ORPHA:93585
Immune-mediated thrombotic thrombocytopenic purpura
Also known as: Acquired TTP · Acquired thrombotic thrombocytopenic purpura · Autoimmune thrombotic thrombocytopenic purpura · Thrombotic thrombocytopenic purpura due to anti-ADAMTS-13 antibodies · aTTP · iTTP
Publications
2,056
Trials
14
Interventional, condition-specific
Researchers
1,066
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare, non- thrombotic thrombocytopenic purpura (TTP), characterized by profound peripheral thrombocytopenia, microangiopathic hemolytic anemia (MAHA) and single or multiple organ failure of variable severity.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019740
- MeSH:C536901
- UMLS:C2584778
- NCIT:C131653
Additional Mondo synonyms (4)
acquired ADAMTS13 deficiency · acquired TTP · acquired thrombotic thrombocytopenic purpura · autoimmune thrombotic thrombocytopenic purpura
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
2,056 matched papers (1,502 in last 10 years) Source
- Phenotype characterisedPresent
41 HPO annotations (e.g. Muscle weakness; Reticulocytosis; Fever) 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
14 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)
41
Associated phenotypes · MONDO:0019740
- Muscle weakness
- Reticulocytosis
- Fever
- Schistocytosis
- Headache
Showing 5 of 41 — 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.
CTD chemicals (MyDisease.info)
1 associated chemical. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Penicillamine · marker/mechanism
Literature
Is anyone studying this?
2,056
2,056 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.
2,056 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).
1,502 in the last 10 years · low confidence
Phrase hits: 2,055 · MeSH hits: 3
Who's working on it?
1,066
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.
- 01Coppo P32 papers · 2026
Service d'hématologie, Hôpital Saint-Antoine, Assistance Publique - Hôpitaux de Paris, Paris, France.
Papers in Europe PMC - 02Veyradier A22 papers · 2026
Service d'Hématologie biologique, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris and EA3518, Institut de Recherche Saint Louis, Université de Paris, Paris, France.
Papers in Europe PMC - 03Joly BS15 papers · 2026
Service d'Hématologie biologique, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris and EA3518, Institut de Recherche Saint Louis, Université de Paris, Paris, France.
Papers in Europe PMC - 04Sakai K14 papers · 2026
Department of Blood Transfusion Medicine, Nara Medical University, Kashihara, Japan.
Papers in Europe PMC - 05Matsumoto M13 papers · 2026
Department of Blood Transfusion Medicine, Nara Medical University, Kashihara, Japan.
Papers in Europe PMC - 06Peyvandi F13 papers · 2026
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy; Università degli Studi di Milano, Department of Pathophysiology and Transplantation, and Fondazione Luigi Villa, Milan. flora.peyvandi@unimi.it.
Papers in Europe PMC - 07Vanhoorelbeke K13 papers · 2026
Laboratory for Thrombosis Research, IRF Life Sciences, KU Leuven Campus Kulak Kortrijk, Kortrijk, Belgium.
Papers in Europe PMC - 08Poullin P10 papers · 2026
Centre de Référence des Microangiopathies Thrombotiques (CNR-MAT) AP-HP Paris France.
Papers in Europe PMC - 09Artoni A9 papers · 2026
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan.
Papers in Europe PMC - 10Bouzid R9 papers · 2026
INSERM UMRS-1138, Centre de Recherche des Cordeliers, CNRS, Sorbonne Université, Université Paris Cité, Paris, France.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
14
interventional trials for this specific condition
14 interventional trials matched this specific condition name; 4 currently recruiting in our sample. 21 trials are registered for thrombotic thrombocytopenic purpura, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 11 September 2026
14 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 93.7th percentile).
low confidence · 93.7th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
14 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06291025·RECRUITING·Efficacy and Safety of Immunosuppression, Caplacizumab and Plasma Infusion Without Therapeutic Plasma Exchange in Immune-mediated Thrombotic Thrombocytopenic Purpura
Not reviewed·Conditions: Thrombotic Microangiopathies·Matched via name phrase
- NCT06794008·RECRUITING·BCMA-CD19 CAR-T Therapy for Refractory Autoimmune Diseases
Not reviewed·Conditions: Systemic Lupus Erythematosus · Inflammatory Myopathy · Systemic Sclerosis (SSc) · ANCA-associated Vasculitis·Matched via name phrase
- NCT06928233·RECRUITING·Association of TNFAIP3 With Immune-mediated TTP
Not reviewed·Conditions: Thrombotic Thrombocytopenic Purpura, Acquired·Matched via MeSH
- NCT06831058·RECRUITING·A Pilot Study of Efgartigimod for Immune-mediated Thrombotic Thrombocytopenic Purpura (iTTP)
Not reviewed·Conditions: Immune-mediated Thrombotic Thrombocytopenic Purpura·Matched via name phrase
Broader category: thrombotic thrombocytopenic purpura
21
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.
Recruiting under the broader category
- NCT05568147·NOT YET RECRUITING·Aspirin for Prophylaxis of TTP
Not reviewed·Conditions: Thrombotic Thrombocytopenic Purpura·Matched via name phrase
Observational and natural-history studies
5 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
- NCT07513948·RECRUITING·Daratumumab in Immune-mediated Thrombotic Thrombocytopenic Purpura
Not reviewed·Conditions: Thrombotic Thrombocytopenic Purpura, Acquired·Matched via name + MeSH
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 10 · after dedupe 10 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 10 · 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 (10)
- isrctn·ISRCTN16084957·No longer recruiting·VITAL01: A study of a new vaccine against Lassa fever in adults aged 18-55 years
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN73545489·No longer recruiting·Trial to evaluate tranexamic acid therapy in thrombocytopenia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN06023392·No longer recruiting·Ambulosono - A music walking program for patients with Parkinson’s Disease (PD)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN51837425·No longer recruiting·An evaluation of therapy for B-cell lymphoma with Bortezomib
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN28462186·No longer recruiting·A phase 2 pilot study of the safety, pharmacokinetics, and pharmacodynamics of ARC1779 injection in patients with von Willebrand factor-related platelet function disorders
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72157798·Recruiting·Developing a vaccine against Bundibugyo ebolavirus
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN71616222·No longer recruiting·European Cooperative Acute Stroke Study-4: Extending the time for thrombolysis in emergency neurological deficits
skipped — LLM skipped (--skip-llm)
- ctis·2025-523802-34-00·Authorised·An Adaptive Dose Escalation and Expansion Basket Trial to Explore the Safety, Pharmacology, and Clinical Activity of TGD001 in Immune-Mediated Thrombotic Thrombocytopenic Purpura (iTTP) and Other Thrombotic Microangiopathies
skipped — LLM skipped (--skip-llm)
- ctis·2023-507787-39-00·Cancelled·A Phase 2b, multicenter, randomized, double-blind study of safety and efficacy of TAK-755 (rADAMTS13) with minimal to no plasma exchange (PEX) in the treatment of immune-mediated thrombotic thrombocytopenic purpura (iTTP)
skipped — LLM skipped (--skip-llm)
- ctis·2024-513262-19-00·Cancelled·An open-label, single-arm, multicenter study to evaluate the efficacy and safety of caplacizumab and
immunosuppressive therapy without first-line therapeutic plasma exchange in adults with immunemediated
thrombotic thrombocytopenic purpura
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 Immune-mediated thrombotic thrombocytopenic purpura — 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.
"Immune-mediated thrombotic thrombocytopenic purpura" OR "Acquired TTP" OR "Acquired thrombotic thrombocytopenic purpura" OR "Autoimmune thrombotic thrombocytopenic purpura" OR "Thrombotic thrombocytopenic purpura due to anti-ADAMTS-13 antibodies" OR "acquired ADAMTS13 deficiency"
MeSH descriptor terms unioned into the query: Thrombotic thrombocytopenic purpura, acquired
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Immune-mediated thrombotic thrombocytopenic purpura" OR "Acquired TTP" OR "Acquired thrombotic thrombocytopenic purpura" OR "Autoimmune thrombotic thrombocytopenic purpura" OR "Thrombotic thrombocytopenic purpura due to anti-ADAMTS-13 antibodies" OR "acquired ADAMTS13 deficiency" OR "Thrombotic thrombocytopenic purpura, acquired"
Interventional trials matched via: both, phrase, mesh (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 14 interventional · 5 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"thrombotic thrombocytopenic purpura"
Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: aTTP; iTTP
Confidence reasoning
- Preferred label is multi-word and distinctive
- 2 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (2056) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T04:25:45.333Z
