ORPHA:2140
Congenital diaphragmatic hernia
Also known as: CDH
Publications
19,977
Trials
59
Interventional, condition-specific
Researchers
1,068
Distinct authors in sample
Gene link
LONP1, SIN3A, SLIT3
Moderate
Readiness
6/6
Stages with a signal
Clinical definition (Orphanet)
A rare developmental defect during embryogenesis which can be a non-syndromic (70%) or syndromic (30%) diaphragmatic characterized by a posterolateral defect of the diaphragm that allows passage of abdominal viscera into the thorax, leading to respiratory insufficiency and persistent pulmonary hypertension.
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:0005711
- MeSH:D065630
- UMLS:C0235833
- NCIT:C98893
Additional Mondo synonyms (1)
congenital diaphragmatic hernia
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.”
6/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedPresent
Moderate — LONP1, SIN3A, SLIT3
- LiteraturePresent
19,977 matched papers (11,828 in last 10 years) Source
- Phenotype characterisedPresent
62 HPO annotations (e.g. Pulmonary hypoplasia; Respiratory distress; Aplasia/Hypoplasia of the diaphragm) Source
- Animal modelPresent
20 genotype models (Mus musculus) Source
- Orphan designationPartial
2 EMA designations (none yet with FDA orphan-indication approval) — e.g. rhizobium rhizogenes;lipopolysaccharide Source
- Interventional trialPresent
59 matched on ClinicalTrials.gov (26 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?
Probably — there is moderate evidence for LONP1, SIN3A, SLIT3.
GenCC classification: Moderate.
Phenotypes (Monarch / HPO)
62
Associated phenotypes · MONDO:0005711
- Pulmonary hypoplasia
- Respiratory distress
- Aplasia/Hypoplasia of the diaphragm
- Congenital diaphragmatic hernia
- Intestinal malrotation
Showing 5 of 62 — open Monarch for the full list.
Animal models (Monarch / Alliance)
20
Model associations linked to this Mondo ID
- Nkx3-2tm1(cre)Tsa/Nkx3-2+ Nr2f2tm2.1Tsa/Nr2f2tm2.1Tsa [background:] involves: 129S7/SvEvBrd * C57BL/6·MGI:3579773·Mus musculus
- Wt1tm1Jae/Wt1tm1Jae [background:] involves: 129S4/SvJae * C57BL/6 * MF1·MGI:2669009·Mus musculus
- Kif7dda/Kif7dda [background:] FVB.A-Kif7dda·MGI:5495415·Mus musculus
- Sox7tm1.1Dsco/Sox7+ [background:] involves: 129S/SvEv * C57BL/6·MGI:5437224·Mus musculus
- Zfpm2lil/Zfpm2lil [background:] involves: A/J·MGI:3589477·Mus musculus
- Slit3tm1Dor/Slit3tm1Dor [background:] involves: 129S1/Sv * C57BL/6J·MGI:2662356·Mus musculus
- Pls3em1Bult/Pls3em1Bult [background:] C57BL/6J-Pls3em1Bult/BultJ·MGI:7545087·Mus musculus
- b2b1528Clo/b2b1528Clo [background:] C57BL/6J-b2b1528Clo·MGI:5429854·Mus musculus
- Gata4tm1.1Sad/Gata4tm1.2Sad Tg(Prrx1-cre)1Cjt/0 [background:] involves: 129S1/Sv * 129X1/SvJ * C57BL/6J * SJL/J·MGI:5775440·Mus musculus
- Slit3tm1.1Dor/Slit3tm1.1Dor [background:] involves: 129S1/Sv * C57BL/6J·MGI:2662361·Mus musculus
- hpld/hpld [background:] Not Specified·MGI:3576038·Mus musculus
- Wt1tm1.1Ndha/Wt1tm1.1Ndha Tg(Gata4*G2-cre)#Roja/0 [background:] involves: 129P2/OlaHsd·MGI:5824267·Mus musculus
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)
2
Designations · no FDA orphan-indication approval yet
- EMA rhizobium rhizogenes;lipopolysaccharideTreatment of congenital diaphragmatic hernia · 25/07/2023 · PositiveEMA designation
- EMA sildenafilTreatment of congenital diaphragmatic hernia · 20/06/2017 · PositiveEMA designation
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
2
Drugs / clinical candidates · MONDO_0005711
- MILRINONE·phase 2
- SILDENAFIL CITRATE·phase 2
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
19,977
19,977 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.
19,977 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).
11,828 in the last 10 years · low confidence
Phrase hits: 10,749 · MeSH hits: 0
Who's working on it?
1,068
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.
- 01Kipfmueller F10 papers · 2026
From the Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.
Papers in Europe PMC - 02Harting MT7 papers · 2026
McGovern Medical School at the University of Texas Health Science Center, Department of Pediatric Surgery, Houston, TX, USA. Electronic address: matthew.t.harting@uth.tmc.edu.
Papers in Europe PMC - 03Hedrick HL7 papers · 2026
The Richard Wood Jr. Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, 5th Floor Wood Center, The Children's Hospital of Philadelphia, 3615 Civic Center Blvd, Philadelphia, PA, 19104-4318, USA.
Papers in Europe PMC - 04Patel N7 papers · 2026
Department of Neonatology, Royal Hospital for Children, Glasgow, United Kingdom.
Papers in Europe PMC - 05Sato Y7 papers · 2026
Division of Neonatology, Center for Maternal Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
Papers in Europe PMC - 06Boettcher M6 papers · 2026
Department of Pediatric Surgery, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Papers in Europe PMC - 07Mueller A6 papers · 2026
Department of Neonatology and Pediatric Intensive Care Medicine, University of Bonn, University Hospital Bonn, Bonn, Germany.
Papers in Europe PMC - 08Ebanks AH5 papers · 2026
The University of Texas McGovern Medical School, Department of Pediatric Surgery, and Children's Memorial Hermann Hospital, Houston, TX, USA.
Papers in Europe PMC - 09Leyens J5 papers · 2026
From the Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.
Papers in Europe PMC - 10Schroeder L5 papers · 2026
Department of Neonatology and Pediatric Intensive Care Medicine, University of Bonn, University Hospital Bonn, Bonn, Germany.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
59
interventional trials for this specific condition
59 interventional trials matched this specific condition name; 26 currently recruiting in our sample.
Data as of 11 September 2026 · last trial check 28 July 2026
59 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 97.5th percentile).
low confidence · 97.5th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
59 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT05213676·RECRUITING·De-implementing Inhaled Nitric Oxide for Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT03980717·RECRUITING·Fetal Endotracheal Occlusion (FETO) in the Resolution of Pulmonary Hypertension in Fetuses With Severe CDH
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT06666140·NOT YET RECRUITING·Preliminary Study of Pediatric Diaphragmatic Elastography
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT05450653·RECRUITING·Trial of FETO for Severe Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT05354505·RECRUITING·Fetal Endoscopic Tracheal Occlusion (FETO) Trial for Congenital Diaphragmatic Hernia (CDH)
Not reviewed·Conditions: Diaphragmatic Hernia·Matched via name phrase
- NCT05100693·RECRUITING·Smart Removal for Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT06938542·ENROLLING BY INVITATION·Palliative Care Needs of Children With Rare Diseases and Their Families
Not reviewed·Conditions: Trisomy 13 Syndrome · Arthrogryposis Congenita Multiplex With Intestinal Atresia · Asparagine Synthetase Deficiency · CHARGE Syndrome·Matched via name phrase
- NCT04774848·RECRUITING·High Frequency Oscillatory Ventilation Versus High Frequency Jet Ventilation for Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT07166172·RECRUITING·Prospective Registry for Long-term Outcomes Following FETO in Severe Left and Right CDH
Not reviewed·Conditions: Congenital Diaphragmatic Hernia · Congenital Abnormalities · Neonatal Diseases and Abnormalities · Hernia, DIaphragmatic, Congenital·Matched via name phrase
- NCT06739356·RECRUITING·North American Fetal Therapy Network for Long-term Outcome Following Fetoscopic Endoluminal Tracheal Occlusion in Severe Left and Right Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT05421676·RECRUITING·Fetal Endoscopic Tracheal Occlusion for CDH (CDH)
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT05461222·RECRUITING·Fetal Endoscopic Tracheal Occlusion (FETO) for Severe Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT06408376·RECRUITING·Physiological Umbilical Cord Clamping in Patients With Congenital Diaphragmatic Hernia. Clinical Trial
Not reviewed·Conditions: Umbilical Cord Clamping · Congenital Diaphragmatic Hernia · Delayed Umbilical Cord Separation·Matched via name phrase
- NCT07247240·NOT YET RECRUITING·Efficacy of Inhaled Nitric Oxide in Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia · Pulmonary Hypertension·Matched via name phrase
- NCT03674372·RECRUITING·Fetoscopic Endoluminal Tracheal Occlusion
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
Observational and natural-history studies
24 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
- NCT07564297·NOT YET RECRUITING·North American Fetal Therapy Network Prospective Registry for Long-term Outcome Following Fetoscopic Endoluminal Tracheal Occlusion in Severe Left and Right Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT04114578·RECRUITING·Exploratory Observational Prospective Study in Neonatal and Pediatric Congenital Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT05666986·RECRUITING·Engagement in Physical Activities and Sports in Adolescents With Diaphragmatic Hernia
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT03750266·RECRUITING·3D Animation and Models to Aid Management of Fetal CDH
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT06731855·RECRUITING·An Exploratory Physiological Study of Post-operative Recovery in Surgical Neonates and Dimethylarginine:Arginine Levels
Not reviewed·Conditions: Gastroschisis · Congenital Diaphragmatic Hernia · Duodenal Atresia · Oesophageal Atresia With Tracheo-Oesophageal Fistula·Matched via name phrase
- NCT00950118·RECRUITING·Diaphragmatic Hernia Research & Exploration, Advancing Molecular Science
Not reviewed·Conditions: Congenital Diaphragmatic Hernia·Matched via name phrase
- NCT07364682·NOT YET RECRUITING·Measuring Heart Health in Both Term, Preterm and Unwell Newborn Babies With an Advanced Ultrasound Method: Speckle Tracking Echocardiography
Not reviewed·Conditions: Premature Baby · Pulmonary Hypertension of Newborn · Hypoxic Ischaemic Encephalopathy (HIE) · Congenital Diaphragmatic Hernia·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 23 · after dedupe 23 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 23 · 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 (23)
- isrctn·ISRCTN40770512·Recruiting·Automatic high flow oxygen support for tiny babies during breathing tube placement – a research study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10130540·No longer recruiting·Investigating the effect of adequate energy and protein intake for children after cardiopulmonary bypass surgery
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·ISRCTN84167642·No longer recruiting·A clinical trial to study the risk factors of bronchopulmonary dysplasia in Chinese preterm infants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13727958·No longer recruiting·Evaluation of early and combined treatment with surfactant and inhaled nitric oxide in newborns with respiratory failure and pulmonary hypertension
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10302534·No longer recruiting·Application of opaque wrap for improving pulse oximeter sensitivity in neonates: a randomised controlled trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12067514·No longer recruiting·Reduced Fetal Movement Intervention Trial (ReMIT-2)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13570106·No longer recruiting·Estimating neonatal oral endotracheal tube depth of insertion using weight or suprasternal palpation of the tip
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18130649·No longer recruiting·CF START: A national UK trial to determine whether taking an antibiotic (flucloxacillin) every day predisposes infants with cystic fibrosis (CF) to earlier infection with a bug, Pseudomonas aeruginosa, that is resistant to treatment
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15174417·No longer recruiting·Efficacy and safety of delayed cord clamping versus umbilical cord milking in term neonates
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17041826·No longer recruiting·Optimisation of neonatal ventilation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN86307399·No longer recruiting·A pilot study to compare high versus low tidal volume for mechanical ventilation in preterm babies with respiratory distress syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN71265031·No longer recruiting·Placing newborn infants on their Back Or Right side for Umbilical venous catheter (UVC) insertion
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN39654846·No longer recruiting·Estimating the depth of insertion of oral endotracheal tubes in newborns using weight or vocal cord guide
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74486341·No longer recruiting·Placing preterm infants on their back or in recovery position on their left side at birth
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17864069·No longer recruiting·Using birth weight or surface measurements for estimating insertion depth of umbilical catheters in newborn infants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN40879573·No longer recruiting·Comparing the use of gestational age or weight to estimate Neonatal Endotracheal tube Depth of Insertion (NEDI)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN37806223·No longer recruiting·Daily evaluation and spontaneous respiratory test for shorter times in paediatric mechanical ventilation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15233270·No longer recruiting·Nasal Intermittent Positive Pressure Ventilation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN30731416·No longer recruiting·Effects of an optimal omega-3 dose on fatty acids concentrations of breast milk erythrocyte phospholipids in mothers who delivered prematurely: effect on immature preterm infants' fatty acid
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72635512·No longer recruiting·Assessing the neuro-protective effect of mild cooling in neonates receiving extra-corporeal membrane oxygenation (ECMO)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN55153521·No longer recruiting·The role of inhaled corticosteroids in children with chronic lung disease of Infancy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN89547571·No longer recruiting·Whole body hypothermia for the treatment of perinatal asphyxial encephalopathy
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 Congenital diaphragmatic hernia — 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.
("Congenital diaphragmatic hernia") OR ("LONP1" OR "LONP1 syndrome" OR "LONP1-related" OR "SIN3A" OR "SIN3A syndrome" OR "SIN3A-related" OR "SLIT3" OR "SLIT3 syndrome" OR "SLIT3-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Congenital diaphragmatic hernia"
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: 59 interventional · 24 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
Synonyms dropped by stoplist: CDH
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
- Publication count (19977) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-26T19:16:30.461Z
