RARE DISEASERESEARCH ATLAS

ORPHA:99842

Leukocyte adhesion deficiency type I

medium confidenceSubtype of disorder

Also known as: LAD-I

Publications

7,649

95.2th percentile

Trials

2

Interventional, condition-specific

Researchers

1,338

Distinct authors in sample

Gene link

ITGB2

Definitive

Readiness

6/6

Stages with a signal

Clinical definition (Orphanet)

A form of leukocyte adhesion deficiency (LAD) characterized by life-threatening, recurrent bacterial infections, neutrophilia, and delayed detachment of the umbilical cord.

How rare: 1-9 / 1 000 000 — roughly one to nine people per million. In a city the size of Kolkata, perhaps a few dozen.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (11)

ITGB2 leukocyte adhesion deficiency · LAD1 · LFA-I deficiency · LFA1 immunodeficiency · lad-I · lad-type I · leukocyte adhesion deficiency 1 · leukocyte adhesion deficiency caused by mutation in ITGB2 · leukocyte adhesion deficiency type 1 · leukocyte adhesion deficiency type I · lymphocyte function-associated antigen 1 immunodeficiency

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.”

6/6 stages with a signal

An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.

  1. Gene identifiedPresent

    Definitive — ITGB2

  2. LiteraturePresent

    7,649 matched papers (5,831 in last 10 years) Source

  3. Phenotype characterisedPresent

    17 HPO annotations (e.g. Gingivitis; Poor wound healing; Periodontitis) Source

  4. Animal modelPresent

    3 genotype models (Mus musculus) Source

  5. Orphan designationPartial

    1 EMA designation (none yet with FDA orphan-indication approval) — e.g. Haematopoietic stem cells modified with a lentiviral vector containing the CD18 gene Source

  6. Interventional trialPresent

    2 matched on ClinicalTrials.gov

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 (ITGB2).

GenCC classification: Definitive.

Phenotypes (Monarch / HPO)

17

Associated phenotypes · MONDO:0007293

  • Gingivitis
  • Poor wound healing
  • Periodontitis
  • Recurrent mucocutaneous candidiasis
  • Recurrent bacterial infections

Showing 5 of 17 — open Monarch for the full list.

Animal models (Monarch / Alliance)

3

Model associations linked to this Mondo ID

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)

1

Designation · no FDA orphan-indication approval yet

  • EMA Haematopoietic stem cells modified with a lentiviral vector containing the CD18 geneTreatment of leukocyte adhesion deficiency type I · 20/09/2016 · PositiveEMA designation

Sources: FDA OOPD · EMA orphan designations

Open Targets candidates

2

Drugs / clinical candidates · MONDO_0007293

CTD chemicals (MyDisease.info)

No CTD chemical associations returned for this Mondo ID.

Literature

Is anyone studying this?

7,649

7,649 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.

7,649 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).

5,831 in the last 10 years · medium confidence · 95.2th percentile (publications denominator)

Phrase hits: 1,023 · MeSH hits: 9

Open Europe PMC search

Who's working on it?

1,338

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.

  1. 01
    Moutsopoulos NM7 papers · 2023

    Oral Immunity and Infection Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA.

    Papers in Europe PMC
  2. 02
    Sherkat R7 papers · 2026

    Immunodeficiency Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

    Papers in Europe PMC
  3. 03
    Hajishengallis G6 papers · 2020

    University of Pennsylvania, Penn Dental Medicine, Department of Microbiology, Philadelphia, PA 19104, USA. Electronic address: geoh@upenn.edu.

    Papers in Europe PMC
  4. 04
    Hamidieh AA6 papers · 2025

    Pediatric Cell and Gene Therapy Research Center, Gene, Cell and Tissue Research Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: aahamidieh@tums.ac.ir.

    Papers in Europe PMC
  5. 05
    Pourpak Z6 papers · 2026

    Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

    Papers in Europe PMC
  6. 06
    Wang Y6 papers · 2026

    Yidu Cloud Technology Inc, Beijing, 100083, China.

    Papers in Europe PMC
  7. 07
    Bakhtiar S5 papers · 2026

    Division for Pediatric Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt, Germany.

    Papers in Europe PMC
  8. 08
    Bros M5 papers · 2023

    Department of Dermatology, University Medical Center Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.

    Papers in Europe PMC
  9. 09
    Grabbe S5 papers · 2023

    Department of Dermatology, University Medical Center Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.

    Papers in Europe PMC
  10. 10
    Madkaikar M5 papers · 2024

    Department of Pediatric Immunology, ICMR National Institute of Immunohaematology, Mumbai 400012, India.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

2

interventional trials for this specific condition

2 interventional trials matched this specific condition name; none in our sample are currently recruiting. 10 trials are registered for leukocyte adhesion deficiency, the broader category — shown separately because they may or may not enrol this specific subtype.

Data as of 11 September 2026 · last trial check 28 July 2026

2 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 84.5th percentile).

medium confidence · 84.5th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

2 interventional trials matched after quoted-phrase search and title/condition post-filter.

No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.

Broader category: leukocyte adhesion deficiency

10

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

Observational and natural-history studies

1 observational study matches 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

Open the complete matched search on ClinicalTrials.gov

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 2 · after dedupe 2 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 2 · 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 (2)

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 Leukocyte adhesion deficiency type I — 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.

("Leukocyte adhesion deficiency type I" OR "LAD-I" OR "ITGB2 leukocyte adhesion deficiency" OR "LFA-I deficiency" OR "LFA1 immunodeficiency" OR "lad-type I" OR "leukocyte adhesion deficiency 1" OR "leukocyte adhesion deficiency caused by mutation in ITGB2" OR "leukocyte adhesion deficiency type 1" OR "lymphocyte function-associated antigen 1 immunodeficiency") OR (MESH:"Leukocyte adhesion deficiency type 1") OR ("ITGB2" OR "ITGB2 syndrome" OR "ITGB2-related")

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Leukocyte adhesion deficiency type 1

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

"Leukocyte adhesion deficiency type I" OR "LAD-I" OR "ITGB2 leukocyte adhesion deficiency" OR "LFA-I deficiency" OR "LFA1 immunodeficiency" OR "lad-type I" OR "leukocyte adhesion deficiency 1" OR "leukocyte adhesion deficiency caused by mutation in ITGB2" OR "leukocyte adhesion deficiency type 1" OR "lymphocyte function-associated antigen 1 immunodeficiency"

Interventional trials matched via: both, 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: 2 interventional · 1 observational · 0 expanded access. Only interventional studies enter the trial headline.

Parent-category trials query:

"leukocyte adhesion deficiency"

Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh

Run this search on ClinicalTrials.gov

Synonyms dropped by stoplist: LAD1

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

Ingested 2026-07-27T06:22:00.572Z