Endocarditis
diseaseOn this page
Also known as endocarditis (disease)endocardium inflammationinflammation of endocardium
Summary
Endocarditis (MONDO:0005025) is a disease with 5 GWAS associations across 13 studies and 49 clinical trials. Top therapeutic interventions include cephalexin anhydrous, clindamycin, and doxycycline anhydrous. A subtype of endocardium disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- GWAS associations: 5
- Clinical trials: 49
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | endocarditis |
| Mondo ID | MONDO:0005025 |
| EFO | EFO:0000465 |
| MeSH | D004696 |
| DOID | DOID:10314 |
| NCIT | C34582 |
| SNOMED CT | 56819008 |
| UMLS | C0014118 |
| MedGen | 4940 |
| Is cancer (heuristic) | no |
Also known as: endocarditis · endocarditis (disease) · endocardium inflammation · inflammation of endocardium
Data availability: 5 GWAS associations (13 studies) · 1 HPO phenotype.
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › heart disorder › endocardium disorder › endocarditis
Related subtypes (2): endocardial fibroelastosis, neoplasm of endocardium
Subtypes (3): infective endocarditis, marantic endocarditis, Libman-Sacks endocarditis
Genetics & variants
GWAS landscape
5 GWAS associations across 13 studies. Top hits map to 3 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs558188847 | 2e-12 | DUOXA1 | G | 2.5 |
| rs558719169 | 1e-11 | EIF2AK1 | C | 2.56 |
| rs868459830 | 2e-11 | TBC1D8 | A | 2.13 |
| rs190634360 | 2e-11 | LINC02046 - RPL38P1 | C | 1.3 |
| rs190370949 | 4e-10 | FER1L6-AS2 - RNU6-756P | ? |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90477896 | Verma A | 2024 | 3,358 | 443,352 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90473561 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 1,129 | 457,311 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90281158 | Hamilton FW | 2023 | 1,080 | 485,404 | Therapeutic potential of IL6R blockade for the treatment of sepsis and sepsis-related death: A Mendelian randomisation study. |
| GCST90477895 | Verma A | 2024 | 772 | 119,962 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480146 | Verma A | 2024 | 772 | 119,962 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90436093 | Zhou W | 2018 | 686 | 405,779 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
| GCST90473556 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 644 | 457,796 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90079997 | Backman JD | 2021 | 572 | 387,181 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083983 | Backman JD | 2021 | 572 | 387,181 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90481986 | Verma A | 2024 | 335 | 58,989 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 5 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 0 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 4 |
| unknown | 1 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 5 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs558188847 | 15 | 45127234 | G>A | 0 | intron_variant | DUOXA1 | 2e-12 | Tier 4: intronic/intergenic |
| rs558719169 | 7 | 6046501 | C>A,T | 0.001 | intron_variant | EIF2AK1 | 1e-11 | Tier 4: intronic/intergenic |
| rs868459830 | 2 | 101032963 | A>G,T | 0 | intron_variant | TBC1D8 | 2e-11 | Tier 4: intronic/intergenic |
| rs190634360 | 3 | 148450952 | C>T | 0.007 | intron_variant | LINC02046 - RPL38P1 | 2e-11 | Tier 4: intronic/intergenic |
| rs190370949 | 8 | 124232491 | T>G | intron_variant | FER1L6-AS2 - RNU6-756P | 4e-10 | Tier 4: intronic/intergenic |
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, 2 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Daptomycin | Approved (phase 4) |
| Vancomycin | Approved (phase 4) |
| Amoxicillin | Phase 3 (in late-stage trials) |
| Rifampin | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Ceftriaxone, Gallium Citrate, Oxygen.
Clinical trials & evidence
Clinical trials
Clinical trials: 49.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 37 |
| PHASE4 | 10 |
| PHASE1/PHASE2 | 1 |
| PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05144399 | PHASE4 | RECRUITING | Accelerated Treatment of Endocarditis |
| NCT06422221 | PHASE4 | NOT_YET_RECRUITING | An Oral Doxycycline Regimen to Prevent Bacteremia Following Dental Procedures |
| NCT00709358 | PHASE4 | COMPLETED | Diagnosis of Septicaemia by Detection of Microbial DNA in Blood in Severe Infections |
| NCT00750373 | PHASE4 | COMPLETED | Early Surgery Versus Conventional Treatment in Infective Endocarditis |
| NCT01375257 | PHASE4 | COMPLETED | Partial Oral Treatment of Endocarditis |
| NCT01734694 | PHASE4 | TERMINATED | Safety and Efficacy of Strategy to Prevent Drug-Induced Nephrotoxicity in High-Risk Patients |
| NCT02443064 | PHASE4 | UNKNOWN | Pharmacokinetics/ Pharmacodynamics (PK/PD) Study of Vancomycin |
| NCT02783404 | PHASE4 | TERMINATED | An Oral Amoxicillin-Clavulanate Regimen to Prevent Bacteremia Following Dental Procedures |
| NCT03112356 | PHASE4 | UNKNOWN | The Value of 99mTc-Leukoscan® Scintigraphy in the Diagnosis of Infectious Endocarditis on Surgical Materials |
| NCT05156437 | PHASE4 | TERMINATED | Postoperative Antibiotic Management Duration Following Surgery for Intravenous Drug Abuse (IVDA) Endocarditis (OPTIMAL) |
| NCT02459613 | PHASE1/PHASE2 | TERMINATED | Assessment of Radiolabeled rhAnnexin V-128 in Infective Endocarditis |
| NCT03148756 | PHASE2 | TERMINATED | Efficacy and Safety of Dalbavancin Compared to Standard of Care Antibiotic Therapy for the Completion of Treatment of Patients With Complicated Bacteremia or Infective Endocarditis |
| NCT03718052 | Not specified | ACTIVE_NOT_RECRUITING | Early Valve Surgery Versus Conventional Treatment in Infective Endocarditis Patients With High Risk of Embolism |
| NCT03892174 | Not specified | RECRUITING | Cytokine REmoval in CRitically Ill PAtients Requiring Surgical Therapy for Infective Endocarditis (RECReATE) |
| NCT05139589 | Not specified | RECRUITING | The ENDOCARDITIS AUMC Data Collection |
| NCT05146180 | Not specified | RECRUITING | Interest of Parametric Positron Emission Imaging in the Diagnosis of Infections on Cardiac Valve Prosthesis |
| NCT05146336 | Not specified | RECRUITING | CytOSorb TreatMent Of Critically Ill PatientS Registry |
| NCT05547607 | Not specified | RECRUITING | Clinical and Diagnostic Features of Endocarditis |
| NCT05613933 | Not specified | NOT_YET_RECRUITING | Effectiveness of Antibiotic Prophylaxis of Infective Endocarditis for Invasive Dental Procedures in Patients With Prosthetic Heart Valves and/or History of Infective Endocarditis |
| NCT06403839 | Not specified | RECRUITING | Impact of Preoperative Dental Screening in Reducing Infective Endocarditis Risk in Surgical Valve Replacement Patients |
| NCT06434012 | Not specified | RECRUITING | Barts Endocarditis Research Registry |
| NCT00166023 | Not specified | COMPLETED | Outcomes Following Medical or Surgical Management of Endocarditis |
| NCT00548002 | Not specified | COMPLETED | Combination Therapy With Fluoroquinolone in Staphylococcus Aureus Bacteremia |
| NCT00579761 | Not specified | WITHDRAWN | Retrospective Review of Management of Infective Endocarditis |
| NCT00590889 | Not specified | TERMINATED | Artificial Valve Endocarditis Reduction Trial |
| NCT00995384 | Not specified | TERMINATED | Cardiac Computed Tomography (CT) Scan Compared to Transesophageal Echocardiogram (TEE) in Endocarditis |
| NCT01301638 | Not specified | UNKNOWN | Retrospective Evaluation of Safety and Efficacy of Daptomycin Used in Patients With Serious Gram-positive Infections |
| NCT01431326 | Not specified | COMPLETED | Pharmacokinetics of Understudied Drugs Administered to Children Per Standard of Care |
| NCT02026895 | Not specified | COMPLETED | Virulence of Staphylococcus Lugdunensis in Severe Infections |
| NCT02251262 | Not specified | COMPLETED | Diagnostic Accuracy of 18FDG-PET-CT for Pacing or Defibrillation Lead Infection |
| NCT02759978 | Not specified | UNKNOWN | Individualized Diagnosis of Endocarditis and Its Therapy With a Focus on Infected Prosthetic materiAL |
| NCT03231449 | Not specified | UNKNOWN | A Survey of Hospitalizations in Cardiology Units in Sub-Saharan Africa |
| NCT03377465 | Not specified | COMPLETED | Biomarkers, Hemodynamic and Echocardiographic Predictors of Ischemic Strokes and Their Influence on the Course and Prognosis |
| NCT03411499 | Not specified | TERMINATED | Stroke-free Survival Comparison Between Early Surgery and Conventional Therapy in Left Infective Endocarditis |
| NCT03429153 | Not specified | UNKNOWN | Management of Infectious Endocarditis as Part of a Multidisciplinary Consensus Meeting |
| NCT03690076 | Not specified | UNKNOWN | Human Cardiac Mitochondria in Acute Endocarditis and Obesity |
| NCT03695861 | Not specified | COMPLETED | Contribution of 18F-FDG PET-CT in the Diagnosis and the Detection of Peripheral Emboli of Infectious Endocarditis on Native Valves |
| NCT04068337 | Not specified | COMPLETED | Freestyle Prosthesis for Aortic Root-replacement With and Without Hemiarch Replacement |
| NCT04309591 | Not specified | COMPLETED | Cytosorb Therapy in Cardiac Surgery |
| NCT04387513 | Not specified | COMPLETED | Impact of Early Cardiac Surgery in Severe Left Endocarditis With Neurological Complications: a Retrospective Study |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CEPHALEXIN ANHYDROUS | 4 | 3 |
| CLINDAMYCIN | 4 | 3 |
| DOXYCYCLINE ANHYDROUS | 4 | 3 |
| VANCOMYCIN | 4 | 3 |
| CEFTAROLINE FOSAMIL | 4 | 2 |
| DAPTOMYCIN | 4 | 2 |
| LEVOFLOXACIN ANHYDROUS | 4 | 2 |
| LINEZOLID | 4 | 2 |
| AMOXICILLIN | 4 | 1 |
| AMPICILLIN | 4 | 1 |
| CEFEPIME | 4 | 1 |
| CEFTRIAXONE | 4 | 1 |
| CLAVULANIC ACID | 4 | 1 |
| COPPER OXODOTREOTIDE CU-64 | 4 | 1 |
| DALBAVANCIN | 4 | 1 |
| DICLOXACILLIN | 4 | 1 |
| OFLOXACIN | 4 | 1 |
| OXACILLIN | 4 | 1 |
| RIFAMPIN | 4 | 1 |
| TROVAFLOXACIN | 4 | 1 |
| CEFTAROLINE | 3 | 2 |
| CHEMBL4299436 | 0 | 3 |
| CHEMBL1649722 | 0 | 2 |
| CHEMBL4286784 | 0 | 2 |
| CHEMBL4744444 | 0 | 2 |
| CHEMBL388266 | 0 | 1 |
| CHEMBL4778239 | 0 | 1 |
| CHEMBL4785392 | 0 | 1 |
| CHEMBL6174705 | 0 | 1 |