ORPHA:1163
Aspergillosis
Publications
50,114
Trials
123
Interventional, condition-specific
Researchers
1,288
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare infectious disease caused by inhalation of the opportunistic fungus aspergillus that can lead to the following manifestations: allergic bronchopulmonary aspergillosis (ABPA), aspergilloma, chronic necrotizing pulmonary aspergillosis (CNPA), and invasive aspergillosis (IA). Aspergilloma occurs in patients with cavitary lung disease and results in a fungal mass with variable clinical presentations from asymptomatic to life-threatening (massive hemoptysis). CNPA manifests as subacute pneumonia in patients with underlying disease. IA is disseminated aspergillosis that eventually invades other organs. Cutaneous aspergillosis is usually the dermatological manifestation of IA that manifests as erythematous-to-violaceous plaques or papules, often characterized by a central necrotic ulcer or eschar.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0005657
- MeSH:D001228
- UMLS:C0004030
- NCIT:C2886
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
3/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
50,114 matched papers (24,307 in last 10 years) Source
- Phenotype characterisedPresent
73 HPO annotations (e.g. Abnormal fingernail morphology; Emphysema; Cough) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
123 matched on ClinicalTrials.gov (12 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
73
Associated phenotypes · MONDO:0005657
- Abnormal fingernail morphology
- Emphysema
- Cough
- Positive blood 1,3 beta glucan test
- Decreased total neutrophil count
Showing 5 of 73 — open Monarch for the full list.
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
17
Drugs / clinical candidates · MONDO_0005657
- AMCIPATRICIN DIASCORBATE·phase 3
- ANIDULAFUNGIN·phase 3
- ISAVUCONAZOLE·phase 3
- OLOROFIM·phase 3
- SODIUM CHLORIDE·phase 3
- IBREXAFUNGERP·phase 2
- INTERFERON GAMMA-1B·phase 2
- MICAFUNGIN·phase 2
- NITRIC OXIDE·phase 2
- OPELCONAZOLE·phase 2
- AMPHOTERICIN B·approval
- CASPOFUNGIN·approval
- CASPOFUNGIN ACETATE·approval
- ISAVUCONAZONIUM SULFATE·approval
- ITRACONAZOLE·approval
CTD chemicals (MyDisease.info)
17 associated chemicals · 6 pathways. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Amphotericin B · therapeutic
- Anidulafungin · therapeutic
- Caspofungin · therapeutic
- Clotrimazole · therapeutic
- enilconazole · therapeutic
- Fluconazole · therapeutic
- Hydrazones · therapeutic
- ICI 195739 · therapeutic
- Itraconazole · therapeutic
- Ketoconazole · therapeutic
- liposomal amphotericin B · therapeutic
- posaconazole · therapeutic
Pathways: Phagosome; Tuberculosis; Innate Immune System; Immune System; CLEC7A (Dectin-1) signaling; C-type lectin receptors (CLRs)
Literature
Is anyone studying this?
50,114
50,114 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
50,114 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
24,307 in the last 10 years · low confidence
Phrase hits: 50,114 · MeSH hits: 0
Who's working on it?
1,288
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Li Y9 papers · 2026
Infection Prevention and Control Department, The First Affiliated Hospital of Nanyang Medical College, Nanyang, China.
Papers in Europe PMC - 02Zhang J7 papers · 2026
Department of Critical Care Medicine, Weifang People's Hospital, Weifang, Shandong Province, China.
Papers in Europe PMC - 03Agarwal R5 papers · 2026
Department of Pulmonary Medicine, PGIMER, Chandigarh, India.
Papers in Europe PMC - 04Chen Y5 papers · 2026
Department of Pharmacy, Nanjing Drum Tower Hospital, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu, China.
Papers in Europe PMC - 05Wang Y5 papers · 2026
Department of Rheumatology and Immunology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Papers in Europe PMC - 06Zhang L5 papers · 2026
Department of Pediatrics, Shanghai Jiahui International Hospital.
Papers in Europe PMC - 07Zhang X5 papers · 2026
Guangzhou Medical University, KingMed School of Laboratory Medicine, Guangzhou, China.
Papers in Europe PMC - 08Cramer RA4 papers · 2026
Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Papers in Europe PMC - 09Denning DW4 papers · 2026
Manchester Fungal Infection Group, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Papers in Europe PMC - 10Lanternier F4 papers · 2026
Infectious Diseases Department, Universitary Hospial Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris Cité University, Paris, France.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
123
interventional trials for this specific condition
123 interventional trials matched this specific condition name; 12 currently recruiting in our sample.
Data as of 11 September 2026
123 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 98.7th percentile).
low confidence · 98.7th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
123 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT03656081·RECRUITING·Chronic Pulmonary Aspergillosis and Ambisome Aerosol with Itraconazole
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis·Matched via name phrase
- NCT06174922·RECRUITING·A Randomized Trial of Prednisolone, Itraconazole, or Their Combination in Allergic Bronchopulmonary Aspergillosis
Not reviewed·Conditions: Allergic Bronchopulmonary Aspergillosis·Matched via name phrase
- NCT05444946·RECRUITING·Oral Itraconazole Versus Combination of Systemic Glucorticoids and Oral Itraconazole in CPA-ABPA Overlap Syndrome
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis · Allergic Bronchopulmonary Aspergillosis·Matched via name phrase
- NCT06582186·NOT YET RECRUITING·Individualized First Maintenance Doses of Voriconazole Through a Multiparametric Algorithm
Not reviewed·Conditions: Aspergillosis Invasive · Fungal Infection · Hematologic Malignancy·Matched via name phrase
- NCT03828773·RECRUITING·PTX3-targeted Antifungal Prophylaxis
Not reviewed·Conditions: Candidiasis · Fungal Infection · Acute Myeloid Leukemia · Genetic Predisposition·Matched via name phrase
- NCT05653193·RECRUITING·Interferon-gamma as Adjunctive Therapy in Chronic Pulmonary Aspergillosis: a Randomised Feasibility Study
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis · Aspergillosis·Matched via name phrase
- NCT03717623·RECRUITING·Posaconazole Pharmacokinetics in Patients Receiving Chemotherapy or Stem Cell Transplants
Not reviewed·Conditions: Posaconazole · Pharmacokinetics · Invasive Candidiases · Invasive Aspergillosis·Matched via name phrase
- NCT06447402·RECRUITING·A Trial to Compare Nebulized Amphotericin B and Nebulized Normal Saline as Maintenance in Patients With Chronic Pulmonary Aspergillosis
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis · CPA · Aspergilloma·Matched via name phrase
- NCT06244979·RECRUITING·iMagIng pulmonaRy Aspergillosis Using Gallium-68-dEferoxamine
Not reviewed·Conditions: Pulmonary Aspergillosis · Chronic Pulmonary Aspergillosis · Allergic Bronchopulmonary Aspergillosis·Matched via name phrase
- NCT07337720·NOT YET RECRUITING·Liposomal Amphotericin B in Invasive Aspergillosis With Hepatic Dysfunction
Not reviewed·Conditions: Aspergillosis Invasive·Matched via name phrase
- NCT07530263·NOT YET RECRUITING·Deposition of Inhaled Liposomal Amphotericin B in Chronic Pulmonary Aspergillosis (CPA)
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis·Matched via name phrase
- NCT06440915·RECRUITING·Study on Theraputic Drug Monitoring and Phamacokinetics of Isavuconazole in Children
Not reviewed·Conditions: Aspergillosis Invasive · Mucormycosis·Matched via name phrase
Observational and natural-history studies
103 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT07362667·RECRUITING·A Study of the Efficacy and Safety of Bronchoscopic Airway Clearance and Amphotericin B Spraying in Patients With ABPA
Not reviewed·Conditions: ABPA · Allergic Bronchopulmonary Aspergillosis · Allergic Bronchopulmonary Aspergillosis (ABPA) · Airway Clearance·Matched via name phrase
- NCT07530770·RECRUITING·Real-World Effectiveness of Benralizumab in Allergic Bronchopulmonary Aspergillosis
Not reviewed·Conditions: Allergic Bronchopulmonary Aspergillosis · Severe Asthma · ABPA·Matched via name phrase
- NCT03827694·RECRUITING·Non-Invasive Diagnosis of Pediatric Pulmonary Invasive Mold Infections
Not reviewed·Conditions: Pulmonary Invasive Fungal Infections · Pulmonary Invasive Aspergillosis·Matched via name phrase
- NCT07690345·RECRUITING·Fungal Status and Prognosis in ABPA
Not reviewed·Conditions: ABPA · Allergic Bronchopulmonary Aspergillosis · Allergic Bronchopulmonary Aspergillosis (ABPA) · Colonization·Matched via name phrase
- NCT03748069·RECRUITING·Influenza Associated Aspergillosis In-depth Investigation
Not reviewed·Conditions: Influenza With Pneumonia · Invasive Pulmonary Aspergillosis·Matched via name phrase
- NCT06645210·NOT YET RECRUITING·Multicenter Registration Study on Allergic Bronchopulmonary Aspergillosis
Not reviewed·Conditions: Allergic Bronchopulmonary Aspergillosis·Matched via name phrase
- NCT07040332·RECRUITING·Pathogenesis and Inflammatory Phenotype of Allergic Bronchopulmonary Aspergillosis
Not reviewed·Conditions: Allergic Bronchopulmonary Aspergillosis (ABPA)·Matched via name phrase
- NCT06537726·RECRUITING·Breath Analysis for the Detection of Invasive Fungal Infections
Not reviewed·Conditions: Leukemia · Leukemia, Myeloid · Leukemia, Lymphoblastic · Neutropenia·Matched via name phrase
- NCT07714863·RECRUITING·ML-Based ABPA Recurrence Prediction and Clinical Utility
Not reviewed·Conditions: ABPA · Allergic Bronchopulmonary Aspergillosis · Allergic Bronchopulmonary Aspergillosis (ABPA) · Acute Exacerbation·Matched via name phrase
- NCT01386437·RECRUITING·Natural History of Individuals With Immune System Problems That Lead to Fungal Infections
Not reviewed·Conditions: Chronic Mucocutaneous Candidiasis · Invasive Aspergillosis · CARD9 · APECED·Matched via name phrase
- NCT06885905·RECRUITING·Impact of Chronic Pulmonary Aspergillosis (CPA) on Health Status and Well-being
Not reviewed·Conditions: Chronic Pulmonary Aspergillosis·Matched via name phrase
- NCT06069505·RECRUITING·Detection of Azole Resistance Inducing Mutations on DNA Extracted Directly From Serum or Plasma of Immunocompromised Patients With an Invasive Aspergillus Infection Azole Resistance PCR Optimalization-study
Not reviewed·Conditions: Invasive Aspergillosis·Matched via name phrase
- NCT07080359·NOT YET RECRUITING·Isavuconazole in Critically Ill Patients: Efficacy and Safety
Not reviewed·Conditions: Fungal Infection · Aspergillosis · Mucormycosis·Matched via name phrase
- NCT05860387·RECRUITING·Early Diagnosis of Invasive Lung Aspergillosis
Not reviewed·Conditions: Respiratory Infection · Invasive Pulmonary Aspergillosis·Matched via name phrase
- NCT07681583·RECRUITING·Derivation and Validation of the Fungal Pneumonia Assessment and Likelihood Predictor Score
Not reviewed·Conditions: Pneumonia · Fungal Pneumonia · Aspergillosis Pneumonia · Pulmonary Aspergillosis·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 42 · after dedupe 42 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 42 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (42)
- ctis·2025-524976-40-00·Authorised·ECSIP : Early Corticosteroids in Severe Influenza Pneumonia, a phase III randomized controlled trial
skipped — LLM skipped (--skip-llm)
- ctis·2025-523501-15-00·Authorised·A Phase 2, monocentric, prospective, nonrandomized, open-label, experimental study to evaluate efficacy and safety of intrabronchial instillation of liposomal Amphotericin B in patients with simple pulmonary aspergilloma.
skipped — LLM skipped (--skip-llm)
- ctis·2025-522835-32-00·Authorised, ongoing·A Phase 2, Multicenter, Randomized, Double-blind Study of Safety and Efficacy of EL219 versus Standard of Care (Liposomal Amphotericin B followed by Voriconazole) for Early Antifungal Therapy of Suspected Invasive Mould Infections
skipped — LLM skipped (--skip-llm)
- ctis·2025-521770-34-00·Authorised·Nebulised lIposomal aMphotericin B in chronic pUlmonary aSpergillosis: a deposition study
skipped — LLM skipped (--skip-llm)
- ctis·2024-519575-26-00·Expired·A phase 2, multicentre, open-label, single arm study to evaluate the effectiveness and safety of rezafungin (as acetate) in the treatment of chronic pulmonary aspergillosis (CPA) in patients with limited treatment options
skipped — LLM skipped (--skip-llm)
- ctis·2024-515704-39-00·Authorised, recruiting·ISA-PET
skipped — LLM skipped (--skip-llm)
- ctis·2024-511281-36-00·Cancelled·A double-blind, randomized, placebo-controlled study to assess the safety and efficacy of nebulized PC945 when added to systemic antifungal therapy for the treatment of refractory invasive pulmonary aspergillosis (OPERA-T study)
skipped — LLM skipped (--skip-llm)
- ctis·2024-517004-11-00·Authorised, recruiting·CPAAARI-Therapeutic efficacy comparison of a six-month treatment by itraconazole and nebulised Ambisome® versus treatment by itraconazole alone in non- or mildly- immunocompromised patients with Chronic Pulmonary Aspergillosis: a prospective, randomized, single blind study, (single aspergilloma excluded).
skipped — LLM skipped (--skip-llm)
- ctis·2024-517211-79-00·Authorised·PTX3 genetically stratified randomized double-blinded allocation event-driven clinical trial for antifungal prophylaxis in patients with acute myeloid leukemia
skipped — LLM skipped (--skip-llm)
- ctis·2024-513030-38-00·Cancelled·A Phase III, adjudicator-blinded, randomised study to evaluate the efficacy and safety of treatment with olorofim versus treatment with AmBisome® followed by standard of care (SOC) in patients with invasive fungal disease (IFD) caused by Aspergillus species
skipped — LLM skipped (--skip-llm)
- ctis·2023-509744-10-00·Authorised, ongoing·iMagIng pulmonaRy Aspergillosis using Gallium-68-dEferoxamine (MIRAGE)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN22936350·Recruiting·A Phase I study evaluating the safety and effects of QX031N in healthy participants, participants with chronic obstructive pulmonary disease and participants with asthma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN81435672·Recruiting·Precision medicine Adaptive Network platform Trial in Hypoxaemic acutE respiratory failuRe
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13915160·No longer recruiting·Using nature-based exercise and inhalers to help people with chronic obstructive pulmonary disease get better
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17596258·Recruiting·AIR-NET- Testing anti-inflammatories for the treatment of bronchiectasis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18210817·No longer recruiting·Measuring response to inhaled asthma therapy using pulmonary imaging
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN45965456·Suspended·Randomised, open-label international trial with Verapamil alone compared with Verapamil plus another immunotherapy for people with newly diagnosed type 1 diabetes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14181775·Recruiting·Effects of blocking a messaging protein called TSLP (thymic stromal lymphopoietin) on inflammation in the airways
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74240789·No longer recruiting·Understanding the effect of mepolizumab treatment on brain imaging and wellbeing in patients with severe asthma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN70034823·No longer recruiting·GREAT-2: a trial of gremubamab compared to placebo in participants with bronchiectasis and chronic Pseudomonas aeruginosa infection
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15320623·No longer recruiting·A comprehensive disease characterisation study in adult bronchiectasis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17978477·No longer recruiting·A Phase I, double-blind, placebo-controlled, ascending single intravenous dose, safety, tolerability, pharmacokinetic and pharmacodynamic study in healthy participants and non-cystic fibrosis bronchiectasis patients colonized with Pseudomonas aeruginosa administered INFEX702
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14810048·No longer recruiting·AspCOVID-19 study: fungal infection of the airways in severe COVID-19 pneumonia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15988757·Stopped·A trial looking at the use of bronchodilator and steroid inhalers for preventing flare ups of bronchiectasis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN51287266·No longer recruiting·Aspergillosis in patients with severe influenza or coronavirus infection
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Aspergillosis — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Aspergillosis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Aspergillosis"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 123 interventional · 103 observational · 1 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is short or not clearly distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
- Publication count (50114) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-26T16:32:41.911Z
