RARE DISEASERESEARCH ATLAS

ORPHA:939

3-hydroxyisobutyric aciduria

high confidenceDisorder

Query health: suspect — Only one of 2 strategies returned hits (phrase).

Publications

33

24.9th percentile

Trials

0

Interventional, condition-specific

Researchers

430

Distinct authors in sample

Gene link

HIBADH

Limited

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare classic organic aciduria characterized by tissue accumulation and elevation of urinary excretion of 3-hydroxyisobutyric acid. The clinical ranges from recurrent mild episodes of vomiting with normal cognitive development, to massive , , and with profound and early death. craniofacial features (such as microcephaly, triangular face, short, sloping forehead, long, prominent philtrum, and micrognathia) and variable cerebral anomalies have also been described.

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.

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

    Limited — HIBADH

  2. LiteraturePresent

    33 matched papers (8 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?

Possibly — only limited evidence so far for HIBADH.

GenCC classification: Limited.

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?

33

33 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.

33 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).

8 in the last 10 years · high confidence · 24.9th percentile (publications denominator)

Phrase hits: 33 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

430

Distinct author names in 33 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
    Chung J7 papers · 2018

    New South Health Pathology, Royal Prince Alfred Hospital, Camperdown, NSW 2006, Australia

    Papers in Europe PMC
  2. 02
    McWhinney B5 papers · 2018

    Analytical Chemistry Unit, Department of Chemical Pathology, RBWH, Herston Qld 4029, Australia

    Papers in Europe PMC
  3. 03
    Foyn L4 papers · 2018

    Department of Chemical Pathology, Pathology Queensland, Herston, Qld, Australia

    Papers in Europe PMC
  4. 04
    Hickman P4 papers · 2018

    ACT Pathology, The Canberra Hospital, Canberra, ACT 2614, Australia

    Papers in Europe PMC
  5. 05
    Sikaris K4 papers · 2018

    Chair KIMMS advisory committee, c/o Melbourne Pathology, Vic., Australia

    Papers in Europe PMC
  6. 06
    Ungerer J4 papers · 2018

    Department of Chemical Pathology, Pathology Queensland, Herston, Qld, Australia

    Papers in Europe PMC
  7. 07
    Badrick T3 papers · 2018

    RCPA Quality Assurance Programs, St Leonards, Sydney, NSW 2065, Australia

    Papers in Europe PMC
  8. 08
    Lam C3 papers · 2018

    Department of Pathology, The University of Hong Kong

    Papers in Europe PMC
  9. 09
    Law C3 papers · 2018

    Department of Pathology, Queen Mary Hospital

    Papers in Europe PMC
  10. 10
    Louey W3 papers · 2018

    Melbourne Pathology, Collingwood, Vic. 3066, Australia

    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

Likely covered — the policy lists Organic acidemia as a category (Group 1), and this condition is a form of it. Confirm eligibility with a Centre of Excellence.

Group 1 — one-time curative treatment

Up to ₹50 lakh per patient

Financial support for treatment at notified Centres of Excellence (figures evolved from the original ₹20 lakh Group-1 ceiling).

Policy figures change. Verify current MoHFW / CoE guidance before relying on any amount. Verify

Centres of Excellence (15)
  • All India Institute of Medical Sciences (AIIMS)New Delhi, Delhi
  • Maulana Azad Medical CollegeNew Delhi, Delhi
  • Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknow, Uttar Pradesh
  • Post Graduate Institute of Medical Education and Research (PGIMER)Chandigarh, Chandigarh
  • Centre for DNA Fingerprinting & Diagnostics with Nizam’s Institute of Medical SciencesHyderabad, Telangana
  • King Edward Memorial HospitalMumbai, Maharashtra
  • Institute of Post-Graduate Medical Education and Research (IPGMER)Kolkata, West Bengal
  • Centre for Human Genetics with Indira Gandhi HospitalBengaluru, Karnataka
  • Institute of Child Health and Hospital for Children (ICH & HC)Chennai, Tamil Nadu
  • All India Institute of Medical Sciences (AIIMS)Jodhpur, Rajasthan
  • Sree Avittam Thirunal Hospital (SAT), Government Medical CollegeThiruvananthapuram, Kerala
  • All India Institute of Medical Sciences (AIIMS)Bhopal, Madhya Pradesh
  • Regional Institute of Medical Sciences (RIMS)Imphal, Manipur
  • All India Institute of Medical Sciences (AIIMS)Patna, Bihar
  • Assam Medical College & HospitalDibrugarh, Assam

Voluntary contributions / crowdfunding (separate from CoE funding): https://rarediseases.mohfw.gov.in/

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.

"3-hydroxyisobutyric aciduria"

Run this search on Europe PMC

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

"3-hydroxyisobutyric aciduria" OR "HIBADH" OR "classic organic aciduria" OR "inborn organic aciduria"

Recall-expansion terms: HIBADH, classic organic aciduria, inborn organic aciduria

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

Query health: suspect — strategies attempted: phrase, 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 2026-07-26T15:58:10.602Z