Niemann-Pick disease
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Also known as lipoid histiocytosis (classical phosphatide)Niemann-Pick disease with cholesterol esterification blockNiemann-Pick disease, subacute juvenile formsphingomyelin/cholesterol lipidosistype A Niemann-Pick disease
Summary
Niemann-Pick disease (MONDO:0001982) is a disease caused by SMPD1 (GenCC Definitive), with 4 cohort genes and 17 clinical trials. Top therapeutic interventions include olipudase alfa, busulfan, and cyclophosphamide anhydrous.
At a glance
- Causal gene: SMPD1 (GenCC Definitive)
- Cohort genes: 4
- ClinVar variants: 130
- Clinical trials: 17
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Niemann-Pick disease |
| Mondo ID | MONDO:0001982 |
| EFO | EFO:1001380 |
| MeSH | D009542 |
| DOID | DOID:14504 |
| ICD-10-CM | E75.24 |
| ICD-11 | 398872780 |
| NCIT | C61269 |
| SNOMED CT | 58459009 |
| UMLS | C0028064 |
| MedGen | 10348 |
| GARD | 0013334 |
| Is cancer (heuristic) | no |
Also known as: lipoid histiocytosis (classical phosphatide) · Niemann-Pick disease with cholesterol esterification block · Niemann-Pick disease, subacute juvenile form · sphingomyelin/cholesterol lipidosis · type A Niemann-Pick disease
Data availability: 130 ClinVar variants · 1 GenCC gene-disease record · 10 cell lines.
Disease family
An umbrella term covering 4 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › immune system disorder › lymphoid system disorder › lymphatic system disorder › histiocytosis › non-Langerhans cell histiocytosis › Niemann-Pick disease
Related subtypes (14): sinus histiocytosis with massive lymphadenopathy, hereditary progressive mucinous histiocytosis, sea-blue histiocyte syndrome, multicentric reticulohistiocytosis, generalized eruptive histiocytosis, benign cephalic histiocytosis, juvenile xanthogranuloma, xanthoma disseminatum, papular xanthoma, necrobiotic xanthogranuloma, indeterminate dendritic cell tumor, progressive nodular histiocytosis, Erdheim-Chester disease, xanthogranuloma
Subtypes (4): Niemann-Pick disease type C, Niemann-Pick disease type E, acid sphingomyelinase deficiency, chronic neurovisceral acid sphingomyelinase deficiency
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
130 retrieved; paginated sample, class counts are floors:
36 pathogenic/likely pathogenic, 27 conflicting classifications of pathogenicity, 26 pathogenic, 16 likely pathogenic, 16 uncertain significance, 4 benign/likely benign, 4 likely benign, 1 not provided
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 198093 | NM_000543.5(SMPD1):c.1826GCC[1] (p.Arg610del) | APBB1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2980 | NM_000543.5(SMPD1):c.1493G>T (p.Arg498Leu) | APBB1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 551367 | NM_000543.5(SMPD1):c.84del (p.Gly29fs) | LOC130005193 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2967 | NM_000271.5(NPC1):c.3182T>C (p.Ile1061Thr) | NPC1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 558706 | NM_000271.5(NPC1):c.3634G>T (p.Val1212Leu) | NPC1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 986364 | NM_000271.5(NPC1):c.99_100del (p.Ala34fs) | NPC1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 3383995 | NM_006432.5(NPC2):c.289del (p.Ile97fs) | NPC2 | Pathogenic | criteria provided, single submitter |
| 100731 | NM_000543.5(SMPD1):c.739G>A (p.Gly247Ser) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1173968 | NM_000543.5(SMPD1):c.668G>C (p.Cys223Ser) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1173972 | NM_000543.5(SMPD1):c.1148A>G (p.Asn383Ser) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1475471 | NM_000543.5(SMPD1):c.1497_1498inv (p.Tyr500His) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 167709 | NM_000543.5(SMPD1):c.475T>C (p.Cys159Arg) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 167710 | NM_000543.5(SMPD1):c.573del (p.Ser192fs) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 167712 | NM_000543.5(SMPD1):c.1493G>A (p.Arg498His) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 188955 | NM_000543.5(SMPD1):c.1805G>A (p.Arg602His) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 189075 | NM_000543.5(SMPD1):c.1430C>T (p.Pro477Leu) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 189096 | NM_000543.5(SMPD1):c.538_539del (p.Leu180fs) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 189153 | NM_000543.5(SMPD1):c.518dup (p.Ser174fs) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 195086 | NM_000543.5(SMPD1):c.785_807del (p.Leu262fs) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 198095 | NM_000543.5(SMPD1):c.1492C>T (p.Arg498Cys) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 203424 | NM_000543.5(SMPD1):c.416T>C (p.Leu139Pro) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 203427 | NM_000543.5(SMPD1):c.1076C>A (p.Ala359Asp) | SMPD1 | Pathogenic | criteria provided, single submitter |
| 2136989 | NM_000543.5(SMPD1):c.1268A>G (p.His423Arg) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 225624 | NM_000543.5(SMPD1):c.1673T>C (p.Leu558Pro) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2982 | NM_000543.5(SMPD1):c.1735G>A (p.Gly579Ser) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2984 | NM_000543.5(SMPD1):c.788T>A (p.Leu263Ter) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2986 | NM_000543.5(SMPD1):c.1152G>A (p.Met384Ile) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2987 | NM_000543.5(SMPD1):c.730G>A (p.Gly244Arg) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2989 | NM_000543.5(SMPD1):c.911T>C (p.Leu304Pro) | SMPD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2990 | NM_000543.5(SMPD1):c.996del (p.Phe333fs) | SMPD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 9 · Orphanet: 12 · 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 |
|---|---|---|---|---|
| SMPD1 | Definitive | Autosomal recessive | Niemann-Pick disease | 9 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SMPD1 | Orphanet:77292 | Infantile neurovisceral acid sphingomyelinase deficiency |
| SMPD1 | Orphanet:77293 | Chronic visceral acid sphingomyelinase deficiency |
| NPC2 | Orphanet:216972 | Niemann-Pick disease type C, severe perinatal form |
| NPC2 | Orphanet:216975 | Niemann-Pick disease type C, severe early infantile neurologic onset |
| NPC2 | Orphanet:216978 | Niemann-Pick disease type C, late infantile neurologic onset |
| NPC2 | Orphanet:216981 | Niemann-Pick disease type C, juvenile neurologic onset |
| NPC2 | Orphanet:216986 | Niemann-Pick disease type C, adult neurologic onset |
| NPC1 | Orphanet:216972 | Niemann-Pick disease type C, severe perinatal form |
| NPC1 | Orphanet:216975 | Niemann-Pick disease type C, severe early infantile neurologic onset |
| NPC1 | Orphanet:216978 | Niemann-Pick disease type C, late infantile neurologic onset |
| NPC1 | Orphanet:216981 | Niemann-Pick disease type C, juvenile neurologic onset |
| NPC1 | Orphanet:216986 | Niemann-Pick disease type C, adult neurologic onset |
Cohort genes → proteins
4 cohort genes, 4 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 4 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SMPD1 | HGNC:11120 | ENSG00000166311 | P17405 | Sphingomyelin phosphodiesterase | gencc,clinvar |
| NPC2 | HGNC:14537 | ENSG00000119655 | P61916 | NPC intracellular cholesterol transporter 2 | clinvar |
| APBB1 | HGNC:581 | ENSG00000166313 | O00213 | Amyloid beta precursor protein binding family B member 1 | clinvar |
| NPC1 | HGNC:7897 | ENSG00000141458 | O15118 | NPC intracellular cholesterol transporter 1 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SMPD1 | Sphingomyelin phosphodiesterase | Converts sphingomyelin to ceramide. |
| NPC2 | NPC intracellular cholesterol transporter 2 | Intracellular cholesterol transporter which acts in concert with NPC1 and plays an important role in the egress of cholesterol from the lysosomal compartment. |
| APBB1 | Amyloid beta precursor protein binding family B member 1 | Transcription coregulator that can have both coactivator and corepressor functions. |
| NPC1 | NPC intracellular cholesterol transporter 1 | Intracellular cholesterol transporter which acts in concert with NPC2 and plays an important role in the egress of cholesterol from the endosomal/lysosomal compartment. |
Protein-family classification
Druggable: 1 · Difficult: 1 · Unknown: 2 · Druggable fraction: 0.25
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 |
|---|---|---|---|
| Scaffold/PPI | 1 | 4.3× | 0.441 |
| Enzyme (other) | 1 | 3.0× | 0.441 |
| Other/Unknown | 2 | 0.9× | 0.769 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SMPD1 | Enzyme (other) | yes | 3.1.4.12 | Calcineurin-like_PHP, SaposinB_dom, Saposin-like |
| NPC2 | Other/Unknown | no | ML_dom, Ig_E-set, ML_Npc2-like | |
| APBB1 | Scaffold/PPI | no | WW_dom, PTB/PI_dom, PH-like_dom_sf | |
| NPC1 | Other/Unknown | no | SSD, NPC1-like, NPC1_N |
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) | 4 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| islet of Langerhans | 1 |
| stromal cell of endometrium | 1 |
| type B pancreatic cell | 1 |
| cauda epididymis | 1 |
| corpus epididymis | 1 |
| epididymis | 1 |
| cerebellar cortex | 1 |
| cerebellar hemisphere | 1 |
| right hemisphere of cerebellum | 1 |
| adrenal tissue | 1 |
| oocyte | 1 |
| secondary oocyte | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SMPD1 | 262 | ubiquitous | marker | type B pancreatic cell, stromal cell of endometrium, islet of Langerhans |
| NPC2 | 296 | ubiquitous | marker | corpus epididymis, cauda epididymis, epididymis |
| APBB1 | 242 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| NPC1 | 292 | ubiquitous | marker | secondary oocyte, oocyte, adrenal tissue |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| APBB1 | 2,826 |
| NPC1 | 2,648 |
| SMPD1 | 1,729 |
| NPC2 | 1,706 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| NPC1 | NPC2 | intact, string_interaction |
| NPC2 | SMPD1 | string_interaction |
Structural data
PDB: 4 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| NPC1 | O15118 | 20 |
| APBB1 | O00213 | 11 |
| SMPD1 | P17405 | 4 |
| NPC2 | P61916 | 2 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 12. Enrichment computed across 4 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| LDL clearance | 2 | 271.9× | 2e-04 | NPC2, NPC1 |
| DNA Double Strand Break Response | 1 | 119.0× | 0.034 | APBB1 |
| Glycosphingolipid metabolism | 1 | 75.1× | 0.034 | SMPD1 |
| Glycosphingolipid catabolism | 1 | 73.2× | 0.034 | SMPD1 |
| DNA Double-Strand Break Repair | 1 | 62.1× | 0.034 | APBB1 |
| Regulation of clotting cascade | 1 | 58.3× | 0.034 | SMPD1 |
| Sphingolipid metabolism | 1 | 42.0× | 0.040 | SMPD1 |
| Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks | 1 | 36.6× | 0.041 | APBB1 |
| DNA Repair | 1 | 24.6× | 0.053 | APBB1 |
| Metabolism of lipids | 1 | 7.9× | 0.145 | SMPD1 |
| Neutrophil degranulation | 1 | 5.8× | 0.177 | NPC2 |
| Metabolism | 1 | 2.9× | 0.302 | SMPD1 |
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 |
|---|---|---|---|---|
| cholesterol storage | 2 | 1203.7× | 3e-05 | NPC2, NPC1 |
| cholesterol metabolic process | 3 | 147.0× | 3e-05 | SMPD1, NPC2, NPC1 |
| intracellular cholesterol transport | 2 | 648.1× | 7e-05 | NPC2, NPC1 |
| cholesterol transport | 2 | 366.4× | 2e-04 | NPC2, NPC1 |
| cholesterol efflux | 2 | 263.3× | 3e-04 | NPC2, NPC1 |
| symbiont entry into host cell | 2 | 200.6× | 4e-04 | SMPD1, NPC1 |
| regulation of isoprenoid metabolic process | 1 | 4213.0× | 0.002 | NPC2 |
| cyclodextrin metabolic process | 1 | 4213.0× | 0.002 | NPC1 |
| cholesterol homeostasis | 2 | 78.0× | 0.002 | NPC2, NPC1 |
| response to virus | 2 | 72.0× | 0.002 | SMPD1, NPC2 |
| termination of signal transduction | 1 | 1404.3× | 0.004 | SMPD1 |
| intracellular lipid transport | 1 | 1404.3× | 0.004 | NPC1 |
| glycolipid transport | 1 | 1404.3× | 0.004 | NPC2 |
| sphingomyelin metabolic process | 1 | 842.6× | 0.004 | SMPD1 |
| sphingomyelin catabolic process | 1 | 842.6× | 0.004 | SMPD1 |
| membrane raft organization | 1 | 842.6× | 0.004 | NPC1 |
| intracellular sterol transport | 1 | 842.6× | 0.004 | NPC2 |
| gene expression | 2 | 39.9× | 0.004 | NPC2, NPC1 |
| response to xenobiotic stimulus | 2 | 34.5× | 0.004 | SMPD1, NPC1 |
| sterol transport | 1 | 702.2× | 0.005 | NPC1 |
| negative regulation of cell cycle G1/S phase transition | 1 | 601.9× | 0.005 | APBB1 |
| positive regulation of apoptotic process | 2 | 28.4× | 0.006 | SMPD1, APBB1 |
| response to type I interferon | 1 | 468.1× | 0.006 | SMPD1 |
| establishment of protein localization to membrane | 1 | 468.1× | 0.006 | NPC1 |
| glycosphingolipid catabolic process | 1 | 383.0× | 0.007 | SMPD1 |
| intestinal cholesterol absorption | 1 | 351.1× | 0.007 | NPC1 |
| programmed cell death | 1 | 324.1× | 0.008 | NPC1 |
| positive regulation of viral entry into host cell | 1 | 300.9× | 0.008 | SMPD1 |
| negative regulation of epithelial cell apoptotic process | 1 | 300.9× | 0.008 | NPC1 |
| negative regulation of macroautophagy | 1 | 280.9× | 0.008 | NPC1 |
Therapeutics
Drugs indicated for this disease
2 approved. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Miglustat | Approved (phase 4) |
| Olipudase Alfa | Approved (phase 4) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Busulfan.
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 2
Druggability breadth: 2 of 4 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 |
|---|---|
| SMPD1 | IMIPRAMINE |
| NPC1 | NABUMETONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| NPC1 | 90 | 4 |
| SMPD1 | 3 | 4 |
| NPC2 | 0 | 0 |
| APBB1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IMIPRAMINE | 4 | SMPD1 |
| CHLORPROMAZINE | 4 | SMPD1 |
| NABUMETONE | 4 | NPC1 |
| PHENELZINE | 4 | NPC1 |
| AMLEXANOX | 4 | NPC1 |
| IDARUBICIN | 4 | NPC1 |
| RABEPRAZOLE SODIUM | 4 | NPC1 |
| NITAZOXANIDE | 4 | NPC1 |
| NICLOSAMIDE | 4 | NPC1 |
| NITROXOLINE | 4 | NPC1 |
| NICARDIPINE | 4 | NPC1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| INDOPROFEN | 4 | NPC1 |
| CYCLOSPORINE | 4 | NPC1 |
| TERFENADINE | 4 | NPC1 |
| DIGOXIN | 4 | NPC1 |
| PRAZOSIN | 4 | NPC1 |
| MAPROTILINE | 4 | NPC1 |
| DIGITOXIN | 4 | NPC1 |
| HYDRALAZINE | 4 | NPC1 |
| EBASTINE | 4 | NPC1 |
| DEQUALINIUM | 4 | NPC1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| VINBLASTINE SULFATE | 4 | NPC1 |
| FLUOXETINE | 4 | NPC1 |
| DITHIAZANINE IODIDE | 4 | NPC1 |
| TRIFLUOPERAZINE | 4 | NPC1 |
| PACLITAXEL | 4 | NPC1 |
| NORTRIPTYLINE | 4 | NPC1 |
| MIBEFRADIL | 4 | NPC1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SMPD1 | 42 | Binding:40, Functional:2 |
| NPC1 | 18 | Binding:13, Functional:5 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| SMPD1 | 3.1.4.12 | sphingomyelin phosphodiesterase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 4; 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) |
|---|---|---|
| IMIPRAMINE | 4 | SMPD1 |
| CHLORPROMAZINE | 4 | SMPD1 |
| NABUMETONE | 4 | NPC1 |
| PHENELZINE | 4 | NPC1 |
| AMLEXANOX | 4 | NPC1 |
| IDARUBICIN | 4 | NPC1 |
| RABEPRAZOLE SODIUM | 4 | NPC1 |
| NITAZOXANIDE | 4 | NPC1 |
| NICLOSAMIDE | 4 | NPC1 |
| NITROXOLINE | 4 | NPC1 |
| NICARDIPINE | 4 | NPC1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| INDOPROFEN | 4 | NPC1 |
| CYCLOSPORINE | 4 | NPC1 |
| TERFENADINE | 4 | NPC1 |
| DIGOXIN | 4 | NPC1 |
| PRAZOSIN | 4 | NPC1 |
| MAPROTILINE | 4 | NPC1 |
| DIGITOXIN | 4 | NPC1 |
| HYDRALAZINE | 4 | NPC1 |
| EBASTINE | 4 | NPC1 |
| DEQUALINIUM | 4 | NPC1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| VINBLASTINE SULFATE | 4 | NPC1 |
| FLUOXETINE | 4 | NPC1 |
| DITHIAZANINE IODIDE | 4 | NPC1 |
| TRIFLUOPERAZINE | 4 | NPC1 |
| PACLITAXEL | 4 | NPC1 |
| NORTRIPTYLINE | 4 | NPC1 |
| MIBEFRADIL | 4 | NPC1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | SMPD1, NPC1 |
| 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 | 2 | NPC2, APBB1 |
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) |
|---|---|---|
| NPC2 | 0 | NPC1 |
| APBB1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 17.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 11 |
| PHASE1 | 3 |
| PHASE1/PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00176904 | PHASE2/PHASE3 | COMPLETED | Stem Cell Transplant for Inborn Errors of Metabolism |
| NCT00730314 | PHASE1/PHASE2 | COMPLETED | Unrelated Hematopoietic Stem Cell Transplantation(HSCT) for Genetic Diseases of Blood Cells |
| NCT01372228 | PHASE1/PHASE2 | TERMINATED | Phase I/II Pilot Study of Mixed Chimerism to Treat Inherited Metabolic Disorders |
| NCT00316498 | PHASE1 | COMPLETED | Saccadic Eye Movements in Patients With Niemann-Pick Type C Disease |
| NCT00410566 | PHASE1 | TERMINATED | Safety Study of rhASM Enzyme Replacement Therapy in Adults With Acid Sphingomyelinase Deficiency (Niemann-Pick Disease) |
| NCT01586455 | PHASE1 | COMPLETED | Human Placental-Derived Stem Cell Transplantation |
| NCT03333200 | Not specified | RECRUITING | Longitudinal Study of Neurodegenerative Disorders |
| NCT06192576 | Not specified | RECRUITING | A Real-world Long-term Safety and Immunogenicity Study of Olipudase Alfa Therapy in Pediatric Patients Less Than 2 Years of Age With Acid Sphingomyelinase Deficiency (ASMD) |
| NCT06985212 | Not specified | NOT_YET_RECRUITING | National Multicentre Study of the Natural History of Acid Sphingo-myelinase Deficiency in Adults and Children |
| NCT07545473 | Not specified | RECRUITING | Retinal Hyperspectral Imaging in Neurodegenerative Diseases |
| NCT00001972 | Not specified | COMPLETED | PET Scan of Brain Metabolism in Relation to Age and Disease |
| NCT00005900 | Not specified | UNKNOWN | Study of Pulmonary Complications in Pediatric Patients With Storage Disorders Undergoing Allogeneic Hematopoietic Stem Cell Transplantation |
| NCT01306604 | Not specified | WITHDRAWN | Biomarker for Niemann Pick Type C Disease (BioNPC) |
| NCT02120235 | Not specified | UNKNOWN | Investigating Lysosomal Storage Diseases in Minority Groups |
| NCT03883750 | Not specified | COMPLETED | Induced Pluripotent Stem Cells for Niemann Pick Disease |
| NCT04469894 | Not specified | COMPLETED | Health Insurance Literacy and Challenges in Accessing Health Services in Niemann-Pick |
| NCT05641103 | Not specified | COMPLETED | PREDIGA 2: Spanish Acronym of Educational and Diagnostic Project for Gaucher and ASMD |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| OLIPUDASE ALFA | 4 | 2 |
| BUSULFAN | 4 | 1 |
| CYCLOPHOSPHAMIDE ANHYDROUS | 4 | 1 |
Related Atlas pages
- Cohort genes: SMPD1, NPC2, APBB1, NPC1
- Drugs: Olipudase Alfa, Busulfan, Cyclophosphamide