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Orphanet is a knowledge base dedicated to rare diseases as well as corresponding
diagnosis Diagnosis is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines, with variations in the use of logic, analytics, and experience, to determine "cause and effect". In systems engin ...
,
orphan drug An orphan drug is a pharmaceutical agent developed to treat medical conditions which, because they are so rare, would not be profitable to produce without government assistance. The conditions are referred to as orphan diseases. The assignment of ...
s,
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, diet ...
s and
expert network Expert networks refer to a type of business that connects companies with expert resources or subject-matter experts, such as academics, C-levels, founders, and high-level officials to provide valuable information, data, or assistance. Background ...
s The website is managed by a network of academic establishments from 40 countries, led by Inserm. It contains content both for physicians and for patients. Its administrative office is in
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. Si ...
and its official
medical journal A medical journal is a peer-reviewed scientific journal that communicates medical information to physicians, other health professionals. Journals that cover many medical specialties are sometimes called general medical journals. History The fi ...
is the '' Orphanet Journal of Rare Diseases'' published on their behalf by
BioMed Central BioMed Central (BMC) is a United Kingdom-based, for-profit scientific open access publisher that produces over 250 scientific journals. All its journals are published online only. BioMed Central describes itself as the first and largest open ...
. As of October 2020, the site provides information about over 6100 rare diseases and 5400 genes.


Functions available

Orphanet is an online
database In computing, a database is an organized collection of data stored and accessed electronically. Small databases can be stored on a file system, while large databases are hosted on computer clusters or cloud storage. The design of databases ...
with the aspiration of gathering, providing and improving knowledge on rare diseases and to improve the diagnosis, care and treatment of patients with rare diseases. By listing rare diseases, and maintaining a standard nomenclature of rare diseases (ORPHAcodes) Orphanet makes a contribution in making them more visible in health and research information systems. The information is available in the following languages: English, French, German, Dutch, Spanish, Italian, Portuguese, Polish and Czech. There is no advertising on the page and there should be no problem to access it from older devices, since there are no animated pop-ups that might slow down the page-view.


Searching for Rare Diseases

There are various possibilities to search for diseases affecting less than 1 person per 2000 (based on data from Europe). The search is either possible by entering the name of the disease, such as
Progeria Progeria is a specific type of progeroid syndrome, also known as Hutchinson–Gilford syndrome. A single gene mutation is responsible for progeria. The gene, known as lamin A (LMNA), makes a protein necessary for holding the Nucleus of the cell ...
for instance to receive information about the prevalence and a definition. You can also look for a specific disease by entering the ICD-code, the OMIM-code code or the name of the gene associated with the disease.


Search for Diagnostics and Testing Facilities

Information on
diagnostic tests A medical test is a medical procedure performed to detect, diagnose, or monitor diseases, disease processes, susceptibility, or to determine a course of treatment. Medical tests such as, physical and visual exams, diagnostic imaging, genetic t ...
conducted in order to establish a diagnosis of a rare disease and laboratories which have the technical competence to carry them out can be found in the section "diagnostic tests". Constitutional genetic tests are also registered for non-rare diseases, for diseases with a genetic susceptibility and for pharmacogenetics. Searches can be conducted either by country, speciality, objective, technique or purpose.


Search for Professionals and Institutions


Professionals

Professionals working in the field of rare diseases can be found in this section, if they agreed to be listed. It is possible to find consultants and physicians in charge of an expert centre, biologists in laboratories, researchers, representatives of patient organisations, coordinators of networks, principal investigators of clinical trials, managers or contact person of registries and biobanks.


Institutions

The list of institutions includes for example, institutions hosting expert centres, research or clinical laboratories, patient organisations, institutions hosting registries or biobanks. The information displayed is provided by the professionals working in this institution who and have agreed to be listed.


Directory of Expert Centres

By entering the respective rare disease you can find information on corresponding centres of expertise or networks of centres of expertise dedicated to the medical management and/or genetic counselling. The list comprises medical management centres that are officially designated by the health authorities in the country and centres offering genetic counselling and genetic consultations for any genetic disease or for a particular genetic disease/ group of diseases. The results can be sorted either geographically or by specificity and is also possible to specify whether you look for medical management, genetic counselling or both and to state if you need to consult an adult clinic or a child clinic.


Orphan Drug Search

By entering the requested disease name you can search the inventory including drugs (and substances) for the treatment of rare diseases at all stages of development. This includes all the substances which have been granted an orphan designation for disease(s) considered as rare in Europe or the USA. Drugs without the designation are also included, as long as they have been granted a marketing authorisation with a specific indication for a rare disease.


Research and Clinical Trials


Research Projects

Information on ongoing and unpublished research projects explicitly focused on a rare disease – either funded from the regular national research funding or by a funding body with a scientific committee performing a competitive selection of research projects. Single-centre and national or international multicentric research projects are registered.


Clinical Trials

The
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, diet ...
s listed on Orphanet comprise interventional studies aiming to evaluate a drug (substance, or combination) to treat (or prevent) a specific rare disease. The trials can be national or international and, regarding the phase they are in either recruiting, ongoing or finished. The collaboration between the World Health Organization's
International Clinical Trials Registry Platform The International Clinical Trials Registry Platform (ICTRP) is a platform for the registration of clinical trials operated by the World Health Organization. The ICTRP combines data from multiple cooperating clinical trials registries to generate a ...
(ICTRP) and Orphanet intends to make clinical trials on rare diseases easily identifiable and findable, thus improving knowledge on rare diseases.


Contact to Patient Organisations

Information on patient organisations, umbrella organisations and alliances dedicated to one particular rare disease or to a group of rare diseases are provided in this section. They can either be sorted geographically, or by specificity. Despite the fact that patient organisations should be active, responsive, provide support and information to patients, have a legal status according to the country’s laws and have a designated head and /or a contact person, Orphanet does not assume any responsibility in case they do not fulfill these requirements.


Activity Report and other Publications


On the Orphanet Website

The Orphanet reports comprises a serie of texts covering topics relevant to all rare diseases. New reports are regularly put online and some of these texts are periodically updated. There is the possibility to download the annual Activity Report as a pdf-file of roughly 80 pages.


Orphanet Journal of Rare Diseases

The Orphanet Journal of Rare Diseases is published in cooperation with
Springer Nature Springer Nature or the Springer Nature Group is a German-British academic publishing company created by the May 2015 merger of Springer Science+Business Media and Holtzbrinck Publishing Group's Nature Publishing Group, Palgrave Macmillan, and M ...
. Numerous reports and features are available online. The offer is free of charge.


See also

*
European Organisation for Rare Diseases The European Organisation for Rare Diseases (EURORDIS) is a non-governmental patient-driven alliance of patient organizations and individuals active in the field of rare diseases, that promotes research on rare diseases and commercial development o ...


References


External links

*
Orphanet Journal of Rare Diseases

International Clinical Trials Registry Platform
{{Authority control Biological databases Medical websites