Appendicitis
diseaseOn this page
Also known as acute appendicitisacute appendicitis with generalised peritonitisacute appendicitis with generalized peritonitisacute appendicitis with peritoneal abscessinflammation of vermiform appendixvermiform appendix inflammation
Summary
Appendicitis (MONDO:0005649) is a disease with 2 cohort genes (37 GWAS associations across 43 studies) and 325 clinical trials. Top therapeutic interventions include clavulanic acid, cefuroxime, and ertapenem.
At a glance
- Cohort genes: 2
- GWAS associations: 37
- ClinVar variants: 6
- Clinical trials: 325
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | appendicitis |
| Mondo ID | MONDO:0005649 |
| EFO | EFO:0007149 |
| MeSH | D001064 |
| DOID | DOID:8337 |
| ICD-11 | 1881255733 |
| NCIT | C35145 |
| SNOMED CT | 74400008 |
| UMLS | C0003615 |
| MedGen | 1630 |
| Is cancer (heuristic) | no |
Also known as: acute appendicitis · acute appendicitis with generalised peritonitis · acute appendicitis with generalized peritonitis · acute appendicitis with peritoneal abscess · inflammation of vermiform appendix · vermiform appendix inflammation
Data availability: 6 ClinVar variants · 37 GWAS associations (43 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › digestive system disorder › intestinal disorder › large intestine disorder › colonic disorder › cecal disorder › appendicitis
Related subtypes (1): cecal neoplasm
Genetics & variants
GWAS landscape
37 GWAS associations across 43 studies. Top hits map to 17 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs6533530 | 5e-58 | LINC01438 - MIR297 | C | 0.14 |
| rs2129979 | 2e-23 | LINC01438 - MIR297 | G | 1.12 |
| rs7697491 | 3e-21 | LINC01438 - MIR297 | A | 0.21 |
| rs6533531 | 1e-20 | LINC01438 - MIR297 | G | 0.22 |
| rs560213663 | 4e-13 | MCF2L | C | 3.4 |
| rs143187016 | 2e-12 | MND1 - TMEM131L | A | 3 |
| rs564566215 | 8e-12 | CCDC74BP1 - SMPD4P1 | A | 3.01 |
| rs1204911573 | 3e-11 | FFAR2 - KRTDAP | C | 2.07 |
| rs142692122 | 3e-08 | NPHP1 | A | 7 |
| rs9953918 | 4e-08 | NEDD4L | ? | 0.99 |
| rs11088767 | 4e-08 | LINC01683 | ? | |
| rs4342907 | 2e-07 | MRPL35P2 - RPL7AP50 | ? | 0.34 |
| rs7895356 | 2e-07 | LINC02663 - LINC02670 | ? | 0.26 |
| rs76092881 | 2e-07 | USP34 | ? | |
| rs1968 | 4e-07 | EXD3 | ? | 0.28 |
| rs9518817 | 2e-06 | TET1P1 - LINC00373 | ? | 0.36 |
| rs34489323 | 2e-06 | NAV3 | ? | 0.38 |
| rs10190752 | 3e-06 | LINC00299 | ? | 0.47 |
| rs7924856 | 3e-06 | GRIK4 | ? | 0.42 |
| rs197355 | 4e-06 | ANLN | ? | 2.71 |
| rs6697807 | 5e-06 | CREG1 - RCSD1 | ? | 3.61 |
| rs11087475 | 5e-06 | TMC2 | ? | 2.52 |
| rs4852113 | 6e-06 | LINC02991 - NDUFA10 | ? | 0.42 |
| rs12434822 | 7e-06 | OR11H7 | ? | 0.43 |
| rs4683645 | 7e-06 | ATP1B3 | ? | 0.44 |
| rs11207765 | 7e-06 | NFIA - TM2D1 | ? | 0.32 |
| rs1787422 | 7e-06 | KCNJ6, KCNJ6-AS1 | ? | 0.49 |
| rs745723 | 7e-06 | INHBB - LINC01101 | ? | 0.31 |
| rs13071458 | 7e-06 | SLC25A26 | ? | 2.35 |
| rs75551632 | 8e-06 | RNU6-1014P - RN7SKP101 | ? | 0.32 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90399676 | Zhou W | 2022 | 31,714 | 978,508 | Global Biobank Meta-analysis Initiative: Powering genetic discovery across human disease. |
| GCST90428450 | Kristjansson RP | 2017 | 8,566 | 344,656 | Sequence variant at 4q25 near PITX2 associates with appendicitis. |
| GCST90473798 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 6,829 | 451,611 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90473796 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 5,176 | 453,264 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90281155 | Hamilton FW | 2023 | 4,604 | 481,880 | Therapeutic potential of IL6R blockade for the treatment of sepsis and sepsis-related death: A Mendelian randomisation study. |
| GCST90077903 | Backman JD | 2021 | 4,527 | 327,227 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90081889 | Backman JD | 2021 | 4,527 | 327,227 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90077904 | Backman JD | 2021 | 4,175 | 324,877 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90081890 | Backman JD | 2021 | 4,175 | 324,877 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90038695 | Donertas HM | 2021 | 4,089 | 480,509 | Common genetic associations between age-related diseases. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 2 |
| Tier 4: intronic/intergenic | 30 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 29 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 4 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 18 |
| intergenic_variant | 12 |
| TF_binding_site_variant | 1 |
| regulatory_region_variant | 1 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs6533530 | 4 | 110810780 | T>C,G | 0.438 | intergenic_variant | LINC01438 - MIR297 | 5e-58 | Tier 4: intronic/intergenic |
| rs2129979 | 4 | 110799841 | T>A,G | 0.31 | intergenic_variant | LINC01438 - MIR297 | 2e-23 | Tier 4: intronic/intergenic |
| rs7697491 | 4 | 110804662 | A>C,T | 0.497 | intergenic_variant | LINC01438 - MIR297 | 3e-21 | Tier 4: intronic/intergenic |
| rs6533531 | 4 | 110810809 | G>C,T | 0.378 | intergenic_variant | LINC01438 - MIR297 | 1e-20 | Tier 4: intronic/intergenic |
| rs560213663 | 13 | 112993246 | C>A,T | 0 | intron_variant | MCF2L | 4e-13 | Tier 4: intronic/intergenic |
| rs143187016 | 4 | 153439349 | A>G | 0 | TF_binding_site_variant | MND1 - TMEM131L | 2e-12 | Tier 3: regulatory |
| rs564566215 | 22 | 20596970 | A>C | 0 | intergenic_variant | CCDC74BP1 - SMPD4P1 | 8e-12 | Tier 4: intronic/intergenic |
| rs1204911573 | 19 | 35468426 | C>A,T | 0 | intron_variant | FFAR2 - KRTDAP | 3e-11 | Tier 4: intronic/intergenic |
| rs142692122 | 2 | 110189351 | G>A | 0.05 | intron_variant | NPHP1 | 3e-08 | Tier 4: intronic/intergenic |
| rs9953918 | 18 | 58338413 | A>C,G,T | 0.05 | intron_variant | NEDD4L | 4e-08 | Tier 4: intronic/intergenic |
| rs11088767 | 21 | 19894041 | A>G | 0.05 | intron_variant | LINC01683 | 4e-08 | Tier 4: intronic/intergenic |
| rs4342907 | 10 | 63828081 | C>A,G,T | 0.05 | intergenic_variant | MRPL35P2 - RPL7AP50 | 2e-07 | Tier 4: intronic/intergenic |
| rs7895356 | 10 | 9924626 | C>T | 0.05 | intergenic_variant | LINC02663 - LINC02670 | 2e-07 | Tier 4: intronic/intergenic |
| rs76092881 | 2 | 61406170 | C>T | 0.05 | intron_variant | USP34 | 2e-07 | Tier 4: intronic/intergenic |
| rs1968 | 9 | 137341243 | C>A,G,T | 0.05 | intron_variant | EXD3 | 4e-07 | Tier 4: intronic/intergenic |
| rs9518817 | 13 | 87904252 | T>A | 0.05 | intergenic_variant | TET1P1 - LINC00373 | 2e-06 | Tier 4: intronic/intergenic |
| rs34489323 | 12 | 77976045 | A>G | 0.05 | intron_variant | NAV3 | 2e-06 | Tier 4: intronic/intergenic |
| rs10190752 | 2 | 8457758 | G>C | 0.05 | regulatory_region_variant | LINC00299 | 3e-06 | Tier 3: regulatory |
| rs7924856 | 11 | 120627342 | A>G,T | 0.05 | intron_variant | GRIK4 | 3e-06 | Tier 4: intronic/intergenic |
| rs197355 | 7 | 36391052 | G>A,T | 0.05 | intron_variant | ANLN | 4e-06 | Tier 4: intronic/intergenic |
| rs6697807 | 1 | 167569599 | A>G | 0.05 | intron_variant | CREG1 - RCSD1 | 5e-06 | Tier 4: intronic/intergenic |
| rs11087475 | 20 | 2541509 | C>G,T | 0.05 | intron_variant | TMC2 | 5e-06 | Tier 4: intronic/intergenic |
| rs4852113 | 2 | 239721105 | G>A,C,T | 0.05 | intron_variant | LINC02991 - NDUFA10 | 6e-06 | Tier 4: intronic/intergenic |
| rs12434822 | 14 | 20229441 | T>G | 0.05 | missense_variant | OR11H7 | 7e-06 | Tier 1: coding |
| rs4683645 | 3 | 141891965 | A>G,T | 0.05 | intron_variant | ATP1B3 | 7e-06 | Tier 4: intronic/intergenic |
| rs11207765 | 1 | 61542846 | C>T | 0.05 | intergenic_variant | NFIA - TM2D1 | 7e-06 | Tier 4: intronic/intergenic |
| rs1787422 | 21 | 37704659 | C>T | 0.05 | intron_variant | KCNJ6, KCNJ6-AS1 | 7e-06 | Tier 4: intronic/intergenic |
| rs745723 | 2 | 120355180 | C>A,G,T | 0.05 | intergenic_variant | INHBB - LINC01101 | 7e-06 | Tier 4: intronic/intergenic |
| rs13071458 | 3 | 66375817 | A>C,G,T | 0.05 | intron_variant | SLC25A26 | 7e-06 | Tier 4: intronic/intergenic |
| rs75551632 | 15 | 46703849 | A>G | 0.05 | intron_variant | RNU6-1014P - RN7SKP101 | 8e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
6 retrieved; paginated sample, class counts are floors:
3 conflicting classifications of pathogenicity, 3 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 215914 | NM_020975.6(RET):c.2988G>A (p.Pro996=) | RET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 24928 | NM_020975.6(RET):c.1946C>T (p.Ser649Leu) | RET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 995823 | NM_020975.6(RET):c.3148C>T (p.Arg1050Ter) | RET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 24937 | NM_020975.6(RET):c.2330A>G (p.Asn777Ser) | RET | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 992568 | NM_020975.6(RET):c.487C>T (p.Arg163Trp) | RET | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 995822 | NM_020975.6(RET):c.1426C>A (p.Pro476Thr) | RET | Uncertain significance | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 16 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| PITX2 | Orphanet:334 | Hereditary atrial fibrillation |
| PITX2 | Orphanet:708 | Peters anomaly |
| PITX2 | Orphanet:782 | Axenfeld-Rieger syndrome |
| PITX2 | Orphanet:91481 | Ring dermoid of cornea |
| PITX2 | Orphanet:91483 | Rieger anomaly |
| PITX2 | Orphanet:98978 | Axenfeld anomaly |
| RET | Orphanet:146 | Differentiated thyroid carcinoma |
| RET | Orphanet:1848 | Renal agenesis, bilateral |
| RET | Orphanet:247698 | Multiple endocrine neoplasia type 2A |
| RET | Orphanet:247709 | Multiple endocrine neoplasia type 2B |
| RET | Orphanet:276621 | Sporadic pheochromocytoma/secreting paraganglioma |
| RET | Orphanet:29072 | Hereditary pheochromocytoma-paraganglioma |
| RET | Orphanet:388 | Hirschsprung disease |
| RET | Orphanet:93100 | Renal agenesis, unilateral |
| RET | Orphanet:99361 | Isolated familial medullary thyroid carcinoma |
| RET | Orphanet:99803 | Haddad syndrome |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 1 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| PITX2 | HGNC:9005 | ENSG00000164093 | Q99697 | Pituitary homeobox 2 | gwas |
| RET | HGNC:9967 | ENSG00000165731 | P07949 | Proto-oncogene tyrosine-protein kinase receptor Ret | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| PITX2 | Pituitary homeobox 2 | May play a role in myoblast differentiation. |
| RET | Proto-oncogene tyrosine-protein kinase receptor Ret | Receptor tyrosine-protein kinase involved in numerous cellular mechanisms including cell proliferation, neuronal navigation, cell migration, and cell differentiation in response to glia cell line-derived growth family factors (GDNF, NRTN,… |
Protein-family classification
Druggable: 1 · Difficult: 1 · Unknown: 0 · Druggable fraction: 0.5
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 1 | 13.9× | 0.142 |
| Transcription factor | 1 | 4.1× | 0.228 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| PITX2 | Transcription factor | no | HD, OAR_dom, Homeodomain-like_sf | |
| RET | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Cadherin-like_dom |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| biceps brachii | 1 |
| gingiva | 1 |
| gingival epithelium | 1 |
| dorsal root ganglion | 1 |
| substantia nigra pars compacta | 1 |
| substantia nigra pars reticulata | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| PITX2 | 166 | broad | marker | gingiva, biceps brachii, gingival epithelium |
| RET | 193 | broad | marker | substantia nigra pars reticulata, dorsal root ganglion, substantia nigra pars compacta |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| RET | 4,203 |
| PITX2 | 2,389 |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| RET | P07949 | 34 |
| PITX2 | Q99697 | 3 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 6. Enrichment computed across 2 evidence-associated genes (2 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| TFAP2 (AP-2) family regulates transcription of other transcription factors | 1 | 1427.5× | 0.004 | PITX2 |
| Formation of the nephric duct | 1 | 317.2× | 0.006 | RET |
| NPAS4 regulates expression of target genes | 1 | 248.3× | 0.006 | RET |
| Formation of the ureteric bud | 1 | 248.3× | 0.006 | RET |
| RET signaling | 1 | 129.8× | 0.009 | RET |
| RAF/MAP kinase cascade | 1 | 30.5× | 0.032 | RET |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| subthalamic nucleus development | 1 | 8426.0× | 0.002 | PITX2 |
| superior vena cava morphogenesis | 1 | 8426.0× | 0.002 | PITX2 |
| embryonic epithelial tube formation | 1 | 4213.0× | 0.002 | RET |
| posterior midgut development | 1 | 4213.0× | 0.002 | RET |
| hypothalamus cell migration | 1 | 4213.0× | 0.002 | PITX2 |
| prolactin secreting cell differentiation | 1 | 4213.0× | 0.002 | PITX2 |
| left lung morphogenesis | 1 | 4213.0× | 0.002 | PITX2 |
| pulmonary vein morphogenesis | 1 | 4213.0× | 0.002 | PITX2 |
| cell proliferation involved in outflow tract morphogenesis | 1 | 4213.0× | 0.002 | PITX2 |
| pulmonary myocardium development | 1 | 2808.7× | 0.002 | PITX2 |
| vascular associated smooth muscle cell differentiation | 1 | 2808.7× | 0.002 | PITX2 |
| deltoid tuberosity development | 1 | 2808.7× | 0.002 | PITX2 |
| endodermal digestive tract morphogenesis | 1 | 2808.7× | 0.002 | PITX2 |
| positive regulation of metanephric glomerulus development | 1 | 2808.7× | 0.002 | RET |
| atrioventricular valve development | 1 | 2106.5× | 0.002 | PITX2 |
| ureter maturation | 1 | 2106.5× | 0.002 | RET |
| somatotropin secreting cell differentiation | 1 | 2106.5× | 0.002 | PITX2 |
| Peyer’s patch morphogenesis | 1 | 2106.5× | 0.002 | RET |
| GDF15-GFRAL signaling pathway | 1 | 2106.5× | 0.002 | RET |
| extraocular skeletal muscle development | 1 | 1404.3× | 0.003 | PITX2 |
| embryonic heart tube left/right pattern formation | 1 | 1404.3× | 0.003 | PITX2 |
| cardiac neural crest cell migration involved in outflow tract morphogenesis | 1 | 1203.7× | 0.003 | PITX2 |
| atrial cardiac muscle tissue morphogenesis | 1 | 1203.7× | 0.003 | PITX2 |
| hair cell differentiation | 1 | 1053.2× | 0.003 | PITX2 |
| iris morphogenesis | 1 | 936.2× | 0.003 | PITX2 |
| lymphocyte migration into lymphoid organs | 1 | 936.2× | 0.003 | RET |
| ventricular cardiac muscle cell development | 1 | 766.0× | 0.003 | PITX2 |
| positive regulation of extrinsic apoptotic signaling pathway in absence of ligand | 1 | 766.0× | 0.003 | RET |
| positive regulation of cell size | 1 | 648.1× | 0.004 | RET |
| embryonic camera-type eye development | 1 | 601.9× | 0.004 | PITX2 |
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Doripenem | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Bupivacaine, Cefotaxime, Ceftriaxone, Cefuroxime, Dexamethasone, Epinephrine, Ertapenem, Fosfomycin, Meropenem, Methylprednisolone, Metronidazole, Piperacillin, Povidone-Iodine, Regramostim, Ropivacaine, Sodium Chloride, Sulfur Hexafluoride, Tazobactam.
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 1
Druggability breadth: 1 of 2 evidence-associated genes (50%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| RET | PONATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| RET | 135 | 4 |
| PITX2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PONATINIB | 4 | RET |
| AFATINIB | 4 | RET |
| VEMURAFENIB | 4 | RET |
| FEDRATINIB | 4 | RET |
| TIVOZANIB | 4 | RET |
| LENVATINIB | 4 | RET |
| AXITINIB | 4 | RET |
| SORAFENIB | 4 | RET |
| DASATINIB ANHYDROUS | 4 | RET |
| ALECTINIB | 4 | RET |
| RUXOLITINIB | 4 | RET |
| INFIGRATINIB PHOSPHATE | 4 | RET |
| INFIGRATINIB | 4 | RET |
| IBRUTINIB | 4 | RET |
| PALBOCICLIB | 4 | RET |
| REGORAFENIB | 4 | RET |
| ENTRECTINIB | 4 | RET |
| TOFACITINIB CITRATE | 4 | RET |
| FOSTAMATINIB | 4 | RET |
| CABOZANTINIB | 4 | RET |
| BARICITINIB | 4 | RET |
| TOFACITINIB | 4 | RET |
| CAPIVASERTIB | 4 | RET |
| CERITINIB | 4 | RET |
| VANDETANIB | 4 | RET |
| NILOTINIB | 4 | RET |
| BOSUTINIB | 4 | RET |
| GILTERITINIB | 4 | RET |
| BRIGATINIB | 4 | RET |
| UPADACITINIB | 4 | RET |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| RET | 1,586 | Binding:1573, Functional:10, ADMET:3 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| RET | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| RET | 1,586 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| PONATINIB | 4 | RET |
| AFATINIB | 4 | RET |
| VEMURAFENIB | 4 | RET |
| FEDRATINIB | 4 | RET |
| TIVOZANIB | 4 | RET |
| LENVATINIB | 4 | RET |
| AXITINIB | 4 | RET |
| SORAFENIB | 4 | RET |
| DASATINIB ANHYDROUS | 4 | RET |
| ALECTINIB | 4 | RET |
| RUXOLITINIB | 4 | RET |
| INFIGRATINIB PHOSPHATE | 4 | RET |
| INFIGRATINIB | 4 | RET |
| IBRUTINIB | 4 | RET |
| PALBOCICLIB | 4 | RET |
| REGORAFENIB | 4 | RET |
| ENTRECTINIB | 4 | RET |
| TOFACITINIB CITRATE | 4 | RET |
| FOSTAMATINIB | 4 | RET |
| CABOZANTINIB | 4 | RET |
| BARICITINIB | 4 | RET |
| TOFACITINIB | 4 | RET |
| CAPIVASERTIB | 4 | RET |
| CERITINIB | 4 | RET |
| VANDETANIB | 4 | RET |
| NILOTINIB | 4 | RET |
| BOSUTINIB | 4 | RET |
| GILTERITINIB | 4 | RET |
| BRIGATINIB | 4 | RET |
| UPADACITINIB | 4 | RET |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | RET |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 1 | PITX2 |
Undrugged target profiles
1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| PITX2 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 325.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 272 |
| PHASE4 | 24 |
| PHASE3 | 13 |
| PHASE2 | 8 |
| PHASE1 | 4 |
| PHASE1/PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05966454 | PHASE4 | RECRUITING | Complex And Simple Appendicitis: REstrictive or Liberal Post-operative Antibiotic eXposure - UCSF |
| NCT06563349 | PHASE4 | RECRUITING | Magnesium Sulfate in Children Undergoing Laparoscopic Appendectomy |
| NCT00195351 | PHASE4 | COMPLETED | Study Comparing Tigecycline Versus Ceftriaxone Sodium Plus Metronidazole in Complicated Intra-abdominal Infection |
| NCT00230971 | PHASE4 | COMPLETED | Study Comparing Tigecycline Versus Ceftriaxone Sodium Plus Metronidazole in Complicated Intra-abdominal Infection (cIAI) |
| NCT00236912 | PHASE4 | TERMINATED | A Study Comparing Safety and Efficacy of Levofloxacin and Metronidazole Versus Piperacillin/Tazobactam in Treating Complicated Appendicitis |
| NCT00477061 | PHASE4 | COMPLETED | Morphine Analgesia in Patients With Acute Appendicitis |
| NCT00783016 | PHASE4 | COMPLETED | Effect of Pain Control on the Diagnosis of Acute Appendicitis on the Diagnostic Accuracy of General Surgeon |
| NCT00913445 | PHASE4 | COMPLETED | Wound Healing After Emergency Appendicectomy |
| NCT01096927 | PHASE4 | COMPLETED | Non Operative Treatment for Acute Appendicitis |
| NCT02352519 | PHASE4 | COMPLETED | A Comparison of UGBRS Block and Local Infiltration |
| NCT02561117 | PHASE4 | WITHDRAWN | Once Daily Metronidazole for Perforated Appendicitis |
| NCT02625987 | PHASE4 | COMPLETED | Appendicectomy Skin Closure Technique: Changing Paradigms (ASC) |
| NCT02848820 | PHASE4 | UNKNOWN | Initial Non-operative Treatment Strategy Versus Appendectomy Treatment Strategy for Simple Appendicitis in Children |
| NCT02867072 | PHASE4 | COMPLETED | Laparoscopic Versus Open Appendectomy |
| NCT02991937 | PHASE4 | COMPLETED | Comparison of Medical and Surgical Treatment of Uncomplicated Acute Appendicitis in Children |
| NCT03005808 | PHASE4 | COMPLETED | Choose the Best Concentration of Ropivacaine on TAP Block for Open Appendectomy in Children |
| NCT03159754 | PHASE4 | COMPLETED | Optimal Care of Complicated Appendicitis |
| NCT03380793 | PHASE4 | UNKNOWN | A Trial to Assess the Efficacy and Safety of Morinidazole in Patients With Appendicitis |
| NCT03481517 | PHASE4 | COMPLETED | Wound Infiltration With Local Anesthetic Agent for Laparoscopic Appendectomy in Adult |
| NCT03886896 | PHASE4 | COMPLETED | Intravenous Lidocaine in Children Undergoing Laparoscopic Appendectomy |
| NCT03985514 | PHASE4 | COMPLETED | Acute Appendicitis: Active Observation With and Without Antibiotics |
| NCT04378868 | PHASE4 | COMPLETED | Role of Delay and Antibiotics on Perforation Rate While Waiting Appendectomy |
| NCT05238506 | PHASE4 | COMPLETED | Lidocaine VS Hemodynamic, Metabolic and Hormonal Response |
| NCT05256901 | PHASE4 | TERMINATED | Sugammadex vs Neostigmine Reversal in Pediatric Appendectomy |
| NCT06160778 | PHASE3 | RECRUITING | Intravenous Ketorolac Vs. Morphine In Children With Acute Abdominal Pain |
| NCT00210938 | PHASE3 | COMPLETED | Doripenem in the Treatment of Complicated Intra-Abdominal Infections |
| NCT00229060 | PHASE3 | COMPLETED | Doripenem in the Treatment of Complicated Intra-Abdominal Infections |
| NCT00913380 | PHASE3 | COMPLETED | Diagnosis of Acute Appendicitis: Low-dose Computed Tomography (CT) Versus Standard-dose CT |
| NCT01110382 | PHASE3 | TERMINATED | A Safety and Tolerability Study of Doripenem Compared With Meropenem in Children Hospitalized With Complicated Intra-abdominal Infections |
| NCT01203566 | PHASE3 | COMPLETED | A Randomised Controlled Trial on LESS Versus Conventional Laparoscopic Appendicectomy. |
| NCT01515293 | PHASE3 | COMPLETED | Single Incision Versus Conventional Laparoscopic Appendectomy |
| NCT01524081 | PHASE3 | COMPLETED | Antibiotic Prophylaxis in the Prevention of Surgical Site Infections After Selected Urgent Abdominal Surgical Procedures |
| NCT01720082 | PHASE3 | UNKNOWN | Laparoscopic Appendectomy by Multi-port vs Single Port. |
| NCT01839435 | PHASE3 | COMPLETED | Feasibility of Outpatient Appendectomy for Acute Appendicitis |
| NCT02634255 | PHASE3 | UNKNOWN | The Onset Time of Rocuronium in Emergency and Elective Surgery |
| NCT04030741 | PHASE2/PHASE3 | COMPLETED | Non-operative Treatment of Acute Non-perforated Appendicitis |
| NCT04528563 | PHASE3 | COMPLETED | Ketorolac for Moderate to Severe Abdominal Pain in Children |
| NCT05641363 | PHASE3 | COMPLETED | Comparison of Ketorolac at Three Doses in Children With Acute Pain |
| NCT00469430 | PHASE2 | COMPLETED | Study of Conservative Versus Surgical Treatment of Appendicitis |
| NCT01283815 | PHASE2 | COMPLETED | Laparoscopic Management of Periappendicular Abscess |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CLAVULANIC ACID | 4 | 5 |
| CEFUROXIME | 4 | 4 |
| ERTAPENEM | 4 | 4 |
| MORPHINE | 4 | 4 |
| NEOSTIGMINE | 4 | 4 |
| CEFAZOLIN | 4 | 3 |
| CEFOTAXIME | 4 | 3 |
| CEFTRIAXONE | 4 | 3 |
| DORIPENEM | 4 | 3 |
| GLYCOPYRRONIUM | 4 | 3 |
| METRONIDAZOLE | 4 | 3 |
| SUGAMMADEX | 4 | 3 |
| TIGECYCLINE | 4 | 3 |
| CEFOXITIN | 4 | 2 |
| MEROPENEM | 4 | 2 |
| PIPERACILLIN | 4 | 2 |
| SULFUR HEXAFLUORIDE | 4 | 2 |
| AMIKACIN | 4 | 1 |
| AMOXICILLIN | 4 | 1 |
| CEFTAZIDIME | 4 | 1 |
| FLUCONAZOLE | 4 | 1 |
| GENTAMICIN | 4 | 1 |
| IOHEXOL | 4 | 1 |
| LACTIC ACID | 4 | 1 |
| MAGNESIUM SULFATE | 4 | 1 |
| SULBACTAM | 4 | 1 |
| TAZOBACTAM | 4 | 1 |
| D-LACTIC ACID | 3 | 1 |
| CHEMBL4589226 | 0 | 2 |
| CHEMBL195892 | 0 | 1 |
Related Atlas pages
- Cohort genes: PITX2, RET
- Drugs: Clavulanic Acid, Cefuroxime, Ertapenem, Morphine, Neostigmine, Cefazolin, Cefotaxime, Ceftriaxone, Doripenem, Glycopyrronium, Metronidazole, Sugammadex, Tigecycline, Cefoxitin, Meropenem, Piperacillin, Sulfur Hexafluoride, Amikacin, Amoxicillin, Ceftazidime, Fluconazole, Gentamicin, Iohexol, Lactic Acid, Magnesium, Sulbactam, Tazobactam, D-Lactic Acid