ORPHA:723
Pneumocystosis
Publications
47,388
Trials
76
Interventional, condition-specific
Researchers
1,052
Distinct authors in sample
Gene link
—
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
Human pneumocystosis is caused by an infectious agent, which (after recent nomenclature and taxonomy revisions) is now classed as the fungus Pneumocystis jiroveci. The prevalence is unknown. Pneumocystis jiroveci is an opportunistic infectious agent, developing in immunosuppressed patients. It is an air-borne infection, localised to the lungs. However, extrapulmonary involvement is seen in AIDS patients. The disease manifests progressively with coughing, respiratory problems (dyspnea) and fever, followed by acute respiratory insufficiency and death within a few weeks in untreated cases. The most reliable diagnostic method is bronchoalveolar lavage. The treatment of choice is cotrimoxazole.
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:0019121
- MeSH:D011020
- UMLS:C1535939
- NCIT:C3334
Additional Mondo synonyms (8)
PCP · PJP · Pneumocystis · Pneumocystis Pneumonia · Pneumocystis carinii pneumonia · Pneumocystis jirovecii pneumonia · Pneumocystis pneumonia · pneumocystosis
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.”
4/6 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
47,388 matched papers (21,639 in last 10 years) Source
- Phenotype characterisedPresent
23 HPO annotations (e.g. Combined cystic and ground-glass pattern on pulmonary HRCT; Multiple pulmonary cysts; Recurrent oral thrush) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationPresent
11 FDA designations (6 FDA orphan-indication approvals) — e.g. pafuramidine maleate Source
- Interventional trialPresent
76 matched on ClinicalTrials.gov (10 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?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
23
Associated phenotypes · MONDO:0019121
- Combined cystic and ground-glass pattern on pulmonary HRCT
- Multiple pulmonary cysts
- Recurrent oral thrush
- Increased circulating lactate dehydrogenase concentration
- Bloodstream infectious agent
Showing 5 of 23 — 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)
11
Designations · 6 with FDA orphan-indication approval
- FDA pafuramidine maleatePneumocystis jiroveci pneumonia · 2006-11-17 · Not FDA Approved for Orphan Indication
- FDA Primaquine phosphatePneumonia associated with AIDS Pneumocystis carinii Pneumonia · 1993-07-23 · Not FDA Approved for Orphan Indication
- FDA ClindamycinPneumocystis carinii Pneumonia · 1988-10-28 · Not FDA Approved for Orphan Indication
- FDA ClindamycinPneumonia associated with AIDS Pneumocystis carinii Pneumonia · 1988-10-28 · Not FDA Approved for Orphan Indication
- FDA Eflornithine HClPneumocystis carinii Pneumonia · 1986-04-18 · Not FDA Approved for Orphan Indication
- FDA Pentamidine isethionatePneumocystis carinii Pneumonia · 1984-10-29 · Not FDA Approved for Orphan Indication
- FDA Atovaquone (Mepron)HIV Pneumocystis carinii Pneumonia · 1991-08-14
- FDA Atovaquone (Mepron)AIDS Pneumocystis carinii Pneumonia · 1990-09-10
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
33
Drugs / clinical candidates · MONDO_0019121
- BETAMETHASONE·phase 3
- BETAMETHASONE SODIUM PHOSPHATE·phase 3
- CLINDAMYCIN·phase 3
- CO-TRIMOXAZOLE·phase 3
- DEXAMETHASONE·phase 3
- HYDROCORTISONE·phase 3
- LEUCOVORIN·phase 3
- LEUCOVORIN CALCIUM·phase 3
- METHYLPREDNISOLONE·phase 3
- PAFURAMIDINE MALEATE·phase 3
- PENTAMIDINE·phase 3
- PREDNISOLONE·phase 3
- PREDNISONE·phase 3
- PRIMAQUINE·phase 3
- TRIAMCINOLONE·phase 3
CTD chemicals (MyDisease.info)
21 associated chemicals. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Anthracenes · therapeutic
- Antifungal Agents · therapeutic
- Atovaquone · therapeutic
- Dapsone · therapeutic
- Didanosine · therapeutic
- Methylprednisolone · therapeutic
- Pentamidine · therapeutic
- Prednisolone · therapeutic
- Terbinafine · therapeutic
- Thiophenes · therapeutic
- Trimethoprim · therapeutic
- Trimethoprim, Sulfamethoxazole Drug Combination · therapeutic
Literature
Is anyone studying this?
47,388
47,388 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.
47,388 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).
21,639 in the last 10 years · low confidence
Phrase hits: 47,388 · MeSH hits: 0
Who's working on it?
1,052
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.
- 01Wang Y9 papers · 2026
Department of Pediatric Intensive Care Unit of Xi'an Children's Hospital, National Children's Regional Medical Center (Northwest), Children's Hospital of Xi'an Jiaotong University, Xi'an, China.
Papers in Europe PMC - 02Chen Y8 papers · 2026
Hangzhou Xixi Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Papers in Europe PMC - 03Limper AH7 papers · 2026
Department of Pulmonary and Critical Care Medicine, Thoracic Diseases Research Unit, Mayo Clinic College of Medicine, Rochester, Minnesota USA, 55905.
Papers in Europe PMC - 04Pan J6 papers · 2026
Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Papers in Europe PMC - 05Cartin-Ceba R5 papers · 2026
Department of Critical Care, Mayo Clinic, Phoenix, AZ.
Papers in Europe PMC - 06
- 07Pulsipher AM5 papers · 2026
Department of Critical Care, Mayo Clinic, Phoenix, AZ. Electronic address: pulsipher.aaron@mayo.edu.
Papers in Europe PMC - 08Vikram HR5 papers · 2026
Division of Infectious Diseases and Transplant Center, Mayo Clinic, Phoenix, AZ.
Papers in Europe PMC - 09Wang J5 papers · 2026
Department of Urology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Institute of Organ Transplantation, Jinan, Shandong, China.
Papers in Europe PMC - 10Wang M5 papers · 2026
Department of Pulmonary and Critical Care Medicine, Shiyan Key Laboratory of Major Chronic Respiratory Disease, Hubei Provincial Clinical Research Center for Umbilical Cord Blood Hematopoietic Stem Cells, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
76
interventional trials for this specific condition
76 interventional trials matched this specific condition name; 10 currently recruiting in our sample.
Data as of 11 September 2026
76 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 98.1th percentile).
low confidence · 98.1th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
76 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT07152613·NOT YET RECRUITING·Corticosteroids for PJP in Non-HIV Immunocompromised Adults
Not reviewed·Conditions: Pneumocystis Jiroveci Pneumonia·Matched via name phrase
- NCT07357103·NOT YET RECRUITING·Positioning Second-line Therapies for Pneumocystis Jirovecii Pneumonia (PCP Alternatives)
Not reviewed·Conditions: Pneumocystis · Pneumocystis Infection · Pneumocystis Carinii Infection · Pneumocystis Carinii; Infection, Resulting From HIV Disease·Matched via name phrase
- NCT03856229·ENROLLING BY INVITATION·Short-term Steroid Therapy in Patients With P. Jirovecii Pneumonia Due to HIV / AIDS
Not reviewed·Conditions: Pneumocystis · HIV/AIDS · Steroid·Matched via name phrase
- NCT04851015·RECRUITING·Low Dose Trimethoprim-Sulfamethoxazole for the Treatment of Pneumocystis Jirovecii Pneumonia
Not reviewed·Conditions: Pneumocystis · Pneumocystis Pneumonia · Pneumocystis Jirovecii Infection · Pneumocystis Infections·Matched via name phrase
- NCT06892951·NOT YET RECRUITING·CaspoNEB: Efficacy and Safety of Caspofungin Aerosols for the Curative Treatment of Pneumocystis Pneumonia
Not reviewed·Conditions: Pneumocystis Pneumonia · Pneumocystis Jirovecii Infection · Pneumocystis Infections·Matched via name phrase
- NCT05835479·RECRUITING·Rezafungin for Treatment of Pneumocystis Pneumonia in HIV Adults
Not reviewed·Conditions: Pneumocystis Pneumonia·Matched via name phrase
- NCT07619027·NOT YET RECRUITING·Low- vs Standard-Dose TMP-SMX for Prevention of Pneumocystis Pneumonia After Kidney Transplantation
Not reviewed·Conditions: Pneumocystis Jirovecii Pneumonia · Kidney Transplantation·Matched via name phrase
- NCT06499233·RECRUITING·Efficacy and Safety of Prophylactic Treatment for Pneumocystis Jirovecii Pneumonia in Patients With Autoimmune Inflammatory Rheumatic Disease
Not reviewed·Conditions: Pneumonia, Pneumocystis · Autoimmune Inflammatory Rheumatic Disease · Autoimmune Diseases · Connective Tissue Disease·Matched via name phrase
- NCT07665359·NOT YET RECRUITING·Study on the Impact of Decolonization Treatment of Pneumocystis Jirovecii on the Frequency of Acute Exacerbation in COPD
Not reviewed·Conditions: Chronic Obstructive Pulmonary Disease (COPD)·Matched via name phrase
- NCT07328984·NOT YET RECRUITING·How Long Should we Give Steroids for Patients With Severe PCP
Not reviewed·Conditions: Pneumocystis Pneumonia · Pneumocystis · Pneumocystis Jirovecii Infection · Pneumocystis Jiroveci Pneumonia·Matched via name phrase
Observational and natural-history studies
35 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
- NCT07690410·NOT YET RECRUITING·TMP-SMX for Non-HIV PCP: A Prospective Multicenter Study
Not reviewed·Conditions: Pneumocystis Jirovecii Pneumonia in Non-HIV Patients·Matched via name phrase
- NCT07269314·RECRUITING·Introduction of Polymerase Chain Reaction (PCR) in Microbiology and Parasitology
Not reviewed·Conditions: Malaria, Pneumocystis, Leishmania·Matched via name phrase
- NCT06691321·RECRUITING·Caspofungin for Pneumocystis Pneumonia in PLWHIV.
Not reviewed·Conditions: HIV-1-infection · Pneumocystis Pneumonia·Matched via name phrase
- NCT06442345·NOT YET RECRUITING·Pneumocystis Jirovecii Genotyping
Not reviewed·Conditions: Pneumocystis Pneumonia·Matched via name phrase
- NCT06890078·RECRUITING·Optimizing the Diagnosis of Pneumocystis in Immunocompromised Patients
Not reviewed·Conditions: Pneumocystis · Immunocompromised Patients·Matched via name phrase
- NCT07681583·RECRUITING·Derivation and Validation of the Fungal Pneumonia Assessment and Likelihood Predictor Score
Not reviewed·Conditions: Pneumonia · Fungal Pneumonia · Aspergillosis Pneumonia · Pulmonary Aspergillosis·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 34 · after dedupe 34 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 34 · 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 (34)
- ctis·2023-508861-34-00·Authorised, ongoing·CASPONEB - Phase II safety lead-in randomized blind placebo controlled clinical trial : efficacy and safety of caspofungin aerosols for the curative treatment of Pneumocystis pneumonia in adjunction of conventional systemic antifungal therapy
skipped — LLM skipped (--skip-llm)
- ctis·2024-514792-17-00·Authorised, ongoing·ODORAT : Optimal dose of anti-lymphocyte globulin in kidney transplant recipients with low immunological risk
skipped — LLM skipped (--skip-llm)
- ctis·2024-514471-18-00·Cancelled·A Phase 3, Multicenter, Randomized, Double-Blind Study of the Efficacy and Safety of Rezafungin for Injection Versus the Standard Antimicrobial Regimen to Prevent Invasive Fungal Diseases in Adults Undergoing
Allogeneic Blood and Marrow Transplantation (The ReSPECT Study)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN22936350·Recruiting·A Phase I study evaluating the safety and effects of QX031N in healthy participants, participants with chronic obstructive pulmonary disease and participants with asthma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN45965456·Suspended·Randomised, open-label international trial with Verapamil alone compared with Verapamil plus another immunotherapy for people with newly diagnosed type 1 diabetes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN97798065·No longer recruiting·A study of VTX958 adipate modified release tablet formulations in healthy subjects
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN36138594·No longer recruiting·Steroids for pneumonia in adults in Kenya
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13069630·No longer recruiting·Obinutuzumab compared with rituximab for treating ANCA-associated vasculitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN53678960·No longer recruiting·Phase II proof of concept study of baricitinib in individuals who are considered at risk of developing inflammatory arthritis: ExIST
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21195635·Recruiting·A clinical study testing if a daily low dose of an antibiotic, ciprofloxacin, given during the first part of chemotherapy treatment to children with newly diagnosed ALL would reduce the risk of infection
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13466428·No longer recruiting·The relationship between stomach Helicobacter pylori infection and antibiotic consumption among HIV-positive individuals
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN67000769·Recruiting·An international platform trial for severely ill patients with community-acquired pneumonia or COVID-19
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN33578935·No longer recruiting·To study the treatment of COVID-19 with severe viral pneumonia by using purified stem cell exosomes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN63115131·No longer recruiting·The effectiveness, safety and duration of step-down oral antibiotics for children hospitalised with severe pneumonia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN50189673·Recruiting·A randomised trial of treatments to prevent death in patients hospitalised with pneumonia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN56112439·No longer recruiting·The use of steroids in conjunction with antiretroviral therapy to treat HIV associated nephropathy to assist with treatment of renal function
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN38386321·No longer recruiting·Respiratory illness in people living with HIV in the era of antiretroviral therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN47873003·No longer recruiting·Belimumab after B Cell depletion therapy as a new treatment for patients with systemic lupus erythematosus (SLE)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11038174·No longer recruiting·ENRICH Ibrutinib for untreated mantle cell lymphoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN59144167·No longer recruiting·Adjunctive dexamethasone in HIV-infected adults with cryptococcal meningitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN51731976·No longer recruiting·Tackling EArly Morbidity and Mortality in myeloma (TEAMM)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17551402·No longer recruiting·AIMSPRO® and the bladder in multiple sclerosis (MS)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN22663589·No longer recruiting·Comparison of infliximab and ciclosporin in steroid resistant ulcerative colitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN46576063·No longer recruiting·Tacrolimus monotherapy for uveitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN87866680·No longer recruiting·2nd Nordic Mantle-Cell Lymphoma protocol
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 Pneumocystosis — 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.
"Pneumocystosis" OR "Pneumocystis" OR "Pneumocystis Pneumonia" OR "Pneumocystis carinii pneumonia" OR "Pneumocystis jirovecii pneumonia"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Pneumocystosis" OR "Pneumocystis" OR "Pneumocystis Pneumonia" OR "Pneumocystis carinii pneumonia" OR "Pneumocystis jirovecii pneumonia"
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: 76 interventional · 35 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: PCP; PJP
Confidence reasoning
- Preferred label is short or not clearly distinctive
- 2 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T15:03:01.611Z
