RARE DISEASERESEARCH ATLAS

ORPHA:238475

Familial hypercholanemia

high confidenceDisorder

Also known as: Hereditary hypercholanemia

Query health: suspect — Only one of 3 strategies returned hits (phrase).

Publications

86

54.3th percentile

Trials

0

Interventional, condition-specific

Researchers

584

Distinct authors in sample

Gene link

BAAT, TJP2

Strong

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

Familial hypercholanemia is a very rare genetic disorder characterized clinically by elevated serum bile acid concentrations, itching, and fat malabsorption reported in patients of Old Order Amish descent.

How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (1)

FHCA1

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

No matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Strong — BAAT, TJP2

  2. LiteraturePresent

    86 matched papers (53 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialNot found

    No matched interventional trial under our ClinicalTrials.gov rules

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?

Yes — we know a specific gene responsible (BAAT, TJP2).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

86

86 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

86 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

53 in the last 10 years · high confidence · 54.3th percentile (publications denominator)

Phrase hits: 86 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

584

Distinct author names in 86 sampled papers — named people below.

Who's working on it?

No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.

  1. 01
    Gallego-Gutiérrez H3 papers · 2022

    Department of Physiology, Biophysics and Neuroscience, Center for Research and Advanced Studies (CINVESTAV), México D.F. 07360, México.

    Papers in Europe PMC
  2. 02
    González-Mariscal L3 papers · 2022

    Department of Physiology, Biophysics and Neuroscience, Center for Research and Advanced Studies (CINVESTAV), México D.F. 07360, México lorenza.goma@gmail.com.

    Papers in Europe PMC
  3. 03
    Mochida GH3 papers · 2024

    Manton Center for Orphan Disease Research, Howard Hughes Medical Institute, Department of Medicine, Children's Hospital Boston, MA 02115, USA.

    Papers in Europe PMC
  4. 04
    Puffenberger EG3 papers · 2022

    Clinical Laboratory, Clinic for Special Children, Strasburg, Pennsylvania. Electronic address: epuffenberger@clinicforspecialchildren.org.

    Papers in Europe PMC
  5. 05
    Turner JR3 papers · 2017

    Department of Pathology, The University of Chicago, 5841 South Maryland, Chicago, Illinois 60637, USA.

    Papers in Europe PMC
  6. 06
    Al-Gazali L2 papers · 2013
    Papers in Europe PMC
  7. 07
    Ali SM2 papers · 2024

    Moorfields Eye Hospital, Abu-Dhabi, UAE.

    Papers in Europe PMC
  8. 08
    Andorsdóttir G2 papers · 2026

    FarGen, Department of Research, National Hospital of the Faroe Islands, Tórshavn, Faroe Islands.

    Papers in Europe PMC
  9. 09
    Apol KD2 papers · 2026

    FarGen, Department of Research, National Hospital of the Faroe Islands, Tórshavn, Faroe Islands.

    Papers in Europe PMC
  10. 10
    Barnes S2 papers · 2019

    Department of Pharmacology and Toxicology, University of Alabama at Birmingham, Birmingham, AL 35294.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

0

interventional trials for this specific condition

No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present).

Data as of 27 July 2026

No matched interventional trials. This is true for 73% of diseases in the trials denominator (5114 of 7003). Here are the researchers publishing on it.

high confidence · 36.5th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.

See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

India — NPRD

Last verified 2026-07-26

This 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.

"Familial hypercholanemia" OR "Hereditary hypercholanemia" OR "FHCA1"

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Hypercholanemia, Familial

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Familial hypercholanemia" OR "Hereditary hypercholanemia" OR "FHCA1" OR "Hypercholanemia, Familial" OR "BAAT" OR "TJP2"

Recall-expansion terms: BAAT, TJP2, hypercholanemia, familial

Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Query health: suspect — strategies attempted: phrase, mesh, recall-expansion; with hits: phrase

Run this search on ClinicalTrials.gov

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • No synonyms dropped by stoplist
  • No label/synonym collisions with other diseases in this corpus

Ingested 2026-07-27T10:22:47.046Z