RARE DISEASERESEARCH ATLAS

ORPHA:93349

X-linked spondyloepimetaphyseal dysplasia

high confidenceDisorder

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

Publications

37

42.3th percentile

Trials

0

Interventional, condition-specific

Researchers

191

Distinct authors in sample

Gene link

BGN

Strong

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic primary bone disorder characterized by disproportionate short stature with mesomelic short limbs, leg bowing, lumbar lordosis, brachydactyly, joint laxity and a waddling gait. Radiographs show platyspondyly with central protrusion of anterior vertebral bodies, kyphotic angulation and very short long bones with dysplastic epiphyses and flarred, irregular, cupped metaphyses.

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)

spondyloepimetaphyseal dysplasia, X-linked · spondyloepimetaphyseal dysplasia, X-linked, X-linked recessive

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

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

    Strong — BGN

  2. LiteraturePresent

    37 matched papers (33 in last 10 years) Source

  3. Phenotype characterisedPresent

    43 HPO annotations (e.g. Brachydactyly; Cone-shaped epiphyses fused within their metaphyses; Long fibula) 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 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 (BGN).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

43

Associated phenotypes · MONDO:0010248

  • Brachydactyly
  • Cone-shaped epiphyses fused within their metaphyses
  • Long fibula
  • Anterior wedging of T12
  • Platyspondyly

Showing 5 of 43 — 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?

37

37 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.

37 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).

33 in the last 10 years · high confidence · 42.3th percentile (publications denominator)

Phrase hits: 23 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

191

Distinct author names in 23 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
    Badonyi M2 papers · 2025

    MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, UK. mihaly.badonyi@ed.ac.uk.

    Papers in Europe PMC
  2. 02
    Marsh JA2 papers · 2025

    MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, UK. joseph.marsh@ed.ac.uk.

    Papers in Europe PMC
  3. 03
    Meester JAN2 papers · 2024

    Laboratory of Cardiogenetics, Center of Medical Genetics, University Hospital Antwerp, University of Antwerp, Antwerp, Belgium.

    Papers in Europe PMC
  4. 04
    Mizumoto S2 papers · 2021

    Department of Pathobiochemistry, Faculty of Pharmacy, Meijo University, Nagoya, Japan.

    Papers in Europe PMC
  5. 05
    Spranger J2 papers · 2016

    Im Fuchsberg 14, 76547 Sinzheim, Germany.

    Papers in Europe PMC
  6. 06
    Yamada S2 papers · 2021

    Department of Pathobiochemistry, Faculty of Pharmacy, Meijo University, Nagoya, Japan.

    Papers in Europe PMC
  7. 07
    Andrews A1 paper · 2025

    Department of Pediatrics, Division of Medical Genetics, University of Utah, Salt Lake City, UT, 84112, USA.

    Papers in Europe PMC
  8. 08
    Ashcroft K1 paper · 2024

    Department of Clinical Genetics, Chapel Allerton Hospital, Leeds Teaching Hospitals, NHS Foundation Trust, Leeds, UK.

    Papers in Europe PMC
  9. 09
    Atwal PS1 paper · 2024

    Genomic and Personalized Medicine, Atwal Clinic, Palm Beach, FL, USA.

    Papers in Europe PMC
  10. 10
    Bae JS1 paper · 2016

    Samsung Genome Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea; Department of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences and Technology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.

    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 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.

high 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.

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 22 · after dedupe 22 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 22 · 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 (22)

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 spondyloepimetaphyseal dysplasia — 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 spondyloepimetaphyseal dysplasia" OR "spondyloepimetaphyseal dysplasia, X-linked" OR "spondyloepimetaphyseal dysplasia, X-linked, X-linked recessive") OR (MESH:"Spondyloepimetaphyseal Dysplasia, X-Linked") OR ("BGN syndrome" OR "BGN-related")

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Spondyloepimetaphyseal Dysplasia, X-Linked

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

"X-linked spondyloepimetaphyseal dysplasia" OR "spondyloepimetaphyseal dysplasia, X-linked" OR "spondyloepimetaphyseal dysplasia, X-linked, X-linked recessive"

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

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

Ingested 2026-07-27T04:18:00.544Z