RARE DISEASERESEARCH ATLAS

ORPHA:749

Congenital prekallikrein deficiency

high confidenceDisorder

Query health: suspect — Only one of 2 strategies returned hits (phrase).

Publications

24

30.9th percentile

Trials

0

Interventional, condition-specific

Researchers

99

Distinct authors in sample

Gene link

KLKB1

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare genetic coagulation disorder characterized by the usually incidental laboratory finding of a prolonged activated partial thromboplastin time (aPTT) but normal prothrombin time, due to a deficiency of normal prekallikrein or the presence of nonfunctional prekallikrein. Most patients remain clinically asymptomatic, although an association with cardiovascular conditions (hypertension, myocardial infarction, other coronary artery diseases, and ischemic strokes) and venous thrombosis, as well as rare cases with increased bleeding tendency have been reported.

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 (3)

congenital prekallikrein deficiency · fletcher factor (prekallikrein) deficiency · hereditary prekallikrein deficiency

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 matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Definitive — KLKB1

  2. LiteraturePresent

    24 matched papers (13 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 found

    No matched interventional trial under our ClinicalTrials.gov rules

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 (KLKB1).

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?

24

24 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.

24 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).

13 in the last 10 years · high confidence · 30.9th percentile (publications denominator)

Phrase hits: 24 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

99

Distinct author names in 24 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.

  1. 01
    Girolami A8 papers · 2020

    Department of Medical and Surgical Sciences, University of Padua Medical School, Italy. antonio.girolami@unipd.it

    Papers in Europe PMC
  2. 02
    Girolami B5 papers · 2020

    Department of Medicine, University of Padua Medical School, Padua, Italy.

    Papers in Europe PMC
  3. 03
    Ferrari S4 papers · 2020

    Department of Medicine, University of Padua Medical School, Padua, Italy.

    Papers in Europe PMC
  4. 04
    Cosi E3 papers · 2020

    Department of Medicine, University of Padua Medical School, Padua, Italy.

    Papers in Europe PMC
  5. 05
    Sexton D3 papers · 2020

    Rare Disease Drug Discovery Unit, Shire, a Takeda company, Lexington, Massachusetts, and.

    Papers in Europe PMC
  6. 06
    Bernstein JA2 papers · 2020

    Department of Internal Medicine, University of Cincinnati School of Medicine, Cincinnati, Ohio.

    Papers in Europe PMC
  7. 07
    Candeo N2 papers · 2010
    Papers in Europe PMC
  8. 08
    Rolland C2 papers · 2020

    Excel Medical Affairs, Envision Pharma Group, London, United Kingdom.

    Papers in Europe PMC
  9. 09
    Vardi M2 papers · 2020

    Global Clinical Development, Shire (A Takeda company), and.

    Papers in Europe PMC
  10. 10
    Abildgaard CF1 paper · 1974
    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).

Data as of 27 July 2026

No matched interventional trials. This is true for 73% of diseases in the trials denominator (5114 of 7003). Here are the researchers publishing on it.

high confidence · 36.5th 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.

Broader category prekallikrein deficiency also has no matched interventional trial. See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Broader category: prekallikrein deficiency

0

Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.

Parent-category matching found a broader label but no interventional trials under it. How we count 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.

"Congenital prekallikrein deficiency" OR "fletcher factor (prekallikrein) deficiency" OR "hereditary prekallikrein deficiency"

Run this search on Europe PMC

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

"Congenital prekallikrein deficiency" OR "fletcher factor (prekallikrein) deficiency" OR "hereditary prekallikrein deficiency" OR "KLKB1"

Recall-expansion terms: KLKB1

Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Parent-category trials query:

"prekallikrein deficiency"

Query health: suspect — strategies attempted: phrase, recall-expansion; 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 2026-07-26T15:11:42.088Z