Cholangitis
diseaseOn this page
Also known as biliary tract infectionbiliary tree inflammationinflammation of biliary tree
Summary
Cholangitis (MONDO:0004789) is a disease (an umbrella term covering 9 Mondo subtypes) and 45 clinical trials. Top therapeutic interventions include ursodiol, ceftriaxone, and gentamicin. A subtype of non-neoplastic bile duct disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Umbrella term: 9 Mondo subtypes
- Clinical trials: 45
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | cholangitis |
| Mondo ID | MONDO:0004789 |
| MeSH | D002761 |
| DOID | DOID:9446 |
| ICD-10-CM | K83.0 |
| ICD-11 | 1712178777 |
| NCIT | C26718 |
| SNOMED CT | 82403002 |
| UMLS | C0008311 |
| MedGen | 40258 |
| Is cancer (heuristic) | no |
Also known as: biliary tract infection · biliary tree inflammation · cholangitis · inflammation of biliary tree
Disease family
This is a subtype of non-neoplastic bile duct disorder. 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
Related subtypes (4): extrahepatic cholestasis, obstructive jaundice, biliary atresia, Caroli disease
Subtypes (9): suppurative cholangitis, ascending cholangitis, acute cholangitis, pericholangitis, cholecystitis, chronic cholangitis, sclerosing cholangitis, primary biliary cholangitis/primary sclerosing cholangitis and autoimmune hepatitis overlap syndrome, autoimmune cholangitis
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
2 approved. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Elafibranor | Approved (phase 4) |
| Obeticholic Acid | Approved (phase 4) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Ceftriaxone, Moxifloxacin.
Clinical trials & evidence
Clinical trials
Clinical trials: 45.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 33 |
| PHASE2 | 8 |
| PHASE4 | 3 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01744847 | PHASE4 | COMPLETED | DGT Versus TPS in Patients With Initial PD Cannulation by Chance; Prospective Multi-center Study |
| NCT02034279 | PHASE4 | TERMINATED | The INFECIR-2 Albumin Prevention Study |
| NCT03087656 | PHASE4 | UNKNOWN | Antibiotics to Decrease Post ERCP Cholangitis |
| NCT03716232 | PHASE3 | UNKNOWN | Kaffes Stent in the Management of Post-surgical Biliary Strictures |
| NCT07407491 | PHASE2 | RECRUITING | Comparative Efficacy Of Intraductal Antibiotic During ERCP In Acute Cholangitis |
| NCT07509346 | PHASE2 | NOT_YET_RECRUITING | Fecal Microbiota Transplant vs Standard Treatment for Recurrent Non-Obstructive Cholangitis |
| NCT02098486 | PHASE2 | COMPLETED | Comparisons of Intravenous Ceftriaxone With Intravenous Moxifloxacin in ERCP |
| NCT02618668 | PHASE2 | TERMINATED | Haemodynamic Stability of Ketamine/Propofol Admixture Ketofol in Patient Undergoing Endoscopic Retrograde Cholangio Pancreatography |
| NCT03678480 | PHASE2 | WITHDRAWN | A Study of HTD1801 in Adolescents With Primary Sclerosing Cholangitis (PSC) |
| NCT04604652 | PHASE2 | COMPLETED | Open-Label Study of HTD1801 in Adult Subjects With Primary Biliary Cholangitis |
| NCT04612413 | PHASE2 | COMPLETED | A Phase 2 Study Evaluating Efficacy, Safety and Tolerability of Different Doses and Regimens of Allocetra-OTS for the Treatment of Organ Failure in Adult Sepsis Patients |
| NCT06111872 | PHASE2 | COMPLETED | Ketamine-midazolam as a Sedative Agent in Endoscopic Retrograde Cholangiopancreatography. |
| NCT03104569 | Not specified | NOT_YET_RECRUITING | Effect of 37℃ Non-ionic Contrast Agent During ERCP Procedure in Hilar Cholangiocarcinoma |
| NCT05061680 | Not specified | RECRUITING | Quick Large Balloon Dilatation for Removal of Large Bile Duct Stones (SHODBADI) |
| NCT05750966 | Not specified | ACTIVE_NOT_RECRUITING | Short-course Antibiotics vs Standard Course Antibiotics in Patients With Cholangitis |
| NCT05925309 | Not specified | RECRUITING | Preventive Effect of Prophylactic Oral Antibiotics Against Cholangitis After Kasai Portoenterostomy |
| NCT07129655 | Not specified | NOT_YET_RECRUITING | Cholangitis Definition and Treatment After Kasai Hepatoportoenterostomy for Biliary Atresia: TRACK-BA Study (TRacking Cholangitis Post Kasai in Biliary Atresia) |
| NCT00591968 | Not specified | COMPLETED | Telesonography Adaptation and Use to Improve the Standard of Patient Care Within a Dominican Community |
| NCT00990366 | Not specified | TERMINATED | Treatment of Biliary Obstruction Using Biliary Stent With or Without Antireflux Valve |
| NCT01003782 | Not specified | COMPLETED | Routine Bile Collection for Microbiological Analysis During Cholangiography |
| NCT01109550 | Not specified | COMPLETED | Biliary Candidiasis - Optimization of Diagnostics and Therapy |
| NCT01142921 | Not specified | TERMINATED | The Patency Period of the New Plastic Anti-reflux Biliary Stent |
| NCT01148693 | Not specified | COMPLETED | Gentamicin in Preventing Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholangitis in Non-calculus Stenting |
| NCT01438385 | Not specified | UNKNOWN | Interventional Endoscopy Database for Pancreatico-biliary, Gastrointestinal and Esophageal Disorders |
| NCT01824186 | Not specified | COMPLETED | Trial Comparing Pain in Single-incision Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy |
| NCT02107560 | Not specified | TERMINATED | Results of Bile and Blood Culture in Patients With Acute Cholangitis |
| NCT02461147 | Not specified | COMPLETED | Prospective Validation of Cholecystectomy First Strategy for Gallstone Migration |
| NCT02543957 | Not specified | WITHDRAWN | Factors Associated With Increased Risk of Bacteremia and Cholangitis in ERCP With Cholangioscopy |
| NCT02594891 | Not specified | COMPLETED | Effect of 8.5 F Plastic Stent Without Proximal Flap on Prevention of Post-ERCP Cholangitis |
| NCT02917408 | Not specified | COMPLETED | Retrospective Study About Primary Biliary Cholangitis During January 2001 to July 2016 at West China Hospital |
| NCT02936596 | Not specified | UNKNOWN | Remission Induction of Primary Biliary Cholangitis-autoimmune Hepatitis Overlap Syndrome |
| NCT03104582 | Not specified | COMPLETED | Best Biliary Drainage Option in Advanced Klatskin Tumor |
| NCT03133026 | Not specified | UNKNOWN | Cholangioscopic Assessment of Occluded Biliary Stent and Role of Biliary Radiofrequency Ablation |
| NCT03771547 | Not specified | COMPLETED | ERCP in Super-aged Patients Considering Difficult Cannulation: Challenges and Adverse Events |
| NCT03852836 | Not specified | TERMINATED | Evaluation of MRI Sequences for Ultra-rapid Acquisition of Bile Ducts Images |
| NCT04216745 | Not specified | UNKNOWN | Microbial Analysis in Patients With Cholangitis |
| NCT04671095 | Not specified | COMPLETED | Single Use ERCP Performance -SURE Study |
| NCT04691674 | Not specified | COMPLETED | Optimal Placement Duration of Pancreatic Duct Stent |
| NCT04801238 | Not specified | UNKNOWN | preGallstep - A Clinical Pilot Trial |
| NCT05225909 | Not specified | COMPLETED | aScope Single Use ERCP Study- ASSURE Study |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| URSODIOL | 4 | 6 |
| CEFTRIAXONE | 4 | 2 |
| GENTAMICIN | 4 | 2 |
| LEVOFLOXACIN ANHYDROUS | 4 | 2 |
| ALBUMIN HUMAN | 4 | 1 |
| CEFUROXIME | 4 | 1 |
| OFLOXACIN | 4 | 1 |
| BERBERINE URSODEOXYCHOLATE | 2 | 2 |
| CHEMBL5409583 | 0 | 3 |
| CHEMBL195892 | 0 | 2 |
| CHEMBL3039597 | 0 | 2 |
| GENTAMICIN C1A | 0 | 2 |
| GENTAMICIN C2 | 0 | 2 |
Related Atlas pages
- Drugs: Ursodiol, Ceftriaxone, Gentamicin, Levofloxacin, Albumin Human, Cefuroxime, Ofloxacin