ORPHA:137577
Neonatal hypoxic and ischemic brain injury
Also known as: HIE · Hypoxic and ischemic brain injury in the newborn · Hypoxic-ischemic encephalopathy · Perinatal hypoxia
Publications
19,709
97.7th percentile
Trials
115
Interventional, condition-specific
Researchers
1,196
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare characterized by alterations in mental status ranging from irritability and decreased responsiveness to coma, as well as abnormal primitive reflexes, , , and abnormalities in feeding and respiration, with an onset within the first hours of life. The condition is associated with high mortality. Long-term sequelae include a spectrum of signs and symptoms including behavioral deficits, , learning disabilities, cognitive impairment, , visual and auditory dysfunction, and cerebral palsy.
How rare: 1-9 / 100 000 — about one to nine people per hundred thousand.
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.”
2/6 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
19,709 matched papers (13,511 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- 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
115 matched on ClinicalTrials.gov (31 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)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
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
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
19,709
19,709 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.
19,709 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).
13,511 in the last 10 years · medium confidence · 97.7th percentile (publications denominator)
Phrase hits: 19,709 · MeSH hits: 0
Who's working on it?
1,196
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.
- 01Zhang J5 papers · 2026
Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China; School of Mechanics and Engineering Science, Peking University, Beijing, China. Electronic address: zhangjue@pku.edu.cn.
Papers in Europe PMC - 02Chen L4 papers · 2026
Department of Medical Imaging, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Papers in Europe PMC - 03
- 04Li Y4 papers · 2026
Department of Neurosurgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Papers in Europe PMC - 05Mohammad K4 papers · 2026
Section of Neonatology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada. Electronic address: Khorshid.mohammad@ahs.ca.
Papers in Europe PMC - 06Wang H4 papers · 2026
Department of Haematology, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, University of Electronic Science and Technology of China, Chengdu, China. huanwang2@proton.me.
Papers in Europe PMC - 07Branson HM3 papers · 2026
Department of Diagnostic Imaging and Interventional Radiology, The Hospital for Sick Children, and Department of Medical Imaging, University of Toronto, Toronto, Canada.
Papers in Europe PMC - 08Cizmeci MN3 papers · 2026
Division of Neonatology, The Hospital for Sick Children, and Department of Paediatrics, University of Toronto, Toronto, Canada. Electronic address: mehmet.cizmeci@sickkids.ca.
Papers in Europe PMC - 09Danguecan A3 papers · 2026
Division of Neonatology, The Hospital for Sick Children, and Department of Paediatrics, University of Toronto, Toronto, Canada; Department of Psychology, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
Papers in Europe PMC - 10Ferriero DM3 papers · 2026
Department of Pediatrics and Neurology, University of California San Francisco, Weill Institute for Neurosciences, San Francisco, CA, USA.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
115
interventional trials for this specific condition
115 interventional trials matched this specific condition name; 31 currently recruiting in our sample.
Data as of 11 September 2026
115 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).
medium confidence · 98.7th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
115 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06522581·RECRUITING·Role of Citicoline in Treatment of Neonates With Hypoxic Ischemic Encephalopathy
Not reviewed·Conditions: Hypoxic Ischemic Encephalopathy of Newborn·Matched via name phrase
- NCT06810284·NOT YET RECRUITING·Sildenafil Plus Hypothermia to Treat Neonatal Encephalopathy
Not reviewed·Conditions: Hypoxic-Ischemic Encephalopathy·Matched via name phrase
- NCT06746532·RECRUITING·Intranasal Breast Milk Therapy in HIE
Not reviewed·Conditions: Hypoxic-Ischaemic Encephalopathy · Neonatal Encephalopathy · Perinatal Asphyxia · Neonatal Hypoxic Ischemic Encephalopathy·Matched via name phrase
- NCT04913324·NOT YET RECRUITING·Early Virtual Intervention for Infants With CP Following HIE Diagnosis
Not reviewed·Conditions: Cerebral Palsy · Hypoxic-Ischemic Encephalopathy · Brain Injuries · Perinatal Hypoxia·Matched via name phrase
- NCT02621944·RECRUITING·Melatonin as a Neuroprotective Therapy in Neonates With HIE Undergoing Hypothermia
Not reviewed·Conditions: Hypoxic Ischemic Encephalopathy·Matched via name phrase
- NCT06747260·RECRUITING·Feasibility and Safety of Intranasally Administered Breast Milk in HIE
Not reviewed·Conditions: Hypoxic Ischaemic Encephalopathy (HIE) · Hypoxic Ischemic Encephalopathy of Newborn · Neonatal Encephalopathy · Neonatal Hypoxic Ischemic Encephalopathy·Matched via name phrase
- NCT07549789·NOT YET RECRUITING·Foot Reflexology in Neonates With Hypoxic-Ischemic Encephalopathy
Not reviewed·Conditions: Effect of Reflexology · Hypoxic-Ischemic Encephalopathy, Neonatal · Foot Reflexology · Therapeutic Hypothermia·Matched via name phrase
- NCT06700135·NOT YET RECRUITING·Sensorimotor Stimulation on Oral Feeding
Not reviewed·Conditions: Neonates Post Hypoxic Ischemic Encephalopathy·Matched via name phrase
- NCT06950723·NOT YET RECRUITING·Chest Physical Therapy on Arterial Blood Gases for Neonates Post Hypoxic Ischemic Encephalopathy
Not reviewed·Conditions: Hypoxic Ischemic Encephalopathy of Newborn·Matched via name phrase
- NCT06429007·ENROLLING BY INVITATION·A Safety and Feasibility Trial Protocol of Metformin in Infants After Perinatal Brain Injury
Not reviewed·Conditions: Hypoxic-Ischemic Encephalopathy · HIE · Neurodevelopment · Infant Development·Matched via name phrase
- NCT06563687·RECRUITING·Continuous Glucose Monitoring in HIE
Not reviewed·Conditions: Hypoxic Ischemic Encephalopathy of Newborn · Hyperglycemia · Hypoglycemia·Matched via name phrase
- NCT07527104·RECRUITING·Autologous Bone Marrow Mononuclear Cell Transplantation Combined With Rehabilitation in Children With Sequelae of Hypoxic-Ischemic Encephalopathy or Intracranial Hemorrhage
Not reviewed·Conditions: Cerebral Palsy Hypoxic-Ischemic Encephalopathy Intracranial Hemorrhage·Matched via name phrase
- NCT07406477·NOT YET RECRUITING·The PROTECT-HIE Pilot Trial
Not reviewed·Conditions: Hypoxic-ischemic Encephalopathy (HIE)·Matched via name phrase
- NCT07284498·NOT YET RECRUITING·Treatment of Seizures in Neonate With HIE
Not reviewed·Conditions: Neonatal Seizures · HIE - Hypoxic - Ischemic Encephalopathy·Matched via name phrase
- NCT05648812·RECRUITING·Neonatal Brain Ultrasound With CEUS and Elastography
Not reviewed·Conditions: Neonatal Hypoxic Ischemic Encephalopathy · Neonatal Stroke · Neonatal Encephalopathy, Unspecified·Matched via name phrase
Observational and natural-history studies
62 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
- NCT06857539·RECRUITING·Assessing Intellectual and Motor Outcomes in High-risk Infants
Not reviewed·Conditions: Cerebral Palsy · Cerebral Palsy (CP) · Cerebral Palsy Children · High-risk Infants·Matched via name phrase
- NCT04602325·RECRUITING·Systemic Biomarkers of Brain Injury From Hyperammonemia
Not reviewed·Conditions: Urea Cycle Disorder · Organic Acidemia · Maple Syrup Urine Disease · Glutaric Acidemia I·Matched via name phrase
- NCT07292220·NOT YET RECRUITING·A Study of a Blood Marker in Newborns With Brain Injury Caused by Lack of Oxygen at Birth
Not reviewed·Conditions: Hypoxic-Ischemic Encephalopathy·Matched via name phrase
- NCT05971446·RECRUITING·Healthy Little Eyes
Not reviewed·Conditions: Hypoxic-Ischemic Encephalopathy · Neonatal Encephalopathy · Encephalopathy·Matched via name phrase
- NCT07413900·RECRUITING·Biomarkers Study in Infants With Prior Neonatal Brain Injury
Not reviewed·Conditions: HIE - Hypoxic - Ischemic Encephalopathy · Perinatal Anoxic-ischemic Brain Injury · Premature Birth · Healthy Participants·Matched via name phrase
- NCT06195345·RECRUITING·Individual Cerebral Hemodynamic Oxygenation Relationships (ICHOR 1)
Not reviewed·Conditions: HIE · TBI (Traumatic Brain Injury) · TBI · Hemodynamic Instability·Matched via name phrase
- NCT04445649·RECRUITING·Prognostic Factors to Regain Consciousness
Not reviewed·Conditions: Neurologic Disorder · Disorder of Consciousness · Traumatic Brain Injury · Stroke·Matched via name phrase
- NCT07393620·RECRUITING·Predictive Value of aEEG and Cerebral Oxygenation on Neurological Outcomes in Newborns With Mild Hypoxic-Ischemic Encephalopathy
Not reviewed·Conditions: Hypoxic-Ischemic Encephalopathy Mild·Matched via name phrase
- NCT04621279·RECRUITING·Cool Prime Comparative Effectiveness Study for Mild HIE
Not reviewed·Conditions: Mild Hypoxic Ischemic Encephalopathy of Newborn·Matched via name phrase
- NCT07493096·RECRUITING·Intensive Multimodal Neurorehabilitation Targeting Neuroplasticity in Pediatric Neurodevelopmental and Chromosomal Disorders
Not reviewed·Conditions: Neurodevelopmental Disorders · Neurodevelopmental Disorders (NDD) · Neurodevelopmental Disorders and Developmental Abnormalities · Developmental Delay (Disorder)·Matched via name phrase
- NCT07264166·ENROLLING BY INVITATION·Intranasal AAV9-PHP.eB Gene Therapy in Cerebral Palsy (CP) & Hypoxic Ischemic Encephalopathy (HIE)
Not reviewed·Conditions: Hypoxic Brain Damage · Hypoxic Ischaemic Encephalopathy (HIE) · Hypoxic Ischaemic Encephalopathy Due to Cardiac Arrest · Hypoxic Ischemic Encephalopathy of Newborn·Matched via name phrase
- NCT07024771·NOT YET RECRUITING·Severity of Hypoxic Ischemic Encephalopathy and Neurological Pupil Index in Neonates
Not reviewed·Conditions: Hypoxic Ischemic Encephalopathy (HIE)·Matched via name phrase
- NCT06930274·RECRUITING·Stillbirth Risk Identification Using Multiparametric Ultrasound
Not reviewed·Conditions: Perinatal Hypoxia·Matched via name phrase
- NCT07136636·RECRUITING·Speech of Kids After Neonatal Encephalopathy
Not reviewed·Conditions: HIE - Hypoxic - Ischemic Encephalopathy · Language Delay · Autism · ADHD - Attention Deficit Disorder With Hyperactivity·Matched via name phrase
- NCT02664831·RECRUITING·Immunoinflammatory Response in Post Cardiac Arrest Syndrome (PCAS)
Not reviewed·Conditions: Cardiac Arrest · Inflammation · Obesity · Hypoxic Ischemic Encephalopathy (HIE)·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 28 · after dedupe 28 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 28 · dropped 0 · fetched 2026-07-30
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 (28)
- ctis·2025-520538-49-00·Authorised·ACUMEN: Phase I Dose Escalation and Cohort Expansion study to affirm the safety of pharmacological doses of a novel formulation of intravenous melatonin in babies with hypoxic-ischaemic encephalopathy (HIE) to augment therapeutic hypothermia (HT) treatment; to reduce the incidence and severity of disability in babies with moderate-severe HIE.
skipped — LLM skipped (--skip-llm)
- ctis·2025-521455-23-00·Authorised, ongoing·Evaluation of safety, side effects and how the drug CHF6467 administrated via intranasal route is absorbed, modified and removed in healthy subjects.
skipped — LLM skipped (--skip-llm)
- ctis·2023-508928-35-00·Authorised·SHINE trial - Effect of Sildenafil in association to Hypothermia on survival without brain lesions In term Neonates with hypoxic-ischemic Encephalopathy: a randomized, double-blinded, placebo-controlled, multicenter trial
skipped — LLM skipped (--skip-llm)
- ctis·2024-516421-30-00·Authorised, ongoing·Neonatal hypoxic ischemic encephalopathy : safety and feasibility study of a curative treatment with autologous cord blood stem cells (NEOSTEM)
skipped — LLM skipped (--skip-llm)
- ctis·2024-511322-31-00·Cancelled·Effect of ALlopurinol in addition to hypothermia for hypoxicischemic Brain Injury on Neurocognitive Outcome
skipped — LLM skipped (--skip-llm)
- ctis·2024-516076-15-00·Authorised·Continous fentanyl infusion in newborns with hypoxic ischemic encephalopathy treated with therapeutic hypothermia: pharmacokinetics study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN63771613·Recruiting·Improving epilepsy and pregnancy care
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN61218504·Recruiting·A study to test the safety of a new melatonin treatment for babies with brain injury receiving cooling therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10957794·Recruiting·ECUR-506 in Neonatal OTC Deficiency Phase I/II
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10018542·No longer recruiting·CoolCuddle-2 study: Embedding CoolCuddle into NICUs
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13423963·Recruiting·Erythropoietin and darbepoetin treatment to reduce brain injury after birth asphyxia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10541833·No longer recruiting·A study about the use of whole body cooling for severe respiratory distress due to meconium aspiration syndrome (MAS) in neonates
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN75602528·No longer recruiting·The CoolXenon Study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN77772144·No longer recruiting·Prospective, multicentre, randomised, double-blinded and placebo-controlled clinical trial on the efficacy and safety of clonidine as a co-medication in analgesia and sedation of long-term-ventilated neonates and infants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12057804·Recruiting·A study of nipocalimab in pregnancies for severe hemolytic disease of the fetus and newborn (HDFN)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN88883233·No longer recruiting·Comparing orange or apple juice to water during labour in women with mild gestational diabetes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN58643025·No longer recruiting·Comparison of placement of the inflated transcervical Foley catheter for 6 or 12 hours in the labour induction of women with one previous Caesarean birth
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17329697·No longer recruiting·Study of the perception of reduced fetal movements
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10198406·No longer recruiting·Development and evaluation of a standard procedure of a cuddling process allowing parents to cuddle their babies undergoing cooling therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11702082·No longer recruiting·Does sleeping position affect the amount of change in heart rate in newborn babies?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN33604417·No longer recruiting·Erythropoietin, magnesium sulfate and hypothermia for hypoxic-ischemic encephalopathy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15346559·No longer recruiting·Process for decision-making, obstetrical risk management and mode of delivery after a prior cesarean delivery in Québec
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13364447·No longer recruiting·Stitch, progesterone or pessary: a randomised controlled trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12949496·Stopped·Using milrinone in babies with high blood pressure in the lungs soon after birth
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN26113652·No longer recruiting·Induction of labor at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks
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 Neonatal hypoxic and ischemic brain injury — 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.
"Neonatal hypoxic and ischemic brain injury" OR "Hypoxic and ischemic brain injury in the newborn" OR "Hypoxic-ischemic encephalopathy" OR "Perinatal hypoxia"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Neonatal hypoxic and ischemic brain injury" OR "Hypoxic and ischemic brain injury in the newborn" OR "Hypoxic-ischemic encephalopathy" OR "Perinatal hypoxia"
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: 115 interventional · 62 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: HIE
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-27T07:24:50.251Z
