ORPHA:29207
Reactive arthritis
Also known as: Fiessinger-Leroy disease
Publications
13,226
94.1th percentile
Trials
5
Interventional, condition-specific
Researchers
907
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare spondyloarthritis characterized by acute or chronic sterile synovitis with or without extra-articular manifestations, becoming manifest after an infection.
How rare: 1-9 / 100 000 — about one to nine people per hundred thousand.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0017376
- MeSH:D016918
- UMLS:C0085435
- NCIT:C128332
Additional Mondo synonyms (8)
Fiessinger-Leroy-Reiter syndrome · Reiter syndrome · Reiter's disease · Reiter's syndrome · arthritis urethritica · polyarthritis enterica · reactive arthritis · venereal arthritis
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
13,226 matched papers (4,419 in last 10 years) Source
- Phenotype characterisedPresent
36 HPO annotations (e.g. Joint stiffness; Abnormal nail morphology; Cognitive impairment) 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
5 matched on ClinicalTrials.gov
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)
36
Associated phenotypes · MONDO:0017376
- Joint stiffness
- Abnormal nail morphology
- Cognitive impairment
- Enthesitis
- Cartilage destruction
Showing 5 of 36 — 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
8
Drugs / clinical candidates · MONDO_0017376
- AZITHROMYCIN·phase 3
- DOXYCYCLINE·phase 3
- RIFAMPIN·phase 3
- INFLIXIMAB·phase 2
- INTERFERON GAMMA-1B·phase 2
- CELECOXIB·unknown
- OFLOXACIN·unknown
- ROXITHROMYCIN·unknown
CTD chemicals (MyDisease.info)
2 associated chemicals. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Methotrexate · therapeutic
- Penicillamine · therapeutic
Literature
Is anyone studying this?
13,226
13,226 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.
13,226 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).
4,419 in the last 10 years · high confidence · 94.1th percentile (publications denominator)
Phrase hits: 13,226 · MeSH hits: 0
Who's working on it?
907
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.
- 01Ahmed S3 papers · 2025
Division of Rheumatology, Department and Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; Department of Medicine, Indira Gandhi Memorial Hospital, Male, Republic of Maldives. Electronic address: ashaheed@ummc.edu.my.
Papers in Europe PMC - 02Arima H3 papers · 2023
Department of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Papers in Europe PMC - 03
- 04Christ-Crain M3 papers · 2023
Department of Endocrinology, University Hospital and University of Basel, Basel, Switzerland, mirjam.christ-crain@usb.ch.
Papers in Europe PMC - 05Gurnell M3 papers · 2023
Wellcome-MRC Institute of Metabolic Science, University of Cambridge & Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
Papers in Europe PMC - 06Levy M3 papers · 2023
Department of Endocrinology, University Hospitals of Leicester NHS Trust, Leicester, UK.
Papers in Europe PMC - 07McCormack A3 papers · 2023
Department of Endocrinology, St Vincent's Hospital, Sydney, NSW, Australia.
Papers in Europe PMC - 08Padhan P3 papers · 2025
Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India. prasanta.padhan@gmail.com.
Papers in Europe PMC - 09Singh S3 papers · 2026
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India. Electronic address: saurabhhamidpur@gmail.com.
Papers in Europe PMC - 10Verbalis JG3 papers · 2023
Georgetown-Howard Universities Center for Clinical and Translational Science, Georgetown University, Washington, DC, USA, verbalis@georgetown.edu.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
5
interventional trials for this specific condition
5 interventional trials matched this specific condition name; none in our sample are currently recruiting.
Data as of 11 September 2026
5 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 89.2th percentile).
high confidence · 89.2th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
5 interventional trials matched after quoted-phrase search and title/condition post-filter.
No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.
Observational and natural-history studies
9 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
- NCT04751396·RECRUITING·Testing of an Educational Tool for Patients With Melanoma and Pre-Existing Autoimmune Disease Who Are Candidates for Immune Checkpoint Inhibitors
Not reviewed·Conditions: Ankylosing Spondylitis · Autoimmune Disease · Crohn Disease · Enteropathic Arthritis·Matched via name phrase
- NCT07329556·NOT YET RECRUITING·Skin Autofluorescence Assessment of Advanced Glycation End Products in Rheumatic Diseases
Not reviewed·Conditions: Rheumatoid Arthritis (RA · Ankylosing Spondylitis · Psoriatic Arthritis · Reactive Arthritis (ReA)·Matched via name phrase
- NCT04402086·RECRUITING·Rheumatology Patient Registry and Biorepository
Not reviewed·Conditions: Rheumatic Diseases · Adult Onset Still Disease · Ankylosing Spondylitis · Psoriatic Arthritis·Matched via name phrase
- NCT05960864·NOT YET RECRUITING·Chinese Spondyloarthritis Inception Cohort (CESPIC)
Not reviewed·Conditions: Ankylosing Spondylitis (AS) / Radiographic Axial SpA (r-axSpA) · Non-radiographic Axial Spondyloarthritis (Nr-axSpA) · Axial Psoriatic Arthritis (axPsA) · Acute Anterior Uveitis (AAU)·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 41 · after dedupe 41 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 41 · 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 (41)
- ctis·2026-525355-93-00·Authorised·PHASE III, OPEN-LABEL, RANDOMIZED, CONTROLLED, NON-INFERIORITY CLINICAL-TRIAL TO ASSESS THE EFFICACY AND SAFETY OF SHORT OUTPATIENT AMOXICILLIN REGIMENS IN CHILDREN WITH ACUTE STREPTOCOCCAL PHARYNGOTONSILLITIS (STOP – TRIAL)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17216564·Not yet recruiting·Better outcomes in babies with bacterial meningitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN81729823·Recruiting·Effect of oleocanthal- and oleacein-rich extra virgin olive oil on blood glucose and metabolic control in people with type 2 diabetes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN69516953·Not yet recruiting·Protection against invasive non-typhoidal salmonella disease
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN19487444·No longer recruiting·Study of a milk protein concentrate supplement to help recovery after hip or knee replacement surgery
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13592648·No longer recruiting·Secondary data use of tocilizumab clinical studies to address regulatory needs for rare and pediatric trials
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11696218·No longer recruiting·Comparing two types of pain relief after knee replacement surgery: local injection versus nerve block
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16757143·Recruiting·A study to evaluate the efficacy and safety of Icotrokinra (JNJ-77242113) in biologic-experienced and biologic-naive participants with active psoriatic arthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN81014195·Recruiting·BigTOE Trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14472047·Recruiting·Remote monitoring for rheumatoid arthritis flare during drug tapering
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14398766·No longer recruiting·Next-generation probiotics for metabolic health
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13161614·Recruiting·Imaging with a novel radioactive tracer called 99mTc-Maraciclatide to detect inflammation in the joint in individuals with arthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN49327404·Recruiting·Deconstructing the protective immunity of yellow fever virus 17D to inform flavivirus vaccine design, Yellow4FLAVI – Colombian Component
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN51539448·No longer recruiting·A multi-centre randomised clinical trial to test the effectiveness of integrated symptom tracking in the management of rheumatoid arthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16086655·No longer recruiting·Investigating potential treatments for human lung injury in healthy volunteers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13500149·Recruiting·Can infected knee joints be treated without surgical washout?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN46454974·No longer recruiting·A research trial to find out if tocilizumab helps adults with Long Covid feel better
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16927703·No longer recruiting·A study to evaluate nipocalimab and certolizumab combination therapy in participants with active rheumatoid arthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17828080·Recruiting·Steroid-Reducing Options for ReLapsING PMR (STERLING-PMR)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14403521·No longer recruiting·The MOOSE study: a trial to compare whether methotrexate injections are better at controlling rheumatoid arthritis, have less side effects and are more cost-effective than oral methotrexate tablets
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15979195·No longer recruiting·Influence of soluble corn fibre on markers of immunity and inflammation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN59029976·No longer recruiting·Combined effects of nitrate-rich beetroot juice and low calorie diet on metabolic and vascular function in overweight middle-aged and older people
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11510869·No longer recruiting·The effect of moringa oleifera leaf extract on the inflammation status of breast cancer patients receiving hormonal therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN31164692·No longer recruiting·A trial to investigate the effects of multiple doses of JNJ-67484703 in patients with rheumatoid arthritis, ulcerative colitis and Sjögren’s syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN80103507·No longer recruiting·A clinical trial to see if a mesenchymal stem cells treatment called ORBCEL-C™ can help to treat primary sclerosing cholangitis, rheumatoid arthritis, lupus nephritis and Crohn’s disease
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 Reactive arthritis — 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.
"Reactive arthritis" OR "Fiessinger-Leroy disease" OR "Fiessinger-Leroy-Reiter syndrome" OR "Reiter syndrome" OR "Reiter's disease" OR "Reiter's syndrome" OR "arthritis urethritica" OR "polyarthritis enterica" OR "venereal arthritis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Reactive arthritis" OR "Fiessinger-Leroy disease" OR "Fiessinger-Leroy-Reiter syndrome" OR "Reiter syndrome" OR "Reiter's disease" OR "Reiter's syndrome" OR "arthritis urethritica" OR "polyarthritis enterica" OR "venereal arthritis"
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: 5 interventional · 9 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
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 2026-07-26T23:24:19.673Z
