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Any Stargardt disease in which the cause of the disease is a mutation in the PROM1 gene.
Features include: Retinal flecks, Macular degeneration, and Reduced visual acuity.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 2 | Retinal flecks, Macular degeneration |
PROM1 function has not been fully characterized.
Stargardt disease 4 is associated with mutations in the PROM1 gene on chromosome 4.
Genetic testing for PROM1 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for Stargardt disease 4. An additional 3 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for Stargardt disease 4, 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 4. 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 4.
7 publications have been identified in PubMed for Stargardt disease 4. Research spans Review / Meta-Analysis (29%), Gene Therapy / Novel Therapeutics (29%), and Case Report / Case Series (14%).
Rao MK (2025). [PMID: 40519068](https://pubmed.ncbi.nlm.nih.gov/40519068/). *Clinical genetics*. [Epidemiology / Natural History]
Ameri H (2025). [PMID: 39930178](https://pubmed.ncbi.nlm.nih.gov/39930178/). *Advances in experimental medicine and biology*. [Review / Meta-Analysis]
Britten-Jones AC (2025). [PMID: 40960229](https://pubmed.ncbi.nlm.nih.gov/40960229/). *Translational vision science & technology*. [Review / Meta-Analysis]
Puertas-Neyra K (2024). [PMID: 38956727](https://pubmed.ncbi.nlm.nih.gov/38956727/). *Stem cell research & therapy*. [Gene Therapy / Novel Therapeutics]
Carr BJ (2024). [PMID: 39355864](https://pubmed.ncbi.nlm.nih.gov/39355864/). *Journal of cell science*. [Gene Therapy / Novel Therapeutics]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:02 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
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 4 have been reported in the published literature.
View trials for Stargardt disease 4
Zhang W (2024). [PMID: 39580292](https://pubmed.ncbi.nlm.nih.gov/39580292/). *Asian journal of surgery*. [Case Report / Case Series]
Carr BJ (2024). [PMID: 38895468](https://pubmed.ncbi.nlm.nih.gov/38895468/). *bioRxiv : the preprint server for biology*. [Basic Science / Preclinical]
AI-curated news mentioning Stargardt disease 4
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.
Gildeuretinol has received Breakthrough Therapy, Rare Pediatric Disease, Fast Track, and Orphan Drug designations for Stargardt disease from the FDA. The EMA has designated gildeuretinol as an orphan medicinal product to treat non-syndromic inherited retinal dystrophies due to defects in the ... Gildeuretinol has received Breakthrough Therapy, Rare Pediatric Disease, Fast Track, and Orphan Drug designations for Stargardt disease from the FDA. The EMA has designated gildeuretinol as an orphan medicinal product to treat non-syndromic inherited retinal dystrophies due to defects in the ABCA4 gene, which includes Stargardt disease. Alkeus Pharmaceuticals has dosed the first participant in the phase 3 NORTHSTAR trial of oral gildeuretinol for Stargardt disease, a condition with no approved treatments. Mechanistically, ALK-001 is engineered to reduce vitamin A dimer formation without visual-cycle modulation and carries multiple expedited FDA designations plus EMA orphan status; >400 patients treated to date.SHOW MORE NORTHSTAR is a randomized, placebo-controlled, double-masked, 24-month trial designed to evaluate the efficacy, safety, and pharmacokinetics of oral gildeuretinol in patients with advanced Stargardt disease who present with atrophic lesions at baseline. The study aims to enroll approximately 230 participants aged 8 to 45 years across an estimated 55 sites in more than 11 countries. The study design has been agreed upon by both the US Food and Drug Administration and the European Medicine Agency (EMA).
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.
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.