ORPHA:447764
IgG4-related sclerosing cholangitis
Publications
714
90.7th percentile
Trials
2
Interventional, condition-specific
Researchers
1,187
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare systemic autoimmune disease characterized by cholestasis and diffuse cholangiographic abnormalities with circular and symmetrical bile duct wall thickening, and elevated serum IgG4 levels. Characteristic histopathological findings include dense infiltration of IgG4-positive plasma cells and extensive fibrosis in the bile duct wall. A marked response to steroid therapy is typical. Patients present with jaundice, cholangitis, pruritis, and sometimes associated findings of autoimmune pancreatitis, sialadenitis, and retroperitoneal fibrosis.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018645
- UMLS:C4302109
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
714 matched papers (536 in last 10 years) Source
- Phenotype characterisedNot checked
Not yet enriched from Monarch / HPO
- Animal modelNot checked
Not yet enriched from Monarch / Alliance
- Orphan designationNot checked
FDA/EMA orphan-drug designation not enriched yet
- Interventional trialPresent
2 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)
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?
714
714 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.
714 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).
536 in the last 10 years · high confidence · 90.7th percentile (publications denominator)
Phrase hits: 714 · MeSH hits: 0
Who's working on it?
1,187
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.
- 01Naitoh I12 papers · 2026
Department of Gastroenterology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku Nagoya 467-8601, Japan. Electronic address: inaito@med.nagoya-cu.ac.jp.
Papers in Europe PMC - 02Nakazawa T11 papers · 2026
Department of Gastroenterology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku Nagoya 467-8601, Japan.
Papers in Europe PMC - 03Kubota K9 papers · 2026
Department of Endoscopy, Yokohama City University Hospital, Yokohama, Japan.
Papers in Europe PMC - 04Masamune A7 papers · 2026
Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Papers in Europe PMC - 05Notohara K7 papers · 2025
Department of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, Japan.
Papers in Europe PMC - 06Tanaka A7 papers · 2026
Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Papers in Europe PMC - 07Kamisawa T6 papers · 2026
Department of Internal Medicine, Tokyo Metropolitan, Komagome Hospital, Tokyo, Japan.
Papers in Europe PMC - 08Kurita Y6 papers · 2026
Department of Gastroenterology and Hepatology, Yokohama City University Hospital, Yokohama, Japan.
Papers in Europe PMC - 09Zhang Y6 papers · 2026
Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Papers in Europe PMC - 10
Clinical research
Is a treatment being tested?
2
interventional trials for this specific condition
2 interventional trials matched this specific condition name; none in our sample are currently recruiting. 98 trials are registered for sclerosing cholangitis, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 27 July 2026
2 interventional trials — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 82.4th percentile).
high confidence · 82.4th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
2 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.
Broader category: sclerosing cholangitis
98
Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.
Worth raising with a clinician. How we count trials.
Recruiting under the broader category
- NCT06197308·RECRUITING·Evaluation of an Oral Microbiota-based Therapeutic as a Treatment Option for PSC
Conditions: Primary Sclerosing Cholangitis·Matched via name phrase
- NCT06286709·RECRUITING·FAecal Microbiota Transplantation in primaRy sclerosinG chOlangitis
Conditions: Primary Sclerosing Cholangitis · Inflammatory Bowel Diseases·Matched via name phrase
- NCT07229911·RECRUITING·A Study of TAK-781 in Healthy Volunteers and in Participants With Non-Cirrhotic Primary Sclerosing Cholangitis (PSC)
Conditions: Healthy Volunteers · Primary Sclerosing Cholangitis·Matched via name phrase
- NCT05295680·RECRUITING·Oral Hymecromone to Treat Adolescents and Adults With Primary Sclerosing Cholangitis.
Conditions: Primary Sclerosing Cholangitis·Matched via name phrase
- NCT06975150·NOT YET RECRUITING·Efficacy and Safety of HK-660S in the Treatment of Primary Sclerosing Cholangitis
Conditions: Primary Sclerosing Cholangitis (PSC)·Matched via name phrase
- NCT02137668·RECRUITING·Treating Primary Sclerosing Cholangitis and Biliary Atresia With Vancomycin
Conditions: Primary Sclerosing Cholangitis · Biliary Atresia·Matched via name phrase
- NCT07678645·NOT YET RECRUITING·The Safety and Efficacy of Upadacitinib in Refractory Autoimmune Related Cholangitis and Atopic Dermatitis With Moderate to Severe Itching
Conditions: Primary Biliary Cholangitis (PBC) · Primary Sclerosing Cholangitis (PSC) · Atopic Dermatitis (AD)·Matched via name phrase
- NCT05835505·RECRUITING·Detoxification of the Liver In PSC (Dolphin)
Conditions: Primary Sclerosing Cholangitis·Matched via name phrase
- NCT07607353·RECRUITING·Biodegradable Stents in Primary Sclerosing Cholangitis
Conditions: Primary Sclerosing Cholangitis (PSC)·Matched via name phrase
- NCT06865924·RECRUITING·Colangioids to Define the Genetic Factors Involved in Atypical Primary Sclerosing Cholangitis
Conditions: PSC·Matched via name phrase
- NCT07387549·RECRUITING·A Study to Assess How Well and Safely Elafibranor Works in Adult Participants With Primary Sclerosing Cholangitis
Conditions: Primary Sclerosing Cholangitis·Matched via name phrase
- NCT05912387·RECRUITING·Statin Therapy in Primary Sclerosing Cholangitis (PSC): a Multi-omics Study
Conditions: Primary Sclerosing Cholangitis · Inflammatory Bowel Diseases·Matched via name phrase
- NCT07646223·NOT YET RECRUITING·Vancomycin Efficacy in Response to Dysbiosis in Atypical Colitis
Conditions: Ulcerative Colitis (UC) · Primary Sclerosing Cholangitis (PSC) · Pediatric Inflammatory Bowel Diseases·Matched via name phrase
- NCT06699121·RECRUITING·A Study to Assess the Safety and Efficacy of LB-P8 in Patients With PSC
Conditions: Primary Sclerosing Cholangitis (PSC)·Matched via name phrase
- NCT07341282·NOT YET RECRUITING·Investigation of Vancomycin Efficacy in Patients With Ulcerative Colitis and Primary Sclerosing Cholangitis
Conditions: Ulcerative Colitis (UC) · Primary Sclerosing Cholangitis (PSC)·Matched via name phrase
Observational and natural-history studies
2 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.
None of the matched observational studies is currently listed as recruiting.
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 2026-07-26This 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.
"IgG4-related sclerosing cholangitis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"IgG4-related sclerosing cholangitis"
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: 2 interventional · 2 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"sclerosing cholangitis"
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 2026-07-27T16:32:23.444Z
