Rare Disease Advisor

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Rare Disease Advisor Trusted knowledge base of resources & information, focused on treating & diagnosing .

Rare Disease Advisor is an online resource that provides health care professionals with comprehensive information on important principles of care in rare diseases as well as up-to-date clinical news on the diagnosis and treatment of these conditions. Website features include:

• Daily news
• Feature articles on key issues in rare disease
• Live conference coverage
• Expert opinion articles, includ

ing exclusive guest editorials from leading rare disease experts
• Concise drug monographs
• Medical slideshows
• Videos
• Continuing medical education (CME) activities
• And more...


Coverage of the following Rare Diseases:

Cardiology:
Long Chain Fatty Acid Oxidation Disorder (LCFAOD)
Pompe Disease

Gastroenterology:
Gastrointestinal Stromal Tumor (GIST)

Hematology:
Hemophilia
Sickle Cell Disease (SCD)
Systemic Mastocytosis (SM)

Hepatology:
Alagille Syndrome (ALGS)
Lysosomal Acid Lipase Deficiency (LAL-D)

Immunology:
Cold Agglutinin Disease (CAD or CAgD)
Hereditary Angioedema (HAE)
Myasthenia Gravis (MG)

Neurology:
Duchenne Muscular Dystrophy (DMD)
Multiple Sclerosis (MS)
Spinal Muscular Atrophy (SMA)
Hereditary Transthyretin Amyloidosis (hATTR)
Neuromyelitis Optica Spectrum Disorder (NMOSD)

Oncology:
Cholangiocarcinoma (CCA)
Medullary Thyroid Carcinoma (MTC)
Diffuse Large B-Cell Lymphoma (DLBCL)

Pulmonology:
Alpha-1 Antitrypsin Deficiency (AATD)
Cystic Fibrosis (CF)
Idiopathic Pulmonary Fibrosis (IPF)
Pulmonary Arterial Hypertension (PAH)

“I learned that I had alpha-1 antitrypsin deficiency ( ) as a young adult, when I was about 25 years old. I eventually d...
23/07/2024

“I learned that I had alpha-1 antitrypsin deficiency ( ) as a young adult, when I was about 25 years old. I eventually developed severe asthma-like symptoms. When I saw online that the life expectancy of a person with AATD was around 60 years old, I panicked.”


Read more from Alyssa Gloor as she highlights how life expectancy projections can often be a source of stress for members of the rare disease community and how they can often feel misleading 👉 https://brnw.ch/21wLshD

💡Discover Rare Disease Advisor's collection of quizzes! 📝 Test your knowledge and learn new insights while deepening you...
23/07/2024

💡Discover Rare Disease Advisor's collection of quizzes!

📝 Test your knowledge and learn new insights while deepening your understanding of rare diseases.

Dive in and explore today: https://www.rarediseaseadvisor.com/clinicalqueries/

Test Your Knowledge About Digital Gait Outcomes in ARSACS Study Which of the following statements about the study on digital gait outcomes in autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), a differential diagnosis for Friedrich ataxia (FA), are correct? Select one of the options...

Researchers from the University of Texas reported the case of a patient with myasthenia gravis who had thymoma treatment...
23/07/2024

Researchers from the University of Texas reported the case of a patient with myasthenia gravis who had thymoma treatment and who developed anti-α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor encephalitis.

Read more: https://brnw.ch/21wLsc3

Researchers reported the case of a patient with MG who had thymoma treatment and who developed AMPA receptor encephalitis.

Over two-thirds of patients with neuromyelitis optica spectrum disorder ( ) experienced a “good” response after their in...
23/07/2024

Over two-thirds of patients with neuromyelitis optica spectrum disorder ( ) experienced a “good” response after their initial attack of the disease when given either intravenous methylprednisolone or .

Read more: https://brnw.ch/21wLs3x

Over two-thirds of patients with NMOSD showed an improvement in clinical disability scores following treatment for initial attacks.

S*x could determine the age of onset of Huntington disease symptoms, according to a study recently published in Scientif...
22/07/2024

S*x could determine the age of onset of Huntington disease symptoms, according to a study recently published in Scientific Reports.

Read more: https://brnw.ch/21wLr7P

S*x could determine the age of onset of Huntington disease (HD) symptoms, according to a recently published study.

Frank Rivera was living in Florida with his wife in 2004. One day, while out for a run, he had trouble breathing and wen...
22/07/2024

Frank Rivera was living in Florida with his wife in 2004. One day, while out for a run, he had trouble breathing and went to the hospital. “They took an x-ray and found masses in my lungs,” he recalled at the World Orphan Drugs Congress ( ).

Initially diagnosed with lung cancer after a biopsy, Rivera underwent treatment. However, another x-ray revealed lumps in his lungs, and this time, the biopsy diagnosed him with , a rare condition causing the immune system to overreact and form granulomas, especially in the lungs and lymph nodes. “I went through 4 years of chemo and radiation for a disease I never had,” Rivera said. “That really affected my mental health.”

Now the president of Stronger Than Sarcoidosis, Rivera began treatment for the rare disease. But in 2015, doctors ran out of treatment options. “I was in a lot of pain. I thought about committing su***de. I had it all planned out,” Rivera said.

People with rare disorders have a lower quality of life in all domains compared to the general population and those with common chronic diseases such as hypertension, arthritis, and asthma. They experience higher levels of anxiety, depression, and fatigue, and lower social engagement.

🤝Read more in the latest article from Manuela Callari, featuring tips on supporting the of the from Albert Freedman, PhD, the psychologist behind Rare Counseling: https://brnw.ch/21wLr3G

Prolonged uncertainty about the future is a common experience among rare disease patients and their families.

The first patient has been enrolled in the YT-YOLT-201-101 phase 1 trial set to evaluate YOLT-201, an in vivo  , in pati...
22/07/2024

The first patient has been enrolled in the YT-YOLT-201-101 phase 1 trial set to evaluate YOLT-201, an in vivo , in patients with transthyretin amyloid polyneuropathy or .

Read more: https://brnw.ch/21wLqVi

The first patient has been enrolled in the phase 1 trial set to evaluate YOLT-201 in patients with ATTR-PN.

A study has confirmed that early   with recombinant factor IX Fc fusion protein (rFIXFc) in previously untreated patient...
22/07/2024

A study has confirmed that early with recombinant factor IX Fc fusion protein (rFIXFc) in previously untreated patients with may reduce the risk of bleeding and delay the time to the first spontaneous bleed.

Read more: https://brnw.ch/21wLqM0

New data show that rFIXFc prophylaxis can reduce the risk of bleeding in previously untreated patients with hemophilia B.

Corticospinal tract pathology occurred earlier than expected in a YG8JR Friedreich ataxia mouse model, suggesting that c...
21/07/2024

Corticospinal tract pathology occurred earlier than expected in a YG8JR Friedreich ataxia mouse model, suggesting that corticospinal neuron damage is an earlier event than previously thought, according to a recently published study in BioRxiv & MedRxiv.

Read more: https://brnw.ch/21wLpQu

Corticospinal tract (CST) pathology occurred earlier than expected in a YG8JR Friederich ataxia (FA) mouse model, a study found.

  is one of the current recommended treatments in the United States for patients with antineutrophil cytoplasmic antibod...
21/07/2024

is one of the current recommended treatments in the United States for patients with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis who exhibit acute kidney involvement. 📚 Kidney360

Read more: https://brnw.ch/21wLpDr

Plasmapheresis for decreasing the risk of ESKD and/or death in AAV remains to be elucidated, but the procedure is currently being recommended by the KDIGO.

Mirum’s phase 2b clinical trial studying   for the treatment of primary biliary cholangitis showed positive preliminary ...
20/07/2024

Mirum’s phase 2b clinical trial studying for the treatment of primary biliary cholangitis showed positive preliminary results, according to a recently published press release.

Read more: https://brnw.ch/21wLoX9

A phase 2b clinical trial has shown positive preliminary results for volixibat intended for the treatment of PBC.

A report of five cases of newborns born to Rh-negative mothers that developed hemolytic disease of the fetus and newborn...
19/07/2024

A report of five cases of newborns born to Rh-negative mothers that developed hemolytic disease of the fetus and newborn ( ) despite negative indirect antiglobulin testing and appropriate Rh immunoglobulin administration has been recently published in Indian Pediatrics.

Read more: https://brnw.ch/21wLout

In a recent report, five newborns born to Rh-negative mothers developed HFDN despite negative IAT and RHIG administration.

A study published in the journal Molecular Neurobiology determined crucial functional gut microbiota   and potential   a...
19/07/2024

A study published in the journal Molecular Neurobiology determined crucial functional gut microbiota and potential associated with the pathogenesis of Huntington disease.

Read more: https://brnw.ch/21wLoq4

A new study determined crucial functional gut microbiota dysbiosis and potential biomarkers associated with HD pathogenesis.

A   of a patient with undiagnosed systemic mastocytosis who experienced unexpected complications during   has been recen...
19/07/2024

A of a patient with undiagnosed systemic mastocytosis who experienced unexpected complications during has been recently published in Journal of Cardiothoracic & Vascular Anesthesia.

Read more on our newly launched SM Companion site➡️ https://brnw.ch/21wLoiJ

A recent report describes a patient with undiagnosed systemic mastocytosis who experienced unexpected complications during heart surgery.

A new single-center, randomized, open-label, crossover, phase 1 study is set to assess the relative bioavailability of H...
19/07/2024

A new single-center, randomized, open-label, crossover, phase 1 study is set to assess the relative bioavailability of HRS-5965 capsules and tablets for paroxysmal nocturnal hemoglobinuria in healthy participants.

Read more: https://brnw.ch/21wLoaj

A new study will compare the bioavailability of HRS-5965 capsules and tablets for paroxysmal nocturnal hemoglobinuria (PNH) in healthy volunteers.

❓What happens when a rare disease patient works in healthcare?For Danielle Alstat, a primary biliary cholangitis (PBC) p...
18/07/2024

❓What happens when a rare disease patient works in healthcare?

For Danielle Alstat, a primary biliary cholangitis (PBC) patient perspective contributor and respiratory therapist, it means creating a safe, supportive environment with plenty of understanding.
“My number one goal with each patient I work with is to ensure they feel safe and comfortable in my testing room. I am very consciously aware of others’ anxieties and fears, so I go out of my way to create a relaxing environment.”

Read more in Danielle’s latest column➡️ https://brnw.ch/21wLn9z

My journey with primary biliary cholangitis (PBC) has completely changed my way of thinking while working in healthcare.

Monitoring sleep patterns in the long term using wrist-worn wearable devices can be a potential symptom management strat...
18/07/2024

Monitoring sleep patterns in the long term using wrist-worn wearable devices can be a potential symptom management strategy in patients with Huntington disease, according to a new study published in the Journal of Clinical Sleep Medicine.

Read more: https://brnw.ch/21wLn9a

Monitoring sleep patterns using wrist-worn wearable devices can be a potential symptom management stategy in patients with HD, a study found.

A literature review exploring the main challenges and controversies regarding hematopoietic   transplantation for patien...
18/07/2024

A literature review exploring the main challenges and controversies regarding hematopoietic transplantation for patients with has been recently published in the journal Frontiers .

Read more: https://brnw.ch/21wLn4M

A literature review exploring the main challenges regarding hematopoietic stem cell transplantation (HSCT) for patients with MF.

Patients with Lennox Gastaut syndrome appear to experience a significant clinical and economic burden, further illustrat...
18/07/2024

Patients with Lennox Gastaut syndrome appear to experience a significant clinical and economic burden, further illustrating the need for more therapeutic alternatives.

The study used closed-claims data to match over 9000 patients with LGS to healthy controls on a 1:1 basis, accounting for age and s*x. Read more:

Patients with (LGS) appear to experience a significant clinical and economic burden, illustrating the need for more therapeutic alternatives, a study found.

Myasthenia gravis should be considered in patients who develop unexplained pharyngeal dysphagia, according to a new stud...
18/07/2024

Myasthenia gravis should be considered in patients who develop unexplained pharyngeal dysphagia, according to a new study published in the journal The Laryngoscope.

Read more: https://www.rarediseaseadvisor.com/news/unexplained-pharyngeal-dysphagia-mg/

Mysathenia gravis (MG) should be considered in patients who develop unexplained pharyngeal dysphagia, a study found.

At the age of 15, a German girl named Anna began having trouble breathing and eating. She started losing weight and lost...
17/07/2024

At the age of 15, a German girl named Anna began having trouble breathing and eating. She started losing weight and lost the ability to speak more than 2 or 3 words at a time. Ultimately, she needed a gastric tube to survive.

She was diagnosed with FUS P525L, a nano-rare form of amyotrophic lateral sclerosis ( ), the debilitating, fatal neurodegenerative disease usually seen in patients 40 to 70 years old.

Neil Shneider, MD, PhD, director of the Eleanor and Lou Gehrig ALS Center at Columbia University’s Department of , accepted Anna as a patient and treated her with , an experimental antisense oligonucleotide (A*O) that has helped her regain some elements of a normal life.

As Anna, now 19, showed the benefits of individualized treatment that targets the genetic cause of a disease, she was the proof-of-concept needed to establish the nonprofit N-Lorem Foundation.

The foundation, discovers and develops individualized A*Os for people with “nano-rare” diseases, defined as those affecting fewer than 30 patients worldwide. It commits to offer that treatment at no cost for life, as long as a patient’s physician says its benefits outweigh the risks.

Read more about the n-Lorem foundation here: https://www.rarediseaseadvisor.com/features/n-lorem-foundation-developing-treatments-worlds-rarest-diseases/

World Orphan Drugs Congress

Nano-rare diseases are defined as those affecting fewer than 30 patients worldwide.

💡 An international panel of physicians with expertise in myelofibrosis (MF) together with a diverse extended faculty dev...
17/07/2024

💡 An international panel of physicians with expertise in myelofibrosis (MF) together with a diverse extended faculty developed new recommendations addressing the critical gaps in the management of MF.

There were 5 consensus themes encompassing 25 key clinical questions. These were defining the thresholds for anemia, and when to initiate or modify treatment, defining the threshold for thrombocytopenia and when to begin or adjust therapy, characterizing Janus kinase (JAK) inhibitor failure and what would call for switching therapy, when and how to evaluate prognosis in patients with MF, and unmet needs in MF clinical trials.

Read more: https://www.rarediseaseadvisor.com/news/new-recommendations-mf-management-published/

An international panel of physicians and a diverse extended faculty developed new recommendations for the management of MF, a study found.

Subacute liver injury was reported for the first time in infants less than 4 weeks of age with spinal muscular dystrophy...
17/07/2024

Subacute liver injury was reported for the first time in infants less than 4 weeks of age with spinal muscular dystrophy who received , according to published in the journal Molecular Therapy – Methods & Clinical Development.

Read more:

Subacute liver injury occurred in 2 female infant cases after receiving gene therapy for SMA before 4 weeks of age, according to a case report.

Joseph Penrod, 21, from suburban Detroit, is a senior at Michigan State University pursuing a degree in journalism. Darr...
16/07/2024

Joseph Penrod, 21, from suburban Detroit, is a senior at Michigan State University pursuing a degree in journalism. Darrel Nicklow Jr., 26, from Arcadia, Florida, runs an online digital media business. Both men have Duchenne muscular dystrophy (DMD) and have attended numerous conferences focused on diagnosis, treatments, and clinical care.

However, these conferences often overlook daily life aspects such as mental health, careers, finances, relationships, and s*xuality.

A conversation between Joseph Penrod and his mother, Marissa Penrod led to the creation of "What Now? Possibilities in Adulthood with Duchenne," the first-ever virtual conference exclusively for older adolescents and adults with DMD. Sponsored by the nonprofit organization Team Joseph, the event will take place on July 17-18, 2024.

“We want to show kids and young men with Duchenne that there’s more to life than just drugs and going to doctor appointments and getting a new wheelchair,” Joseph said. “You can still have a job and make money. Just knowing I can work remotely from anywhere gives me hope.”

Learn more about the conference here: https://www.rarediseaseadvisor.com/features/virtual-conference-aims-help-young-men-duchenne-face-adulthood/

Sarepta Therapeutics NS Pharma Catalyst Pharmaceuticals, Inc. PTC Therapeutics Edgewise Therapeutics Dyne Therapeutics Pfizer CureDuchenne

With life expectancy growing among patients with DMD, young men with the disease are organizing an event to discuss living with it.

16/07/2024

Taking on the challenge in South Africa wasn't just about proving himself - It was about showing the world what a person with Pompe disease can do.

"Through unwavering determination and indomitable spirit, I used encouragement from others to propel me forward, and I aimed to inspire countless people along the way. It took true grit and resilience, but in the end, I hope my journey to complete this event will serve as a powerful reminder that no obstacle is insurmountable if one dares to face it head-on."

Read more in Bruce Campbell's latest patient perspective: https://www.rarediseaseadvisor.com/patient-columns/inspiring-others-pompe-stand-ironman-strong/

A systematic review of 26 articles published in Clinical and Experimental Rheumatology found that current smokers with a...
16/07/2024

A systematic review of 26 articles published in Clinical and Experimental Rheumatology found that current smokers with antineutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis are often younger, more often male, and have a unique disease profile.

Read more here: https://www.rarediseaseadvisor.com/news/smoking-influences-prevalence-and-prognosis-in-aav/

Current smokers with AAV are typically younger, predominantly male, and have different disease profiles compared with nonsmokers.

NTLA-2001, an investigational in vivo CRISPR-Cas9 genome editing therapy developed by Intellia Therapeutics, has shown p...
15/07/2024

NTLA-2001, an investigational in vivo CRISPR-Cas9 genome editing therapy developed by Intellia Therapeutics, has shown potential for redosing, according to the first-ever clinical data presented at the Peripheral Nerve Society Annual Meeting.

Read more: https://www.rarediseaseadvisor.com/news/genome-editing-therapy-attr-ntla-2001-potential-redosing/

New data show that investigational in vivo CRISPR/Cas9 genome editing therapy for ATTR, NTLA-2001, has potential for redosing.

New evidence-based clinical practice guidelines developed to support primary care physicians treating individuals with  ...
15/07/2024

New evidence-based clinical practice guidelines developed to support primary care physicians treating individuals with were published recently in Haemophilia.

These guidelines include 82 recommendations divided into 13 categories, addressing organization of care, therapy for adults, and adaptations of therapy for pediatric care.

Read more: https://www.rarediseaseadvisor.com/news/evidence-based-guidelines-address-hemophilia-primary-care-setting/

A comprehensive literature review and expert consensus were used to develop the guidelines, ensuring their relevance and applicability to the primary care setting.

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