ORPHA:666
Osteogenesis imperfecta
Also known as: OI · Brittle bone disease · Glass bone disease · Lobstein disease
Publications
144,604
99.7th percentile
Trials
60
Interventional, condition-specific
Researchers
1,136
Distinct authors in sample
Gene link
CCDC134, COL1A1, COL1A2
Definitive
Readiness
6/6
Stages with a signal
Clinical definition (Orphanet)
A rare, genetic, primary bone dysplasias characterized by increased bone fragility, low bone mass, and susceptibility to bone fractures. The clinical severity is heterogeneous.
How rare: 1-5 / 10 000 — about one to five people per ten thousand (still uncommon, but less ultra-rare).
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019019
- MeSH:D010013
- UMLS:C0029434
- NCIT:C26837
Additional Mondo synonyms (4)
Osteopsathyrosis · Porak and Durante disease · brittle bone disease · glass bone disease
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 — CCDC134, COL1A1, COL1A2, FKBP10, KIF5B…
- LiteraturePresent
144,604 matched papers (90,834 in last 10 years) Source
- Phenotype characterisedPresent
1,590 HPO annotations (e.g. Micrognathia; Visual impairment; Blue sclerae) Source
- Animal modelPresent
54 genotype models (Danio rerio, Mus musculus) Source
- Orphan designationPresent
3 FDA · 5 EMA designations (3 FDA orphan-indication approvals) — e.g. denosumab Source
- Interventional trialPresent
60 matched on ClinicalTrials.gov (9 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 (CCDC134, COL1A1, COL1A2…).
GenCC classification: Definitive.
Phenotypes (Monarch / HPO)
1,590
Associated phenotypes · MONDO:0019019
- Micrognathia
- Visual impairment
- Blue sclerae
- Dental malocclusion
- Dentinogenesis imperfecta
Showing 5 of 1590 — open Monarch for the full list.
Animal models (Monarch / Alliance)
54
Model associations linked to this Mondo ID
- col1a1admh14/+·ZFIN:ZDB-FISH-180504-3·Danio rerio
- Smpd3fro/Smpd3fro [background:] Not Specified·MGI:4437913·Mus musculus
- col1a1adc124/+·ZFIN:ZDB-FISH-150901-25831·Danio rerio
- col1a1adc124/+·ZFIN:ZDB-FISH-191218-4·Danio rerio
- col1a1adc124/+ (AB)·ZFIN:ZDB-FISH-221115-1·Danio rerio
- col1a1bdmh29/+·ZFIN:ZDB-FISH-180503-7·Danio rerio
- Col1a2oim/Col1a2oim [background:] involves: C3H/HeJ * C57BL/6JLe·MGI:2664353·Mus musculus
- bmp1asa2416/sa2416·ZFIN:ZDB-FISH-180622-2·Danio rerio
- col1a1admh13/+·ZFIN:ZDB-FISH-180503-6·Danio rerio
- bmp1atp34/tp34·ZFIN:ZDB-FISH-150901-22222·Danio rerio
- AB + CRISPR1-sgms2b + CRISPR2-sgms2b + CRISPR3-sgms2b·ZFIN:ZDB-FISH-260209-1·Danio rerio
- Col1a1tm1.1Jcm/Col1a1+ [background:] either: (involves: 129X1/SvJ * C3H/HeJ) or (involves: 129X1/SvJ * CD-1)·MGI:3623489·Mus musculus
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)
8
Designations · 3 with FDA orphan-indication approval
- FDA denosumabOsteogenesis Imperfecta · 2021-02-02 · Not FDA Approved for Orphan Indication
- FDA risedronate sodiumOsteogenesis Imperfecta · 2006-12-18 · Not FDA Approved for Orphan Indication
- FDA alendronateOsteogenesis Imperfecta · 2003-03-31 · Not FDA Approved for Orphan Indication
- EMA recombinant humanised monoclonal IgG2 lambda antibody against human sclerostinTreatment of osteogenesis imperfecta · 27/06/2016 · PositiveEMA designation
- EMA losartanTreatment of osteogenesis imperfecta · 21/06/2022 · PositiveEMA designation
- EMA Humanised IgG4 bispecific monoclonal antibody against sclerostin and dickkopf-related protein 1Treatment of osteogenesis imperfecta · 20/06/2025 · PositiveEMA designation
- EMA allogenic fetal mesenchymal stem cellsTreatment of osteogenesis imperfecta · 10/12/2021 · PositiveEMA designation
- EMA human allogeneic bone-marrow-derived osteoblastic cellsTreatment of osteogenesis imperfecta · 10/08/2015 · PositiveEMA designation
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
17
Drugs / clinical candidates · MONDO_0019019
- CALCIUM·phase 3
- DENOSUMAB·phase 3
- ERGOCALCIFEROL·phase 3
- MEDRONIC ACID·phase 3
- PAMIDRONIC ACID·phase 3
- RISEDRONIC ACID·phase 3
- ROMOSOZUMAB·phase 3
- SETRUSUMAB·phase 3
- SOMATROPIN·phase 3
- ZOLEDRONIC ACID·phase 3
- BUSULFAN·phase 1
- CYCLOPHOSPHAMIDE·phase 1
- CYCLOSPORINE·phase 1
- FRESOLIMUMAB·phase 1
- SAR-439459·phase 1
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
144,604
144,604 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.
144,604 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).
90,834 in the last 10 years · medium confidence · 99.7th percentile (publications denominator)
Phrase hits: 17,480 · MeSH hits: 0
Who's working on it?
1,136
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.
- 01Lee B5 papers · 2026
Department of Molecular and Human Genetics, Baylor College of Medicine.
Papers in Europe PMC - 02
- 03Carriero A4 papers · 2026
Department of Biomedical Engineering, The City College of New York, New York, NY 10031, United States. Electronic address: acarriero@ccny.cuny.edu.
Papers in Europe PMC - 04Carter EM4 papers · 2026
Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Papers in Europe PMC - 05Colombo GM4 papers · 2026
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine.
Papers in Europe PMC - 06
- 07Krakow D4 papers · 2026
Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, United States.
Papers in Europe PMC - 08Li Y4 papers · 2026
Department of Obstetric, Liuzhou Maternal and Child Care Service Centre, Liuzhou, People's Republic of China.
Papers in Europe PMC - 09Liu W4 papers · 2026
Department of Medicine, Bone and Mineral Unit, Oregon Health & Science University, Portland, OR, USA.
Papers in Europe PMC - 10Murali CN4 papers · 2026
Department of Molecular and Human Genetics, Baylor College of Medicine.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
60
interventional trials for this specific condition
60 interventional trials matched this specific condition name; 9 currently recruiting in our sample.
Data as of 11 September 2026 · last trial check 28 July 2026
60 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 97.6th percentile).
medium confidence · 97.6th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
60 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT04152551·RECRUITING·Effects of Bisphosphonates on OI-Related Hearing Loss
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT07478224·RECRUITING·An Interventional Study to Evaluate the Impact of Blood Flow Restriction Training on Muscle, Bone, and Quality of Life in Adults With Osteogenesis Imperfecta Type I
Not reviewed·Conditions: Osteogenesis Imperfecta, Type I·Matched via name phrase
- NCT07666269·NOT YET RECRUITING·Morphology in Oral Rare Syndromes & Artificial Intelligence for Clinical Diagnosis
Not reviewed·Conditions: Osteogenesis Imperfecta · Rare Bone Disorders · Hypophosphatemia · X-Linked·Matched via name phrase
- NCT05559801·NOT YET RECRUITING·Mesenchymal Cell Therapy in Osteogenesis Imperfecta (OI)
Not reviewed·Conditions: Osteogenesis Imperfecta · Osteogenesis Imperfecta Type III·Matched via name phrase
- NCT07412782·RECRUITING·REMS25: Study on the Use of REMS Technology in Diseases Commonly Associated With Reduced Bone Mineral Density (BMD)
Not reviewed·Conditions: Osteogenesis Imperfecta · Osteoporosis · Hypogonadisms · Neoplasia·Matched via name phrase
- NCT05927389·RECRUITING·Adapted Physical Activity Program (APA) for Effort Rehabilitation of Children and Teenagers With Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT07062588·RECRUITING·Osteogenesis Imperfecta Trial of AGA2115 for ADUlts With COL1A1 and/or COL1A2 GeNetic Variations (IDUN)
Not reviewed·Conditions: Osteogenesis Imperfecta (OI)·Matched via name phrase
- NCT07366086·RECRUITING·Pediatric Safety Follow-up Study of Prior Treatment With Romosozumab for Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT07557446·RECRUITING·A Dose REgimen-Finding Study of AGA2115 in Chinese Patients With Osteogenesis ImpeRfecta (EIR)
Not reviewed·Conditions: Osteogenesis Imperfecta (OI)·Matched via name phrase
Observational and natural-history studies
23 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
- NCT07173010·NOT YET RECRUITING·Pediatric Arthropathy Beyond Inflammation: Clinical Spectrum and Diagnostic Approach at Assiut University Children Hospital
Not reviewed·Conditions: Mucopolysaccharidoses · Progressive Pseudorheumatoid Dysplasia · Farber Disease · Osteogenesis Imperfecta·Matched via name phrase
- NCT04115774·RECRUITING·Registry of Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT02432625·RECRUITING·BBD Longitudinal Study of Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT05419960·RECRUITING·Audio-vestibular Evaluation of Children and Young Adults With Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta·Matched via name phrase
- NCT05258019·NOT YET RECRUITING·Site Preservation After Tooth Extraction
Not reviewed·Conditions: Osteogenesis Imperfecta · Total Absence of Permanent Teeth · Tooth Socket·Matched via name phrase
- NCT06874166·NOT YET RECRUITING·Social Cognition in Dystrophinopathies and Neurodevelopmental Disorders
Not reviewed·Conditions: Duchenne / Becker Muscular Dystrophy · Osteogenesis Imperfecta (OI) · Social Cognition·Matched via name phrase
- NCT07287241·RECRUITING·Prospective Observational Cohort Study of Cardiac Structure and Function in Children and Adults With Osteogenesis Imperfecta
Not reviewed·Conditions: Osteogenesis Imperfecta (OI) · Osteogenesis Imperfecta·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 51 · after dedupe 49 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 49 · dropped 0 · fetched 2026-07-29
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 (49)
- ctis·2025-522951-24-00·Authorised·A Phase 2, Multi-center, Randomized, Double-blind, Placebo-controlled, Dose-ranging Study to Evaluate the Safety and Efficacy of AGA2115 in Adults with Type I, III, or IV Osteogenesis Imperfecta (OI)
skipped — LLM skipped (--skip-llm)
- ctis·2023-503293-21-00·Authorised, recruiting·Multicenter, Safety Follow-up Study to Assess Safety of Prior Treatment with Romosozumab in Children and Adolescents with Osteogenesis Imperfecta
skipped — LLM skipped (--skip-llm)
- ctis·2024-515516-50-00·Authorised, ongoing·Matrix-Directed Therapy In Older Adolescents And Adults With Osteogenesis Imperfecta – The “MOI-A” Study
skipped — LLM skipped (--skip-llm)
- ctis·2024-519705-36-00·Cancelled·Treatment of Osteogenesis Imperfecta with Parathyroid hormone and Zoledronic acid
skipped — LLM skipped (--skip-llm)
- ctis·2023-504593-38-00·Expired·An exploratory, open label, multiple dose, multicentre phase I/II trial evaluating safety and efficacy of postnatal or prenatal and postnatal intravenous administration of allogeneic expanded fetal mesenchymal stem cells for the treatment of severe Osteogenesis Imperfecta compared with a combination of historical and untreated prospective controls.
skipped — LLM skipped (--skip-llm)
- ctis·2024-510919-29-00·Expired·An Operationally Seamless, Randomized Phase 2/3 Study Consisting of a Phase 2 Single Blind, Dose-Evaluation Phase and a Phase 3 Double-Blind, Placebo-controlled Phase to Assess the Efficacy and Safety of Setrusumab in Subjects with Osteogenesis Imperfecta
skipped — LLM skipped (--skip-llm)
- ctis·2023-503294-37-00·Expired·A Phase 3, Open-Label, Multicenter, Randomized Study to evaluate the Efficacy and Safety of Romosozumab Compared with Bisphophonates in Children and Adolecents with Osteogenesis Imperfecta
skipped — LLM skipped (--skip-llm)
- ctis·2023-504196-24-00·Authorised, recruiting·An Open-label, Randomized, Active-Controlled, Phase 3 Study of Setrusumab Compared With Bisphosphonates in Pediatric Subjects With Osteogenesis Imperfecta Types I, III or IV
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72750412·No longer recruiting·A risk model for osteoporotic fractures reusing CT images acquired for other medical reasons
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12054536·Recruiting·MiTiGate trial: Is Botox more effective than lidocaine and treatment as usual in myalgia temporomandibular disorder (TMD)?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN57876689·No longer recruiting·A prospective clinical evaluation of the Trident II 3D printed acetabular component in total hip replacement patients
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13317811·Recruiting·Losartan for older adolescents and adults with osteogenesis imperfecta
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN88966184·No longer recruiting·Personalized treatment of knee osteoarthritis with fat tissue containing stem cells
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN38829082·No longer recruiting·The BD Odon Device™ for assisted vaginal birth
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN96920058·No longer recruiting·DISKO: Effect of denosumab on pain and bone marrow lesions in knee osteoarthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN47205504·No longer recruiting·Safety and effectiveness of TOPS™ System
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN90224545·No longer recruiting·Joint hypermobility: effect of a strength training program on disability and function
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN95879580·No longer recruiting·An efficacy and safety trial of intravenous zoledronic acid in infants less than one year of age, with severe osteogenesis imperfecta
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN00265392·No longer recruiting·Intramedullary nailing of diaphyseal humeral fractures: T2™ humeral nail versus Fixion® intramedullary humeral nail
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN28577651·No longer recruiting·Intervention project Osteogenesis Imperfecta (OI) type I and IV: home based training program to increase exercise capacity, muscle strength and aspects of quality of life in children with Osteogenesis Imperfecta
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN66814619·No longer recruiting·Steroid induced osteopaenia: prophylaxis and treatment in paediatric rheumatic diseases
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN76376467·No longer recruiting·Risedronate treatment for Children with severe Osteogenesis Imperfecta
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN96684272·No longer recruiting·Osteoarthritis preoperative package for care of orthotics, rehabilitation, topical and oral agent usage and nutrition to improve outcomes at a year
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN56916730·No longer recruiting·Northumbria osteoporosis project: Group clinics
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74612906·No longer recruiting·Reducing implant infection in orthopaedics (RIIiO) pilot study
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 Osteogenesis imperfecta — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26Directly listed under NPRD Group 2.
Group 2 — long-term / lifelong lower-cost interventions
NPRD envisages State Government support for dietary formulae, hormones, and other lower-cost interventions. This is a different route from the central CoE ₹50 lakh pathway; ask your state health department and a CoE which channel applies.
Central CoE funding may also apply depending on current rules — confirm with a notified Centre of Excellence. Do not assume the ₹50 lakh ceiling covers Group 2 by default. 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.
("Osteogenesis imperfecta" OR "Brittle bone disease" OR "Glass bone disease" OR "Lobstein disease" OR "Osteopsathyrosis" OR "Porak and Durante disease") OR ("CCDC134" OR "CCDC134 syndrome" OR "CCDC134-related" OR "COL1A1" OR "COL1A1 syndrome" OR "COL1A1-related" OR "COL1A2" OR "COL1A2 syndrome" OR "COL1A2-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Osteogenesis imperfecta" OR "Brittle bone disease" OR "Glass bone disease" OR "Lobstein disease" OR "Osteopsathyrosis" OR "Porak and Durante disease"
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: 60 interventional · 23 observational · 0 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: OI
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 2026-07-26T14:49:32.016Z
