Chikungunya
disease diseaseOn this page
Also known as arbovirus A Chikungunya typeCHIKChikungunya feverChikungunya virus caused disease or disorderChikungunya virus disease or disorderChikungunya virus infectionChikungunya virus infectious diseaseCHIKV infectionCK
Summary
Chikungunya (MONDO:0017941) is a disease and 72 clinical trials. Top therapeutic interventions include sodium chloride and chikungunya virus, live attenuated. A subtype of Alphavirus infectious disease — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: 1-9 / 1 000 000 (Europe) [Orphanet-validated]
- Phenotypes (HPO): 51
- Clinical trials: 72
Clinical features
Epidemiology
Prevalence records
16 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 1 000 000 | 0.12 | Europe | Validated |
| Annual incidence | <1 / 1 000 000 | 0.02 | France | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.32 | Belgium | Validated |
| Annual incidence | <1 / 1 000 000 | 0.06 | Finland | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.13 | Germany | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.3 | Italy | Validated |
| Annual incidence | <1 / 1 000 000 | 0.02 | Latvia | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.35 | Spain | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.16 | Sweden | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.24 | United Kingdom | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.4 | Malta | Validated |
| Annual incidence | <1 / 1 000 000 | 0.02 | Slovenia | Validated |
| Annual incidence | <1 / 1 000 000 | Greece | Validated | |
| Annual incidence | <1 / 1 000 000 | Hungary | Validated | |
| Annual incidence | <1 / 1 000 000 | Ireland | Validated | |
| Annual incidence | <1 / 1 000 000 | Portugal | Validated |
Signs & symptoms
Clinical features (HPO)
51 HPO clinical features (Orphanet curated; top 50 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001945 | Fever | Very frequent (80-99%) |
| HP:0002829 | Arthralgia | Very frequent (80-99%) |
| HP:0012378 | Fatigue | Very frequent (80-99%) |
| HP:0000745 | Diminished motivation | Frequent (30-79%) |
| HP:0000988 | Skin rash | Frequent (30-79%) |
| HP:0001369 | Arthritis | Frequent (30-79%) |
| HP:0001386 | Joint swelling | Frequent (30-79%) |
| HP:0001387 | Joint stiffness | Frequent (30-79%) |
| HP:0002315 | Headache | Frequent (30-79%) |
| HP:0003326 | Myalgia | Frequent (30-79%) |
| HP:0005198 | Stiff interphalangeal joints | Frequent (30-79%) |
| HP:0007483 | Depigmentation/hyperpigmentation of skin | Frequent (30-79%) |
| HP:0010741 | Pedal edema | Frequent (30-79%) |
| HP:0010783 | Erythema | Frequent (30-79%) |
| HP:0012733 | Macule | Frequent (30-79%) |
| HP:0030834 | Shoulder pain | Frequent (30-79%) |
| HP:0030839 | Knee pain | Frequent (30-79%) |
| HP:0040186 | Maculopapular exanthema | Frequent (30-79%) |
| HP:0000225 | Gingival bleeding | Occasional (5-29%) |
| HP:0000282 | Facial edema | Occasional (5-29%) |
| HP:0000421 | Epistaxis | Occasional (5-29%) |
| HP:0000613 | Photophobia | Occasional (5-29%) |
| HP:0000716 | Depression | Occasional (5-29%) |
| HP:0000967 | Petechiae | Occasional (5-29%) |
| HP:0000989 | Pruritus | Occasional (5-29%) |
| HP:0000992 | Cutaneous photosensitivity | Occasional (5-29%) |
| HP:0001892 | Abnormal bleeding | Occasional (5-29%) |
| HP:0002013 | Vomiting | Occasional (5-29%) |
| HP:0002014 | Diarrhea | Occasional (5-29%) |
| HP:0007473 | Crusting erythematous dermatitis | Occasional (5-29%) |
| HP:0008066 | Abnormal blistering of the skin | Occasional (5-29%) |
| HP:0009830 | Peripheral neuropathy | Occasional (5-29%) |
| HP:0012219 | Erythema nodosum | Occasional (5-29%) |
| HP:0025143 | Chills | Occasional (5-29%) |
| HP:0025232 | Bursitis | Occasional (5-29%) |
| HP:0025289 | Cervical lymphadenopathy | Occasional (5-29%) |
| HP:0025337 | Red eye | Occasional (5-29%) |
| HP:0032063 | Ankle joint effusion | Occasional (5-29%) |
| HP:0040165 | Periostitis | Occasional (5-29%) |
| HP:0100686 | Enthesitis | Occasional (5-29%) |
| HP:0100769 | Synovitis | Occasional (5-29%) |
| HP:0200037 | Skin vesicle | Occasional (5-29%) |
| HP:0001250 | Seizure | Very rare (<1-4%) |
| HP:0002383 | Infectious encephalitis | Very rare (<1-4%) |
| HP:0002716 | Lymphadenopathy | Very rare (<1-4%) |
| HP:0002797 | Osteolysis | Very rare (<1-4%) |
| HP:0003401 | Paresthesia | Very rare (<1-4%) |
| HP:0003406 | Peripheral nerve compression | Very rare (<1-4%) |
| HP:0012185 | Constrictive median neuropathy | Very rare (<1-4%) |
| HP:0030880 | Raynaud phenomenon | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | chikungunya |
| Mondo ID | MONDO:0017941 |
| MeSH | D065632 |
| Orphanet | 324625 |
| DOID | DOID:0050012 |
| ICD-11 | 900389391 |
| NCIT | C128422 |
| SNOMED CT | 111864006 |
| UMLS | C0008055 |
| MedGen | 3362 |
| GARD | 0006038 |
| NORD | 924 |
| Is cancer (heuristic) | no |
Also known as: arbovirus A Chikungunya type · CHIK · Chikungunya fever · Chikungunya virus caused disease or disorder · Chikungunya virus disease or disorder · Chikungunya virus infection · Chikungunya virus infectious disease · CHIKV infection · CK
Disease family
Classification path: disease › human disease › disease by etiologic mechanism › disease of primarily extrinsic mechanism › infectious disease › viral infectious disease › primary viral infectious disease › Togaviridae infectious disease › Alphavirus infectious disease › chikungunya
Related subtypes (5): O’nyong’nyong fever, Barmah forest virus disease, Ross river fever, Venezuelan equine encephalitis, western equine encephalitis
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 or in trials for this disease
1 approved drug — disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Status |
|---|---|
| Chikungunya Virus, Live Attenuated | Approved (phase 4) |
Clinical trials & evidence
Clinical trials
Clinical trials: 72.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 43 |
| PHASE3 | 8 |
| PHASE2 | 8 |
| PHASE1 | 8 |
| EARLY_PHASE1 | 2 |
| PHASE4 | 1 |
| PHASE2/PHASE3 | 1 |
| PHASE1/PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06928753 | PHASE4 | RECRUITING | Real-world Effectiveness, Safety and Immunogenicity of Chikungunya Vaccination in Populations at Risk of Severe or Complicated Forms: Prospective Study in La Réunion |
| NCT04838444 | PHASE3 | ACTIVE_NOT_RECRUITING | Antibody Persistence And Long Term Safety Of A Chikungunya Virus Vaccine (VLA1553) |
| NCT06007183 | PHASE3 | ACTIVE_NOT_RECRUITING | Long-term Follow-up Study to Evaluate Safety and Immunogenicity of PXVX0317 Single or Booster Vaccination |
| NCT06973772 | PHASE3 | NOT_YET_RECRUITING | Trial to Evaluate the Immunogenicity and Safety of the Co-administration of Live Attenuated Dengue and Chikungunya Vaccines Compared to Separate Administration in Adults Aged 18 to 59 Years. |
| NCT04546724 | PHASE3 | COMPLETED | Pivotal Study to Evaluate Safety and Immunogenicity of a Live-Attenuated Chikungunya Virus Vaccine Candidate in Adults |
| NCT04566484 | PHASE2/PHASE3 | TERMINATED | Seamless Controlled Trial To Evaluate Safety And Immunogenicity of Chikungunya Vaccine in LatinAmerica and Asia |
| NCT04650399 | PHASE3 | COMPLETED | A Multicenter Study to Evaluate Safety and Immunogenicity of a Live-attenuated Chikungunya Vaccine in Adolescents |
| NCT04786444 | PHASE3 | COMPLETED | Study to Demonstrate Consistency of Three Lots of a Live-attenuated Chikungunya Virus Vaccine Candidate in Healthy Adults |
| NCT06028841 | PHASE3 | WITHDRAWN | A Clinical Phase 3 Trial of VLA1553 in Adult Participants with Human Immunodeficiency Virus (HIV) |
| NCT07133178 | PHASE3 | WITHDRAWN | A Trial to Evaluate the Safety and Immunogenicity of VLA1553 in Healthy Children |
| NCT02230163 | PHASE1/PHASE2 | UNKNOWN | Clinical Evaluation of Anti-CHIKV Hyperimmune Intravenous Immunoglobulins |
| NCT02562482 | PHASE2 | COMPLETED | Trial for Safety and Immunogenicity of a Chikungunya Vaccine, VRC-CHKVLP059-00-VP, in Healthy Adults |
| NCT02861586 | PHASE2 | COMPLETED | Phase II Study to Evaluate Safety and Immunogenicity of a Chikungunya Vaccine |
| NCT03101111 | PHASE2 | COMPLETED | Study of a Live Attenuated Chikungunya Vaccine in a Previously Epidemic Area |
| NCT03483961 | PHASE2 | COMPLETED | Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults |
| NCT03635086 | PHASE2 | COMPLETED | Safety, Tolerability and Long-term Immunogenicity of Different Formulations of a Chikungunya Vaccine (V184-005) |
| NCT03807843 | PHASE2 | COMPLETED | Chikungunya Vaccine (V184) Study in Previously Exposed Adults (V184-006) |
| NCT03992872 | PHASE2 | COMPLETED | Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) |
| NCT06106581 | PHASE2 | COMPLETED | A Phase 2 Clinical Trial of VLA1553 in Healthy Children Aged 1 to 11 Years |
| NCT01489358 | PHASE1 | COMPLETED | Chikungunya Virus Vaccine Trial in Healthy Adults |
| NCT03028441 | PHASE1 | COMPLETED | Phase I Trial of Measles Vectored Chikungungya Vaccine |
| NCT03382964 | PHASE1 | COMPLETED | Study to Assess the Safety and Immunogenicity of a Chikungunya Virus Vaccine Candidate (VLA1553) in Healthy Volunteers |
| NCT03590392 | PHASE1 | COMPLETED | Safety and Immunogenicity of a Candidate CHIKV Vaccine (CHIK001) |
| NCT04440774 | PHASE1 | COMPLETED | Research Study to Assess New Chikungunya and Zika Vaccines in Healthy Adults in Mexico. |
| NCT04441905 | PHASE1 | COMPLETED | Phase 1 Study of SAR440894 vs Placebo |
| NCT04603131 | PHASE1 | COMPLETED | Clinical Trial to Evaluate the Immunogenicity of Chikungunya Vaccine |
| NCT06669208 | PHASE1 | COMPLETED | Trial of an Inactivated Chikungunya Virus Vaccine |
| NCT07394426 | EARLY_PHASE1 | NOT_YET_RECRUITING | A Phase I Study of PepGNP-ChikV in Healthy Volunteers |
| NCT03702348 | EARLY_PHASE1 | UNKNOWN | Resistance Exercise Program on the Functionality of Individuals With Chikungunya Fever |
| NCT04615364 | Not specified | RECRUITING | Genetic Evolution of Arboviruses in New Caledonia Between 1995 and 2024 and Impact of Wolbachia |
| NCT04619823 | Not specified | RECRUITING | Virological and Immunological Determinants of Arbovirus Infection in New Caledonia |
| NCT06859619 | Not specified | NOT_YET_RECRUITING | Serological Measurement of Montpellier Professionals’ Contacts with Infectious Agents Responsible for Animal-borne Diseases |
| NCT06983548 | Not specified | NOT_YET_RECRUITING | Chikungunya Virus Detection in Semen |
| NCT07112846 | Not specified | NOT_YET_RECRUITING | Prospective Clinical Registry for Evaluation of Exanthematous Infections and Coinfections |
| NCT07120724 | Not specified | RECRUITING | Real-World Study on Chinese Medicine for Treating Chikungunya Fever |
| NCT07126171 | Not specified | NOT_YET_RECRUITING | A Clinical Study on the Efficacy and Safety of Reduning Injection in the Treatment of Chikungunya Fever |
| NCT07163845 | Not specified | ACTIVE_NOT_RECRUITING | Assessment of Chikungunya Virus Seroprevalence Before VLA1553 Vaccination in the Municipalities Selected for Participation in the VLA1553 Pilot Vaccination Strategy in Brazil |
| NCT07190560 | Not specified | RECRUITING | Against Chikungunya Virus and Neonatal Infection |
| NCT07254702 | Not specified | ENROLLING_BY_INVITATION | Prospective Safety Cohort Study After VLA1553 Vaccination in Municipalities Selected for Participation in the VLA1553 Pilot Vaccination Strategy in Brazil |
| NCT07347002 | Not specified | ENROLLING_BY_INVITATION | Observational Study to Assess the Effectiveness of VLA1553 Vaccine in Preventing Chikungunya During a Pilot Vaccination Strategy in Brazil |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| SODIUM CHLORIDE | 4 | 2 |
| CHIKUNGUNYA VIRUS, LIVE ATTENUATED | 4 | 1 |