ORPHA:529799
Acute bilirubin encephalopathy
Also known as: ABE · Acute kernicterus
Publications
574
81.6th percentile
Trials
0
Interventional, condition-specific
Researchers
1,038
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare neurologic disease characterized by lethargy, , poor feeding, opisthotonus, and a typical high-pitched cry due to bilirubin accumulation in the globus pallidus, sub-thalamic nuclei, and other brain regions, resulting from severe unconjugated hyperbilirubinemia. Onset of symptoms is typically within the first three to five days of life. Additional features include fever, apnea, , and coma. Especially respiratory failure or refractory may lead to a fatal outcome.
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:0035344
- UMLS:C5671282
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
Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
574 matched papers (425 in last 10 years) Source
- Phenotype characterisedPresent
20 HPO annotations (e.g. Kernicterus; Hemolytic anemia; Hypoalbuminemia) 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 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?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
20
Associated phenotypes · MONDO:0035344
- Kernicterus
- Hemolytic anemia
- Hypoalbuminemia
- Fever
- Abnormal thalamic MRI signal intensity
Showing 5 of 20 — 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
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?
574
574 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=3967) is 59.
574 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).
425 in the last 10 years · medium confidence · 81.6th percentile (publications denominator)
Phrase hits: 574 · MeSH hits: 0
Who's working on it?
1,038
Distinct author names in 200 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.
- 01Slusher TM9 papers · 2026
Department of Pediatrics, University of Minnesota, Minneapolis, USA.
Papers in Europe PMC - 02Wang J9 papers · 2026
Department of Ultrasound Medicine, Nanjing Lishui People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China.
Papers in Europe PMC - 03Bhutani VK7 papers · 2026
Prematurity Research Center, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Papers in Europe PMC - 04Farouk ZL6 papers · 2026
Aminu Kano Teaching Hospital, Bayero University, Kano, Nigeria.
Papers in Europe PMC - 05Chen J5 papers · 2026
Neonatal Intensive Care Unit, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, 364000, Fujian, People's Republic of China.
Papers in Europe PMC - 06
- 07Zheng W5 papers · 2025
Department of Radiology, The Second Affiliated Hospital, Medical College of Shantou University, Shantou, China.
Papers in Europe PMC - 08Hassan L4 papers · 2026
Department of Pediatrics, Ahmadu Bello University, Zaria, Nigeria.
Papers in Europe PMC - 09Hu Y4 papers · 2026
Department of Neonatology, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Papers in Europe PMC - 10Kumar D4 papers · 2026
Department of Pediatrics, Uttar Pradesh University of Medical Sciences, Saifai, India.
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. 1 observational study did — shown below because natural-history and cohort work can be an important step toward a trial.
Data as of 11 September 2026 · last trial check 11 September 2026
No matched interventional trials. This is true for 77.2% of diseases in the trials denominator (5501 of 7126). Here are the researchers publishing on it.
medium confidence · 38.6th 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.
Observational and natural-history studies
1 observational study matches 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.
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 30 · after dedupe 29 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 29 · 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 (29)
- isrctn·ISRCTN16931476·Recruiting·Pre-eclampsia prevention by timed birth at term 2 (PREVENT-2): a randomised trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16819837·Recruiting·The use of CARBALIVE in the treatment of cholestatic liver disease
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14716227·Recruiting·Treatment of acute liver failure in children with liver cells and support cells suspended in a gel
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17604912·No longer recruiting·Restoring immune function in liver failure
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN99747720·No longer recruiting·A study looking at the mechanism of action of a drug called disulfiram in patients with Ocular
Fibrosis in Mucous Membrane Pemphigoid (OcMMP)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN55168173·No longer recruiting·Testing a potential new treatment for patients with severe alcohol-associated hepatitis called SZN-043
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·ISRCTN10681798·No longer recruiting·A study to investigate the safety, tolerability, disposition in the body, effects of RO7308480 on the body, and its changes in midazolam disposition in the body following oral administration in healthy participants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN46432183·No longer recruiting·A study to evaluate the effect of various degrees of reduced liver function on the processing of fenebrutinib in the body
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10901519·No longer recruiting·Evaluating efficacy and safety of switching HIV patients with limited further medicine choices from a particular type of HIV medicine (boosted protease inhibitor) to different type called fostemsavir
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14030004·No longer recruiting·A study to evaluate the processing by the body of giredestrant in female participants of non-childbearing potential with impaired liver functions
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)
- isrctn·ISRCTN13113768·No longer recruiting·First-in-Human study of a medication called ALG-020572 to determine how it works in people with Chronic Hepatitis B
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13053035·No longer recruiting·Low-energy total diet replacement in the treatment of compensated cirrhosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN19869915·No longer recruiting·A platform trial investigating new combinations of therapies in patients with relapsed multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11885863·No longer recruiting·Investigating the safety and efficacy of a Universal CAR-T cell immunotherapy in patients with relapse and refractory B-cell acute lymphoblastic leukemia and B lymphoblastic lymphoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN24883155·No longer recruiting·Multicentre Cohort Study in Alcoholic Hepatitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11814003·No longer recruiting·Trial of faecal microbiota transplantation in cirrhosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN73586959·No longer recruiting·Selected mesenchymal stromal cells to reduce liver inflammation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN60323736·No longer recruiting·Riociguat in patients with respiratory disease and hypoxia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN40657638·No longer recruiting·A prospective study to evaluate the effect of the Molecular Adsorbent Recirculating System (MARS®) for patients with acute liver failure
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN31779998·No longer recruiting·Safety of citrate calcium anti-coagulation system and its use for liver insufficiency
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN60284968·No longer recruiting·HIVIS07: A phase I trial to assess the safety and immunogenicity of a plasmid DNA-MVA prime boost HIV-1 vaccine candidate administered together with dermal electroporation among volunteers in Stockholm, Sweden
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN43262969·No longer recruiting·Additional antibiotics for acute bacterial exacerbation of chronic obstructive pulmonary disease
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN32604572·No longer recruiting·HIVIS 01: A phase I trial to assess the safety of different modes of administering plasmid DNA with HIV genes env, rev, gag, and RT, with Amendment 3, HIVIS 02: Assessment of the safety and immunogenicity of administering modified vaccinia Ankara (MVA), carrying HIV-1 genes env, gag, and pol in subjects who have previously received plasmid DNA with analogous HIV-1 genes in HIVIS 01
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 Acute bilirubin encephalopathy — 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.
"Acute bilirubin encephalopathy" OR "Acute kernicterus"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Acute bilirubin encephalopathy" OR "Acute kernicterus"
Study-type breakdown: 0 interventional · 1 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: ABE
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 2026-07-27T18:06:38.774Z
