Acute cholecystitis
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Summary
Acute cholecystitis (MONDO:0043994) is a disease and 72 clinical trials. Top therapeutic interventions include indocyanine green acid form, amoxicillin, and ceftolozane. A subtype of acute cholangitis — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Clinical trials: 72
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | acute cholecystitis |
| Mondo ID | MONDO:0043994 |
| MeSH | D041881 |
| ICD-10-CM | K81.0 |
| ICD-11 | 2071113448 |
| NCIT | C35152 |
| SNOMED CT | 65275009 |
| UMLS | C0149520 |
| MedGen | 57682 |
| Is cancer (heuristic) | no |
Also known as: acute cholecystitis
Disease family
This is a subtype of acute cholangitis. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › hepatobiliary disorder › biliary tract disorder › bile duct disorder › non-neoplastic bile duct disorder › cholangitis › acute cholangitis › acute cholecystitis
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated for this disease
0 approved, 4 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Moxifloxacin | Phase 3 (in late-stage trials) |
| Piperacillin | Phase 3 (in late-stage trials) |
| Sodium Chloride | Phase 3 (in late-stage trials) |
| Tazobactam | Phase 3 (in late-stage trials) |
Clinical trials & evidence
Clinical trials
Clinical trials: 72.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 64 |
| PHASE4 | 3 |
| PHASE3 | 3 |
| PHASE2/PHASE3 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02057679 | PHASE4 | COMPLETED | Extended Antibiotic Therapy in Postoperative of Laparoscopic Cholecystectomy in Acute Cholecystitis |
| NCT04624841 | PHASE4 | UNKNOWN | Indocyanine Green to Visualize Critical View of Safety During Laparoscopic Cholecystectomy for Acute Cholecystitis |
| NCT05709548 | PHASE4 | UNKNOWN | Use of Indocyanine Green in Acute Cholecystitis |
| NCT05893511 | PHASE3 | RECRUITING | EUS-GBD vs Antibiotics for Patients at High Risk for Cholecystectomy |
| NCT00447304 | PHASE3 | COMPLETED | Acute Cholecystitis - Early Laparoscopic Surgery Versus Antibiotic Therapy and Delayed Elective Cholecystectomy |
| NCT01625247 | PHASE3 | UNKNOWN | Drainage is Not Necessary Procedure After Laparoscopic Cholecystectomy Due to Severe Acute Cholecystitis |
| NCT02212717 | PHASE2/PHASE3 | COMPLETED | A Randomized Controlled Trial on EGBD vs PC for Acute Cholecystitis. |
| NCT02070627 | PHASE1 | COMPLETED | Near Infrared Fluorescence Cholangiography (NIRF-C) During Cholecystectomy – Use in Acute Cholecystitis Sub-Study |
| NCT03643718 | Not specified | RECRUITING | Web-based International Register of Emergency Surgery and Trauma |
| NCT04813055 | Not specified | RECRUITING | Prospective Registry Of Therapeutic EndoscopiC ulTrasound |
| NCT05732480 | Not specified | RECRUITING | Influence of Gut Microbiome in Gallstone Disease |
| NCT06228027 | Not specified | NOT_YET_RECRUITING | External Validation os the ACME Scoring System |
| NCT06287112 | Not specified | RECRUITING | Prevention of Acute Cholecystitis With ETGBD |
| NCT06459323 | Not specified | NOT_YET_RECRUITING | the Outcomes of Laparoscopic Cholecystectomy for Acute Cholecystitis Within and Beyond the First 72 Hours, Does it Differ?! |
| NCT06820541 | Not specified | NOT_YET_RECRUITING | Gallbladder Stenting in FC-SEMS |
| NCT06967597 | Not specified | RECRUITING | Conservative Versus Proactive Management of Acute Cholecystitis After EUS-guided Transmural Gallbladder Drainage: FUGITIVE Trial (FUGITIVE) |
| NCT07006298 | Not specified | RECRUITING | One-year Outcomes by Index Treatment in Elderly Patients With Acute Cholecystitis |
| NCT07161960 | Not specified | RECRUITING | Early Versus Delayed Cholecystectomy After Percutaneous Cholecystostomy in Moderate and Severe Cholecystitis (ESCAPE) |
| NCT07481760 | Not specified | NOT_YET_RECRUITING | Acute Cholecystitis Biliary Complications - ICG |
| NCT07551375 | Not specified | RECRUITING | Diagnostic Value of Deep Learning-Based Rapid MRI in Preoperative Evaluation of Acute Cholecystitis |
| NCT07552701 | Not specified | RECRUITING | USG-Guided TAPA vs RIFB Block for Postoperative Analgesia in Laparoscopic Cholecystectomy |
| NCT01548339 | Not specified | TERMINATED | Laparoscopic Cholecystectomy for Acute Cholecystitis After 72 Hours of Symptoms |
| NCT01706068 | Not specified | UNKNOWN | Transient ECG Changes in Patients With Acute Biliary Disease |
| NCT01942356 | Not specified | COMPLETED | Evaluation of Closed-loop TIVA Propofol, Sufentanil and Ketamine Guided by BIS Monitor |
| NCT02027402 | Not specified | COMPLETED | Effects of Drainage in Laparoscopic Cholecystectomy |
| NCT02100358 | Not specified | COMPLETED | Functional MRC With Eovist for Acute Cholecystitis |
| NCT02130245 | Not specified | UNKNOWN | Acute Cholecystitis: Early Versus Delayed Laparoscopic Cholecystectomy; Randomized Prospective Study |
| NCT02490293 | Not specified | COMPLETED | Is it Fair to Use Antibiotics After Laparoscopic Cholecystectomy for the Patients With Acutely Inflamed Gallbladder? |
| NCT02796443 | Not specified | COMPLETED | The Real World of Acute Cholecystitis |
| NCT03002051 | Not specified | COMPLETED | EUS-guided Transenteric Drainage With a Novel Lumen-apposing Metal Stent |
| NCT03122054 | Not specified | COMPLETED | Early Versus Delayed Cholecystectomy |
| NCT03296280 | Not specified | COMPLETED | Evaluation of Implementation of a National Point-of-Care Ultrasound Training Program |
| NCT03729882 | Not specified | COMPLETED | Primary EUS-GBD in Patients With Unresectable Malignant Biliary Obstruction and Cystic Duct Orifice Involvement. |
| NCT03754751 | Not specified | COMPLETED | Enhanced Recovery in Laparoscopic Cholecystectomy |
| NCT03853408 | Not specified | COMPLETED | Short Term Outcomes of Acute Cholecystitis Managed at a University Hospital |
| NCT03999645 | Not specified | COMPLETED | Is it Safe to do Laparoscopic Cholecystectomy for Acute Cholecystitis up to Seven Days? |
| NCT04059601 | Not specified | COMPLETED | Magnetic Resonance Cholangiography and Intraoperative Cholangiography in Acute Cholecystitis |
| NCT04145869 | Not specified | WITHDRAWN | Fluorescent Cholangiography During Acute Cholecystitis |
| NCT04156711 | Not specified | COMPLETED | Remote Ischemic Preconditioning in Patients Undergoing Acute Minor Abdominal Surgery |
| NCT04197908 | Not specified | COMPLETED | EUS-guided Gallbladder Drainage Instead of Laparoscopic Cholecystectomy for Acute Cholecystitis. A Feasibility Study. |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| INDOCYANINE GREEN ACID FORM | 4 | 4 |
| AMOXICILLIN | 4 | 1 |
| CEFTOLOZANE | 4 | 1 |
| MOXIFLOXACIN | 4 | 1 |
| REMIMAZOLAM | 4 | 1 |
| CEPHALOSPORIN | 3 | 1 |
| CEPHALOSPORIN C | -1 | 1 |