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Features include: Macular flecks, Reduced visual acuity, Visual impairment, and Macular atrophy and 1 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 4 | Macular flecks, Visual impairment, Macular atrophy |
Muscles |
ELOVL4 encodes ELOVL fatty acid elongase 4 (314 aa). Catalyzes the first and rate-limiting reaction of the four reactions that constitute the long-chain fatty acids elongation cycle. Highest expression in Skin Sun Exposed Lower leg (68.2 TPM) and Skin Not Sun Exposed Suprapubic (64.1 TPM).
Stargardt disease 3 is associated with mutations in the ELOVL4 gene on chromosome 6.
The ELOVL4 protein participates in ELOVL1,4 elongate TCS-CoA and Mal-CoA to 3OHC-CoA pathway.
ELOVL4 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for ELOVL4 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Stargardt disease 3 has been reported in the published literature.
No approved treatments are currently available for Stargardt disease 3. An additional 3 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for Stargardt disease 3, 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 Stargardt disease 3. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
No clinical trials have been registered for Stargardt disease 3.
14 publications have been identified in PubMed for Stargardt disease 3. Research spans Epidemiology / Natural History (36%), Basic Science / Preclinical (29%), and Case Report / Case Series (14%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 5 | 36% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 4:30 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
1
Macular atrophy |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
echothiophate iodide | echothiophate iodide | Makindus, Inc. | 2014 | — | Designated |
C20-D3-retinyl acetate | C20-D3-retinyl acetate | Alkeus pharmaceuticals, Inc. | 2010 | — | Designated |
Adeno-associated viral vector serotype 5 containing human ABCA4 gene | Adeno-associated viral vector serotype 5 containing human ABCA4 gene | Fondazione Telethon | 2008 | — | Withdrawn |
Gene therapy approaches for Stargardt disease 3 have been reported in the published literature.
View trials for Stargardt disease 3
4 |
29% |
Patient case studies | 2 | 14% |
Testing and diagnosis research | 1 | 7% |
Research summaries | 1 | 7% |
New treatment approaches | 1 | 7% |
Abu Serhan H (2026). [PMID: 41721385](https://pubmed.ncbi.nlm.nih.gov/41721385/). *Int J Retina Vitreous*. [Review / Meta-Analysis]
Kootstra SH (2026). [PMID: 41609020](https://pubmed.ncbi.nlm.nih.gov/41609020/). *Acta Ophthalmol*. [Diagnostic / Biomarker]
Vanita V (2025). [PMID: 41003791](https://pubmed.ncbi.nlm.nih.gov/41003791/). *Mol Biol Rep*. [Basic Science / Preclinical]
Luo Q (2025). [PMID: 40606666](https://pubmed.ncbi.nlm.nih.gov/40606666/). *Front Genet*. [Gene Therapy / Novel Therapeutics]
Fan X (2025). [PMID: 39856360](https://pubmed.ncbi.nlm.nih.gov/39856360/). *Sci Rep*. [Epidemiology / Natural History]
Idárraga GDO (2025). [PMID: 40080775](https://pubmed.ncbi.nlm.nih.gov/40080775/). *JBRA Assist Reprod*. [Epidemiology / Natural History]
Zhang M (2025). [PMID: 41070652](https://pubmed.ncbi.nlm.nih.gov/41070652/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Pas JAAH (2025). [PMID: 40714056](https://pubmed.ncbi.nlm.nih.gov/40714056/). *Am J Ophthalmol*. [Epidemiology / Natural History]
Ueno S (2024). [PMID: 38568448](https://pubmed.ncbi.nlm.nih.gov/38568448/). *Jpn J Ophthalmol*. [Epidemiology / Natural History]
Romano F (2024). [PMID: 37924945](https://pubmed.ncbi.nlm.nih.gov/37924945/). *Ophthalmol Retina*. [Epidemiology / Natural History]
AI-curated news mentioning Stargardt disease 3
Updated Aug 6, 2026
Tarsus Pharmaceuticals has acquired Alkeus for up to $800 million, gaining access to a promising therapy for Stargardt disease currently in late-stage testing. This acquisition highlights the potential value of innovative treatments in the rare eye disease space.
Stargardt Disease. American Academy of Ophthalmology. Macula. American Academy of Ophthalmology. Vision Loss, Central. MedlinePlus. Stargardt macular degeneration. National Cancer Institute. Choroid. MedlinePlus. Choroideremia. National Organization of Rare Disorders. Choroideremia. U.S. Food & Drug Administration. FDA approves novel gene therapy to treat patients with a rare form of inherited ... Stargardt Disease. American Academy of Ophthalmology. Macula. American Academy of Ophthalmology. Vision Loss, Central. MedlinePlus. Stargardt macular degeneration. National Cancer Institute. Choroid. MedlinePlus. Choroideremia. National Organization of Rare Disorders. Choroideremia. U.S. Food & Drug Administration. FDA approves novel gene therapy to treat patients with a rare form of inherited vision loss. This gene is associated with several IRDs, including retinitis pigmentosa. Other therapies in development include medications that prevent the death of cells in the eyes and prosthetics that are implanted into the eye to restore vision. Sources: PreventBlindness.org. Eye Diseases & Con... + 13 · PreventBlindness.org. Eye Diseases & Conditions: Inherited Retinal Diseases. Why family medical history matters to the health of your eyes.How your genetics can affect your vision ... Get a look at the healthcare providers you may work with if you are living with an inherited retinal disease (IRD).The specialists and therapies that treat IRDs Keep in mind that this is a simplified explanation of this condition—there are more than 60 different genes that can be involved in the development of RP, there are numerous subtypes of RP, the disease can follow different patterns, and it can occur as a result of multiple other genetic disorders. It’s estimated that RP affects one out of every 3,000 or 4,000 people. This inherited retinal disease is the most common form of juvenile macular degeneration and symptoms typically begin in late childhood or young adulthood.
City has secured nearly $100 million to advance its next-generation RNAi drugs, including a clotting disorder treatment currently in early human testing. An experimental therapy for Stargardt disease is also on the horizon.
The regulatory progress for AAVantgarde’s AAVB-039 underscores advances in dual-vector gene therapy, as well as scalable manufacturing and efficient rare-disease clinical development. The designation of AAVB-039 as an orphan drug provides several development incentives in the United States, including tax credits for qualified clinical testing, waived FDA application fees, and —if the therapy is ultimately approved—seven years of market exclusivity (1). These incentives not only reduce development risk but also encourage investment in manufacturing platforms for gene therapies targeting rare diseases. Italy-based AAVantgarde Bio, a clinical-stage biotechnology company specializing in therapies for inherited retinal diseases, has achieved two key regulatory milestones for its lead gene therapy program, AAVB-039, in development for treating Stargardt disease. The company announced on Oct. 2, 2025 that it was granted orphan drug designation by FDA and received approval from the UK Medicines and Healthcare products Regulatory Agency (MHRA) for its clinical trial authorization (CTA) application (1). AAVB-039 is currently being assessed in a Phase I/II trial (CELESTE), which is designed to evaluate safety, tolerability, and preliminary efficacy across three dose levels in patients with Stargardt disease. Recruitment for an observational study (STELLA) also continues. This study provides important natural history data to inform long-term therapeutic evaluation. The broader impact for the biopharmaceutical industry lies in the validation of strategies to develop therapies for rare inherited disorders for which manufacturing complexity has been a limiting factor. Stargardt disease results from ABCA4 gene mutations, necessitating innovative vector designs for effective gene therapy delivery. Regulatory incentives, such as tax credits and market exclusivity, reduce development risks and encourage investment in rare disease therapies.
A new study identifies key factors influencing vision-related quality of life in patients with recessive Stargardt disease. The findings could inform future therapeutic strategies and patient support initiatives.