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Pulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by the accumulation of a lipoproteinaceous substance in the distal air spaces which positively stains with periodic acid-Schiff (PAS).
Features include always present findings: Anti-granulocyte-macrophage colony stimulating factor antibody positivity, Low blood oxygen levels (hypoxemia), and Restrictive ventilatory defect; and sometimes findings: Lung abscess and Brain abscess. 16 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 6 | Lung abscess, Dyspnea, Low blood oxygen levels (hypoxemia) |
Brain and nerves | 1 | Brain abscess |
Lab test results | 1 | Anti-granulocyte-macrophage colony stimulating factor antibody positivity |
Heart and blood vessels | 1 | Chest pain |
Blood and immune system | 1 | Recurrent respiratory infections |
Biomarker and diagnostic research for autoimmune pulmonary alveolar proteinosis has been reported in the published literature.
No approved treatments are currently available for autoimmune pulmonary alveolar proteinosis. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for autoimmune pulmonary alveolar proteinosis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for autoimmune pulmonary alveolar proteinosis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
sargramostim | sargramostim | Partner Therapeutics, Inc. | 2018 | — | Designated |
Gene therapy approaches for autoimmune pulmonary alveolar proteinosis have been reported in the published literature.
5 trials found
Phenotype severity distribution: 3 always present features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
5 clinical trials registered, 1 recruiting. Interventions under study include drug therapy. Pipeline includes 2 PHASE3, 3 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT04544293](https://clinicaltrials.gov/study/NCT04544293) | Clinical Trial of Inhaled Molgramostim Nebulizer Solution in Autoimmune Pulmonary Alveolar Proteinosis (aPAP) | PHASE3 | Savara Inc. | ACTIVE_NOT_RECRUITING |
[NCT06989333](https://clinicaltrials.gov/study/NCT06989333) | Local Spraying of GM-CSF Via Bronchoscopy in the Treatment of Autoimmune Pulmonary Alveolar Proteinosis | PHASE2 | Jiuwu Bai | NOT_YET_RECRUITING |
[NCT06111846](https://clinicaltrials.gov/study/NCT06111846) | Study of Human Bone Marrow Mesenchymal Stem Cells in APAP | PHASE2 | Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. | ACTIVE_NOT_RECRUITING |
[NCT06431776](https://clinicaltrials.gov/study/NCT06431776) | Inhaled Molgramostim in Pediatric Participants With Autoimmune Pulmonary Alveolar Proteinosis (aPAP). | PHASE3 | Savara Inc. | RECRUITING |
[NCT07890649](https://clinicaltrials.gov/study/NCT07890649) | A Study of hBMMSC Injection in Patients With aPAP | PHASE2 | Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. | NOT_YET_RECRUITING |
150 publications have been identified in PubMed for autoimmune pulmonary alveolar proteinosis. Research spans Case Report / Case Series (42%), Review / Meta-Analysis (20%), and Epidemiology / Natural History (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 63 | 42% |
Research summaries | 30 | 20% |
Disease patterns and progression | 18 | 12% |
Testing and diagnosis research | 12 | 8% |
Clinical study results | 10 | 7% |
Laboratory research | 8 |
Lian L (2026). [PMID: 41671176](https://pubmed.ncbi.nlm.nih.gov/41671176/). *Proceedings of the National Academy of Sciences of the United States of America*. [Case Report / Case Series]
Song X (2026). [PMID: 42119776](https://pubmed.ncbi.nlm.nih.gov/42119776/). *Chest*. [Epidemiology / Natural History]
Fujishiro E (2026). [PMID: 42250564](https://pubmed.ncbi.nlm.nih.gov/42250564/). *Respir Investig*. [Epidemiology / Natural History]
Dang M (2026). [PMID: 42045620](https://pubmed.ncbi.nlm.nih.gov/42045620/). *Lung*. [Review / Meta-Analysis]
Naeem U (2026). [PMID: 41742124](https://pubmed.ncbi.nlm.nih.gov/41742124/). *BMC pulmonary medicine*. [Review / Meta-Analysis]
Fujita S (2026). [PMID: 41649888](https://pubmed.ncbi.nlm.nih.gov/41649888/). *Immunol Med*. [Case Report / Case Series]
Sharma S (2026). [PMID: 41835822](https://pubmed.ncbi.nlm.nih.gov/41835822/). *Indian J Thorac Cardiovasc Surg*. [Case Report / Case Series]
Carrington JM (2026). [PMID: 29493933](https://pubmed.ncbi.nlm.nih.gov/29493933/). *Unknown Journal*. [Review / Meta-Analysis]
Hou SX (2026). [PMID: 42236457](https://pubmed.ncbi.nlm.nih.gov/42236457/). *Zhonghua Jie He He Hu Xi Za Zhi*. [Case Report / Case Series]
Sugino K (2026). [PMID: 41815743](https://pubmed.ncbi.nlm.nih.gov/41815743/). *Respirol Case Rep*. [Epidemiology / Natural History]
Data assembled from 7 of 12 sources · Last updated Nov 4, 2026, 7:29 PM UTC
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Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
New treatment approaches | 6 | 4% |
Other research | 3 | 2% |
AI-curated news mentioning autoimmune pulmonary alveolar proteinosis
Updated Oct 9, 2026
A recent autopsy case report highlights secondary pulmonary alveolar proteinosis that mimicked the progression of interstitial lung disease in a patient undergoing treatment for adult-onset Still's disease. This finding underscores the need for careful differential diagnosis in similar clinical scenarios.
Exploratory data from the IMPALA-2 trial shows that molgramostim significantly improves exercise distance and duration in patients with autoimmune pulmonary alveolar proteinosis. These findings suggest potential benefits for patient mobility and quality of life.
A recent study highlights the association between pulmonary alveolar proteinosis and the use of ruxolitinib, a JAK inhibitor. This finding may prompt further investigation into the safety profile of ruxolitinib in patients with this rare lung disease.
Savara launches an Early Access Program for molgramostim inhalation solution, aimed at patients with Autoimmune Pulmonary Alveolar Proteinosis. This initiative provides critical access to treatment for a rare disease affecting lung function.