Aceruloplasminemia
diseaseOn this page
Also known as cerebellar ataxiafamilial apoceruloplasmin deficiencyhereditary ceruloplasmin deficiencyhypoceruloplasminemia, hereditarysystemic hemosiderosis due to aceruloplasminemia
Summary
Aceruloplasminemia (MONDO:0011426) is a disease caused by CP (GenCC Definitive), with 2 cohort genes and 43 clinical trials. Top therapeutic interventions include riluzole and deferiprone.
At a glance
- Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
- Causal gene: CP (GenCC Definitive)
- Cohort genes: 2
- ClinVar variants: 547
- Phenotypes (HPO): 41
- Clinical trials: 43
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | <1 / 1 000 000 | 0.09 | Worldwide | Validated |
| Point prevalence | 1-9 / 1 000 000 | 0.1 | Japan | Validated |
Signs & symptoms
Clinical features (HPO)
41 HPO clinical features (Orphanet curated; top 41 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000707 | Abnormality of the nervous system | Very frequent (80-99%) |
| HP:0003281 | Increased circulating ferritin concentration | Very frequent (80-99%) |
| HP:0004840 | Hypochromic microcytic anemia | Very frequent (80-99%) |
| HP:0005505 | Refractory anemia | Very frequent (80-99%) |
| HP:0012379 | Abnormal enzyme/coenzyme activity | Very frequent (80-99%) |
| HP:0025498 | Aceruloplasminemia | Very frequent (80-99%) |
| HP:0000546 | Retinal degeneration | Frequent (30-79%) |
| HP:0000608 | Macular degeneration | Frequent (30-79%) |
| HP:0000819 | Diabetes mellitus | Frequent (30-79%) |
| HP:0001251 | Ataxia | Frequent (30-79%) |
| HP:0001260 | Dysarthria | Frequent (30-79%) |
| HP:0001332 | Dystonia | Frequent (30-79%) |
| HP:0002066 | Gait ataxia | Frequent (30-79%) |
| HP:0002070 | Limb ataxia | Frequent (30-79%) |
| HP:0002072 | Chorea | Frequent (30-79%) |
| HP:0004305 | Involuntary movements | Frequent (30-79%) |
| HP:0007703 | Abnormality of retinal pigmentation | Frequent (30-79%) |
| HP:0010837 | Decreased circulating ceruloplasmin concentration | Frequent (30-79%) |
| HP:0011967 | Decreased circulating copper concentration | Frequent (30-79%) |
| HP:0012465 | Elevated hepatic iron concentration | Frequent (30-79%) |
| HP:0040303 | Decreased serum iron | Frequent (30-79%) |
| HP:0100543 | Cognitive impairment | Frequent (30-79%) |
| HP:0000273 | Facial grimacing | Occasional (5-29%) |
| HP:0000473 | Torticollis | Occasional (5-29%) |
| HP:0000639 | Nystagmus | Occasional (5-29%) |
| HP:0000643 | Blepharospasm | Occasional (5-29%) |
| HP:0000741 | Apathy | Occasional (5-29%) |
| HP:0001300 | Parkinsonism | Occasional (5-29%) |
| HP:0001337 | Tremor | Occasional (5-29%) |
| HP:0001635 | Congestive heart failure | Occasional (5-29%) |
| HP:0002063 | Rigidity | Occasional (5-29%) |
| HP:0002304 | Akinesia | Occasional (5-29%) |
| HP:0002354 | Memory impairment | Occasional (5-29%) |
| HP:0010994 | Abnormal corpus striatum morphology | Occasional (5-29%) |
| HP:0012090 | Abnormal pancreas morphology | Occasional (5-29%) |
| HP:0012179 | Craniofacial dystonia | Occasional (5-29%) |
| HP:0012675 | Iron accumulation in brain | Occasional (5-29%) |
| HP:0012696 | Abnormal thalamic MRI signal intensity | Occasional (5-29%) |
| HP:0100321 | Abnormality of the dentate nucleus | Occasional (5-29%) |
| HP:0001394 | Cirrhosis | Excluded (0%) |
| HP:0001395 | Hepatic fibrosis | Excluded (0%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | aceruloplasminemia |
| Mondo ID | MONDO:0011426 |
| OMIM | 604290 |
| Orphanet | 48818 |
| DOID | DOID:0050711 |
| SNOMED CT | 124224004 |
| UMLS | C0878682 |
| MedGen | 168057 |
| GARD | 0009499 |
| NORD | 707 |
| Is cancer (heuristic) | no |
Also known as: aceruloplasminemia · cerebellar ataxia · familial apoceruloplasmin deficiency · hereditary ceruloplasmin deficiency · hypoceruloplasminemia, hereditary · systemic hemosiderosis due to aceruloplasminemia
Data availability: 547 ClinVar variants · 4 GenCC gene-disease records · 1 cell line.
Disease family
Classification path: disease › human disease › disease by body system or component › hematologic disorder › anemia › deficiency anemia › hereditary anemia › aceruloplasminemia
Related subtypes (13): microcytic anemia with liver iron overload, IRIDA syndrome, atransferrinemia, hereditary folate malabsorption, formiminoglutamic aciduria, hereditary intrinsic factor deficiency, Imerslund-Grasbeck syndrome, transcobalamin II deficiency, constitutional megaloblastic anemia with severe neurologic disease, severe congenital hypochromic anemia with ringed sideroblasts, methylmalonic aciduria and homocystinuria, homocystinuria without methylmalonic aciduria, vitamin B12- and folate-independent constitutional megaloblastic anemia
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
547 retrieved; paginated sample, class counts are floors:
217 uncertain significance, 159 likely benign, 70 pathogenic, 38 conflicting classifications of pathogenicity, 22 benign, 19 benign/likely benign, 15 likely pathogenic, 5 pathogenic/likely pathogenic, 2 not provided
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 3246874 | NC_000003.11:g.(?148447967)(149678891_?)del | AGTR1 | Pathogenic | criteria provided, single submitter |
| 1070975 | NM_000096.4(CP):c.1317_1318del (p.Gly440fs) | CP | Pathogenic | criteria provided, single submitter |
| 1071143 | NM_000096.4(CP):c.376_379del (p.Tyr126fs) | CP | Pathogenic | criteria provided, single submitter |
| 1322157 | NM_000096.4(CP):c.2879-2A>G | CP | Pathogenic | criteria provided, single submitter |
| 1379970 | NM_000096.4(CP):c.2322C>A (p.Tyr774Ter) | CP | Pathogenic | criteria provided, single submitter |
| 1451712 | NM_000096.4(CP):c.1731del (p.Glu577fs) | CP | Pathogenic | criteria provided, single submitter |
| 1453045 | NM_000096.4(CP):c.1149G>A (p.Trp383Ter) | CP | Pathogenic | criteria provided, single submitter |
| 17559 | NM_000096.4(CP):c.3019-1G>A | CP | Pathogenic | criteria provided, single submitter |
| 17560 | NM_000096.4(CP):c.2389del (p.Glu797fs) | CP | Pathogenic | no assertion criteria provided |
| 17561 | NM_000096.4(CP):c.1282_1286dup (p.Asp430fs) | CP | Pathogenic | no assertion criteria provided |
| 17562 | NM_000096.4(CP):c.2630G>A (p.Trp877Ter) | CP | Pathogenic | criteria provided, single submitter |
| 17563 | NM_000096.4(CP):c.606dup (p.Asp203fs) | CP | Pathogenic | no assertion criteria provided |
| 1983298 | NM_000096.4(CP):c.1843C>T (p.Gln615Ter) | CP | Pathogenic | criteria provided, single submitter |
| 2203453 | NM_000096.4(CP):c.1306C>T (p.Arg436Ter) | CP | Pathogenic | criteria provided, single submitter |
| 2630109 | NM_000096.4(CP):c.1991_1992del (p.Thr664fs) | CP | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2862930 | NM_000096.4(CP):c.1106del (p.Lys369fs) | CP | Pathogenic | criteria provided, single submitter |
| 2909769 | NM_000096.4(CP):c.2149C>T (p.Gln717Ter) | CP | Pathogenic | criteria provided, single submitter |
| 2918511 | NM_000096.4(CP):c.2520_2523del (p.Thr841fs) | CP | Pathogenic | criteria provided, single submitter |
| 3020469 | NM_000096.4(CP):c.2712del (p.Tyr904_Leu905insTer) | CP | Pathogenic | criteria provided, single submitter |
| 3061972 | NM_000096.4(CP):c.1864+5G>A | CP | Pathogenic | no assertion criteria provided |
| 3246875 | NC_000003.11:g.(?148939414)(148939579_?)del | CP | Pathogenic | criteria provided, single submitter |
| 3620110 | NM_000096.4(CP):c.313del (p.Val105fs) | CP | Pathogenic | criteria provided, single submitter |
| 3629557 | NM_000096.4(CP):c.2122G>A (p.Gly708Ser) | CP | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 3637928 | NM_000096.4(CP):c.2670C>A (p.Tyr890Ter) | CP | Pathogenic | criteria provided, single submitter |
| 3674142 | NM_000096.4(CP):c.1492C>T (p.Gln498Ter) | CP | Pathogenic | criteria provided, single submitter |
| 3704278 | NM_000096.4(CP):c.631A>T (p.Lys211Ter) | CP | Pathogenic | criteria provided, single submitter |
| 381716 | NM_000096.4(CP):c.1948G>A (p.Gly650Arg) | CP | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 3897661 | NM_000096.4(CP):c.628G>T (p.Glu210Ter) | CP | Pathogenic | criteria provided, single submitter |
| 42051 | NM_000096.4(CP):c.650T>C (p.Phe217Ser) | CP | Pathogenic | no assertion criteria provided |
| 42052 | NM_000096.4(CP):c.1874G>A (p.Gly625Glu) | CP | Pathogenic | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 5 · Orphanet: 2 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| CP | Definitive | Autosomal recessive | aceruloplasminemia | 5 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| CP | Orphanet:48818 | Aceruloplasminemia |
| AGTR1 | Orphanet:97369 | Renal tubular dysgenesis of genetic origin |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| CP | HGNC:2295 | ENSG00000047457 | P00450 | Ceruloplasmin | gencc,clinvar |
| AGTR1 | HGNC:336 | ENSG00000144891 | P30556 | Type-1 angiotensin II receptor | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| CP | Ceruloplasmin | Multifunctional blue, copper-binding (6-7 atoms per molecule) glycoprotein. |
| AGTR1 | Type-1 angiotensin II receptor | Receptor for angiotensin II, a vasoconstricting peptide, which acts as a key regulator of blood pressure and sodium retention by the kidney. |
Protein-family classification
Druggable: 2 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| GPCR | 1 | 12.0× | 0.160 |
| Enzyme (other) | 1 | 6.0× | 0.160 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| CP | Enzyme (other) | yes | 1.16.3.1 | Cu-oxidase_2nd, Cu_oxidase_Cu_BS, Cupredoxin |
| AGTR1 | GPCR | yes | ATII_AT1_rcpt, ATII_rcpt, GPCR_Rhodpsn |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| liver | 1 |
| palpebral conjunctiva | 1 |
| right lobe of liver | 1 |
| placenta | 1 |
| skin of hip | 1 |
| subcutaneous adipose tissue | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| CP | 234 | broad | marker | right lobe of liver, liver, palpebral conjunctiva |
| AGTR1 | 224 | marker | skin of hip, placenta, subcutaneous adipose tissue |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CP | 2,661 |
| AGTR1 | 2,651 |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| AGTR1 | P30556 | 11 |
| CP | P00450 | 4 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 17. Enrichment computed across 2 evidence-associated genes (2 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Defective SLC40A1 causes hemochromatosis 4 (HFE4) (macrophages) | 1 | 2855.0× | 0.003 | CP |
| Defective CP causes aceruloplasminemia (ACERULOP) | 1 | 2855.0× | 0.003 | CP |
| Metal ion SLC transporters | 1 | 300.5× | 0.019 | CP |
| Iron uptake and transport | 1 | 173.0× | 0.025 | CP |
| Cargo recognition for clathrin-mediated endocytosis | 1 | 52.4× | 0.046 | AGTR1 |
| Post-translational protein phosphorylation | 1 | 50.1× | 0.046 | CP |
| Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) | 1 | 43.3× | 0.046 | CP |
| Clathrin-mediated endocytosis | 1 | 42.6× | 0.046 | AGTR1 |
| Class A/1 (Rhodopsin-like receptors) | 1 | 37.1× | 0.046 | AGTR1 |
| Peptide ligand-binding receptors | 1 | 37.1× | 0.046 | AGTR1 |
| GPCR ligand binding | 1 | 32.1× | 0.048 | AGTR1 |
| G alpha (q) signalling events | 1 | 28.7× | 0.049 | AGTR1 |
| GPCR downstream signalling | 1 | 21.7× | 0.060 | AGTR1 |
| Signaling by GPCR | 1 | 20.0× | 0.060 | AGTR1 |
| Membrane Trafficking | 1 | 18.5× | 0.060 | AGTR1 |
| Vesicle-mediated transport | 1 | 17.4× | 0.060 | AGTR1 |
| Signal Transduction | 1 | 5.1× | 0.187 | AGTR1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| renin-angiotensin regulation of aldosterone production | 1 | 2808.7× | 0.003 | AGTR1 |
| maintenance of blood vessel diameter homeostasis by renin-angiotensin | 1 | 2808.7× | 0.003 | AGTR1 |
| phospholipase C-activating angiotensin-activated signaling pathway | 1 | 2808.7× | 0.003 | AGTR1 |
| regulation of renal sodium excretion | 1 | 2106.5× | 0.003 | AGTR1 |
| regulation of systemic arterial blood pressure by renin-angiotensin | 1 | 1685.2× | 0.003 | AGTR1 |
| positive regulation of cholesterol metabolic process | 1 | 1053.2× | 0.004 | AGTR1 |
| positive regulation of blood vessel endothelial cell proliferation involved in sprouting angiogenesis | 1 | 842.6× | 0.005 | AGTR1 |
| angiotensin-activated signaling pathway | 1 | 766.0× | 0.005 | AGTR1 |
| low-density lipoprotein particle remodeling | 1 | 526.6× | 0.006 | AGTR1 |
| intracellular copper ion homeostasis | 1 | 468.1× | 0.006 | CP |
| positive regulation of macrophage derived foam cell differentiation | 1 | 421.3× | 0.006 | AGTR1 |
| regulation of vasoconstriction | 1 | 401.2× | 0.006 | AGTR1 |
| blood vessel diameter maintenance | 1 | 312.1× | 0.007 | AGTR1 |
| positive regulation of reactive oxygen species metabolic process | 1 | 255.3× | 0.008 | AGTR1 |
| symbiont entry into host cell | 1 | 200.6× | 0.009 | AGTR1 |
| Rho protein signal transduction | 1 | 123.9× | 0.013 | AGTR1 |
| intracellular iron ion homeostasis | 1 | 122.1× | 0.013 | CP |
| regulation of cell growth | 1 | 110.9× | 0.014 | AGTR1 |
| cell chemotaxis | 1 | 92.6× | 0.015 | AGTR1 |
| calcium-mediated signaling | 1 | 91.6× | 0.015 | AGTR1 |
| regulation of inflammatory response | 1 | 84.3× | 0.016 | AGTR1 |
| positive regulation of inflammatory response | 1 | 72.6× | 0.017 | AGTR1 |
| kidney development | 1 | 70.2× | 0.017 | AGTR1 |
| phospholipase C-activating G protein-coupled receptor signaling pathway | 1 | 65.8× | 0.018 | AGTR1 |
| positive regulation of cytosolic calcium ion concentration | 1 | 58.5× | 0.019 | AGTR1 |
| regulation of cell population proliferation | 1 | 57.7× | 0.019 | AGTR1 |
| inflammatory response | 1 | 18.9× | 0.054 | AGTR1 |
| G protein-coupled receptor signaling pathway | 1 | 18.1× | 0.054 | AGTR1 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 1
Druggability breadth: 1 of 2 evidence-associated genes (50%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| AGTR1 | IRBESARTAN |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| AGTR1 | 88 | 4 |
| CP | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IRBESARTAN | 4 | AGTR1 |
| LOSARTAN | 4 | AGTR1 |
| SARALASIN | 4 | AGTR1 |
| LOSARTAN POTASSIUM | 4 | AGTR1 |
| CANDESARTAN CILEXETIL | 4 | AGTR1 |
| TELMISARTAN | 4 | AGTR1 |
| CLOTRIMAZOLE | 4 | AGTR1 |
| SIMVASTATIN | 4 | AGTR1 |
| VALSARTAN | 4 | AGTR1 |
| RIMONABANT | 4 | AGTR1 |
| ARIPIPRAZOLE | 4 | AGTR1 |
| PONATINIB | 4 | AGTR1 |
| OXYMETHOLONE | 4 | AGTR1 |
| OLMESARTAN MEDOXOMIL | 4 | AGTR1 |
| NORGESTIMATE | 4 | AGTR1 |
| ROCURONIUM | 4 | AGTR1 |
| PYRVINIUM | 4 | AGTR1 |
| INDOCYANINE GREEN ACID FORM | 4 | AGTR1 |
| BALSALAZIDE | 4 | AGTR1 |
| ROSIGLITAZONE | 4 | AGTR1 |
| SULCONAZOLE | 4 | AGTR1 |
| MILTEFOSINE | 4 | AGTR1 |
| BUTOCONAZOLE | 4 | AGTR1 |
| SORAFENIB | 4 | AGTR1 |
| NITAZOXANIDE | 4 | AGTR1 |
| PIMOZIDE | 4 | AGTR1 |
| FELODIPINE | 4 | AGTR1 |
| DESOGESTREL | 4 | AGTR1 |
| ALFACALCIDOL | 4 | AGTR1 |
| RITONAVIR | 4 | AGTR1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| AGTR1 | 421 | Binding:315, Functional:105, ADMET:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CP | 1.16.3.1 | ferroxidase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| AGTR1 | 421 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| IRBESARTAN | 4 | AGTR1 |
| LOSARTAN | 4 | AGTR1 |
| SARALASIN | 4 | AGTR1 |
| LOSARTAN POTASSIUM | 4 | AGTR1 |
| CANDESARTAN CILEXETIL | 4 | AGTR1 |
| TELMISARTAN | 4 | AGTR1 |
| CLOTRIMAZOLE | 4 | AGTR1 |
| SIMVASTATIN | 4 | AGTR1 |
| VALSARTAN | 4 | AGTR1 |
| RIMONABANT | 4 | AGTR1 |
| ARIPIPRAZOLE | 4 | AGTR1 |
| PONATINIB | 4 | AGTR1 |
| OXYMETHOLONE | 4 | AGTR1 |
| OLMESARTAN MEDOXOMIL | 4 | AGTR1 |
| NORGESTIMATE | 4 | AGTR1 |
| ROCURONIUM | 4 | AGTR1 |
| PYRVINIUM | 4 | AGTR1 |
| INDOCYANINE GREEN ACID FORM | 4 | AGTR1 |
| BALSALAZIDE | 4 | AGTR1 |
| ROSIGLITAZONE | 4 | AGTR1 |
| SULCONAZOLE | 4 | AGTR1 |
| MILTEFOSINE | 4 | AGTR1 |
| BUTOCONAZOLE | 4 | AGTR1 |
| SORAFENIB | 4 | AGTR1 |
| NITAZOXANIDE | 4 | AGTR1 |
| PIMOZIDE | 4 | AGTR1 |
| FELODIPINE | 4 | AGTR1 |
| DESOGESTREL | 4 | AGTR1 |
| ALFACALCIDOL | 4 | AGTR1 |
| RITONAVIR | 4 | AGTR1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | AGTR1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | CP |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CP | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 43.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 36 |
| PHASE2 | 2 |
| PHASE1/PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01104649 | PHASE2/PHASE3 | COMPLETED | Efficacy of Riluzole in Hereditary Cerebellar Ataxia |
| NCT00202397 | PHASE2 | COMPLETED | Effect of Riluzole as a Symptomatic Approach in Patients With Chronic Cerebellar Ataxia |
| NCT01649687 | PHASE1/PHASE2 | COMPLETED | Treatment of Cerebellar Ataxia With Mesenchymal Stem Cells |
| NCT01958177 | PHASE1/PHASE2 | UNKNOWN | Clinical Study to Evaluate the Safety and Efficacy BMMNC in Cerebellar Ataxia |
| NCT02540655 | PHASE2 | COMPLETED | Efficacy and Safety Study of Stemchymal® in Polyglutamine Spinocerebellar Ataxia |
| NCT05157802 | PHASE1 | ACTIVE_NOT_RECRUITING | Promoting Physical Activity Engagement for People With Early-stage Cerebellar Ataxia |
| NCT04184453 | EARLY_PHASE1 | UNKNOWN | Clinical Curative Effect Evaluation Study of Treatment of Oral Deferiprone Tablets in Aceruloplasminaemia Patients |
| NCT03879018 | Not specified | RECRUITING | Retraining Reaching in Cerebellar Ataxia |
| NCT03972202 | Not specified | ACTIVE_NOT_RECRUITING | The Role of Cerebellum in Speech |
| NCT04010214 | Not specified | RECRUITING | A Registered Cohort Study on Cerebellar Ataxia in the Organization in South-East China for Cerebellar Ataxia Research (OSCCAR) |
| NCT04529252 | Not specified | ACTIVE_NOT_RECRUITING | Investigating the Genetic and Phenotypic Presentation of Ataxia and Nucleotide Repeat Diseases |
| NCT05351255 | Not specified | ACTIVE_NOT_RECRUITING | Motor Learning After Cerebellar Damage: The Role of the Primary Motor Cortex |
| NCT05443906 | Not specified | RECRUITING | Home Exercise for Individuals with Neurodegenerative Disease |
| NCT05522374 | Not specified | RECRUITING | TIRCON International NBIA Registry |
| NCT06573866 | Not specified | RECRUITING | Enhancement of Quality of Work And Life |
| NCT06817707 | Not specified | RECRUITING | Evaluation of Urinary Dysfunction in CANVAS Patients |
| NCT07211490 | Not specified | NOT_YET_RECRUITING | rTMS for Cerebellar Ataxia in Children |
| NCT00006492 | Not specified | COMPLETED | Gluten-Free Diet in Patients With Gluten Sensitivity and Cerebellar Ataxia |
| NCT01307176 | Not specified | COMPLETED | Exercise Training Program for Cerebellar Ataxia |
| NCT02887703 | Not specified | COMPLETED | Augmenting Balance in Individuals With Cerebellar Ataxias |
| NCT02900508 | Not specified | COMPLETED | Virtual Reality-based Training in Cerebellar Ataxia |
| NCT02903290 | Not specified | COMPLETED | Longitudinal Monitoring of Energy Expenditure, Dynamic Stability and Fatigue During Gait in Patients With Cerebellar Ataxia Gene |
| NCT03120013 | Not specified | COMPLETED | Rehabilitative Trial With Cerebello-Spinal tDCS in Neurodegenerative Ataxia |
| NCT03213106 | Not specified | UNKNOWN | Cerebellar Non-invasive Stimulation in Ataxias |
| NCT03269201 | Not specified | UNKNOWN | Brain Network Activation in Patients With Movement Disorders |
| NCT03341416 | Not specified | UNKNOWN | Effects of Deep Brain Stimulation of the Dentate Nucleus on Cerebellar Ataxia |
| NCT04039048 | Not specified | UNKNOWN | Effect of ctDCS During Balance Training on Cerebellar Ataxia |
| NCT04054726 | Not specified | UNKNOWN | A Study on Cerebello-Spinal tPCS in Ataxia |
| NCT04648501 | Not specified | COMPLETED | Dual Task Training for Cerebellar Ataxia |
| NCT04703595 | Not specified | COMPLETED | Chronic Cough and CANVAS (Cerebellar Ataxia With Neuropathy and Bilateral Vestibular Areflexia Syndrome) |
| NCT04750850 | Not specified | COMPLETED | Core Stability Exercises and Hereditary Ataxia |
| NCT04790981 | Not specified | COMPLETED | Effect of Motor Imagery Training on Ataxic Children After Medulloblastoma Resection |
| NCT05002218 | Not specified | COMPLETED | Training in Ataxia - Individuals With Degenerative Cerebellar Diseases |
| NCT05024240 | Not specified | UNKNOWN | Interaction of the Cognitive and Sensory-cognitive Tasks With Postural Stability in Individuals With Stability Disorders |
| NCT05095870 | Not specified | COMPLETED | Evaluation of the Peripheral Nerve Ultrasound as a Diagnostic Tool in CANVAS Neuropathies |
| NCT05132647 | Not specified | UNKNOWN | Circular Timed Up and Go (cTUG) for Ataxia: Development and Validation |
| NCT05278091 | Not specified | COMPLETED | Evaluation of the Diagnostic Value of Video-oculography in CANVAS Neuronopathies |
| NCT05436262 | Not specified | COMPLETED | Using Real-time fMRI Neurofeedback and Motor Imagery to Enhance Motor Timing and Precision in Cerebellar Ataxia |
| NCT05625620 | Not specified | UNKNOWN | Cerebellar-spinal Transcranial Pulsed Current Stimulation (tPCS) for Treatment of Neurodegenerative Ataxia |
| NCT05992207 | Not specified | COMPLETED | Utilization of Motor Imagery Training for Improvement of Balance of Ataxic Children After Medulloblastoma Resection |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| RILUZOLE | 4 | 2 |
| DEFERIPRONE | 4 | 1 |
| CHEMBL46909 | 0 | 1 |
Related Atlas pages
- Cohort genes: CP, AGTR1
- Drugs: Riluzole, Deferiprone