: 0
Who's working on it?
504
Distinct author names in 107 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.
- 01Li Y10 papers · 2024
Institute of Clinical Pharmacology, Peking University First Hospital, Beijing, China. liyun03602@pkufh.com.
Papers in Europe PMC - 02Mathuthu M9 papers · 2026
Center for Applied Radiation Science and Tehnology, North West University (Mafikeng), P.Bag X2046, Mmabatho 2735, South Africa. Manny.Mathuthu@nwu.ac.za.
Papers in Europe PMC - 03Wang Y7 papers · 2025
Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing, China.
Papers in Europe PMC - 04Lv Y6 papers · 2023
Institute of Clinical Pharmacology, Peking University First Hospital, Beijing, China lvyuan0901@sina.com walshtr@cardiff.ac.uk.
Papers in Europe PMC - 05Cui L4 papers · 2023
Institute of Clinical Pharmacology, Peking University First Hospital, Beijing, China.
Papers in Europe PMC - 06Dudu VP3 papers · 2025
North-West University, Centre for Applied Radiation, Science and Technology (CARST), Private Bag X2046, Mmabatho, 2735, South Africa.
Papers in Europe PMC - 07Li R3 papers · 2025
Department of Dermatology and Venerology, Peking University First Hospital, National Clinical Research Center for Skin and Immune Diseases, Research Center for Medical Mycology, Peking University, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, Beijing, People's Republic of China.
Papers in Europe PMC - 08Liu W3 papers · 2025
Department of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Hefei City, 230601, Anhui Province, China.
Papers in Europe PMC - 09Olukotun SF3 papers · 2026
Department of Physics and Engineering Physics, Obafemi Awolowo University, Ile-Ife, Nigeria. olukotunsf@oauife.edu.ng.
Papers in Europe PMC - 10Song Y3 papers · 2023
State Key Laboratory of Microbial Resources, Institute of Microbiology, Chinese Academy of Sciences, Beijing, China.
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). 624 trials are registered for thrombocytopenia, 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.
624 interventional trials matched thrombocytopenia, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: thrombocytopenia
624
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
- NCT07206758·RECRUITING·Phase I Study of SHR-2173 Injection in Patients With Primary Immune Thrombocytopenia
Conditions: Immune Thrombocytopenia·Matched via name phrase
- NCT07492693·RECRUITING·Efficacy and Safety of Hetrombopag in Preventing Chemotherapy-induced Thrombocytopenia in Gastrointestinal Tumors
Conditions: Chemotherapy-induced Thrombocytopenia (CIT) in Patients With Gastrointestinal Tumors·Matched via name phrase
- NCT07101627·NOT YET RECRUITING·A Prospective, Multicenter Clinical Study of Hetrombopag in the Prevention of Thrombocytopenia Caused by Lung Cancer Therapy
Conditions: Lung Cancer·Matched via name phrase
- NCT07212322·NOT YET RECRUITING·A Study of CD19 UCAR-T Cells in Subjects With Autoimmune Diseases
Conditions: Systemic Lupus Erythematosus · Idiopahic Inflammatory Myopathies · Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis · Sjögren's Syndrome·Matched via name phrase
- NCT06676904·RECRUITING·Neonatal Platelet Transfusion Threshold Trial
Conditions: Thrombocytopenia · Neonatal · Platelet Transfusion · Infant, Newborn, Diseases·Matched via name phrase
- NCT04890041·RECRUITING·TPO-RA in Primary Immune Thrombocytopenia (ITP) in Patients Older Than 14 Years
Conditions: Primary Immune Thrombocytopenic Purpura·Matched via name phrase
- NCT07687134·NOT YET RECRUITING·Eltrombopag Plus Telitacicept vs. Eltrombopag Alone for Steroid-refractory/Relapsed ITP
Conditions: Immune Thrombocytopenia·Matched via name phrase
- NCT07315087·RECRUITING·CAR T-cell Therapy Targeting CD19 and BCMA(QT-019C) in Patients With Relapse/Refractory Autoimmune Diseases
Conditions: SLE - Systemic Lupus Erythematosus · SSc-Systemic Sclerosis · IIM- Idiopathic Inflammatory Myopathies · ANCA Associated Vasculitis (AAV)·Matched via name phrase
- NCT06371417·RECRUITING·Phase 1b Trial of RAY121 in Immunological Diseases (RAINBOW Trial)
Conditions: Antiphospholipid Syndrome (APS) · Bullous Pemphigoid (BP) · Behçet's Syndrome (BS) · Dermatomyositis (DM)·Matched via name phrase
- NCT05214391·RECRUITING·A Prospective, One-arm and Open Clinical Study of Zanubrutinib in the Treatment of Immune Thrombocytopenia
Conditions: Immune Thrombocytopenia · Treatment·Matched via name phrase
- NCT06913374·NOT YET RECRUITING·The Study of Different Cycles of High-dose Dexamethasone in the Treatment of ITP
Conditions: Thrombocytopenia·Matched via name phrase
- NCT07441720·RECRUITING·Safety and Efficacy of Umbilical Cord Blood Therapy for Cancer Therapy-Induced Thrombocytopenia (CTIT)
Conditions: Thrombocytopenia · Cancer Treatment-induced Thrombocytopenia·Matched via name phrase
- NCT07362238·RECRUITING·Daratumumab Versus Rituximab in the Management of Pediatric Primary Immune Thrombocytopenia (ITP)
Conditions: Immune Thrombocytopenia · Treatment·Matched via name phrase
- NCT06787989·RECRUITING·BCMA-CD19 CCAR T Cell Treatment of Refractory Immune Thrombocytopenia Associated with Autoimmune Diseases
Conditions: Refractory Immune Cytopenia·Matched via name phrase
- NCT07174843·RECRUITING·An Exploratory Study of CD19/CD22/BCMA CAR-T Cells (BZE2204) in Subjects With Relapsed or Refractory Autoimmune Diseases
Conditions: Idiopathic Inflammatory Myopathies(IIM) · Immune Thrombocytopenia(ITP) · Systemic Lupus Erythematosus(SLE)·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 Congenital autosomal recessive small-platelet thrombocytopenia — 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.
"Congenital autosomal recessive small-platelet thrombocytopenia" OR "CARST"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Congenital autosomal recessive small-platelet thrombocytopenia" OR "CARST"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"thrombocytopenia"
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 2026-07-27T18:26:03.731Z
