Patent ductus arteriosus
diseaseOn this page
Also known as patency of the ductus arteriosuspatent ductus arteriosus familial (type)patent ductus botalliPDApersistent patency of the arterial duct
Summary
Patent ductus arteriosus (MONDO:0011827) is a disease with 7 cohort genes and 98 clinical trials. Top therapeutic interventions include ibuprofen, indomethacin, and acetaminophen.
At a glance
- Cohort genes: 7
- ClinVar variants: 12
- Clinical trials: 98
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | patent ductus arteriosus |
| Mondo ID | MONDO:0011827 |
| MeSH | D004374 |
| OMIM | 607411 |
| Orphanet | 466729, 706 |
| DOID | DOID:13832 |
| ICD-10-CM | Q25.0 |
| ICD-11 | 1262462321 |
| NCIT | C84492 |
| SNOMED CT | 83330001 |
| UMLS | C0013274 |
| MedGen | 4415 |
| GARD | 0024824 |
| Is cancer (heuristic) | no |
Also known as: patency of the ductus arteriosus · patent ductus arteriosus · patent ductus arteriosus familial (type) · patent ductus botalli · PDA · persistent patency of the arterial duct
Data availability: 12 ClinVar variants · 1 cell line.
Disease family
An umbrella term covering 4 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › patent ductus arteriosus
Related subtypes (59): arterial disorder, ischemic colitis, thrombotic disease, capillary disorder, angiodysplasia, hepatic vascular disorder, vascular hemostatic disease, vein disorder, ischemic disease, peripheral vascular disease, venous thromboembolism, ocular vascular disorder, cholesterol embolism, thoracic outlet syndrome, idiopathic spontaneous coronary artery dissection, cerebral arteriopathy with subcortical infarcts and leukoencephalopathy, angioosteohypertrophic syndrome, Bannayan-Riley-Ruvalcaba syndrome, arterial tortuosity syndrome, hereditary arterial and articular multiple calcification syndrome, pulmonary venoocclusive disease, multiple cutaneous and mucosal venous malformations, arterial dissection-lentiginosis syndrome, multisystemic smooth muscle dysfunction syndrome, STING-associated vasculopathy with onset in infancy, capillary malformation, Ehlers-Danlos syndrome, vascular-like type, calciphylaxis, neonatal Marfan syndrome, Ehlers-Danlos syndrome, vascular type, lethal arteriopathy syndrome due to fibulin-4 deficiency, congenital portosystemic shunt, arterial calcification of infancy, vasculitis, Loeys-Dietz syndrome, skin vascular disease, lymphatic malformation, familial thoracic aortic aneurysm and aortic dissection, congenital anomaly of superior vena cava, congenital anomaly of the inferior vena cava, congenital anomaly of hepatic vein, congenital renal artery stenosis, internal carotid agenesis, coronary sinus stenosis, coronary sinus atresia, vascular occlusion disorder, vascular insufficiency disorder, blood vessel neoplasm, vascular ectasia, vascular disorder of penis, fibrocartilaginous embolism, vascular malformation, lymphatic vessel neoplasm, neurovascular disorder, superior vena cava syndrome, coronary microvascular disorder, segmental arterial mediolysis, bleeding disorder, vascular-type, arterial tortuosity-bone fragility syndrome
Subtypes (4): Char syndrome, patent ductus arteriosus 2, patent ductus arteriosus 3, PDA1
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
ClinVar germline variants
12 retrieved; paginated sample, class counts are floors:
6 pathogenic, 3 pathogenic/likely pathogenic, 2 likely pathogenic, 1 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 267851 | 46;XX;ins(5;6)(p13;p24p25)dn | Pathogenic | criteria provided, single submitter | |
| 267941 | 46;XY;inv(6)(p22q13)dn | Pathogenic | criteria provided, single submitter | |
| 268044 | 46;XX;ins(2;9)(q24.3;p22.1p24.3)dn | Pathogenic | criteria provided, single submitter | |
| 31946 | NM_020297.4(ABCC9):c.3460C>T (p.Arg1154Trp) | ABCC9 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1341468 | NM_001110556.2(FLNA):c.7671del (p.Ser2558fs) | FLNA | Pathogenic | criteria provided, single submitter |
| 93752 | NM_001110556.2(FLNA):c.2761C>T (p.Arg921Ter) | FLNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 400 | NM_019892.6(INPP5E):c.1132C>T (p.Arg378Cys) | INPP5E | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1804031 | NM_002804.5(PSMC3):c.910C>T (p.Arg304Trp) | PSMC3 | Pathogenic | criteria provided, single submitter |
| 13329 | NM_002834.5(PTPN11):c.184T>G (p.Tyr62Asp) | PTPN11 | Pathogenic | reviewed by expert panel |
| 267968 | 46;XX;inv(7)(q21.2q34) | Likely pathogenic | criteria provided, single submitter | |
| 268037 | 46;XY;t(2;14)(p22;q24.3)dn | Likely pathogenic | criteria provided, single submitter | |
| 2570674 | NM_001358.3(DHX15):c.1327A>G (p.Lys443Glu) | DHX15 | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 24 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| PMPCA | Orphanet:1170 | Autosomal recessive cerebelloparenchymal disorder type 3 |
| INPP5E | Orphanet:1454 | Joubert syndrome with hepatic defect |
| INPP5E | Orphanet:220493 | Joubert syndrome with ocular defect |
| INPP5E | Orphanet:475 | Isolated Joubert syndrome |
| INPP5E | Orphanet:75858 | MORM syndrome |
| FLNA | Orphanet:1826 | Frontometaphyseal dysplasia |
| FLNA | Orphanet:2301 | Congenital short bowel syndrome |
| FLNA | Orphanet:2484 | Melnick-Needles syndrome |
| FLNA | Orphanet:482606 | X-linked keloid scarring-reduced joint mobility-increased optic cup-to-disc ratio syndrome |
| FLNA | Orphanet:555877 | FLNA-related X-linked myxomatous valvular dysplasia |
| FLNA | Orphanet:75497 | X-linked Ehlers-Danlos syndrome |
| FLNA | Orphanet:88630 | Terminal osseous dysplasia-pigmentary defects syndrome |
| FLNA | Orphanet:90650 | Otopalatodigital syndrome type 1 |
| FLNA | Orphanet:90652 | Otopalatodigital syndrome type 2 |
| FLNA | Orphanet:98892 | Periventricular nodular heterotopia |
| FLNA | Orphanet:99811 | Neuronal intestinal pseudoobstruction |
| ABCC9 | Orphanet:130 | Brugada syndrome |
| ABCC9 | Orphanet:1517 | Cantú syndrome |
| ABCC9 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| ABCC9 | Orphanet:334 | Hereditary atrial fibrillation |
| PTPN11 | Orphanet:2499 | Metachondromatosis |
| PTPN11 | Orphanet:500 | Noonan syndrome with multiple lentigines |
| PTPN11 | Orphanet:648 | Noonan syndrome |
| PTPN11 | Orphanet:86834 | Juvenile myelomonocytic leukemia |
Cohort genes → proteins
7 cohort genes, 7 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 7 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| PMPCA | HGNC:18667 | ENSG00000165688 | Q10713 | Mitochondrial-processing peptidase subunit alpha | clinvar |
| INPP5E | HGNC:21474 | ENSG00000148384 | Q9NRR6 | Phosphatidylinositol polyphosphate 5-phosphatase type IV | clinvar |
| DHX15 | HGNC:2738 | ENSG00000109606 | O43143 | ATP-dependent RNA helicase DHX15 | clinvar |
| FLNA | HGNC:3754 | ENSG00000196924 | P21333 | Filamin-A | clinvar |
| ABCC9 | HGNC:60 | ENSG00000069431 | O60706 | ATP-binding cassette sub-family C member 9 | clinvar |
| PSMC3 | HGNC:9549 | ENSG00000165916 | P17980 | 26S proteasome regulatory subunit 6A | clinvar |
| PTPN11 | HGNC:9644 | ENSG00000179295 | Q06124 | Tyrosine-protein phosphatase non-receptor type 11 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| PMPCA | Mitochondrial-processing peptidase subunit alpha | Substrate recognition and binding subunit of the essential mitochondrial processing protease (MPP), which cleaves the mitochondrial sequence off newly imported precursors proteins. |
| INPP5E | Phosphatidylinositol polyphosphate 5-phosphatase type IV | Phosphatidylinositol (PtdIns) phosphatase that specifically hydrolyzes the 5-phosphate of phosphatidylinositol-3,4,5-trisphosphate (PtdIns(3,4,5)P3), phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) and phosphatidylinositol 3,5-bispho… |
| DHX15 | ATP-dependent RNA helicase DHX15 | RNA helicase involved in mRNA processing and antiviral innate immunity. |
| FLNA | Filamin-A | Promotes orthogonal branching of actin filaments and links actin filaments to membrane glycoproteins. |
| ABCC9 | ATP-binding cassette sub-family C member 9 | Subunit of ATP-sensitive potassium channels (KATP). |
| PSMC3 | 26S proteasome regulatory subunit 6A | Component of the 26S proteasome, a multiprotein complex involved in the ATP-dependent degradation of ubiquitinated proteins. |
| PTPN11 | Tyrosine-protein phosphatase non-receptor type 11 | Acts downstream of various receptor and cytoplasmic protein tyrosine kinases to participate in the signal transduction from the cell surface to the nucleus. |
Protein-family classification
Druggable: 5 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.71
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 |
|---|---|---|---|
| Phosphatase | 1 | 12.0× | 0.260 |
| Transporter | 1 | 11.1× | 0.260 |
| Protease | 1 | 5.2× | 0.325 |
| Antibody/Immunoglobulin | 1 | 4.2× | 0.325 |
| Enzyme (other) | 1 | 1.7× | 0.548 |
| Other/Unknown | 2 | 0.5× | 0.968 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| PMPCA | Protease | yes | 3.4.24.64 | Pept_M16_Zn_BS, Peptidase_M16_C, Metalloenz_LuxS/M16 |
| INPP5E | Enzyme (other) | yes | 3.1.3.36 | IPPc, Endo/exonu/phosph_ase_sf, INPP5E |
| DHX15 | Other/Unknown | no | Helicase_C-like, DNA/RNA_helicase_DEAH_CS, Helicase-assoc_dom | |
| FLNA | Antibody/Immunoglobulin | yes | Filamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom | |
| ABCC9 | Transporter | yes | ABCC8/9, ABCC9, ABC_transporter-like_ATP-bd | |
| PSMC3 | Other/Unknown | no | AAA+_ATPase, ATPase_AAA_core, ATPase_AAA_CS | |
| PTPN11 | Phosphatase | yes | 3.1.3.48 | PTP_cat, Tyr_Pase_dom, SH2 |
Expression context
Cohort genes with no expression data: 0.
6 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) | 7 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| apex of heart | 2 |
| gastrocnemius | 2 |
| muscle of leg | 2 |
| adrenal tissue | 1 |
| right lobe of liver | 1 |
| oocyte | 1 |
| right uterine tube | 1 |
| secondary oocyte | 1 |
| cartilage tissue | 1 |
| germinal epithelium of ovary | 1 |
| tibia | 1 |
| popliteal artery | 1 |
| right coronary artery | 1 |
| tibial artery | 1 |
| hindlimb stylopod muscle | 1 |
| dorsal motor nucleus of vagus nerve | 1 |
| globus pallidus | 1 |
| medial globus pallidus | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| PMPCA | 276 | ubiquitous | marker | right lobe of liver, adrenal tissue, apex of heart |
| INPP5E | 279 | ubiquitous | yes | right uterine tube, secondary oocyte, oocyte |
| DHX15 | 295 | ubiquitous | marker | cartilage tissue, tibia, germinal epithelium of ovary |
| FLNA | 285 | ubiquitous | marker | right coronary artery, popliteal artery, tibial artery |
| ABCC9 | 195 | broad | marker | gastrocnemius, muscle of leg, hindlimb stylopod muscle |
| PSMC3 | 289 | ubiquitous | marker | apex of heart, gastrocnemius, muscle of leg |
| PTPN11 | 295 | ubiquitous | marker | medial globus pallidus, dorsal motor nucleus of vagus nerve, globus pallidus |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PTPN11 | 6,009 |
| DHX15 | 5,376 |
| FLNA | 5,321 |
| PSMC3 | 4,843 |
| PMPCA | 3,679 |
| ABCC9 | 1,728 |
| INPP5E | 1,309 |
Structural data
PDB: 5 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PSMC3 | P17980 | 130 |
| PTPN11 | Q06124 | 115 |
| FLNA | P21333 | 26 |
| DHX15 | O43143 | 9 |
| INPP5E | Q9NRR6 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| PMPCA | Q10713 | 88.46 |
| ABCC9 | O60706 | 81.72 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 156. Enrichment computed across 7 evidence-associated genes (7 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 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Defective ABCC9 causes CMD10, ATFB12 and Cantu syndrome | 1 | 815.7× | 0.051 | ABCC9 |
| ARL13B-mediated ciliary trafficking of INPP5E | 1 | 543.8× | 0.051 | INPP5E |
| ATP sensitive Potassium channels | 1 | 407.9× | 0.051 | ABCC9 |
| MET activates PTPN11 | 1 | 326.3× | 0.051 | PTPN11 |
| Co-inhibition by BTLA | 1 | 326.3× | 0.051 | PTPN11 |
| STAT5 Activation | 1 | 233.1× | 0.051 | PTPN11 |
| Netrin mediated repulsion signals | 1 | 181.3× | 0.051 | PTPN11 |
| OAS antiviral response | 1 | 181.3× | 0.051 | FLNA |
| MAPK1 (ERK2) activation | 1 | 163.1× | 0.051 | PTPN11 |
| STAT5 activation downstream of FLT3 ITD mutants | 1 | 163.1× | 0.051 | PTPN11 |
| MAPK3 (ERK1) activation | 1 | 148.3× | 0.051 | PTPN11 |
| Signaling by Leptin | 1 | 148.3× | 0.051 | PTPN11 |
| Interleukin-6 signaling | 1 | 135.9× | 0.051 | PTPN11 |
| GP1b-IX-V activation signalling | 1 | 135.9× | 0.051 | FLNA |
| Activated NTRK2 signals through FRS2 and FRS3 | 1 | 135.9× | 0.051 | PTPN11 |
| PECAM1 interactions | 1 | 125.5× | 0.051 | PTPN11 |
| Regulation of IFNG signaling | 1 | 116.5× | 0.051 | PTPN11 |
| Prolactin receptor signaling | 1 | 108.8× | 0.051 | PTPN11 |
| Signaling by FLT3 ITD and TKD mutants | 1 | 108.8× | 0.051 | PTPN11 |
| Spry regulation of FGF signaling | 1 | 102.0× | 0.051 | PTPN11 |
| Inwardly rectifying K+ channels | 1 | 102.0× | 0.051 | ABCC9 |
| Signal regulatory protein family interactions | 1 | 96.0× | 0.051 | PTPN11 |
| Platelet sensitization by LDL | 1 | 96.0× | 0.051 | PTPN11 |
| Cell-extracellular matrix interactions | 1 | 96.0× | 0.051 | FLNA |
| Regulation of RUNX1 Expression and Activity | 1 | 96.0× | 0.051 | PTPN11 |
| Synthesis of PIPs at the Golgi membrane | 1 | 90.6× | 0.051 | INPP5E |
| GAB1 signalosome | 1 | 90.6× | 0.051 | PTPN11 |
| PI-3K cascade:FGFR3 | 1 | 90.6× | 0.051 | PTPN11 |
| Processing of SMDT1 | 1 | 90.6× | 0.051 | PMPCA |
| Tie2 Signaling | 1 | 85.9× | 0.051 | PTPN11 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| megakaryocyte development | 2 | 200.6× | 0.006 | FLNA, PTPN11 |
| host-mediated perturbation of viral transcription | 1 | 2407.4× | 0.009 | PSMC3 |
| negative regulation of cortisol secretion | 1 | 2407.4× | 0.009 | PTPN11 |
| negative regulation of growth hormone secretion | 1 | 2407.4× | 0.009 | PTPN11 |
| regulation of membrane repolarization during atrial cardiac muscle cell action potential | 1 | 2407.4× | 0.009 | FLNA |
| regulation of membrane repolarization during cardiac muscle cell action potential | 1 | 2407.4× | 0.009 | FLNA |
| vasodilation | 2 | 104.7× | 0.009 | ABCC9, PTPN11 |
| microvillus organization | 1 | 1203.7× | 0.013 | PTPN11 |
| intestinal epithelial cell migration | 1 | 1203.7× | 0.013 | PTPN11 |
| response to hydrogen sulfide | 1 | 1203.7× | 0.013 | ABCC9 |
| cerebellar cortex formation | 1 | 802.5× | 0.015 | PTPN11 |
| tubulin deacetylation | 1 | 802.5× | 0.015 | FLNA |
| negative regulation of protein localization to cilium | 1 | 802.5× | 0.015 | INPP5E |
| formation of radial glial scaffolds | 1 | 601.9× | 0.015 | FLNA |
| regulation of type I interferon-mediated signaling pathway | 1 | 601.9× | 0.015 | PTPN11 |
| oxygen metabolic process | 1 | 601.9× | 0.015 | ABCC9 |
| response to inositol | 1 | 601.9× | 0.015 | INPP5E |
| adenylate cyclase-inhibiting dopamine receptor signaling pathway | 1 | 481.5× | 0.016 | FLNA |
| ERBB signaling pathway | 1 | 481.5× | 0.016 | PTPN11 |
| establishment of Sertoli cell barrier | 1 | 481.5× | 0.016 | FLNA |
| cellular response to chemical stress | 1 | 401.2× | 0.017 | ABCC9 |
| protein localization to bicellular tight junction | 1 | 401.2× | 0.017 | FLNA |
| negative regulation of transcription by RNA polymerase I | 1 | 343.9× | 0.018 | FLNA |
| negative regulation of neutrophil activation | 1 | 343.9× | 0.018 | PTPN11 |
| obsolete protein processing involved in protein targeting to mitochondrion | 1 | 300.9× | 0.018 | PMPCA |
| blood coagulation, intrinsic pathway | 1 | 300.9× | 0.018 | FLNA |
| reactive oxygen species biosynthetic process | 1 | 267.5× | 0.018 | ABCC9 |
| positive regulation of hormone secretion | 1 | 240.7× | 0.018 | PTPN11 |
| genitalia development | 1 | 240.7× | 0.018 | PTPN11 |
| cardiac conduction | 1 | 240.7× | 0.018 | ABCC9 |
Therapeutics
Drugs indicated for this disease
3 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Alprostadil | Approved (phase 4) |
| Ibuprofen | Approved (phase 4) |
| Indomethacin | Approved (phase 4) |
| Acetaminophen | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Pentoxifylline.
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 5 · Undrugged: 2
Druggability breadth: 6 of 7 evidence-associated genes (86%) 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 |
|---|---|
| ABCC9 | PINACIDIL ANHYDROUS |
| PSMC3 | BORTEZOMIB |
| PTPN11 | ESTRAMUSTINE PHOSPHATE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PTPN11 | 8 | 4 |
| ABCC9 | 5 | 4 |
| PSMC3 | 2 | 4 |
| DHX15 | 1 | 2 |
| FLNA | 1 | 2 |
| PMPCA | 0 | 0 |
| INPP5E | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PINACIDIL ANHYDROUS | 4 | ABCC9 |
| GLYBURIDE | 4 | ABCC9 |
| PROPAFENONE | 4 | ABCC9 |
| BORTEZOMIB | 4 | PSMC3 |
| CARFILZOMIB | 4 | PSMC3 |
| ESTRAMUSTINE PHOSPHATE | 4 | PTPN11 |
| MOLIBRESIB | 2 | DHX15, FLNA |
| CROMAKALIM | 2 | ABCC9 |
| CLAMIKALANT | 2 | ABCC9 |
| ENOXOLONE | 2 | PTPN11 |
| CEFSULODIN | 2 | PTPN11 |
| BATOPROTAFIB | 2 | PTPN11 |
| VOCIPROTAFIB | 2 | PTPN11 |
| JAB-3068 | 1 | PTPN11 |
| PF-07284892 | 1 | PTPN11 |
| BBP-398 | 1 | PTPN11 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PTPN11 | 588 | Binding:585, Functional:2, ADMET:1 |
| ABCC9 | 61 | Functional:46, Binding:15 |
| PSMC3 | 27 | Binding:27 |
| DHX15 | 10 | Binding:10 |
| FLNA | 7 | Binding:7 |
| PMPCA | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PMPCA | 3.4.24.64 | mitochondrial processing peptidase |
| INPP5E | 3.1.3.36 | phosphoinositide 5-phosphatase |
| PTPN11 | 3.1.3.48 | protein-tyrosine-phosphatase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| PTPN11 | 588 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 7; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
16 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) |
|---|---|---|
| PINACIDIL ANHYDROUS | 4 | ABCC9 |
| GLYBURIDE | 4 | ABCC9 |
| PROPAFENONE | 4 | ABCC9 |
| BORTEZOMIB | 4 | PSMC3 |
| CARFILZOMIB | 4 | PSMC3 |
| ESTRAMUSTINE PHOSPHATE | 4 | PTPN11 |
| MOLIBRESIB | 2 | DHX15, FLNA |
| CROMAKALIM | 2 | ABCC9 |
| CLAMIKALANT | 2 | ABCC9 |
| ENOXOLONE | 2 | PTPN11 |
| CEFSULODIN | 2 | PTPN11 |
| BATOPROTAFIB | 2 | PTPN11 |
| VOCIPROTAFIB | 2 | PTPN11 |
| JAB-3068 | 1 | PTPN11 |
| PF-07284892 | 1 | PTPN11 |
| BBP-398 | 1 | PTPN11 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | ABCC9, PSMC3, PTPN11 |
| B | Phased (≥1) drug, not yet approved | 2 | DHX15, FLNA |
| C | Druggable family + PDB, no drug | 1 | INPP5E |
| D | Druggable family + AlphaFold only, no drug | 1 | PMPCA |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
2 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| PMPCA | 1 | — |
| INPP5E | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 98.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 63 |
| PHASE2 | 10 |
| PHASE3 | 8 |
| PHASE4 | 7 |
| PHASE2/PHASE3 | 5 |
| PHASE1/PHASE2 | 2 |
| PHASE1 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00217191 | PHASE4 | COMPLETED | Ibuprofen and Renal Function in Premature Infants |
| NCT00642330 | PHASE4 | COMPLETED | Comparative Study of Efficacy and Safety of Oral Ibuprofen and Intravenous Ibuprofen in Closure of Patent Ductus Arteriosus in Very Low Birth Weight Infants |
| NCT00767039 | PHASE4 | TERMINATED | Curosurf and Survanta Treatment(CAST)of RDS in Very Premature Infants |
| NCT00961753 | PHASE4 | TERMINATED | Safety/Efficacy Study of Optimizing Ibuprofen Dosing to Achieve Higher PDA Closure Rates |
| NCT01536158 | PHASE4 | COMPLETED | Oral Paracetamol Versus Oral Ibuprofen in Management of Patent Ductus Arteriosus in Preterm Infants: A Randomised Controlled Trial |
| NCT01544972 | PHASE4 | UNKNOWN | Serum Level Measurement of Oral Paracetamol and Oral Ibuprofen for Patent Ductus Arteriosus Treatment in Preterm Infants |
| NCT03265782 | PHASE4 | UNKNOWN | Paracetamol Versus Ibuprofen for PDA Closure |
| NCT03456336 | PHASE3 | ACTIVE_NOT_RECRUITING | Management of the PDA Trial |
| NCT00440804 | PHASE3 | COMPLETED | Safety and Efficacy Study of Ibuprofen l-Lysine Solution in Premature Infants for Treatment of PDA |
| NCT00485160 | PHASE3 | COMPLETED | Ibuprofen vs. Continuous Indomethacin in the Treatment of PDA |
| NCT00750581 | PHASE2/PHASE3 | TERMINATED | An Escalating Dose Indomethacin for the Treatment of Persistent Patent Ductus Arteriosus (PDA) In Preterm Infants |
| NCT01593163 | PHASE3 | COMPLETED | Echocardiographically Guided Versus Standard Ibuprofen Treatment for Patent Ductus Arteriosus |
| NCT01630278 | PHASE3 | COMPLETED | Early Ibuprofen Treatment of Patent Ductus Arteriosus (PDA) in Premature Infants (TRIOCAPI) |
| NCT01755728 | PHASE3 | COMPLETED | Paracetamol (Acetaminophen) for Closure of PDA in Preterm Infants |
| NCT02620761 | PHASE2/PHASE3 | TERMINATED | Fenoldopam to Prevent Renal Dysfunction in Indomethacin Treated Preterm Infants |
| NCT03022253 | PHASE3 | COMPLETED | Platelet Transfusion for Treatment of Patent Ductus Arteriosus in Thrombocytopenic Preterm Neonates |
| NCT03537144 | PHASE3 | TERMINATED | Acetaminophen vs Indomethacin in Treating hsPDA |
| NCT04459117 | PHASE2/PHASE3 | COMPLETED | Prophylactic Treatment of the Ductus Arteriosus in Preterm Infants by Acetaminophen |
| NCT04986839 | PHASE2/PHASE3 | UNKNOWN | PAIR (Paracetamol and Ibuprofen Research) Pilot Trial |
| NCT07067177 | PHASE2/PHASE3 | COMPLETED | Prophylactic IV Paracetamol in Extremely Premature Infants |
| NCT07143201 | PHASE2 | RECRUITING | Precision Dosing of Oral Ibuprofen for PDA, A Pilot RCT |
| NCT00187447 | PHASE2 | COMPLETED | Comparison of 2 Different Indomethacin Dosing Protocols to Treat Infants Delivered at <28 Weeks Gestation With a Persistent Patent Ductus Arteriosus |
| NCT00616382 | PHASE2 | UNKNOWN | Treating the Resistant Patent Ductus Arteriosus (PDA) |
| NCT01070745 | PHASE2 | WITHDRAWN | Second Course of Therapy for Resistant Patent Ductus Arteriosus (PDA) |
| NCT01149564 | PHASE1/PHASE2 | UNKNOWN | Comparison of Oral and Intravenous Ibuprofen for PDA Treatment in Premature Infants |
| NCT01291654 | PHASE2 | UNKNOWN | Paracetamol and Patent Ductus Arteriosus (PDA) |
| NCT01958320 | PHASE2 | COMPLETED | Early Treatment Versus Delayed Conservative Treatment of the Patent Ductus Arteriosus |
| NCT02819414 | PHASE2 | UNKNOWN | Paracetamol Treatment of the Borderline Significant PDA |
| NCT03701074 | PHASE2 | TERMINATED | Randomized Controlled Trial to Evaluate the Safety and Efficacy of Acetaminophen in Preterm Infants Used in Combination With Ibuprofen for Closure of the Ductus Arteriosus |
| NCT04026464 | PHASE2 | WITHDRAWN | Addition of Acetaminophen in Standard PDA Management |
| NCT06152796 | PHASE2 | UNKNOWN | Comparision Between Paracetamol and Ibuprofen in Closure of Patent Ductus Arteriosus |
| NCT06256211 | PHASE1/PHASE2 | UNKNOWN | Assessment of Therapeutic Effect of Rectal Vs. Intravenous Paracetamol in The Treatment of Patent Ductus Arteriosus (PDA) in Neonates |
| NCT03103022 | PHASE1 | COMPLETED | Combination of Acetaminophen and Ibuprofen in the Management of Patent Ductus Arteriosus |
| NCT03648437 | PHASE1 | TERMINATED | Paracetamol And Ibuprofen/Indomethacin in Closing Patent Ductus Arteriosus |
| NCT06298344 | EARLY_PHASE1 | COMPLETED | The Role of Thiamine After Transcatheter Closure in Children With Left-to-Right Shunt Congenital Heart Disease |
| NCT03782610 | Not specified | ACTIVE_NOT_RECRUITING | Early Prediction of Spontaneous Patent Ductus Arteriosus (PDA) Closure and PDA-Associated Outcomes |
| NCT04371081 | Not specified | ACTIVE_NOT_RECRUITING | Amplatzer Piccolo Occluder Japan Post-marketing Database Surveillance |
| NCT05264753 | Not specified | RECRUITING | Post Marketing Clinical Follow Up Study to Evaluate Efficacy and Safety of the Occlutech PDA Occluder in Patients With Patent Ductus Arteriosus Defects |
| NCT06045130 | Not specified | NOT_YET_RECRUITING | PUFAs in Preterm Infants |
| NCT06587282 | Not specified | ACTIVE_NOT_RECRUITING | PREEMIE: Study for Treatment of PDA in Premature Infants |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| IBUPROFEN | 4 | 31 |
| INDOMETHACIN | 4 | 6 |
| ACETAMINOPHEN | 4 | 2 |
| THIAMINE ION | 4 | 2 |
| BERACTANT | 4 | 1 |
| DEXTROSE | 4 | 1 |
| FENOLDOPAM | 4 | 1 |
| PENTOXIFYLLINE | 4 | 1 |
| PORACTANT ALFA | 4 | 1 |
| CHEMBL5592090 | 0 | 3 |
Related Atlas pages
- Cohort genes: PMPCA, INPP5E, DHX15, FLNA, ABCC9, PSMC3, PTPN11
- Drugs: Ibuprofen, Indomethacin, Acetaminophen, Thiamine Ion, Beractant, Dextrose, Fenoldopam, Pentoxifylline, Poractant Alfa