Charcot-Marie-Tooth disease type 1A
disease diseaseOn this page
Also known as Charcot Marie Tooth disease type 1ACharcot-Marie-Tooth disease, demyelinating, type 1ACharcot-Marie-Tooth disease, type 1ACharcot-Marie-Tooth syndrome type 1ACMT 1ACMT1Ahereditary motor and sensory neuropathy 1AHMSN 1AHMSN1Amicroduplication 17p12
Summary
Charcot-Marie-Tooth disease type 1A (MONDO:0007309) is a disease caused by PMP22 (GenCC Definitive), with 6 cohort genes and 14 clinical trials. Top therapeutic interventions include ulipristal acetate.
At a glance
- Prevalence: 1-5 / 10 000 (Worldwide) [Orphanet-validated]
- Causal gene: PMP22 (GenCC Definitive)
- Cohort genes: 6
- ClinVar variants: 50
- Phenotypes (HPO): 20
- Clinical trials: 14
Clinical features
Epidemiology
Prevalence records
3 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-5 / 10 000 | Worldwide | Validated | |
| Point prevalence | 6-9 / 10 000 | 82.37 | Norway | Validated |
| Point prevalence | 1-5 / 10 000 | 15.2 | United Kingdom | Validated |
Signs & symptoms
Clinical features (HPO)
20 HPO clinical features (Orphanet curated; top 20 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001265 | Hyporeflexia | Frequent (30-79%) |
| HP:0001288 | Gait disturbance | Frequent (30-79%) |
| HP:0001761 | Pes cavus | Frequent (30-79%) |
| HP:0002460 | Distal muscle weakness | Frequent (30-79%) |
| HP:0002936 | Distal sensory impairment | Frequent (30-79%) |
| HP:0003202 | Skeletal muscle atrophy | Frequent (30-79%) |
| HP:0003431 | Decreased motor nerve conduction velocity | Frequent (30-79%) |
| HP:0003448 | Decreased sensory nerve conduction velocity | Frequent (30-79%) |
| HP:0003701 | Proximal muscle weakness | Frequent (30-79%) |
| HP:0007108 | Demyelinating peripheral neuropathy | Frequent (30-79%) |
| HP:0010871 | Sensory ataxia | Frequent (30-79%) |
| HP:0002141 | Gait imbalance | Occasional (5-29%) |
| HP:0002751 | Kyphoscoliosis | Occasional (5-29%) |
| HP:0003401 | Paresthesia | Occasional (5-29%) |
| HP:0007131 | Acute demyelinating polyneuropathy | Occasional (5-29%) |
| HP:0008981 | Calf muscle hypertrophy | Occasional (5-29%) |
| HP:0009113 | Diaphragmatic weakness | Occasional (5-29%) |
| HP:0010833 | Spontaneous pain sensation | Occasional (5-29%) |
| HP:0030834 | Shoulder pain | Occasional (5-29%) |
| HP:0006801 | Hyperactive deep tendon reflexes | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Charcot-Marie-Tooth disease type 1A |
| Mondo ID | MONDO:0007309 |
| OMIM | 118220 |
| Orphanet | 101081 |
| DOID | DOID:0110148 |
| NCIT | C75468 |
| UMLS | C0270911 |
| MedGen | 75727 |
| GARD | 0001245 |
| Is cancer (heuristic) | no |
Also known as: Charcot Marie Tooth disease type 1A · Charcot-Marie-Tooth disease type 1A · Charcot-Marie-Tooth disease, demyelinating, type 1A · Charcot-Marie-Tooth disease, type 1A · Charcot-Marie-Tooth syndrome type 1A · CMT 1A · CMT1A · hereditary motor and sensory neuropathy 1A · HMSN 1A · HMSN1A · microduplication 17p12
Data availability: 50 ClinVar variants · 6 GenCC gene-disease records · 36 cell lines.
Disease family
Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › chromosomal disorder › syndrome caused by partial chromosomal duplication › partial duplication of chromosome 17 › partial duplication of the short arm of chromosome 17 › Charcot-Marie-Tooth disease type 1A
Related subtypes (3): Potocki-Lupski syndrome, chromosome 17p13.3 duplication syndrome, trisomy 17p
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
50 retrieved; paginated sample, class counts are floors:
22 pathogenic, 12 uncertain significance, 6 likely pathogenic, 4 conflicting classifications of pathogenicity, 3 pathogenic/likely pathogenic, 2 benign/likely benign, 1 not provided
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1330204 | GRCh37/hg19 17p12(chr17:14096089-15492591)x3 | CDRT15 | Pathogenic | criteria provided, single submitter |
| 4820244 | Single allele | CDRT15 | Pathogenic | criteria provided, single submitter |
| 625724 | GRCh37/hg19 17p12(chr17:14063251-15449627) | CDRT15 | Pathogenic | criteria provided, single submitter |
| 625726 | GRCh37/hg19 17p12(chr17:14104012-15422557) | CDRT15 | Pathogenic | criteria provided, single submitter |
| 625728 | GRCh37/hg19 17p12(chr17:14105874-15611546) | CDRT15 | Pathogenic | criteria provided, single submitter |
| 4820236 | Single allele | CDRT4 | Pathogenic | criteria provided, single submitter |
| 3899836 | Single allele | HS3ST3B1 | Pathogenic | criteria provided, single submitter |
| 9647 | NC_012920.1(MT-ATP6):m.9185T>C | MT-ATP6 | Pathogenic | reviewed by expert panel |
| 127097 | GRCh38/hg20 17p12(chr17:14170534-15591587)x4 | PMP22 | Pathogenic | no assertion criteria provided |
| 1349839 | NM_000304.4(PMP22):c.68C>A (p.Thr23Lys) | PMP22 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 217238 | NM_000304.4(PMP22):c.434del (p.Leu145fs) | PMP22 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2500820 | NC_000017.10:g.(?15133094)(15164078_?)dup | PMP22 | Pathogenic | criteria provided, single submitter |
| 30158 | NM_000304.4(PMP22):c.281del (p.Gly94fs) | PMP22 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 433198 | NM_000304.4(PMP22):c.449G>T (p.Gly150Val) | PMP22 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 568922 | NM_000304.4(PMP22):c.261_262del (p.Phe88fs) | PMP22 | Pathogenic | criteria provided, single submitter |
| 835185 | NM_000304.4(PMP22):c.35A>G (p.His12Arg) | PMP22 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 8427 | NC_000017.11:g.(?14440201)(15475424_?)dup | PMP22 | Pathogenic | no assertion criteria provided |
| 8428 | NM_000304.4(PMP22):c.47T>C (p.Leu16Pro) | PMP22 | Pathogenic | criteria provided, single submitter |
| 8429 | NM_000304.4(PMP22):c.236C>G (p.Ser79Cys) | PMP22 | Pathogenic | criteria provided, single submitter |
| 8432 | NM_000304.4(PMP22):c.206T>A (p.Met69Lys) | PMP22 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 8433 | NM_000304.4(PMP22):c.215C>T (p.Ser72Leu) | PMP22 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 8437 | NM_000304.4(PMP22):c.281dup (p.Arg95fs) | PMP22 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 8445 | NM_000304.4(PMP22):c.65C>T (p.Ser22Phe) | PMP22 | Pathogenic | no assertion criteria provided |
| 977285 | NC_000017.11:g.15133096_15164093dup | PMP22 | Pathogenic | criteria provided, single submitter |
| 598751 | Single allele | TEKT3 | Pathogenic | criteria provided, single submitter |
| 4820067 | NC_000017.11:g.(?14186441)(15556441_?)dup | CDRT15 | Likely pathogenic | criteria provided, single submitter |
| 217236 | NM_000304.4(PMP22):c.235T>A (p.Ser79Thr) | PMP22 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 3776239 | NM_000304.4(PMP22):c.96_102dup (p.Ala35fs) | PMP22 | Likely pathogenic | criteria provided, single submitter |
| 3896952 | NM_000304.4(PMP22):c.201del (p.Thr68fs) | PMP22 | Likely pathogenic | criteria provided, single submitter |
| 448092 | NM_000304.4(PMP22):c.431C>G (p.Pro144Arg) | PMP22 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 21 · Orphanet: 14 · 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 |
|---|---|---|---|---|
| PMP22 | Definitive | Autosomal dominant | Charcot-Marie-Tooth disease type 1A | 21 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| PMP22 | Orphanet:101081 | Charcot-Marie-Tooth disease type 1A |
| PMP22 | Orphanet:3115 | Roussy-Lévy syndrome |
| PMP22 | Orphanet:640 | Hereditary neuropathy with liability to pressure palsies |
| PMP22 | Orphanet:64748 | Dejerine-Sottas syndrome |
| PMP22 | Orphanet:90658 | Charcot-Marie-Tooth disease type 1E |
| PMP22 | Orphanet:98916 | Acute inflammatory demyelinating polyradiculoneuropathy |
| TEKT3 | Orphanet:276234 | Non-syndromic male infertility due to sperm motility disorder |
| MT-ATP6 | Orphanet:104 | Leber hereditary optic neuropathy |
| MT-ATP6 | Orphanet:225154 | Familial infantile bilateral striatal necrosis |
| MT-ATP6 | Orphanet:254913 | Isolated ATP synthase deficiency |
| MT-ATP6 | Orphanet:255210 | Mitochondrial DNA-associated Leigh syndrome |
| MT-ATP6 | Orphanet:320360 | MT-ATP6-related mitochondrial spastic paraplegia |
| MT-ATP6 | Orphanet:397750 | Periodic paralysis with later-onset distal motor neuropathy |
| MT-ATP6 | Orphanet:644 | NARP syndrome |
Cohort genes → proteins
6 cohort genes, 6 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| PMP22 | HGNC:9118 | ENSG00000109099 | Q01453 | Peripheral myelin protein 22 | gencc,clinvar |
| TEKT3 | HGNC:14293 | ENSG00000125409 | Q9BXF9 | Tektin-3 | clinvar |
| CDRT4 | HGNC:14383 | ENSG00000239704 | Q8N9R6 | CMT1A duplicated region transcript 4 protein | clinvar |
| CDRT15 | HGNC:14395 | ENSG00000223510 | Q96T59 | CMT1A duplicated region transcript 15 protein | clinvar |
| HS3ST3B1 | HGNC:5198 | ENSG00000125430 | Q9Y662 | Heparan sulfate glucosamine 3-O-sulfotransferase 3B1 | clinvar |
| MT-ATP6 | HGNC:7414 | ENSG00000198899 | P00846 | ATP synthase F(0) complex subunit a | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| PMP22 | Peripheral myelin protein 22 | Might be involved in growth regulation, and in myelinization in the peripheral nervous system. |
| TEKT3 | Tektin-3 | Microtubule inner protein (MIP) part of the dynein-decorated doublet microtubules (DMTs) in cilia and flagellar axoneme. |
| HS3ST3B1 | Heparan sulfate glucosamine 3-O-sulfotransferase 3B1 | Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) to catalyze the transfer of a sulfo group to an N-unsubstituted glucosamine linked to a 2-O-sulfo iduronic acid unit on heparan sulfate. |
| MT-ATP6 | ATP synthase F(0) complex subunit a | Subunit a, of the mitochondrial membrane ATP synthase complex (F(1)F(0) ATP synthase or Complex V) that produces ATP from ADP in the presence of a proton gradient across the membrane which is generated by electron transport complexes of th… |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 5 · Druggable fraction: 0.17
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 | 5 | 1.5× | 0.348 |
| Enzyme (other) | 1 | 2.0× | 0.407 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| PMP22 | Other/Unknown | no | PMP22, PMP22/EMP/MP20/Claudin, PMP22_EMP_MP20 | |
| TEKT3 | Other/Unknown | no | Tektins, Tektin-like | |
| CDRT4 | Other/Unknown | no | CDRT4 | |
| CDRT15 | Other/Unknown | no | ||
| HS3ST3B1 | Enzyme (other) | yes | 2.8.2.30 | Sulfotransferase_dom, P-loop_NTPase, NST/OST |
| MT-ATP6 | Other/Unknown | no | ATP_synth_F0_asu, ATP_synth_F0_asu_AS, F0_ATP_A_sf |
Expression context
Cohort genes with no expression data: 0.
4 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) | 6 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| left testis | 2 |
| right testis | 2 |
| dorsal root ganglion | 1 |
| olfactory bulb | 1 |
| trigeminal ganglion | 1 |
| testis | 1 |
| adenohypophysis | 1 |
| pituitary gland | 1 |
| right uterine tube | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| epithelium of nasopharynx | 1 |
| parotid gland | 1 |
| tibia | 1 |
| descending thoracic aorta | 1 |
| left uterine tube | 1 |
| mucosa of stomach | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| PMP22 | 294 | ubiquitous | marker | olfactory bulb, trigeminal ganglion, dorsal root ganglion |
| TEKT3 | 164 | tissue_specific | marker | left testis, right testis, testis |
| CDRT4 | 134 | tissue_specific | yes | right uterine tube, pituitary gland, adenohypophysis |
| CDRT15 | 127 | yes | right testis, male germ line stem cell (sensu Vertebrata) in testis, left testis | |
| HS3ST3B1 | 206 | ubiquitous | marker | tibia, parotid gland, epithelium of nasopharynx |
| MT-ATP6 | 134 | ubiquitous | marker | mucosa of stomach, left uterine tube, descending thoracic aorta |
Protein interactions among cohort
Intra-cohort edges: 5.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MT-ATP6 | 2,869 |
| TEKT3 | 1,469 |
| PMP22 | 647 |
| HS3ST3B1 | 459 |
| CDRT4 | 178 |
| CDRT15 | 137 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| CDRT15 | CDRT4 | string_interaction |
| CDRT15 | HS3ST3B1 | string_interaction |
| CDRT15 | TEKT3 | string_interaction |
| CDRT4 | HS3ST3B1 | string_interaction |
| CDRT4 | TEKT3 | string_interaction |
Structural data
PDB: 2 · AlphaFold-only: 4 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| MT-ATP6 | P00846 | 10 |
| TEKT3 | Q9BXF9 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| PMP22 | Q01453 | 89.87 |
| HS3ST3B1 | Q9Y662 | 83.45 |
| CDRT4 | Q8N9R6 | 66.42 |
| CDRT15 | Q96T59 | 52.21 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 11. Enrichment computed across 6 evidence-associated genes (3 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 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Formation of ATP by chemiosmotic coupling | 1 | 190.3× | 0.024 | MT-ATP6 |
| EGR2 and SOX10-mediated initiation of Schwann cell myelination | 1 | 122.8× | 0.024 | PMP22 |
| HS-GAG biosynthesis | 1 | 115.3× | 0.024 | HS3ST3B1 |
| Cristae formation | 1 | 115.3× | 0.024 | MT-ATP6 |
| Mitochondrial biogenesis | 1 | 56.0× | 0.039 | MT-ATP6 |
| Mitochondrial protein degradation | 1 | 38.1× | 0.043 | MT-ATP6 |
| Mitochondrial translation termination | 1 | 36.6× | 0.043 | MT-ATP6 |
| Aerobic respiration and respiratory electron transport | 1 | 29.5× | 0.046 | MT-ATP6 |
| Organelle biogenesis and maintenance | 1 | 22.0× | 0.055 | MT-ATP6 |
| Metabolism of proteins | 1 | 4.1× | 0.237 | MT-ATP6 |
| Metabolism | 1 | 3.9× | 0.237 | MT-ATP6 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| regulation of brood size | 1 | 4213.0× | 0.005 | TEKT3 |
| myelin assembly | 1 | 468.1× | 0.015 | PMP22 |
| bleb assembly | 1 | 383.0× | 0.015 | PMP22 |
| response to hyperoxia | 1 | 280.9× | 0.015 | MT-ATP6 |
| glycosaminoglycan biosynthetic process | 1 | 210.7× | 0.015 | HS3ST3B1 |
| proton motive force-driven ATP synthesis | 1 | 200.6× | 0.015 | MT-ATP6 |
| cilium movement involved in cell motility | 1 | 168.5× | 0.015 | TEKT3 |
| peripheral nervous system development | 1 | 145.3× | 0.015 | PMP22 |
| heparan sulfate proteoglycan biosynthetic process | 1 | 140.4× | 0.015 | HS3ST3B1 |
| branching involved in ureteric bud morphogenesis | 1 | 91.6× | 0.021 | HS3ST3B1 |
| proton transmembrane transport | 1 | 78.0× | 0.022 | MT-ATP6 |
| proton motive force-driven mitochondrial ATP synthesis | 1 | 65.8× | 0.024 | MT-ATP6 |
| negative regulation of neuron projection development | 1 | 59.3× | 0.024 | PMP22 |
| flagellated sperm motility | 1 | 29.3× | 0.046 | TEKT3 |
| chemical synaptic transmission | 1 | 19.3× | 0.063 | PMP22 |
| cilium assembly | 1 | 18.4× | 0.063 | TEKT3 |
| negative regulation of cell population proliferation | 1 | 10.5× | 0.102 | PMP22 |
| cell differentiation | 1 | 7.3× | 0.132 | PMP22 |
| apoptotic process | 1 | 7.2× | 0.132 | PMP22 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 5
Druggability breadth: 2 of 6 evidence-associated genes (33%) 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 |
|---|---|
| PMP22 | PROGESTERONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PMP22 | 213 | 4 |
| TEKT3 | 0 | 0 |
| CDRT4 | 0 | 0 |
| CDRT15 | 0 | 0 |
| HS3ST3B1 | 0 | 0 |
| MT-ATP6 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PROGESTERONE | 4 | PMP22 |
| CLOTRIMAZOLE | 4 | PMP22 |
| OXAPROZIN | 4 | PMP22 |
| SALMETEROL XINAFOATE | 4 | PMP22 |
| AMIODARONE HYDROCHLORIDE | 4 | PMP22 |
| TRIHEXYPHENIDYL HYDROCHLORIDE | 4 | PMP22 |
| AMOXAPINE | 4 | PMP22 |
| RALOXIFENE HYDROCHLORIDE | 4 | PMP22 |
| IDARUBICIN | 4 | PMP22 |
| OXYBUTYNIN CHLORIDE | 4 | PMP22 |
| PINACIDIL ANHYDROUS | 4 | PMP22 |
| NICARDIPINE HYDROCHLORIDE | 4 | PMP22 |
| PILOCARPINE HYDROCHLORIDE | 4 | PMP22 |
| PROTRIPTYLINE HYDROCHLORIDE | 4 | PMP22 |
| BENZTROPINE MESYLATE | 4 | PMP22 |
| BUSPIRONE HYDROCHLORIDE | 4 | PMP22 |
| DOBUTAMINE HYDROCHLORIDE | 4 | PMP22 |
| PROMAZINE HYDROCHLORIDE | 4 | PMP22 |
| DICYCLOMINE HYDROCHLORIDE | 4 | PMP22 |
| GUANFACINE HYDROCHLORIDE | 4 | PMP22 |
| HYDROCORTISONE SODIUM SUCCINATE | 4 | PMP22 |
| BROMOCRIPTINE MESYLATE | 4 | PMP22 |
| DIHYDROERGOTAMINE MESYLATE | 4 | PMP22 |
| DOXAZOSIN MESYLATE | 4 | PMP22 |
| CYCLOBENZAPRINE HYDROCHLORIDE | 4 | PMP22 |
| DEXBROMPHENIRAMINE MALEATE | 4 | PMP22 |
| CLOMIPRAMINE HYDROCHLORIDE | 4 | PMP22 |
| CHLORMEZANONE | 4 | PMP22 |
| PROMETHAZINE HYDROCHLORIDE | 4 | PMP22 |
| CITALOPRAM HYDROBROMIDE | 4 | PMP22 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PMP22 | 1 | Functional:1 |
| MT-ATP6 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| HS3ST3B1 | 2.8.2.30 | [heparan sulfate]-glucosamine 3-sulfotransferase 3 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 6; 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) |
|---|---|---|
| PROGESTERONE | 4 | PMP22 |
| CLOTRIMAZOLE | 4 | PMP22 |
| OXAPROZIN | 4 | PMP22 |
| SALMETEROL XINAFOATE | 4 | PMP22 |
| AMIODARONE HYDROCHLORIDE | 4 | PMP22 |
| TRIHEXYPHENIDYL HYDROCHLORIDE | 4 | PMP22 |
| AMOXAPINE | 4 | PMP22 |
| RALOXIFENE HYDROCHLORIDE | 4 | PMP22 |
| IDARUBICIN | 4 | PMP22 |
| OXYBUTYNIN CHLORIDE | 4 | PMP22 |
| PINACIDIL ANHYDROUS | 4 | PMP22 |
| NICARDIPINE HYDROCHLORIDE | 4 | PMP22 |
| PILOCARPINE HYDROCHLORIDE | 4 | PMP22 |
| PROTRIPTYLINE HYDROCHLORIDE | 4 | PMP22 |
| BENZTROPINE MESYLATE | 4 | PMP22 |
| BUSPIRONE HYDROCHLORIDE | 4 | PMP22 |
| DOBUTAMINE HYDROCHLORIDE | 4 | PMP22 |
| PROMAZINE HYDROCHLORIDE | 4 | PMP22 |
| DICYCLOMINE HYDROCHLORIDE | 4 | PMP22 |
| GUANFACINE HYDROCHLORIDE | 4 | PMP22 |
| HYDROCORTISONE SODIUM SUCCINATE | 4 | PMP22 |
| BROMOCRIPTINE MESYLATE | 4 | PMP22 |
| DIHYDROERGOTAMINE MESYLATE | 4 | PMP22 |
| DOXAZOSIN MESYLATE | 4 | PMP22 |
| CYCLOBENZAPRINE HYDROCHLORIDE | 4 | PMP22 |
| DEXBROMPHENIRAMINE MALEATE | 4 | PMP22 |
| CLOMIPRAMINE HYDROCHLORIDE | 4 | PMP22 |
| CHLORMEZANONE | 4 | PMP22 |
| PROMETHAZINE HYDROCHLORIDE | 4 | PMP22 |
| CITALOPRAM HYDROBROMIDE | 4 | PMP22 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | PMP22 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 1 | HS3ST3B1 |
| E | Difficult family or no structure, no drug | 4 | TEKT3, CDRT4, CDRT15, MT-ATP6 |
Undrugged target profiles
5 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| TEKT3 | 0 | — |
| CDRT4 | 0 | — |
| CDRT15 | 0 | — |
| HS3ST3B1 | 0 | — |
| MT-ATP6 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 14.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 8 |
| PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
| PHASE3 | 1 |
| PHASE1/PHASE2 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01289704 | PHASE2/PHASE3 | UNKNOWN | Treadmill, Stretching and Proprioceptive Exercise (TreSPE) Rehabilitation Program for Charcot-Marie-Tooth Neuropathy Type 1A (CMT1A) |
| NCT02579759 | PHASE3 | COMPLETED | Phase III Trial Assessing the Efficacy and Safety of PXT3003 in CMT1A Patients (PLEO-CMT) |
| NCT06328712 | PHASE1/PHASE2 | RECRUITING | Evaluate the Safety and Efficacy of EN001 in Patients With Charcot-Marie-Tooth Disease Type 1A(CMT1A) (Phase 1b: Open-label, Dose-escalation, Single-center; Phase 2a: Randomized, Double-blind, Placebo-controlled, Multicenter) |
| NCT02600286 | PHASE2 | TERMINATED | Ulipristal Acetate In Disease Charcot-Marie-Tooth Type of 1A |
| NCT02967679 | PHASE2 | COMPLETED | SERENDEM : MD1003 in Patients Suffering From Demyelinating Neuropathies, an Open Label Pilot Study |
| NCT07140614 | PHASE1 | RECRUITING | A First in Human Study to Assess the Safety, Tolerability, and Pharmacokinetics of EDK060 in Adults With CMT1A. |
| NCT02596191 | Not specified | ACTIVE_NOT_RECRUITING | Tools for Therapeutic Evaluation in Charcot-Marie-Tooth Disease Type 1A: Outcome Measures and Biomarkers |
| NCT06794489 | Not specified | RECRUITING | Longitudinal Biomarkers With Selected Outcome Measures In CMT |
| NCT07049588 | Not specified | RECRUITING | Identification of Novel Biomarkers in Early Charcot-Marie-Tooth 1A Disease |
| NCT07461896 | Not specified | RECRUITING | Studying Nerve Function and Structure in Charcot-Marie-Tooth Disease, Anti-MAG Neuropathy and CIDP |
| NCT07476365 | Not specified | RECRUITING | A Multi-omic Approach to the Identification of Novel Biomarkers in Early Charcot-Marie-Tooth 1A Disease (CMT1A) |
| NCT07570446 | Not specified | RECRUITING | AUTONOMOUS DISORDERS IN CMT |
| NCT02357355 | Not specified | COMPLETED | Driving Ability in Patients With CMT 1A |
| NCT03278093 | Not specified | UNKNOWN | Effect of Orthoses and Underfoot Vibration on Balance in Neuropathy |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ULIPRISTAL ACETATE | 4 | 1 |