ORPHA:899
Walker-Warburg syndrome
Also known as: HARD syndrome · Hydrocephalus-agyria-retinal dysplasia syndrome · WWS
Publications
1,282
Trials
0
Interventional, condition-specific
Researchers
1,315
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare form of muscular (CMD) associated with severe brain and eye abnormalities. It is the most severe form of CMD.
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.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0000171
- MeSH:D058494
- UMLS:C0265221
- NCIT:C99109
Additional Mondo synonyms (3)
Walker-Warburg muscular dystrophy · hard syndrome · hydrocephalus-agyria-retinal dysplasia 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
Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
1,282 matched papers (501 in last 10 years) Source
- Phenotype characterisedPresent
505 HPO annotations (e.g. Ventriculomegaly; Abnormal cerebellar vermis morphology; Abnormal cortical gyration) Source
- Animal modelPresent
14 genotype models (Mus musculus, Danio rerio) Source
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- 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?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
505
Associated phenotypes · MONDO:0000171
- Ventriculomegaly
- Abnormal cerebellar vermis morphology
- Abnormal cortical gyration
- Skeletal muscle atrophy
- Retinal dysplasia
Showing 5 of 505 — open Monarch for the full list.
Animal models (Monarch / Alliance)
14
Model associations linked to this Mondo ID
- Pomgnt1tm1Stk/Pomgnt1tm1Stk [background:] involves: 129S/SvEv·MGI:3832643·Mus musculus
- Pomgnt1Gt(OST179231)Lex/Pomgnt1Gt(OST179231)Lex [background:] involves: 129S5/SvEvBrd * C57BL/6J·MGI:3624438·Mus musculus
- WT + MO1-rxylt1·ZFIN:ZDB-FISH-161010-7·Danio rerio
- WT + MO2-crppa·ZFIN:ZDB-FISH-150901-16445·Danio rerio
- WT + MO1-b4gat1·ZFIN:ZDB-FISH-150901-26449·Danio rerio
- WT + MO1-crppa·ZFIN:ZDB-FISH-150901-4684·Danio rerio
- Fktntm1Kcam/Fktntm1Kcam Tg(CAG-cre/Esr1*)5Amc/? [background:] involves: 129S/SvEv * C57BL/6 * CBA·MGI:5435674·Mus musculus
- Fktntm1Kcam/Fktntm1Kcam Tg(Ckmm-cre)5Khn/? [background:] involves: 129S/SvEv * FVB·MGI:5435675·Mus musculus
- Col4a1deltaex40/Col4a1+ [background:] involves: 129S/SvEv * C57BL/6J·MGI:5308056·Mus musculus
- Fktntm1Kcam/Fktntm1Kcam Myf5tm3(cre)Sor/Myf5+ [background:] involves: 129S/SvEv * 129S4/SvJaeSor·MGI:5435676·Mus musculus
- Fktntm1Ttd/Fktntm2(FCMD)Ttd [background:] involves: 129S7/SvEvBrd·MGI:3832641·Mus musculus
- Dysfim/Dysfim Fktntm1Ttd/Fktntm2(FCMD)Ttd [background:] involves: 129S7/SvEvBrd * C57BL/6 * SJL/J·MGI:5700212·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)
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?
1,282
1,282 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
1,282 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).
501 in the last 10 years · low confidence
Phrase hits: 1,282 · MeSH hits: 0
Who's working on it?
1,315
Distinct author names in 200 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.
- 01Ishigaki K8 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan. ishigaki.keiko@twmu.ac.jp.
Papers in Europe PMC - 02Sato T6 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Papers in Europe PMC - 03Taniguchi-Ikeda M6 papers · 2025
Department of Clinical Genetics, Fujita Health University Hospital, Dengakugakubo, Toyoake, Aichi, Japan.
Papers in Europe PMC - 04Toda T6 papers · 2026
Department of Neurology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, 113-8655, Japan. toda@m.u-tokyo.ac.jp.
Papers in Europe PMC - 05Ishiguro K5 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Papers in Europe PMC - 06Murakami T5 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Papers in Europe PMC - 07Nagata S5 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Papers in Europe PMC - 08Shichiji M5 papers · 2025
Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Papers in Europe PMC - 09Xiong H5 papers · 2026
Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Papers in Europe PMC - 10D'Arco F4 papers · 2025
Department of Radiology (F.D.), Great Ormond Street Hospital for Children, London, UK.
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. 2 observational studies did — shown below because natural-history and cohort work can be an important step toward a trial.
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.
See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.
Observational and natural-history studies
2 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
- NCT01403402·RECRUITING·Congenital Muscle Disease Study of Patient and Family Reported Medical Information
Conditions: Congenital Muscular Dystrophy With ITGA7 (Integrin Alpha-7) Deficiency · Alpha-Dystroglycanopathy (Congenital Muscular Dystrophy and Abnormal Glycosylation of Dystroglycan With Severe Epilepsy) · Alpha-Dystroglycanopathy (Congenital Muscular Dystrophy With Fatty Liver and Infantile-onset Cataract Caused by TRAPPC11 Mutations) · Alpha-Dystroglycanopathy (Congenital Muscular Dystrophy With Hypoglycosylation of Dystroglycan)·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 40 · after dedupe 40 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 40 · 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 (40)
- isrctn·ISRCTN15642871·Recruiting·Investigating the role of dietary probiotics on athletic performance and health
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN98606172·Recruiting·Personalising treatment for myeloma patients based on initial response to NHS treatment and their overall fitness level
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN89448306·Recruiting·Investigating infection risk and the microbiome in blood cancer patients treated with CD19 CAR-T therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15681288·Recruiting·Restoring intestinal symbiosis for efficacy in IBS
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN30625880·No longer recruiting·Clinical evaluation of the efficacy of a food supplement in improving the regularity of bowel movements
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13720638·Recruiting·Safety and tolerability of APL-3007 administered as a single dose in addition to background therapy with a C5 inhibitor in adults with paroxysmal nocturnal hemoglobinuria
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15341827·Recruiting·CAR T cells for T cell cancers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN81435672·Recruiting·Precision medicine Adaptive Network platform Trial in Hypoxaemic acutE respiratory failuRe
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN42379352·No longer recruiting·Quantifying and modifying ultra-processed food intake in the management of functional dyspepsia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN65517362·No longer recruiting·Treating IBS with an Intestinal Microbiota Product for Health - TrIuMPH
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13332106·Recruiting·ANYSNAKES: a study to assess different antivenoms for the management of snakebites
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN93834662·No longer recruiting·The beneficial effect on gastrointestinal discomfort and intestinal function of a dietary supplement based on a probiotic blend, fructooligosaccharides, chamomile extract, and B vitamins in patients with irritable bowel syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11681307·No longer recruiting·The beneficial effect on gastrointestinal discomfort of a food supplement based on a mixture of tannins from Castanea sativa bark and Schinopsis quebracho-colorado wood
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN57756415·No longer recruiting·Achilles tendinopathy exercise rehabilitation using the PhysViz app
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN45695355·No longer recruiting·The beneficial effect on intestinal function of two dietary supplements, one based on resistant dextrin from wheat starch, fibers from citrus (pectin), and fibers from oat, one based on resistant dextrin from wheat starch, fibers from carob, and fibers from oat.
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18264301·Recruiting·Relative Motion Extension - Orthosis use in treating Trigger finger (ReMEx-OT) in the adult population – A multi-centre, randomised, superiority trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18175685·No longer recruiting·Stratification of clinically vulnerable people for COVID-19 risk using antibody testing
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10203365·Recruiting·Investigating and optimising physical function with weight loss
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14544863·No longer recruiting·Feasibility of exercise to improve insulin sensitivity in postmenopausal women who are overweight or obese receiving chemotherapy for breast cancer
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17901467·Recruiting·Safety and feasibility of CD19 CAR-T cells in adults with recurrent and hard-to-treat B cell blood cancers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16086655·No longer recruiting·Investigating potential treatments for human lung injury in healthy volunteers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16338271·No longer recruiting·A two-period study to investigate the safety, tolerability and effect of WVE-006 in healthy volunteers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10653250·No longer recruiting·Social care for people living with young onset dementia: the DYNAMIC study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17396524·No longer recruiting·Acceptability of STRIDE: a new rehabilitation programme to improve walking after low back surgery
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12062123·No longer recruiting·Finding a new way to measure fatigue in clinical studies
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 Walker-Warburg 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.
"Walker-Warburg syndrome" OR "HARD syndrome" OR "Hydrocephalus-agyria-retinal dysplasia syndrome" OR "Walker-Warburg muscular dystrophy"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Walker-Warburg syndrome" OR "HARD syndrome" OR "Hydrocephalus-agyria-retinal dysplasia syndrome" OR "Walker-Warburg muscular dystrophy"
Study-type breakdown: 0 interventional · 2 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: WWS
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
- Publication count (1282) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity
Ingested 2026-07-26T15:49:46.954Z
