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Condition (MeSH)

Rare Diseases

ClinicalTrials.gov lists 589 trials for Rare Diseases or a narrower condition beneath it. National Center for Research Resources (NCRR) has the most among industry and government lead sponsors, with 164.

MeSH D035583 Pathological Conditions, Signs and Symptoms C23
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Phase 1 Phase 1 35 Phase 1/2 Phase 1/2 20 Phase 2 Phase 2 91 Phase 2/3 Phase 2/3 6 Phase 3 Phase 3 63 Phase 4 Phase 4 6 Not applicable Not applicable 144 Observational Observational 220 Phase 1 Phase 1 35 Phase 1/2 Phase 1/2 20 Phase 2 Phase 2 91 Phase 2/3 Phase 2/3 6 Phase 3 Phase 3 63 Phase 4 Phase 4 6 Not applicable Not applicable 144 Observational Observational 220

Trials per phase (log scale)

1 more section with rows

589 of the 589 trials are tagged with Rare Diseases itself; the rest are tagged with a narrower condition beneath it.

Get the Rare Diseases report as a PDF

The PDF carries up to 50 rows of each section, where the page shows the first few, with the sources listed. Enter a work email and confirm it from the message we send, and the report follows by email.

When did Rare Diseases trials start? (34)

Shown in this order: most recent first, 1990 onwards. 2026 is partial: trials registered with a 2026 start date so far, not a full year. 1 trial is registered to start in 2027 or later, and not listed here.

Trials over time, by phase

  • Phase 1
  • Phase 1/2
  • Phase 2
  • Phase 2/3
  • Phase 3
  • Phase 4
  • Not applicable
  • Observational

Top of scale: 60

1990: 3 trials (Not applicable 1, Phase 2 1, Phase 1 1) 1991: 12 trials (Not applicable 2, Phase 3 5, Phase 2 5) 1992: 11 trials (Observational 1, Not applicable 1, Phase 3 4, Phase 2 3, Phase 1/2 1, Phase 1 1) 1993: 25 trials (Observational 6, Not applicable 4, Phase 4 2, Phase 3 7, Phase 2 3, Phase 1/2 1, Phase 1 2) 1994: 27 trials (Observational 6, Not applicable 9, Phase 3 3, Phase 2/3 1, Phase 2 7, Phase 1 1) 1995: 60 trials (Observational 15, Not applicable 14, Phase 3 9, Phase 2 14, Phase 1/2 3, Phase 1 5) 1996: 28 trials (Observational 3, Not applicable 7, Phase 3 7, Phase 2 10, Phase 1/2 1) 1997: 34 trials (Observational 6, Not applicable 12, Phase 3 5, Phase 2/3 1, Phase 2 7, Phase 1 3) 1998: 38 trials (Observational 7, Not applicable 19, Phase 3 4, Phase 2 4, Phase 1 4) 1999: 43 trials (Observational 13, Not applicable 10, Phase 3 2, Phase 2 12, Phase 1/2 2, Phase 1 4) 2000: 29 trials (Observational 3, Not applicable 17, Phase 4 1, Phase 3 1, Phase 2 3, Phase 1 4) 2001: 8 trials (Observational 3, Not applicable 1, Phase 2 2, Phase 1 2) 2003: 2 trials (Observational 2) 2004: 1 trials (Observational 1) 2006: 4 trials (Observational 1, Phase 2/3 1, Phase 2 1, Phase 1 1) 2007: 1 trials (Observational 1) 2009: 3 trials (Observational 1, Not applicable 1, Phase 1/2 1) 2010: 6 trials (Observational 3, Phase 4 1, Phase 3 2) 2011: 2 trials (Observational 2) 2012: 2 trials (Not applicable 1, Phase 3 1) 2013: 7 trials (Observational 2, Phase 3 2, Phase 2 1, Phase 1/2 2) 2014: 4 trials (Observational 1, Not applicable 1, Phase 3 1, Phase 2 1) 2015: 9 trials (Observational 5, Phase 3 3, Phase 2 1) 2016: 9 trials (Observational 3, Not applicable 1, Phase 3 1, Phase 2 2, Phase 1/2 1, Phase 1 1) 2017: 7 trials (Observational 4, Not applicable 2, Phase 2 1) 2018: 15 trials (Observational 8, Not applicable 2, Phase 4 1, Phase 3 2, Phase 1/2 1, Phase 1 1) 2019: 17 trials (Observational 11, Not applicable 4, Phase 2 1, Phase 1/2 1) 2020: 12 trials (Observational 9, Not applicable 2, Phase 2 1) 2021: 28 trials (Observational 19, Not applicable 5, Phase 3 1, Phase 1/2 2, Phase 1 1) 2022: 14 trials (Observational 9, Not applicable 1, Phase 2/3 1, Phase 2 2, Phase 1/2 1) 2023: 24 trials (Observational 16, Not applicable 4, Phase 2 3, Phase 1 1) 2024: 27 trials (Observational 19, Not applicable 7, Phase 1/2 1) 2025: 32 trials (Observational 19, Not applicable 6, Phase 3 1, Phase 2/3 2, Phase 2 1, Phase 1/2 1, Phase 1 2)

Trials registered with a start date in each year, 1990 onward, stacked by phase (complete years only; the current partial year is in the table's notes). The table below lists the same counts, most recent years first.

Trials started per year
Year Trials started
2026 (partial year) 22
2025 32
2024 27
2023 24
2022 14
2021 28
2020 12
2019 17
2018 15
2017 7

Forecast of the full-year count, planned starts included, not rows of this table: about 28 trials starting in 2026 and about 29 in 2027, the average of the 24 months through September, counted as registered and carried forward, with about 0.7 times the starts already registered for the rest of 2026 added. The rows of this table count trials registered so far with a start date in the year, planned starts included; the forecast looks ahead to the count for the whole year, so it is not the same measure. In backtests on conditions of this size, forecasts made part-way through the year were typically off by about 15 percent and ran about 1 percent high against the count later registered; forecasts made before the year began were off by about 26 percent and ran about 20 percent low against the count later registered. The part-way figures are from forecasts that used a multiple fitted only on earlier years. These figures rest on a few years of history (target years from 2018 to 2025, varying by figure), place each condition as it is mapped today rather than as it was then, and score against a count for the newest year that was still being revised. Only condition series were scored.

Prediction, not a registry value: median of 36 months from start to primary completion across 22 trials still running at the 2026-10-09 snapshot; registered median of 36 months across 137 trials with a primary completion typed Actual. Source: ClinicalTrials.gov / AACT (CTTI), public domain.

What phase are Rare Diseases trials in? (9)

Shown in this order: phase order.

Show the trials by phase as a table
Trials by phase
Phase Trials
Phase 1 35
Phase 1/2 20
Phase 2 91
Phase 2/3 6
Phase 3 63
Phase 4 6
Not applicable 144
Observational 220
Expanded access 4

How many Rare Diseases trials are recruiting? (12)

Shown in this order: the order a trial moves through, from not yet recruiting to unknown.

Trials by recruitment status
Status Trials
Not yet recruiting 16
Recruiting 86
Enrolling by invitation 12
Active, not recruiting 10
Available 1

Status as registered on ClinicalTrials.gov. Each trial is counted once.

Which lead sponsors run the most Rare Diseases trials? (9)

Shown in this order: most trials first. Lead sponsors the registry classes as industry, NIH, US federal, other government or network. A hospital or university the registry files as government can appear here. Sponsors it classes as academic or other are shown on the full page, because that class cannot separate an institution from a named investigator.

Lead sponsors
Sponsor Trials
National Center for Research Resources (NCRR) 164
FDA Office of Orphan Products Development 20
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 13
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 13
National Institute of Neurological Disorders and Stroke (NINDS) 13

Which drugs are being tested for Rare Diseases? (6)

Shown in this order: most trials first. One row per drug, matched to a single molecule under all its names, ranked by number of trials.

Drugs tested
Drug Trials
Cytoxan 17
METHYLPREDNISOLONE 9
Prednisone 8
tin mesoporphyrin 6
Ursodeoxycholic Acid 5

Interventions as named in the registry (9)

Shown in this order: most trials first.

Interventions as named in the registry
Drug Trials
Filgrastime (G-CSF) 12
Thymoglobulin [Anti-Thymocyte Globulin (Rabbit)] 10
Globulin, Immune 7
Lupron / Leuprolide acetate 7
Cyclosporine 0.05% 7

These are the names sponsors entered on ClinicalTrials.gov that we have not matched to a single molecule. Some are drugs under a brand or code name; others are procedures, doses or arm labels.

Which serious adverse events do Rare Diseases trials report? (10)

Shown in this order: most subjects affected first. Subjects affected summed across trials, a cross-trial signal, not a rate.

Serious adverse events in this condition's trials
Adverse event Subjects affected Trials
Pulmonary hypertension NOS 21 1
Hypoxia 18 2
Gastroenteritis 16 5
Dehydration 13 3
Hypotension NOS 13 1

Which publications cover Rare Diseases? (251)

Shown in this order: major-topic papers first, then newest, then most linked to trials.

Not on this page

Not measured: delivery record.

Checked, with nothing recorded for this condition: prevalence, rare-disease identity, and sub-conditions in mesh.

Browse all condition evidence pages