Krabbe disease
diseaseOn this page
Also known as diffuse globoid body sclerosisgalactocerebrosidase deficiencygalactosylceramidase deficiencygalactosylceramide lipidosisGALC deficiencyGALC enzyme deficiencyGLDgloboid cell leukodystrophygloboid cell leukoencephalopathyKrabbe leukodystrophyKrabbe's leukodystrophylater onset Krabbe diseaselater-onset Krabbe diseaseLeukodystrophy, Krabbe's
Summary
Krabbe disease (MONDO:0009499) is a disease caused by GALC (GenCC Definitive), with 3 cohort genes and 18 clinical trials. Top therapeutic interventions include cyclophosphamide anhydrous, alemtuzumab, and busulfan.
At a glance
- Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
- Causal gene: GALC (GenCC Definitive)
- Cohort genes: 3
- ClinVar variants: 1,406
- Phenotypes (HPO): 50
- Clinical trials: 18
Clinical features
Epidemiology
Prevalence records
12 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Prevalence at birth | 1-9 / 1 000 000 | 0.7 | Worldwide | Validated |
| Point prevalence | 1-9 / 100 000 | 1 | Europe | Validated |
| Prevalence at birth | 1-9 / 1 000 000 | 0.327 | United States | Validated |
| Prevalence at birth | 1-9 / 1 000 000 | 0.7 | France | Validated |
| Prevalence at birth | 1-9 / 1 000 000 | 0.71 | Australia | Validated |
| Prevalence at birth | 1-9 / 100 000 | 1.35 | Netherlands | Validated |
| Prevalence at birth | 1-9 / 100 000 | 1.21 | Portugal | Validated |
| Prevalence at birth | 1-9 / 1 000 000 | 0.6 | Germany | Validated |
| Prevalence at birth | 1-9 / 100 000 | 1 | Turkey | Validated |
| Prevalence at birth | 1-9 / 1 000 000 | 0.4 | Czech Republic | Validated |
| Prevalence at birth | 1-9 / 100 000 | 1.9 | Sweden | Validated |
| Prevalence at birth | 1-9 / 100 000 | 1 | Europe | Not yet validated |
Signs & symptoms
Clinical features (HPO)
50 HPO clinical features (Orphanet curated; top 50 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000365 | Hearing impairment | Very frequent (80-99%) |
| HP:0000407 | Sensorineural hearing impairment | Very frequent (80-99%) |
| HP:0000505 | Visual impairment | Very frequent (80-99%) |
| HP:0000708 | Atypical behavior | Very frequent (80-99%) |
| HP:0000763 | Sensory neuropathy | Very frequent (80-99%) |
| HP:0001172 | Abnormal thumb morphology | Very frequent (80-99%) |
| HP:0001251 | Ataxia | Very frequent (80-99%) |
| HP:0001257 | Spasticity | Very frequent (80-99%) |
| HP:0001263 | Global developmental delay | Very frequent (80-99%) |
| HP:0001939 | Abnormality of metabolism/homeostasis | Very frequent (80-99%) |
| HP:0002676 | Cloverleaf skull | Very frequent (80-99%) |
| HP:0003457 | EMG abnormality | Very frequent (80-99%) |
| HP:0009830 | Peripheral neuropathy | Very frequent (80-99%) |
| HP:0010318 | Aplasia/Hypoplasia of the abdominal wall musculature | Very frequent (80-99%) |
| HP:0011968 | Feeding difficulties | Very frequent (80-99%) |
| HP:0034322 | Reduced galactocerebrosidase activity | Very frequent (80-99%) |
| HP:0000737 | Irritability | Frequent (30-79%) |
| HP:0001250 | Seizure | Frequent (30-79%) |
| HP:0001288 | Gait disturbance | Frequent (30-79%) |
| HP:0001508 | Failure to thrive | Frequent (30-79%) |
| HP:0001945 | Fever | Frequent (30-79%) |
| HP:0002013 | Vomiting | Frequent (30-79%) |
| HP:0002123 | Generalized myoclonic seizure | Frequent (30-79%) |
| HP:0002205 | Recurrent respiratory infections | Frequent (30-79%) |
| HP:0002313 | Spastic paraparesis | Frequent (30-79%) |
| HP:0002376 | Developmental regression | Frequent (30-79%) |
| HP:0003134 | Abnormality of peripheral nerve conduction | Frequent (30-79%) |
| HP:0004374 | Hemiplegia/hemiparesis | Frequent (30-79%) |
| HP:0033031 | Hyperpyrexia | Frequent (30-79%) |
| HP:0000020 | Urinary incontinence | Occasional (5-29%) |
| HP:0000618 | Blindness | Occasional (5-29%) |
| HP:0000648 | Optic atrophy | Occasional (5-29%) |
| HP:0001188 | Hand clenching | Occasional (5-29%) |
| HP:0001265 | Hyporeflexia | Occasional (5-29%) |
| HP:0001324 | Muscle weakness | Occasional (5-29%) |
| HP:0001336 | Myoclonus | Occasional (5-29%) |
| HP:0001761 | Pes cavus | Occasional (5-29%) |
| HP:0001824 | Weight loss | Occasional (5-29%) |
| HP:0002179 | Opisthotonus | Occasional (5-29%) |
| HP:0002312 | Clumsiness | Occasional (5-29%) |
| HP:0002359 | Frequent falls | Occasional (5-29%) |
| HP:0002421 | Poor head control | Occasional (5-29%) |
| HP:0002445 | Tetraplegia | Occasional (5-29%) |
| HP:0002878 | Respiratory failure | Occasional (5-29%) |
| HP:0002922 | Increased CSF protein concentration | Occasional (5-29%) |
| HP:0025013 | Decerebrate rigidity | Occasional (5-29%) |
| HP:0030211 | Slow pupillary light response | Occasional (5-29%) |
| HP:0100639 | Erectile dysfunction | Occasional (5-29%) |
| HP:0100963 | Hyperesthesia | Occasional (5-29%) |
| HP:0001288 | Gait disturbance | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Krabbe disease |
| Mondo ID | MONDO:0009499 |
| MeSH | D007965 |
| OMIM | 245200 |
| Orphanet | 487 |
| DOID | DOID:10587 |
| ICD-10-CM | E75.23 |
| ICD-11 | 796317173 |
| NCIT | C61254 |
| SNOMED CT | 189979005, 192782005 |
| UMLS | C0023521 |
| MedGen | 44131 |
| GARD | 0006844 |
| MedDRA | 10023492 |
| NORD | 1368 |
| Is cancer (heuristic) | no |
Also known as: diffuse globoid body sclerosis · galactocerebrosidase deficiency · galactosylceramidase deficiency · galactosylceramide lipidosis · GALC deficiency · GALC enzyme deficiency · GLD · globoid cell leukodystrophy · globoid cell leukoencephalopathy · Krabbe disease · Krabbe leukodystrophy · Krabbe’s leukodystrophy · later onset Krabbe disease · later-onset Krabbe disease · Leukodystrophy, Krabbe’s
Data availability: 1,406 ClinVar variants · 6 GenCC gene-disease records · 15 cell lines.
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › disorder of orbital region › eye disorder › eye degenerative disorder › Krabbe disease
Related subtypes (8): blind hypertensive eye, vitreous syneresis, degenerative myopia, choroidal sclerosis, muscular atrophy-ataxia-retinitis pigmentosa-diabetes mellitus syndrome, corneal-cerebellar syndrome, multiple mitochondrial dysfunctions syndrome 4, tremor-ataxia-central hypomyelination syndrome
Subtypes (3): infantile Krabbe disease, late-infantile/juvenile Krabbe disease, adult Krabbe disease
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
600 retrieved; paginated sample, class counts are floors:
271 likely benign, 120 uncertain significance, 77 pathogenic, 49 likely pathogenic, 31 conflicting classifications of pathogenicity, 29 pathogenic/likely pathogenic, 22 benign, 1 benign/likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1058786 | NM_000153.4(GALC):c.821A>C (p.Glu274Ala) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1066093 | NM_000153.4(GALC):c.1987del (p.Trp663fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1066196 | NM_000153.4(GALC):c.349A>C (p.Met117Leu) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1066870 | NM_000153.4(GALC):c.2056T>C (p.Ter686Gln) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1070140 | NC_000014.8:g.(?_88391504)_88423173del | GALC | Pathogenic | criteria provided, single submitter |
| 1070141 | NC_000014.8:g.(?_88391504)_88423174del | GALC | Pathogenic | criteria provided, single submitter |
| 1070539 | NM_000153.4(GALC):c.181_182insAG (p.Val61fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1070765 | NM_000153.4(GALC):c.432_433dup (p.Thr145fs) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1070766 | NM_000153.4(GALC):c.302_308dup (p.Gly104fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1070767 | NM_000153.4(GALC):c.176del (p.Gly59fs) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071897 | NM_000153.4(GALC):c.1884del (p.Lys628fs) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071955 | NM_000153.4(GALC):c.1762_1763del (p.Leu588fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1072645 | NM_000153.4(GALC):c.37C>T (p.Arg13Ter) | GALC | Pathogenic | criteria provided, single submitter |
| 1073890 | NM_000153.4(GALC):c.498del (p.Asn167fs) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1073951 | NC_000014.8:g.(?_88391503)_88423172del | GALC | Pathogenic | criteria provided, single submitter |
| 1074198 | NM_000153.4(GALC):c.1411_1432del (p.Thr471fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1074616 | NM_000153.4(GALC):c.332del (p.Gly111fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1210861 | NM_000153.4(GALC):c.1858G>A (p.Gly620Arg) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1298354 | NM_000153.4(GALC):c.1964del (p.Pro655fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1299228 | NM_000153.4(GALC):c.1821dup (p.Thr608fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1299585 | NM_000153.4(GALC):c.396G>A (p.Trp132Ter) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1320177 | NM_000153.4(GALC):c.688_694del (p.Trp230fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1322976 | NM_000153.4(GALC):c.1736_1739del (p.Ala579fs) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1322977 | NM_000153.4(GALC):c.622-1G>T | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1331457 | NM_000153.4(GALC):c.683_694delinsCTC (p.Asn228_Ser232delinsThrPro) | GALC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1332732 | NM_000153.4(GALC):c.1252-1G>C | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1364954 | NM_000153.4(GALC):c.1815dup (p.Arg606fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1374650 | NM_000153.4(GALC):c.967G>T (p.Gly323Trp) | GALC | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1378825 | NM_000153.4(GALC):c.1648dup (p.Ser550fs) | GALC | Pathogenic | criteria provided, single submitter |
| 1385679 | NM_000153.4(GALC):c.782_783dup (p.Asp262fs) | GALC | Pathogenic | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 6 · Orphanet: 9 · 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 |
|---|---|---|---|---|
| GALC | Definitive | Autosomal recessive | Krabbe disease | 6 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| GALC | Orphanet:206436 | Infantile Krabbe disease |
| GALC | Orphanet:206443 | Late-infantile/juvenile Krabbe disease |
| GALC | Orphanet:206448 | Adult Krabbe disease |
| PSAP | Orphanet:139406 | Encephalopathy due to prosaposin deficiency |
| PSAP | Orphanet:206436 | Infantile Krabbe disease |
| PSAP | Orphanet:309252 | Atypical Gaucher disease due to saposin C deficiency |
| PSAP | Orphanet:309256 | Metachromatic leukodystrophy, late infantile form |
| PSAP | Orphanet:309263 | Metachromatic leukodystrophy, juvenile form |
| PSAP | Orphanet:309271 | Metachromatic leukodystrophy, adult form |
Cohort genes → proteins
3 cohort genes, 3 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 3 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| GALC | HGNC:4115 | ENSG00000054983 | P54803 | Galactocerebrosidase | gencc,clinvar |
| MTCH1 | HGNC:17586 | ENSG00000137409 | Q9NZJ7 | Mitochondrial carrier homolog 1 | clinvar |
| PSAP | HGNC:9498 | ENSG00000197746 | P07602 | Prosaposin | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| GALC | Galactocerebrosidase | Hydrolyzes the galactose ester bonds of glycolipids such as galactosylceramide and galactosylsphingosine. |
| MTCH1 | Mitochondrial carrier homolog 1 | Protein insertase that mediates insertion of transmembrane proteins into the mitochondrial outer membrane. |
| PSAP | Prosaposin | Saposin-A and saposin-C stimulate the hydrolysis of glucosylceramide by beta-glucosylceramidase (EC 3.2.1.45) and galactosylceramide by beta-galactosylceramidase (EC 3.2.1.46). |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.33
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 |
|---|---|---|---|
| Enzyme (other) | 1 | 4.0× | 0.460 |
| Other/Unknown | 2 | 1.2× | 0.587 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| GALC | Enzyme (other) | yes | 3.2.1.46 | Glyco_hydro_59, Aldolase_TIM, GH_hydrolase_sf |
| MTCH1 | Other/Unknown | no | MCP_transmembrane, MCP_dom_sf | |
| PSAP | Other/Unknown | no | SAP_A, SapB_1, SapB_2 |
Expression context
Cohort genes with no expression data: 0.
3 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) | 3 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| adrenal tissue | 1 |
| bronchial epithelial cell | 1 |
| jejunal mucosa | 1 |
| Brodmann (1909) area 23 | 1 |
| endothelial cell | 1 |
| middle temporal gyrus | 1 |
| leukocyte | 1 |
| monocyte | 1 |
| mononuclear cell | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| GALC | 295 | ubiquitous | marker | adrenal tissue, bronchial epithelial cell, jejunal mucosa |
| MTCH1 | 288 | ubiquitous | marker | endothelial cell, Brodmann (1909) area 23, middle temporal gyrus |
| PSAP | 295 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MTCH1 | 1,570 |
| GALC | 1,154 |
| PSAP | 217 |
Structural data
PDB: 1 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PSAP | P07602 | 20 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| GALC | P54803 | 94.56 |
| MTCH1 | Q9NZJ7 | 76.29 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 19. Enrichment computed across 3 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 |
|---|---|---|---|---|
| Glycosphingolipid catabolism | 2 | 292.8× | 2e-04 | GALC, PSAP |
| Glycosphingolipid metabolism | 1 | 150.3× | 0.058 | PSAP |
| Sphingolipid metabolism | 1 | 84.0× | 0.058 | PSAP |
| Response to elevated platelet cytosolic Ca2+ | 1 | 81.6× | 0.058 | PSAP |
| Platelet activation, signaling and aggregation | 1 | 52.9× | 0.064 | PSAP |
| Platelet degranulation | 1 | 43.9× | 0.064 | PSAP |
| Class A/1 (Rhodopsin-like receptors) | 1 | 37.1× | 0.064 | PSAP |
| Peptide ligand-binding receptors | 1 | 37.1× | 0.064 | PSAP |
| GPCR ligand binding | 1 | 32.1× | 0.065 | PSAP |
| GPCR downstream signalling | 1 | 21.7× | 0.080 | PSAP |
| Signaling by GPCR | 1 | 20.0× | 0.080 | PSAP |
| G alpha (i) signalling events | 1 | 19.5× | 0.080 | PSAP |
| Hemostasis | 1 | 18.0× | 0.080 | PSAP |
| Metabolism of lipids | 1 | 15.8× | 0.085 | PSAP |
| Innate Immune System | 1 | 12.8× | 0.097 | PSAP |
| Neutrophil degranulation | 1 | 11.5× | 0.101 | PSAP |
| Immune System | 1 | 6.5× | 0.166 | PSAP |
| Metabolism | 1 | 5.8× | 0.174 | PSAP |
| Signal Transduction | 1 | 5.1× | 0.187 | PSAP |
GO biological processes 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.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| ganglioside GM1 transport to membrane | 1 | 5617.3× | 0.003 | PSAP |
| galactosylceramide catabolic process | 1 | 2808.7× | 0.003 | GALC |
| neuronal ion channel clustering | 1 | 1872.4× | 0.003 | MTCH1 |
| epithelial cell differentiation involved in prostate gland development | 1 | 1123.5× | 0.004 | PSAP |
| prostate gland growth | 1 | 702.2× | 0.005 | PSAP |
| glycosphingolipid catabolic process | 1 | 510.7× | 0.006 | GALC |
| protein insertion into mitochondrial outer membrane | 1 | 432.1× | 0.006 | MTCH1 |
| sphingolipid metabolic process | 1 | 330.4× | 0.006 | PSAP |
| lysosomal transport | 1 | 234.1× | 0.008 | PSAP |
| regulation of lipid metabolic process | 1 | 144.0× | 0.012 | PSAP |
| regulation of signal transduction | 1 | 89.2× | 0.016 | MTCH1 |
| myelination | 1 | 83.8× | 0.016 | GALC |
| regulation of autophagy | 1 | 80.2× | 0.016 | PSAP |
| adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway | 1 | 73.0× | 0.017 | PSAP |
| gene expression | 1 | 26.6× | 0.042 | PSAP |
| positive regulation of apoptotic process | 1 | 18.9× | 0.055 | MTCH1 |
| apoptotic process | 1 | 9.6× | 0.101 | MTCH1 |
Therapeutics
Drugs indicated for this disease
No approved or late-stage (phase ≥3) drug is indicated for this disease; the following are in earlier-phase trials only.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Busulfan.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 2
Druggability breadth: 2 of 3 evidence-associated genes (67%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PSAP | 1 | 3 |
| GALC | 0 | 0 |
| MTCH1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| FENRETINIDE | 3 | PSAP |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PSAP | 12 | Binding:8, ADMET:4 |
| GALC | 3 | Binding:2, Functional:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| GALC | 3.2.1.46 | galactosylceramidase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 3; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
1 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) |
|---|---|---|
| FENRETINIDE | 3 | PSAP |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 1 | PSAP |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 1 | GALC |
| E | Difficult family or no structure, no drug | 1 | MTCH1 |
Undrugged target profiles
2 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| GALC | 3 | — |
| MTCH1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 18.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 10 |
| PHASE2 | 4 |
| PHASE1/PHASE2 | 3 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00176904 | PHASE2/PHASE3 | COMPLETED | Stem Cell Transplant for Inborn Errors of Metabolism |
| NCT02171104 | PHASE2 | ACTIVE_NOT_RECRUITING | MT2013-31: Allo HCT for Metabolic Disorders and Severe Osteopetrosis |
| NCT04693598 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Gene Transfer Clinical Trial for Krabbe Disease |
| NCT05739643 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Gene Transfer Clinical Trial for Infantile and Late Infantile Krabbe Disease Treated Previously With HSCT |
| NCT00383448 | PHASE2 | COMPLETED | HSCT for High Risk Inherited Inborn Errors |
| NCT00668564 | PHASE2 | TERMINATED | Hematopoietic Stem Cell Transplantation (HCT) for Inborn Errors of Metabolism |
| NCT01043640 | PHASE2 | COMPLETED | Allogeneic Bone Marrow Transplant for Inherited Metabolic Disorders |
| NCT01372228 | PHASE1/PHASE2 | TERMINATED | Phase I/II Pilot Study of Mixed Chimerism to Treat Inherited Metabolic Disorders |
| NCT00787865 | Not specified | ACTIVE_NOT_RECRUITING | Diffusion Tensor Imaging (DTI) in Infants With Krabbe Disease |
| NCT02993796 | Not specified | RECRUITING | Krabbe Disease Global Patient Registry |
| NCT03047369 | Not specified | RECRUITING | The Myelin Disorders Biorepository Project |
| NCT03333200 | Not specified | RECRUITING | Longitudinal Study of Neurodegenerative Disorders |
| NCT03655223 | Not specified | ENROLLING_BY_INVITATION | Early Check: Expanded Screening in Newborns |
| NCT00005900 | Not specified | UNKNOWN | Study of Pulmonary Complications in Pediatric Patients With Storage Disorders Undergoing Allogeneic Hematopoietic Stem Cell Transplantation |
| NCT01425489 | Not specified | WITHDRAWN | Biomarker for Krabbe Disease (BioKrabbe) |
| NCT01938014 | Not specified | COMPLETED | Lysosomal Storage Disease: Health, Development, and Functional Outcome Surveillance in Preschool Children |
| NCT02699190 | Not specified | COMPLETED | LeukoSEQ: Whole Genome Sequencing as a First-Line Diagnostic Tool for Leukodystrophies |
| NCT06308718 | Not specified | TERMINATED | Long-term Follow-up Study to Evaluate Safety and Efficacy of FBX-101 in Krabbe Patients |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CYCLOPHOSPHAMIDE ANHYDROUS | 4 | 3 |
| ALEMTUZUMAB | 4 | 1 |
| BUSULFAN | 4 | 1 |
| CLOFARABINE | 4 | 1 |
| HYDROXYUREA | 4 | 1 |
Related Atlas pages
- Cohort genes: GALC, MTCH1, PSAP
- Drugs: Cyclophosphamide, Alemtuzumab, Busulfan, Clofarabine, Hydroxyurea