ORPHA:81
Antisynthetase syndrome
Also known as: AS syndrome · ASS · ASyS · Anti-ARS syndrome · Anti-Jo1 syndrome · Anti-aminoacyl-tRNA synthetase syndrome
Publications
4,319,086
Trials
7
Interventional, condition-specific
Researchers
1,148
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare inflammatory (IIM) characterized principally by myositis, generally symmetrical arthritis and interstitial lung disease (ILD) in association with serum autoantibodies to aminoacyl-transfer RNA synthetases (anti-ARS). More variable features include arthralgia, Raynaud phenomenon, heliotrophic rash, distal esophageal dysmotility and mechanic's hands.
How rare: 1-9 / 100 000 — about one to nine people per hundred thousand.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019344
- MeSH:C537778
- UMLS:C5959873
Additional Mondo synonyms (1)
anti-Jo1 syndrome
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.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
4,319,086 matched papers (2,340,337 in last 10 years) Source
- Phenotype characterisedPresent
44 HPO annotations (e.g. Muscle weakness; Respiratory insufficiency; Abnormal pulmonary interstitial morphology) 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 trialPresent
7 matched on ClinicalTrials.gov (4 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?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
44
Associated phenotypes · MONDO:0019344
- Muscle weakness
- Respiratory insufficiency
- Abnormal pulmonary interstitial morphology
- Edema
- Keratoconjunctivitis sicca
Showing 5 of 44 — 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?
4,319,086
4,319,086 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.
4,319,086 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).
2,340,337 in the last 10 years · low confidence
Phrase hits: 4,318,888 · MeSH hits: 0
Who's working on it?
1,148
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.
- 01Cavagna L8 papers · 2026
Division of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Papers in Europe PMC - 02Shinjo SK7 papers · 2025
Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil.
Papers in Europe PMC - 03Zhang Y6 papers · 2026
Department of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China.
Papers in Europe PMC - 04Zanframundo G5 papers · 2026
Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Lombardia, Italy.
Papers in Europe PMC - 05Zhang X5 papers · 2026
Department of Rheumatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Papers in Europe PMC - 06Aggarwal R4 papers · 2026
Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Papers in Europe PMC - 07Castañeda S4 papers · 2025
Rheumatology Department, Hospital de la Princesa, IIS-Princesa, Madrid, Spain.
Papers in Europe PMC - 08Fujimoto M4 papers · 2025
Department of Dermatology, Osaka University, Graduate School of Medicine, Suita, Japan.
Papers in Europe PMC - 09Liu Y4 papers · 2026
Department of Rheumatology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Papers in Europe PMC - 10Lundberg IE4 papers · 2026
Division of Rheumatology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
7
interventional trials for this specific condition
7 interventional trials matched this specific condition name; 4 currently recruiting in our sample.
Data as of 11 September 2026
7 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 90.9th percentile).
low confidence · 90.9th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
7 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT05979441·ENROLLING BY INVITATION·A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Active Idiopathic Inflammatory Myopathy
Not reviewed·Conditions: Myositis · Active Idiopathic Inflammatory Myopathy · Dermatomyositis · Polymyositis·Matched via name phrase
- NCT07391605·RECRUITING·Descartes-08 in Autoantibody Myositis
Not reviewed·Conditions: Antisynthetase Syndrome·Matched via name phrase
- NCT07406932·RECRUITING·A Study on the Efficacy and Safety of JAK Inhibitors Versus Calcineurin Inhibitors as Initial Therapy for Interstitial Lung Disease Associated With Antisynthetase Syndrome
Not reviewed·Conditions: Antisynthetase Syndrome · Interstitial Lung Disease (ILD)·Matched via name phrase
- NCT06613490·RECRUITING·An Exploratory Clinical Study of CD19 CAR NK Cells for the Treatment of Refractory Antisynthetase Antibody Syndrome and Rheumatoid Arthritis
Not reviewed·Conditions: Antisynthetase Syndrome · Rheumatoid Arthritis·Matched via name phrase
Observational and natural-history studies
6 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
- NCT05984394·RECRUITING·Evaluation of Antigen-specific T Cells in Patients With Antisynthetase Syndrome and Interstitial Lung Disease
Not reviewed·Conditions: Antisynthetase Syndrome·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 45 · after dedupe 44 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 44 · 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 (44)
- ctis·2024-513681-19-00·Authorised, ongoing·A randomized, double-blind, placebo-controlled Phase II proof of concept study evaluating efficacy and safety of Upadacitinib in patients with idiopathic inflammatory myopathies after withdrawal of intravenous immunoglobulins (IVIG) (IVIG-Spare)
skipped — LLM skipped (--skip-llm)
- ctis·2024-511868-83-00·Authorised, ongoing·Cyclophosphamide and Azathioprine vs Tacrolimus in antisynthetase syndrome-related interstitial lung disease : multicentric randomized phase III trial (CATR-PAT)
skipped — LLM skipped (--skip-llm)
- ctis·2022-502968-20-02·Authorised, ongoing·Drug Rediscovery for rare Immune Mediated Inflammatory Diseases (DRIMID)
skipped — LLM skipped (--skip-llm)
- ctis·2022-502810-10-00·Cancelled·A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Efficacyand Safety Study Of Daxdilimab Subcutaneous Injection In Adult Participants With Inadequately Controlled Dermatomyositis Or Anti-Synthetase Inflammatory Myositis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17340368·Not yet recruiting·A study testing new HIV treatment options for children and adolescents in Africa
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17701271·Not yet recruiting·129Xenon MRI study of the effects of Mepolizumab on inflammation in the lungs of patients with chronic obstructive pulmonary disease (COPD)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13024576·Not yet recruiting·Assessing the safety and value of shortened heart ultrasound scan protocols
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN69014227·Not yet recruiting·Mental practice for arm recovery early after stroke
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN37673511·Recruiting·Evaluation of a cosmetic product in helping to reduce and prevent stretch marks in pregnant women and people experiencing rapid weight changes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN69111582·Not yet recruiting·Dexmedetomidine to improve neurologic injury of patients after out-of-hospital cardiac arrest
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16119881·No longer recruiting·Clinical observation of Yishen Jiangzhuo therapy in the treatment of non-dialysis renal anemia patients with stage 3–4 chronic kidney disease
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN66692567·Not yet recruiting·A study of brain activity in visual snow syndrome and migraine
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72157798·Recruiting·Developing a vaccine against Bundibugyo ebolavirus
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17148628·Not yet recruiting·A study to evaluate the tolerability and the effects on the immune system of a tetanus and diphtheria vaccine which does not need any cold chain distribution or storage
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN94756980·Recruiting·A study on probiotics in infants transitioning from partially hydrolyzed formula to standard formula
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN34498249·Recruiting·A clinical study to investigate the safety and tolerability of efimosfermin alfa injection in participants with known or suspected F2- or F3-stage metabolic dysfunction-associated steatohepatitis (BOS-580-302)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21343134·Recruiting·Exploring Symprove product for the management of gastroesophageal reflux disease (GORD) symptoms
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15642871·Recruiting·Investigating the role of dietary probiotics on athletic performance and health
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13207472·No longer recruiting·A two-part study in healthy volunteers to investigate the feasibility of a combined test medicine formulation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11974930·No longer recruiting·Does daily buttermilk intake improve blood lipid levels in perimenopausal women?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11435073·Recruiting·Can children in hospital safely switch from antibiotics given through a vein to antibiotics taken by mouth? A study to assess whether this approach is practical, effective, and can reduce hospital stay and treatment costs in Egypt
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10621395·Recruiting·CAR-T cells for children with CNS tumours
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11929806·Recruiting·A study to evaluate Adex Gel in the treatment of actinic keratosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN28813846·Recruiting·Would genetic testing improve the diagnosis and treatment of patients with a neurodevelopmental psychiatric disorder?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17213765·No longer recruiting·A study comparing two minimally invasive injection-based treatments for lumbar disc herniation
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 Antisynthetase syndrome — 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.
("Antisynthetase syndrome" OR "AS syndrome" OR "Anti-ARS syndrome" OR "Anti-Jo1 syndrome" OR "Anti-aminoacyl-tRNA synthetase syndrome")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Antisynthetase syndrome" OR "AS syndrome" OR "Anti-ARS syndrome" OR "Anti-Jo1 syndrome" OR "Anti-aminoacyl-tRNA synthetase syndrome"
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: 7 interventional · 6 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: ASS; ASyS
Confidence reasoning
- Preferred label is short or not clearly distinctive
- 2 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T12:20:28.792Z
