Beta thalassemia
disease diseaseOn this page
Also known as Beta thalassemia intermediaBeta thalassemia minorerythroblastic anaemiaerythroblastic anemiathalassemia, Hispanic gamma-delta-betaThalassemias, beta-
Summary
Beta thalassemia (MONDO:0019402) is a disease caused by HBB (GenCC Definitive), with 2 cohort genes and 105 clinical trials. Top therapeutic interventions include deferasirox, deferoxamine, and deferiprone.
At a glance
- Prevalence: 1-9 / 1 000 000 (France) [Orphanet-validated]
- Causal gene: HBB (GenCC Definitive)
- Cohort genes: 2
- ClinVar variants: 438
- Phenotypes (HPO): 21
- Clinical trials: 105
Clinical features
Epidemiology
Prevalence records
4 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 100 000 | 1 | Worldwide | Validated |
| Annual incidence | 1-5 / 10 000 | 10 | Europe | Validated |
| Point prevalence | 1-9 / 1 000 000 | 0.5 | France | Validated |
| Point prevalence | 1-9 / 1 000 000 | Europe | Not yet validated |
Signs & symptoms
Clinical features (HPO)
21 HPO clinical features (Orphanet curated; top 21 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000924 | Abnormality of the skeletal system | Very frequent (80-99%) |
| HP:0000980 | Pallor | Very frequent (80-99%) |
| HP:0001744 | Splenomegaly | Very frequent (80-99%) |
| HP:0001903 | Anemia | Very frequent (80-99%) |
| HP:0001935 | Microcytic anemia | Very frequent (80-99%) |
| HP:0011902 | Abnormal hemoglobin | Very frequent (80-99%) |
| HP:0000044 | Hypogonadotropic hypogonadism | Frequent (30-79%) |
| HP:0000737 | Irritability | Frequent (30-79%) |
| HP:0000929 | Abnormal skull morphology | Frequent (30-79%) |
| HP:0001324 | Muscle weakness | Frequent (30-79%) |
| HP:0002093 | Respiratory insufficiency | Frequent (30-79%) |
| HP:0002240 | Hepatomegaly | Frequent (30-79%) |
| HP:0004349 | Reduced bone mineral density | Frequent (30-79%) |
| HP:0004370 | Abnormality of temperature regulation | Frequent (30-79%) |
| HP:0011031 | Abnormality of iron homeostasis | Frequent (30-79%) |
| HP:0001081 | Cholelithiasis | Occasional (5-29%) |
| HP:0001639 | Hypertrophic cardiomyopathy | Occasional (5-29%) |
| HP:0001873 | Thrombocytopenia | Occasional (5-29%) |
| HP:0004936 | Venous thrombosis | Occasional (5-29%) |
| HP:0012115 | Hepatitis | Occasional (5-29%) |
| HP:0200042 | Skin ulcer | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | beta thalassemia |
| Mondo ID | MONDO:0019402 |
| MeSH | D017086 |
| Orphanet | 848 |
| DOID | DOID:12241 |
| ICD-10-CM | D56.1 |
| ICD-11 | 2063292324 |
| NCIT | C34375 |
| SNOMED CT | 65959000 |
| UMLS | C0005283 |
| MedGen | 2611 |
| GARD | 0000871 |
| MedDRA | 10043391 |
| NORD | 1765 |
| Is cancer (heuristic) | no |
Also known as: Beta thalassemia intermedia · Beta thalassemia minor · erythroblastic anaemia · erythroblastic anemia · thalassemia, Hispanic gamma-delta-beta · Thalassemias, beta-
Data availability: 438 ClinVar variants · 1 GenCC gene-disease record · 73 cell lines.
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › inherited hemoglobinopathy › thalassemia › beta thalassemia
Related subtypes (1): alpha thalassemia spectrum
Subtypes (3): thalassemia, beta+, silent allele, dominant beta-thalassemia, beta-thalassemia HBB/LCRB
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
438 retrieved; paginated sample, class counts are floors:
213 pathogenic, 56 uncertain significance, 51 pathogenic/likely pathogenic, 40 conflicting classifications of pathogenicity, 32 likely pathogenic, 19 likely benign, 14 benign, 5 benign/likely benign, 3 uncertain significance; other, 3 not provided, 1 pathogenic/likely pathogenic; other, 1 pathogenic; other
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 869111 | NM_000518.4(HBB):c.[316-12T>C;316-7C>A] | Pathogenic | criteria provided, single submitter | |
| 869313 | NM_000518.5(HBB):c.[385_388delinsCCACA;397_407del] | Pathogenic | no assertion criteria provided | |
| 869324 | NM_000518.5(HBB):c.[17del;9dup] | Pathogenic | no assertion criteria provided | |
| 15626 | NM_000517.4(HBA2):c.427T>A (p.Ter143Lys) | HBA2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1048666 | NC_000011.10:g.5224303_5227790del | HBB | Pathogenic | no assertion criteria provided |
| 1459872 | NM_000518.5(HBB):c.380_396del (p.Val127fs) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15090 | NM_000518.5(HBB):c.431A>G (p.His144Arg) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 15126 | NM_000518.4(HBB):c.19G>A (p.Glu7Lys) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 15147 | NM_000518.4(HBB):c.269G>A (p.Ser90Asn) | HBB | Pathogenic/Likely pathogenic; other | no assertion criteria provided |
| 15152 | NM_000518.4(HBB):c.364G>C (p.Glu122Gln) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 15161 | NM_000518.5(HBB):c.79G>A (p.Glu27Lys) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15190 | NM_000518.5(HBB):c.128T>C (p.Phe43Ser) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15234 | NM_000518.4(HBB):c.92G>C (p.Arg31Thr) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15239 | NM_000518.5(HBB):c.82G>T (p.Ala28Ser) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15241 | NM_000518.5(HBB):c.295G>A (p.Val99Met) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15256 | NM_000518.5(HBB):c.190C>T (p.His64Tyr) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 15258 | NM_000518.5(HBB):c.59A>G (p.Asn20Ser) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15292 | NM_000518.4(HBB):c.364G>A (p.Glu122Lys) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 15333 | NM_000518.5(HBB):c.20A>T (p.Glu7Val) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15342 | NM_000518.5(HBB):c.328G>A (p.Val110Met) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15352 | NM_000518.4(HBB):c.332T>C (p.Leu111Pro) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15401 | NM_000518.5(HBB):c.52A>T (p.Lys18Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15402 | NM_000518.5(HBB):c.118C>T (p.Gln40Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15404 | NM_000518.5(HBB):c.364G>T (p.Glu122Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15405 | NM_000518.5(HBB):c.114G>A (p.Trp38Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15407 | NM_000518.5(HBB):c.184A>T (p.Lys62Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15408 | NM_000518.5(HBB):c.108C>A (p.Tyr36Ter) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15413 | NM_000518.5(HBB):c.25_26del (p.Lys9fs) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15414 | NM_000518.5(HBB):c.51del (p.Lys18fs) | HBB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 15415 | NM_000518.5(HBB):c.135del (p.Phe46fs) | HBB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 33 · Orphanet: 37 · 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 |
|---|---|---|---|---|
| HBB | Definitive | Semidominant | beta-thalassemia HBB/LCRB | 33 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| HBB | Orphanet:2132 | Hemoglobin C disease |
| HBB | Orphanet:2133 | Hemoglobin E disease |
| HBB | Orphanet:231214 | Beta-thalassemia major |
| HBB | Orphanet:231222 | Beta-thalassemia intermedia |
| HBB | Orphanet:231226 | Unstable beta globin chain variant disease |
| HBB | Orphanet:231237 | Delta-beta-thalassemia |
| HBB | Orphanet:231242 | Hemoglobin C-beta-thalassemia syndrome |
| HBB | Orphanet:231249 | Hemoglobin E-beta-thalassemia syndrome |
| HBB | Orphanet:232 | Sickle cell anemia |
| HBB | Orphanet:247511 | Autosomal dominant secondary polycythemia |
| HBB | Orphanet:251365 | Sickle cell S-C disease |
| HBB | Orphanet:251370 | Sickle cell S-D Punjab disease |
| HBB | Orphanet:251375 | Sickle cell S-E disease |
| HBB | Orphanet:251380 | Hereditary persistence of fetal hemoglobin-sickle cell disease syndrome |
| HBB | Orphanet:330041 | Hemoglobin M disease |
| HBB | Orphanet:46532 | Hereditary persistence of fetal hemoglobin-beta-thalassemia syndrome |
| HBB | Orphanet:695140 | Sickle cell-beta zero-thalassemia |
| HBB | Orphanet:695147 | Sickle cell-beta plus-thalassemia |
| HBB | Orphanet:699822 | Sickle cell S-Lepore disease |
| HBB | Orphanet:700090 | Sickle cell S-O Arab disease |
| HBB | Orphanet:700107 | Sickle cell S-other specified hemoglobin variant |
| HBB | Orphanet:700111 | Homozygous hemoglobin O Arab disease |
| HBB | Orphanet:715125 | Hemoglobin E-beta-thalassemia intermedia |
| HBB | Orphanet:715128 | Hemoglobin E-beta-thalassemia major |
| HBB | Orphanet:715135 | Hemoglobin Lepore-beta-thalassemia intermedia |
| HBB | Orphanet:715140 | Hemoglobin Lepore-beta-thalassemia major |
| HBB | Orphanet:715143 | Heterozygous beta-thalassemia intermedia with supernumerary alpha-globin gene |
| HBB | Orphanet:715157 | Low oxygen affinity beta chain hemoglobin disease |
| HBB | Orphanet:90039 | Hemoglobin D disease |
| HBA2 | Orphanet:163596 | Hemoglobin Bart’s fetalis syndrome |
| HBA2 | Orphanet:247511 | Autosomal dominant secondary polycythemia |
| HBA2 | Orphanet:330041 | Hemoglobin M disease |
| HBA2 | Orphanet:707789 | Unstable alpha globin chain variant disease |
| HBA2 | Orphanet:715143 | Heterozygous beta-thalassemia intermedia with supernumerary alpha-globin gene |
| HBA2 | Orphanet:715154 | Low oxygen affinity alpha chain hemoglobin disease |
| HBA2 | Orphanet:93616 | Hemoglobin H disease |
| HBA2 | Orphanet:98791 | Alpha-thalassemia-intellectual disability syndrome linked to chromosome 16 |
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 |
|---|---|---|---|---|---|
| HBB | HGNC:4827 | ENSG00000244734 | P68871 | Hemoglobin subunit beta | gencc,clinvar |
| HBA2 | HGNC:4824 | ENSG00000188536 | P69905 | Hemoglobin subunit alpha | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| HBB | Hemoglobin subunit beta | Involved in oxygen transport from the lung to the various peripheral tissues. |
| HBA2 | Hemoglobin subunit alpha | Involved in oxygen transport from the lung to the various peripheral tissues. |
Protein-family classification
Druggable: 0 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.0
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 |
|---|---|---|---|
| Other/Unknown | 2 | 1.8× | 0.312 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| HBB | Other/Unknown | no | Globin, Hemoglobin_b, Globin-like_sf | |
| HBA2 | Other/Unknown | no | Globin, Hemoglobin_a-typ, Hemoglobin_pi |
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 |
|---|---|
| monocyte | 2 |
| trabecular bone tissue | 1 |
| vena cava | 1 |
| blood | 1 |
| bone element | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| HBB | 284 | broad | marker | monocyte, trabecular bone tissue, vena cava |
| HBA2 | 143 | tissue_specific | marker | monocyte, blood, bone element |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HBB | 454 |
| HBA2 | 434 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| HBA2 | HBB | intact |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HBA2 | P69905 | 356 |
| HBB | P68871 | 350 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 10. 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 |
|---|---|---|---|---|
| Heme assimilation | 2 | 3806.7× | 5e-07 | HBB, HBA2 |
| Erythrocytes take up oxygen and release carbon dioxide | 2 | 1268.9× | 3e-06 | HBB, HBA2 |
| Erythrocytes take up carbon dioxide and release oxygen | 2 | 878.5× | 3e-06 | HBB, HBA2 |
| Scavenging of heme from plasma | 2 | 878.5× | 3e-06 | HBB, HBA2 |
| Heme signaling | 2 | 215.5× | 4e-05 | HBB, HBA2 |
| Cytoprotection by HMOX1 | 2 | 184.2× | 5e-05 | HBB, HBA2 |
| Chaperone Mediated Autophagy | 1 | 248.3× | 0.006 | HBB |
| Late endosomal microautophagy | 1 | 163.1× | 0.008 | HBB |
| Factors involved in megakaryocyte development and platelet production | 1 | 33.2× | 0.033 | HBB |
| Neutrophil degranulation | 1 | 11.5× | 0.085 | HBB |
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 |
|---|---|---|---|---|
| nitric oxide transport | 2 | 3370.4× | 9e-07 | HBB, HBA2 |
| cellular oxidant detoxification | 2 | 1872.4× | 2e-06 | HBB, HBA2 |
| carbon dioxide transport | 2 | 1296.3× | 2e-06 | HBB, HBA2 |
| oxygen transport | 2 | 1053.2× | 3e-06 | HBB, HBA2 |
| hydrogen peroxide catabolic process | 2 | 674.1× | 5e-06 | HBB, HBA2 |
| erythrocyte development | 2 | 526.6× | 8e-06 | HBB, HBA2 |
| response to hydrogen peroxide | 2 | 468.1× | 8e-06 | HBB, HBA2 |
| inflammatory response | 2 | 37.7× | 0.001 | HBB, HBA2 |
| renal absorption | 1 | 842.6× | 0.002 | HBB |
| blood vessel diameter maintenance | 1 | 312.1× | 0.004 | HBB |
| positive regulation of nitric oxide biosynthetic process | 1 | 227.7× | 0.005 | HBB |
| platelet aggregation | 1 | 168.5× | 0.006 | HBB |
| regulation of blood pressure | 1 | 110.9× | 0.009 | HBB |
Therapeutics
Drugs indicated or in trials for this disease
5 approved drugs — disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Status |
|---|---|
| Betibeglogene Autotemcel | Approved (phase 4) |
| Deferasirox | Approved (phase 4) |
| Deferiprone | Approved (phase 4) |
| Exagamglogene Autotemcel | Approved (phase 4) |
| Luspatercept | Approved (phase 4) |
20 drugs in clinical trials for this disease (phase 2–3, investigational): efficacy not established — a trial record, not an indication.
| Drug | Highest phase |
|---|---|
| Blood Cells, Red | Phase 3 |
| Deferoxamine | Phase 3 |
| Mitapivat | Phase 3 |
| Sildenafil | Phase 3 |
| Thalidomide | Phase 3 |
| Alemtuzumab | Phase 2 |
| Amlodipine | Phase 2 |
| Ascorbic Acid | Phase 2 |
| Azacitidine | Phase 2 |
| Bitopertin | Phase 2 |
| Busulfan | Phase 2 |
| Epoetin Alfa | Phase 2 |
| Fludarabine | Phase 2 |
| Hydroxyurea | Phase 2 |
| Levocarnitine | Phase 2 |
| Metoprolol | Phase 2 |
| Phenylbutanoic Acid | Phase 2 |
| Ruxolitinib | Phase 2 |
| Sirolimus | Phase 2 |
| Sotatercept | Phase 2 |
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 1
Druggability breadth: 2 of 2 evidence-associated genes (100%) 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 |
|---|---|
| HBB | CANDESARTAN CILEXETIL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| HBB | 23 | 4 |
| HBA2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| CANDESARTAN CILEXETIL | 4 | HBB |
| MECHLORETHAMINE HYDROCHLORIDE | 4 | HBB |
| PHENAZOPYRIDINE HYDROCHLORIDE | 4 | HBB |
| MERCAPTOPURINE ANHYDROUS | 4 | HBB |
| AZACITIDINE | 4 | HBB |
| AZATHIOPRINE | 4 | HBB |
| TOPOTECAN HYDROCHLORIDE | 4 | HBB |
| ACYCLOVIR | 4 | HBB |
| FLUOROURACIL | 4 | HBB |
| RAUWOLFIA SERPENTINA | 4 | HBB |
| HYDROQUINONE | 4 | HBB |
| MENADIONE | 4 | HBB |
| THIOTEPA | 4 | HBB |
| THIOGUANINE | 4 | HBB |
| RESERPINE | 4 | HBB |
| CURCUMIN | 3 | HBB |
| HYDROXYCAMPTOTHECIN | 3 | HBB |
| MOLIBRESIB | 2 | HBB |
| FISETIN | 2 | HBB |
| TEROXIRONE | 2 | HBB |
| 5-FLUOROURIDINE | 2 | HBB |
| ELLAGIC ACID | 2 | HBB |
| BAICALEIN | 2 | HBB |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HBB | 68 | Binding:50, Functional:18 |
| HBA2 | 59 | Binding:46, Functional:13 |
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
22 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) |
|---|---|---|
| CANDESARTAN CILEXETIL | 4 | HBB |
| MECHLORETHAMINE HYDROCHLORIDE | 4 | HBB |
| PHENAZOPYRIDINE HYDROCHLORIDE | 4 | HBB |
| MERCAPTOPURINE ANHYDROUS | 4 | HBB |
| AZATHIOPRINE | 4 | HBB |
| TOPOTECAN HYDROCHLORIDE | 4 | HBB |
| ACYCLOVIR | 4 | HBB |
| FLUOROURACIL | 4 | HBB |
| RAUWOLFIA SERPENTINA | 4 | HBB |
| HYDROQUINONE | 4 | HBB |
| MENADIONE | 4 | HBB |
| THIOTEPA | 4 | HBB |
| THIOGUANINE | 4 | HBB |
| RESERPINE | 4 | HBB |
| CURCUMIN | 3 | HBB |
| HYDROXYCAMPTOTHECIN | 3 | HBB |
| MOLIBRESIB | 2 | HBB |
| FISETIN | 2 | HBB |
| TEROXIRONE | 2 | HBB |
| 5-FLUOROURIDINE | 2 | HBB |
| ELLAGIC ACID | 2 | HBB |
| BAICALEIN | 2 | HBB |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | HBB |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 1 | HBA2 |
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) |
|---|---|---|
| HBA2 | 59 | HBB |
Clinical trials & evidence
Clinical trials
Clinical trials: 105.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 40 |
| PHASE2 | 30 |
| PHASE3 | 10 |
| PHASE1/PHASE2 | 10 |
| PHASE1 | 5 |
| PHASE4 | 4 |
| PHASE2/PHASE3 | 3 |
| EARLY_PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00103753 | PHASE4 | UNKNOWN | Combined Chelation Treatment With Deferiprone and Deferoxamine in Thalassemia Major |
| NCT00564941 | PHASE4 | COMPLETED | Evaluating the Efficacy of Deferasirox in Transfusion Dependent Chronic Anaemias (Myelodysplastic Syndrome, Beta-thalassaemia Patients) With Chronic Iron Overload |
| NCT00733811 | PHASE4 | COMPLETED | Efficacy Study of the Use of Sequential DFP-DFO Versus DFP |
| NCT03961828 | PHASE4 | COMPLETED | Hyalornic Acid Level in β-Thalassemic Children Treated for Hepatitis C Virus |
| NCT04064060 | PHASE3 | RECRUITING | A Study to Evaluate Long-term Safety in Participants Who Have Participated in Other Luspatercept (ACE-536) Clinical Trials |
| NCT04208529 | PHASE3 | ENROLLING_BY_INVITATION | A Long-term Follow-up Study in Participants Who Received CTX001 |
| NCT05356195 | PHASE3 | ACTIVE_NOT_RECRUITING | Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Transfusion-Dependent β-Thalassemia (TDT) |
| NCT05477563 | PHASE3 | RECRUITING | Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease |
| NCT07157722 | PHASE3 | NOT_YET_RECRUITING | Evaluating the Effect of N-Acetyl Cysteine and Alpha Lipoic Acid in Patients With Beta Thalassemia |
| NCT00061750 | PHASE3 | COMPLETED | Safety & Efficacy of ICL670 vs. Deferoxamine in Beta-thalassemia Patients With Iron Overload Due to Blood Transfusions |
| NCT00171171 | PHASE3 | COMPLETED | A Study of Long-term Treatment With Deferasirox in Patients With Beta-thalassemia and Transfusional Hemosiderosis |
| NCT01016093 | PHASE2/PHASE3 | UNKNOWN | Zoledronic Acid for the Prevention of Bone Loss Post-bone Marrow Transplantation for Thalassemia Major Patients |
| NCT02604433 | PHASE3 | COMPLETED | An Efficacy and Safety Study of Luspatercept (ACE-536) Versus Placebo in Adults Who Require Regular Red Blood Cell Transfusions Due to Beta (β) Thalassemia |
| NCT02906202 | PHASE3 | COMPLETED | A Study Evaluating the Efficacy and Safety of the LentiGlobin® BB305 Drug Product in Participants With Transfusion-Dependent β-Thalassemia, Who do Not Have a β0/β0 Genotype |
| NCT03207009 | PHASE3 | COMPLETED | A Study Evaluating the Efficacy and Safety of the LentiGlobin® BB305 Drug Product in Participants With Transfusion-Dependent β-Thalassemia |
| NCT03655678 | PHASE2/PHASE3 | COMPLETED | A Safety and Efficacy Study Evaluating CTX001 in Participants With Transfusion-Dependent β-Thalassemia |
| NCT03728543 | PHASE2/PHASE3 | UNKNOWN | the Efficacy and Safety of Sugammadex in Children 0-2 Years Old |
| NCT00408447 | PHASE2 | ACTIVE_NOT_RECRUITING | Stem Cell Transplant in Sickle Cell Disease and Thalassemia |
| NCT04099966 | PHASE2 | RECRUITING | AlloSCT for Malignant and Non-malignant Hematologic Diseases Utilizing Alpha/Beta T Cell and CD19+ B Cell Depletion |
| NCT04143724 | PHASE2 | RECRUITING | Study of Safety & PK of Luspatercept (ACE-536) in Pediatric Participants With Beta (β)-Thalassemia |
| NCT04432623 | PHASE1/PHASE2 | ENROLLING_BY_INVITATION | The BENeFiTS Trial in Beta Thalassemia Intermedia |
| NCT05357482 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Addition of JSP191 (C-kit Antibody) to Nonmyeloablative Hematopoietic Cell Transplantation for Sickle Cell Disease and Beta-Thalassemia |
| NCT05567458 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Evaluate Luspatercept (ACE-536) in Chinese Participants Who Require Regular Red Blood Cell Transfusions Due to Beta (β)-Thalassemia. |
| NCT05577312 | PHASE1/PHASE2 | ENROLLING_BY_INVITATION | Safety and Efficacy Evaluation of BRL-101 in Subjects With Transfusion-Dependent β-Thalassemia |
| NCT06308159 | PHASE1/PHASE2 | RECRUITING | An Open-label Study of a Gene Therapy Product (Vebeglogene Autotemcel) in Transfusion Dependent Beta-Thalassemia |
| NCT06364774 | PHASE1/PHASE2 | RECRUITING | ALS20-101 Lentiviral Gene Therapy for Beta Thalassemia |
| NCT06490601 | PHASE2 | ACTIVE_NOT_RECRUITING | Long Term Beta Thalassemia Treatment: Findings From The Extension Period |
| NCT07599176 | PHASE1/PHASE2 | RECRUITING | Partial Stem Cell Transplant for Sickle Cell Disease From Matched Donors |
| NCT00000588 | PHASE2 | COMPLETED | Chelation Therapy of Iron Overload With Pyridoxal Isonicotinoyl Hydrazone |
| NCT00000595 | PHASE2 | COMPLETED | Evaluation of Subcutaneous Desferrioxamine as Treatment for Transfusional Hemochromatosis |
| NCT00001958 | PHASE2 | COMPLETED | Hydroxyurea to Treat Beta-Thalassemia (Cooley’s Anemia) |
| NCT00005934 | PHASE2 | COMPLETED | 5-Azacytidine and Phenylbutyrate to Treat Severe Thalassemia |
| NCT00006136 | PHASE2 | COMPLETED | Phase II Study of Arginine Butyrate With or Without Epoetin Alfa in Patients With Thalassemia Intermedia |
| NCT00029380 | PHASE2 | COMPLETED | Cord Blood Transplantation for Sickle Cell Anemia and Thalassemia |
| NCT00061763 | PHASE2 | COMPLETED | Study of Deferasirox in Iron Overload From Beta-thalassemia Unable to be Treated With Deferoxamine or Chronic Anemias |
| NCT00069862 | PHASE1/PHASE2 | COMPLETED | Iron Balance Study of DFO and GT56-252 in Patients With Transfusional Iron Overload Secondary to Beta-Thalassemia |
| NCT00115349 | PHASE2 | TERMINATED | Combination Therapy Compared With Single-Drug Therapy in Patients With Cardiac Diseases |
| NCT00447694 | PHASE2 | COMPLETED | Cardiac T2* in Beta-thalassemia Patients on Deferasirox Treatment |
| NCT00790127 | PHASE1/PHASE2 | COMPLETED | Phase 1/2 Study of HQK-1001 in Patients With Beta Thalassemia |
| NCT01049854 | PHASE2 | COMPLETED | CD34+Selection for Partially Matched Family or Matched Unrelated Adult Donor Transplant |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| DEFERASIROX | 4 | 7 |
| DEFEROXAMINE | 4 | 7 |
| DEFERIPRONE | 4 | 5 |
| LUSPATERCEPT | 4 | 5 |
| EXAGAMGLOGENE AUTOTEMCEL | 4 | 4 |
| PLERIXAFOR | 4 | 2 |
| ALEMTUZUMAB | 4 | 1 |
| AZACITIDINE | 4 | 1 |
| EPOETIN ALFA | 4 | 1 |
| HYDROXYUREA | 4 | 1 |
| PROTEIN C CONCENTRATE (HUMAN) | 4 | 1 |
| SOTATERCEPT | 4 | 1 |
| VITAMIN E | 4 | 1 |
| ZOLEDRONIC ACID ANHYDROUS | 4 | 1 |
| ARGININE | 3 | 1 |
| BITOPERTIN | 3 | 1 |
| DIMEBUTIC ACID | 2 | 5 |
| DEFERITAZOLE | 2 | 4 |
| SP-420 | 2 | 2 |
| ARGININE BUTYRATE | 2 | 1 |
| BRIQUILIMAB | 2 | 1 |
| DEFERITRIN | 2 | 1 |
| SAPABLURSEN | 2 | 1 |
| CHEMBL4635234 | 0 | 4 |
| CHEMBL267484 | 0 | 1 |
| ARACHIDONIC ACID | -1 | 1 |