RARE DISEASERESEARCH ATLAS

ORPHA:70593

Immunodeficiency due to selective anti-polysaccharide antibody deficiency

medium confidenceDisorder

Also known as: SPAD · Selective anti-polysaccharide antibody deficiency · Specific anti-polysaccharide antibody deficiency · Specific polysaccharide antibody deficiency

Publications

105

51.9th percentile

Trials

1

Interventional, condition-specific

Researchers

744

Distinct authors in sample

Gene link

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A rare primary immunodeficiency characterized by normal immunoglobulin levels (including IgG sub-classes) but impaired polysaccharide responsiveness.

How rare: How common this is has not been clearly measured.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

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

An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.

  1. Gene identifiedNot found

    No GenCC disease–gene assertion in this build

  2. LiteraturePresent

    105 matched papers (68 in last 10 years) Source

  3. Phenotype characterisedPresent

    19 HPO annotations (e.g. Decreased specific anti-polysaccharide antibody concentration; Decreased specific antibody response to unconjugated polysaccharide vaccine; Decreased specific antibody response to protein-conjugated polysaccharide vaccine) Source

  4. Animal modelNot found

    No Alliance genotype “model of” associations via Monarch for these Mondo IDs

  5. Orphan designationNot found

    No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source

  6. Interventional trialPresent

    1 matched on ClinicalTrials.gov

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)

19

Associated phenotypes · MONDO:0019093

  • Decreased specific anti-polysaccharide antibody concentration
  • Decreased specific antibody response to unconjugated polysaccharide vaccine
  • Decreased specific antibody response to protein-conjugated polysaccharide vaccine
  • Complete or near-complete absence of specific antibody response to protein-conjugated Haemophilus influenzae type b vaccine
  • Recurrent bacterial upper respiratory tract infections

Showing 5 of 19 — 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?

105

105 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.

105 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 · medium confidence · 51.9th percentile (publications denominator)

Phrase hits: 105 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

744

Distinct author names in 105 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
    Burns SO10 papers · 2025

    Department of Immunology, Royal Free London NHS Foundation Trust, London, United Kingdom; Institute of Immunity and Transplantation, University College London, London, United Kingdom.

    Papers in Europe PMC
  2. 02
    Richter AG9 papers · 2025

    Clinical Immunology Service, Institute of Immunology and Immunotherapy, University of Birmingham, UK.

    Papers in Europe PMC
  3. 03
    Savic S9 papers · 2022

    Department of Clinical Immunology and Allergy, St James's University Hospital, Leeds, United Kingdom; National Institute for Health Research-Leeds Musculoskeletal Biomedical Research Centre and Leeds Institute of Rheumatic and Musculoskeletal Medicine, St James's University Hospital, Leeds, United Kingdom. Electronic address: S.Savic@leeds.ac.uk.

    Papers in Europe PMC
  4. 04
    Shields AM9 papers · 2025

    Clinical Immunology Service, Institute of Immunology and Immunotherapy, University of Birmingham, UK.

    Papers in Europe PMC
  5. 05
    Labalette M7 papers · 2025

    CHU Lille, Institut d'Immunologie, Lille, France.

    Papers in Europe PMC
  6. 06
    Lefèvre G7 papers · 2025

    CHU Lille, Institut d'Immunologie, Lille, France.

    Papers in Europe PMC
  7. 07
    Patel SY7 papers · 2022

    Department of Clinical Immunology, John Radcliffe Hospital, Oxford, UK.

    Papers in Europe PMC
  8. 08
    Batteux F6 papers · 2025

    CHU Hôpital Cochin, Laboratoire d'Immunologie Biologique, Plateforme d'Immuno-monitoring Vaccinal, AP-HP, Paris, France.

    Papers in Europe PMC
  9. 09
    Dubucquoi S6 papers · 2025

    CHU Lille, Institut d'Immunologie, Lille, France.

    Papers in Europe PMC
  10. 10
    Elcombe S6 papers · 2022

    Regional Department of Clinical Immunology & Allergy, Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

1

interventional trials for this specific condition

1 interventional trial matched this specific condition name; none in our sample are currently recruiting.

Data as of 11 September 2026

1 interventional trial — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 80.1th percentile).

medium confidence · 80.1th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

1 interventional trials matched after quoted-phrase search and title/condition post-filter.

No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.

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 Immunodeficiency due to selective anti-polysaccharide antibody deficiency — check Associations / patient organisations on that page.

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.

"Immunodeficiency due to selective anti-polysaccharide antibody deficiency" OR "Selective anti-polysaccharide antibody deficiency" OR "Specific anti-polysaccharide antibody deficiency" OR "Specific polysaccharide antibody deficiency"

Run this search on Europe PMC

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

"Immunodeficiency due to selective anti-polysaccharide antibody deficiency" OR "Selective anti-polysaccharide antibody deficiency" OR "Specific anti-polysaccharide antibody deficiency" OR "Specific polysaccharide antibody deficiency"

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: 1 interventional · 0 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: SPAD

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 2026-07-27T01:36:56.787Z