ORPHA:99981
Apnea of prematurity
Publications
1,766
87.4th percentile
Trials
44
Interventional, condition-specific
Researchers
1,105
Distinct authors in sample
Gene link
—
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
A developmental disorder affecting premature infants, likely secondary to an immaturity of respiratory control resulting in pauses in breathing often associated with reduced heart rate and arterial blood oxygen levels. It may be exacerbated by concurrent diseases.
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:0020567
- UMLS:C0475715
- NCIT:C98823
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
1,766 matched papers (1,022 in last 10 years) Source
- Phenotype characterisedPresent
5 HPO annotations (e.g. Failure to thrive in infancy; Apnea; Cyanosis) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationPresent
2 FDA designations (1 FDA orphan-indication approval) — e.g. N-acetylcysteine Source
- Interventional trialPresent
44 matched on ClinicalTrials.gov (9 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)
5
Associated phenotypes · MONDO:0020567
- Failure to thrive in infancy
- Apnea
- Cyanosis
- Bradycardia
- Hypoxemia
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)
2
Designations · 1 with FDA orphan-indication approval
- FDA N-acetylcysteineApnea of prematurity · 2010-10-21 · Not FDA Approved for Orphan Indication
- FDA Caffeine (Cafcit)Apnea of prematurity · 1988-09-20
Sources: FDA OOPD · EMA orphan designations
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?
1,766
1,766 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.
1,766 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).
1,022 in the last 10 years · high confidence · 87.4th percentile (publications denominator)
Phrase hits: 1,766 · MeSH hits: 0
Who's working on it?
1,105
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.
- 01Bruschettini M8 papers · 2024
Paediatrics, Department of Clinical Sciences Lund Lund University, Skåne University Hospital
Papers in Europe PMC - 02Soll R7 papers · 2023
Division of Neonatal-Perinatal Medicine, Department of Pediatrics Larner College of Medicine at the University of Vermont
Papers in Europe PMC - 03Andriessen P4 papers · 2025
Department of Neonatology, Máxima MC, Veldhoven, The Netherlands.
Papers in Europe PMC - 04Basille-Dugay M4 papers · 2026
Laboratory of Neuronal and Neuroendocrine Communication and Differentiation, Institute for Research and Innovation in Biomedicine (IRIB), Normandie Univ, UNIROUEN, INSERM U1239, 76000, Rouen, France.
Papers in Europe PMC - 05Burel D4 papers · 2026
Laboratory of Neuronal and Neuroendocrine Communication and Differentiation, Institute for Research and Innovation in Biomedicine (IRIB), Normandie Univ, UNIROUEN, INSERM U1239, 76000, Rouen, France. delphine.burel@univ-rouen.fr.
Papers in Europe PMC - 06Eichenwald EC4 papers · 2026
Hospital of the University of Pennsylvania (HUP), Children's Hospital of Philadelphia, Philadelphia.
Papers in Europe PMC - 07Rodriguez-Duboc A4 papers · 2026
Laboratory of Neuronal and Neuroendocrine Communication and Differentiation, Institute for Research and Innovation in Biomedicine (IRIB), Normandie Univ, UNIROUEN, INSERM U1239, 76000, Rouen, France.
Papers in Europe PMC - 08Vaudry D4 papers · 2026
Laboratory of Neuronal and Neuroendocrine Communication and Differentiation, Institute for Research and Innovation in Biomedicine (IRIB), Normandie Univ, UNIROUEN, INSERM U1239, 76000, Rouen, France.
Papers in Europe PMC - 09Chen L3 papers · 2026
University of Kentucky, Department of Neurosurgery, Lexington, Kentucky, United States.
Papers in Europe PMC - 10Chen S3 papers · 2026
Zhongshan Hospital Affiliated to Xiamen University, Xiamen, Fujian Province, 361000, China.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
44
interventional trials for this specific condition
44 interventional trials matched this specific condition name; 9 currently recruiting in our sample.
Data as of 11 September 2026
44 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 96.9th percentile).
high confidence · 96.9th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
44 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT04430790·RECRUITING·Doxapram Therapy in Preterm Infants (DOXA Trial)
Not reviewed·Conditions: Apnea of Prematurity · Respiratory Insufficiency·Matched via name phrase
- NCT06401083·RECRUITING·The Effect of an Additional Pre-extubational Loading Dose of Caffeine-citrate
Not reviewed·Conditions: Apnea of Prematurity · Premature Birth · Respiratory Failure·Matched via name phrase
- NCT07570121·RECRUITING·Pharmacokinetics and Placental Transfer of Caffeine
Not reviewed·Conditions: Preterm Labor With Preterm Delivery · Premature Birth · Apnea of Prematurity · Respiratory Distress Syndrome·Matched via name phrase
- NCT07396103·RECRUITING·Efficacy of PIMUN by Reducing Intermittent Hypoxia Events
Not reviewed·Conditions: Preterm · Apnea of Prematurity · Hypoxemia·Matched via name phrase
- NCT05298748·RECRUITING·The Effect of Womb Recordings on Maturation of Respiratory Control in Preterm Infants
Not reviewed·Conditions: Apnea of Prematurity · Intermittent Hypoxemia · Bradycardia·Matched via name phrase
- NCT07650552·NOT YET RECRUITING·Fentanyl and Rocuronium for Tracheal Intubation in Newborns
Not reviewed·Conditions: Infant, Premature · Intubation, Intratracheal · Respiratory Distress Syndrome, Newborn · Apnea of Prematurity·Matched via name phrase
- NCT06972849·NOT YET RECRUITING·Caffeine Citrate to Improve Neonatal Outcomes.
Not reviewed·Conditions: Apnea of Prematurity·Matched via name phrase
- NCT06374147·RECRUITING·"Prapela® SVS Incubator Pad for Apnea of Prematurity
Not reviewed·Conditions: Apnea of Prematurity·Matched via name phrase
- NCT06518603·RECRUITING·Caffeine Citrate in Preterm Infants at Risk of Apnea in Zambia
Not reviewed·Conditions: Premature Infant Disease · Apnea of Prematurity · Development, Infant·Matched via name phrase
Observational and natural-history studies
12 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
- NCT07324941·RECRUITING·The Role of Electroencephalography in Caffeine Discontinuation Timing in Premature Infants
Not reviewed·Conditions: Apnea Neonatal · Apnea of Prematurity·Matched via name phrase
- NCT07552025·NOT YET RECRUITING·Detection of Respiratory Events Using Acoustic Monitoring in Extremely Preterm Infants
Not reviewed·Conditions: Apnea of Prematurity · Preterm Infant · Periodic Breathing · Hypopnea·Matched via name phrase
- NCT06292299·RECRUITING·The PARS Study: Paediatric Advanced Respiratory Service Study - An Observational Diagnostic Feasibility Study
Not reviewed·Conditions: Sleep Disordered Breathing · Apnea of Prematurity · Respiratory Rate · Sudden Unexpected Death in Epilepsy·Matched via name phrase
- NCT07274969·NOT YET RECRUITING·The Effect of Caffeine Therapy in Cardiovascular Stability in Preterm Neonates at Assiut University Children Hospital NICU
Not reviewed·Conditions: Preterm Neonates · Apnea of Prematurity·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 8 · after dedupe 8 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 8 · 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 (8)
- ctis·2025-523475-33-00·Authorised, ongoing·Caffeine Administration for Preterms: Pharmacokinetics, Utilization and Correlation Inhibiting Nociception Outcome
skipped — LLM skipped (--skip-llm)
- ctis·2024-515625-29-00·Authorised, ongoing·Doxapram versus placebo in preterm newborns: An international double blinded multicenter randomized controlled trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN22903257·Recruiting·Anaesthesia for laser treatment of retinal disease in premature infants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN62477762·Recruiting·Using artificial intelligence to help detect abnormal blood vessels in the eye
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN88744949·No longer recruiting·Comparison of effectiveness two Infant Flow modes (Biphasic tr vs NCPAP) in treatment infants ≤ 1250g
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN61185493·No longer recruiting·Harp music: Effects on heart rate variability, cortisol and activity
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN45943101·No longer recruiting·Insulin sensitivity in preterm appropriate-for-gestational-age and small-for-gestational-age infants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN44364365·No longer recruiting·Efficacy and safety of methylxanthines in very low birthweight infants
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 Apnea of prematurity — 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.
"Apnea of prematurity" OR "Apnea of the prematurity"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Apnea of prematurity" OR "Apnea of the prematurity"
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: 44 interventional · 12 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 2026-07-27T06:50:58.013Z
