RARE DISEASERESEARCH ATLAS

ORPHA:86788

X-linked severe congenital neutropenia

low confidenceDisorder

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

Publications

12,751,463

Trials

0

Interventional, condition-specific

Researchers

178

Distinct authors in sample

Gene link

WAS

Definitive

Readiness

4/6

Stages with a signal

Clinical definition (Orphanet)

X-linked severe neutropenia is an immunodeficiency syndrome characterized by recurrent major bacterial infections, severe neutropenia, and monocytopenia. It has been described in five males spanning three generations of one family. It is transmitted as an X-linked trait and is caused by mutations in the WAS gene, encoding the WASP protein.

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 (2)

neutropenia, severe congenital, X-linked, X-linked recessive · severe congenital neutropenia, X-linked

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.”

4/6 stages with a signal

No specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.

  1. Gene identifiedPresent

    Definitive — WAS

  2. LiteraturePresent

    12,751,463 matched papers (7,213,403 in last 10 years) Source

  3. Phenotype characterisedPresent

    9 HPO annotations (e.g. Decreased total neutrophil count; Recurrent bacterial infections; Decreased total monocyte count) 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 trialPartial

    None under the specific name; 11 for broader category severe congenital neutropenia

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 (WAS).

GenCC classification: Definitive.

Phenotypes (Monarch / HPO)

9

Associated phenotypes · MONDO:0010294

  • Decreased total neutrophil count
  • Recurrent bacterial infections
  • Decreased total monocyte count
  • Eczematoid dermatitis

Showing 4 of 9 — 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?

12,751,463

12,751,463 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.

12,751,463 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).

7,213,403 in the last 10 years · low confidence

Phrase hits: 25 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

178

Distinct author names in 25 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
    George B2 papers · 2014

    Department of Clinical Haematology, Christian Medical College and Hospital, Vellore, 632004 India.

    Papers in Europe PMC
  2. 02
    Abraham SM1 paper · 2021

    Division of Hematology and Oncology, Department of Pediatrics, University of New Mexico, Albuquerque, NM.

    Papers in Europe PMC
  3. 03
    Abrahamsen TG1 paper · 2020

    Department of Paediatrics, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.

    Papers in Europe PMC
  4. 04
    Adhish M1 paper · 2023

    School of Bio Sciences and Technology, Vellore Institute of Technology, Vellore, 632 014, India.

    Papers in Europe PMC
  5. 05
    Allen C1 paper · 2012
    Papers in Europe PMC
  6. 06
    Alme C1 paper · 2020

    Department of Paediatric Haematology, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.

    Papers in Europe PMC
  7. 07
    Aluri J1 paper · 2021

    Division of Rheumatology/Immunology and.

    Papers in Europe PMC
  8. 08
    Ancliff PJ1 paper · 2009
    Papers in Europe PMC
  9. 09
    Aprikyan AA1 paper · 2012
    Papers in Europe PMC
  10. 10
    Bach A1 paper · 2021

    Division of Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO.

    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). 11 trials are registered for severe congenital neutropenia, 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.

low 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.

11 interventional trials matched severe congenital neutropenia, the broader category — listed below. Those studies are not counted in the condition-specific total.

Broader category: severe congenital neutropenia

11

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.

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 70 · after dedupe 69 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 69 · 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).

Uncertain / not reviewed (69)

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 X-linked severe congenital neutropenia — 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.

("X-linked severe congenital neutropenia" OR "neutropenia, severe congenital, X-linked, X-linked recessive" OR "severe congenital neutropenia, X-linked") OR (MESH:"Neutropenia, Severe Congenital, X-Linked") OR ("WAS syndrome" OR "WAS-related")

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Neutropenia, Severe Congenital, X-Linked

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

"X-linked severe congenital neutropenia" OR "neutropenia, severe congenital, X-linked, X-linked recessive" OR "severe congenital neutropenia, X-linked" OR "Neutropenia, Severe Congenital, X-Linked"

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

Parent-category trials query:

"severe congenital neutropenia"

Query health: suspect — strategies attempted: phrase, mesh; 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
  • Publication count (12751463) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity

Ingested 2026-07-27T03:04:47.649Z