Perinatal asphyxia

disease
On this page

Also known as asphyxia neonatorumbirth asphyxiabirth depressionfetal asphyxiafoetal asphyxiaHIEhypoxia neonatorumhypoxic and ischaemic brain injury in the newbornhypoxic-ischemic encephalopathyintrapartum asphyxianeonatal hypoxic and ischaemic brain injuryperinatal depressionperinatal hypoxia

Summary

Perinatal asphyxia (MONDO:0006663) is a disease with 1 cohort gene (23 GWAS associations across 1 studies) and 283 clinical trials. Top therapeutic interventions include caffeine citrate, magnesium sulfate anhydrous, and amikacin.

At a glance

  • Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
  • Cohort genes: 1
  • GWAS associations: 23
  • ClinVar variants: 1
  • Clinical trials: 283

Clinical features

Epidemiology

Prevalence records

1 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Point prevalence1-9 / 100 000EuropeValidated

Identifiers

Disease identifiers

FieldValue
Canonical nameperinatal asphyxia
Mondo IDMONDO:0006663
EFOEFO:1000824
MeSHD001238
Orphanet137577
DOIDDOID:11088
ICD-111281282034
NCITC116313
SNOMED CT28314004
UMLSC0004045
MedGen2469
GARD0019875
Is cancer (heuristic)no

Also known as: asphyxia neonatorum · birth asphyxia · birth depression · fetal asphyxia · foetal asphyxia · HIE · hypoxia neonatorum · hypoxic and ischaemic brain injury in the newborn · hypoxic-ischemic encephalopathy · intrapartum asphyxia · neonatal hypoxic and ischaemic brain injury · perinatal asphyxia · perinatal depression · perinatal hypoxia

Data availability: 1 ClinVar variant · 23 GWAS associations (1 study).

Disease family

Classification path: disease › human disease › disease by body system or component › respiratory system disorderperinatal asphyxia

Related subtypes (58): lower respiratory tract disorder, respiratory system cancer, respiratory system benign neoplasm, allergic respiratory disease, paranasal sinus disorder, upper respiratory tract disorder, pertussis, severe acute respiratory syndrome, sleep apnea syndrome, diaphragm disorder, pulmonary tuberculosis, altitude sickness, pulmonary nodular lymphoid hyperplasia, tracheobronchopathia osteochondroplastica, Williams-Campbell syndrome, cystic fibrosis, growth delay-hydrocephaly-lung hypoplasia syndrome, laryngo-onycho-cutaneous syndrome, congenital pulmonary lymphangiectasia, familial primary pulmonary hypoplasia, Mounier-Kuhn syndrome, Young syndrome, lung agenesis-heart defect-thumb anomalies syndrome, sudden infant death-dysgenesis of the testes syndrome, alpha 1-antitrypsin deficiency, hereditary sclerosing poikiloderma with tendon and pulmonary involvement, autoimmune interstitial lung disease-arthritis syndrome, mucopolysaccharidosis-plus syndrome, congenital bronchobiliary fistula, bronchogenic cyst, primary ciliary dyskinesia, congenital pulmonary airway malformation, transient hyperammonemia of the newborn, congenital pulmonary sequestration, Siegler-Brewer-Carey syndrome, tracheal agenesis, 16q24.1 microdeletion syndrome, staphylococcal necrotizing pneumonia, pulmonary veno-occlusive disease and/or pulmonary capillary haemangiomatosis, plastic bronchitis, recurrent respiratory papillomatosis, IgG4-related mediastinitis, bronchopulmonary dysplasia, infantile apnea, diffuse alveolar hemorrhage, respiratory or thoracic malformation, pulmonary agenesis, eosinophilic granuloma, disorder of pharynx, respiratory tract neoplasm, pulmonary alveolar proteinosis with hypogammaglobulinemia, respiratory tract infectious disorder, Middle East respiratory syndrome, reactive airway disease, acinar dysplasia, pulmonary hypoplasia, isolated left bronchial isomerism, bronchiectasis and nasal polyposis

Genetics & variants

GWAS landscape

23 GWAS associations across 1 studies. Top hits map to 14 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs18834341e-07KAZN?
rs667326813e-07KHDRBS3 - RNU1-35P?
rs1485430981e-06ZCCHC7?
rs71833102e-06LINC02346?
rs783764452e-06BMP1?
rs1844732223e-06LUZP2?
rs1434520034e-06OR4E2?
rs72214035e-06MAP3K14?
rs1179758947e-06BRINP1 - LINC01613?
rs4190557e-06SEMA6D?
rs14371907e-06RPL12P36 - Metazoa_SRP?
rs61231557e-06LINC01524?
rs1477449737e-06LINC01266 - RN7SL120P?
rs750869317e-06LIN28B?
rs726513958e-06TOX-DT - RNA5SP267?
rs38441638e-06ZNF22-AS1?
rs1133951078e-06ZFR - TMEM183AP2?
rs11097149e-06LINC01864 - ZNF787?
rs1379965359e-06RASGEF1B?
rs745089771e-05CARD16?
rs786818871e-05THADA?
rs1141356801e-05MTCO3P28 - LINC02232?
rs355777341e-05CLDN24 - FBLP1?

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90102433Kiewa J20223,8046,134Perinatal depression is associated with a higher polygenic risk for major depressive disorder than non-perinatal depression.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic23

MAF distribution

BucketVariants
common (>=0.05)16
low_freq (0.01-0.05)0
rare (<0.01)0
unknown7

Functional consequences

ConsequenceCount
intron_variant16
intergenic_variant7

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs1883434114795377C>T0.05intron_variantKAZN1e-07Tier 4: intronic/intergenic
rs667326818135718960G>A0.05intergenic_variantKHDRBS3 - RNU1-35P3e-07Tier 4: intronic/intergenic
rs148543098937306631A>G0.05intron_variantZCCHC71e-06Tier 4: intronic/intergenic
rs71833101526051615T>A,C,G0.05intron_variantLINC023462e-06Tier 4: intronic/intergenic
rs78376445822172134A>C0.05intron_variantBMP12e-06Tier 4: intronic/intergenic
rs1844732221124922698C>A,Tintron_variantLUZP23e-06Tier 4: intronic/intergenic
rs1434520031421657242C>Tintron_variantOR4E24e-06Tier 4: intronic/intergenic
rs72214031745303300A>C,G,T0.05intron_variantMAP3K145e-06Tier 4: intronic/intergenic
rs1179758949119645370G>Aintron_variantBRINP1 - LINC016137e-06Tier 4: intronic/intergenic
rs4190551547384322A>C,T0.05intron_variantSEMA6D7e-06Tier 4: intronic/intergenic
rs14371901658975466A>G,T0.05intron_variantRPL12P36 - Metazoa_SRP7e-06Tier 4: intronic/intergenic
rs61231552052318935C>A,G,T0.05intron_variantLINC015247e-06Tier 4: intronic/intergenic
rs1477449733880823C>Tintergenic_variantLINC01266 - RN7SL120P7e-06Tier 4: intronic/intergenic
rs750869316105070105G>A0.05intron_variantLIN28B7e-06Tier 4: intronic/intergenic
rs72651395859165597T>A0.05intergenic_variantTOX-DT - RNA5SP2678e-06Tier 4: intronic/intergenic
rs38441631045125293A>C,G,T0.05intron_variantZNF22-AS18e-06Tier 4: intronic/intergenic
rs113395107532460535G>T0.05intergenic_variantZFR - TMEM183AP28e-06Tier 4: intronic/intergenic
rs11097141956087082C>G,T0.05intergenic_variantLINC01864 - ZNF7879e-06Tier 4: intronic/intergenic
rs137996535481823999G>Cintron_variantRASGEF1B9e-06Tier 4: intronic/intergenic
rs7450897711105075273T>Aintron_variantCARD161e-05Tier 4: intronic/intergenic
rs78681887243356982T>C0.05intron_variantTHADA1e-05Tier 4: intronic/intergenic
rs114135680464624218T>Cintergenic_variantMTCO3P28 - LINC022321e-05Tier 4: intronic/intergenic
rs355777344183329367C>A,T0.05intergenic_variantCLDN24 - FBLP11e-05Tier 4: intronic/intergenic

ClinVar germline variants

1 retrieved; paginated sample, class counts are floors:

1 pathogenic/likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
17326NM_000088.4(COL1A1):c.1777G>A (p.Gly593Ser)COL1A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
COL1A1Orphanet:1310Caffey disease
COL1A1Orphanet:1899Arthrochalasia Ehlers-Danlos syndrome
COL1A1Orphanet:216796Osteogenesis imperfecta type 1
COL1A1Orphanet:216804Osteogenesis imperfecta type 2
COL1A1Orphanet:216812Osteogenesis imperfecta type 3
COL1A1Orphanet:216820Osteogenesis imperfecta type 4
COL1A1Orphanet:230857Ehlers-Danlos/osteogenesis imperfecta syndrome
COL1A1Orphanet:287Classical Ehlers-Danlos syndrome
COL1A1Orphanet:31112Dermatofibrosarcoma protuberans
COL1A1Orphanet:314029High bone mass osteogenesis imperfecta

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
COL1A1HGNC:2197ENSG00000108821P02452Collagen alpha-1(I) chainclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
COL1A1Collagen alpha-1(I) chainType I collagen is a member of group I collagen (fibrillar forming collagen).

Protein-family classification

Druggable: 0 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.0

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.

FamilyGenesFoldFDR
Other/Unknown11.8×0.558

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
COL1A1Other/UnknownnoFib_collagen_C, VWF_dom, Collagen

Expression context

Cohort genes with no expression data: 0.

1 cohort gene are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)1
unknown0

Top tissues across cohort

TissueCohort genes
periodontal ligament1
skin of hip1
stromal cell of endometrium1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
COL1A1298ubiquitousmarkerstromal cell of endometrium, skin of hip, periodontal ligament

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
COL1A15,341

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
COL1A1P0245214

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 26. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Defective VWF binding to collagen type I13806.7×0.003COL1A1
Enhanced cleavage of VWF variant by ADAMTS1312855.0×0.003COL1A1
Defective VWF cleavage by ADAMTS13 variant12855.0×0.003COL1A1
Enhanced binding of GP1BA variant to VWF multimer:collagen11631.4×0.003COL1A1
Defective binding of VWF variant to GPIb:IX:V11631.4×0.003COL1A1
GP1b-IX-V activation signalling1951.7×0.004COL1A1
Anchoring fibril formation1761.3×0.004COL1A1
Platelet Adhesion to exposed collagen1671.8×0.004COL1A1
Scavenging by Class A Receptors1601.0×0.004COL1A1
Fibronectin matrix formation1571.0×0.004COL1A1
Crosslinking of collagen fibrils1571.0×0.004COL1A1
RUNX2 regulates osteoblast differentiation1456.8×0.004COL1A1
Platelet Aggregation (Plug Formation)1439.2×0.004COL1A1
Syndecan interactions1423.0×0.004COL1A1
MET activates PTK2 signaling1380.7×0.005COL1A1
GPVI-mediated activation cascade1308.6×0.005COL1A1
Collagen chain trimerization1259.6×0.006COL1A1
Developmental Lineage of Pancreatic Ductal Cells1228.4×0.006COL1A1
Assembly of collagen fibrils and other multimeric structures1200.3×0.007COL1A1
Collagen degradation1175.7×0.007COL1A1
Collagen biosynthesis and modifying enzymes1170.4×0.007COL1A1
Non-integrin membrane-ECM interactions1154.3×0.008COL1A1
ECM proteoglycans1150.3×0.008COL1A1
Integrin cell surface interactions1134.3×0.008COL1A1
Cell surface interactions at the vascular wall195.2×0.011COL1A1
Immunoregulatory interactions between a Lymphoid and a non-Lymphoid cell187.2×0.011COL1A1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
cellular response to vitamin E116852.0×0.002COL1A1
cellular response to fluoride18426.0×0.002COL1A1
tooth mineralization15617.3×0.002COL1A1
cellular response to acetaldehyde13370.4×0.003COL1A1
intramembranous ossification12808.7×0.003COL1A1
cartilage development involved in endochondral bone morphogenesis12407.4×0.003COL1A1
bone trabecula formation12106.5×0.003COL1A1
skin morphogenesis11404.3×0.003COL1A1
collagen-activated tyrosine kinase receptor signaling pathway11296.3×0.003COL1A1
response to hyperoxia11123.5×0.003COL1A1
negative regulation of cell-substrate adhesion11053.2×0.003COL1A1
collagen biosynthetic process11053.2×0.003COL1A1
response to steroid hormone1842.6×0.004COL1A1
endochondral ossification1543.6×0.005COL1A1
cellular response to fibroblast growth factor stimulus1543.6×0.005COL1A1
response to cAMP1510.7×0.005COL1A1
face morphogenesis1495.6×0.005COL1A1
response to hydrogen peroxide1468.1×0.005COL1A1
embryonic skeletal system development1391.9×0.005COL1A1
blood vessel development1374.5×0.005COL1A1
protein localization to nucleus1351.1×0.006COL1A1
positive regulation of epithelial to mesenchymal transition1318.0×0.006COL1A1
cellular response to epidermal growth factor stimulus1318.0×0.006COL1A1
cellular response to amino acid stimulus1306.4×0.006COL1A1
cellular response to transforming growth factor beta stimulus1276.3×0.006COL1A1
cellular response to glucose stimulus1267.5×0.006COL1A1
cellular response to retinoic acid1234.1×0.006COL1A1
response to insulin1230.8×0.006COL1A1
collagen fibril organization1224.7×0.006COL1A1
cellular response to mechanical stimulus1216.1×0.006COL1A1

Therapeutics

Drugs indicated for this disease

0 approved, 3 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
Epoetin AlfaPhase 3 (in late-stage trials)
Epoetin BetaPhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Magnesium Sulfate Anhydrous.

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 1

Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
COL1A100

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
COL1A18Binding:8

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

0 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.

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1COL1A1

Undrugged target profiles

1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
COL1A18

Clinical trials & evidence

Clinical trials

Clinical trials: 283.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified213
PHASE316
PHASE215
PHASE114
PHASE1/PHASE211
PHASE45
EARLY_PHASE15
PHASE2/PHASE34

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05836610PHASE4RECRUITINGHydrocortisone Therapy Optimization During Hypothermia Treatment in Asphyxiated Neonates
NCT07248761PHASE4ACTIVE_NOT_RECRUITINGEarly Hydrocortisone Versus Regular Treatment in Shock in Extremely Preterm Neonates - an Open Randomized Controlled Trial
NCT01743742PHASE4COMPLETEDFirst-day High Dose Vitamin C, E in Severe Birth Asphyxia
NCT03336541PHASE4COMPLETEDLow-dose Ketamine and Postpartum Depression in Parturients With Prenatal Depression
NCT04094870PHASE4COMPLETEDA Pilot Trial of Perinatal Depression Treatment in HIV Infected Women
NCT05186272PHASE3ACTIVE_NOT_RECRUITINGmHealth Mindfulness Intervention for Pregnant Black and Latina Women at Risk of Postpartum Depression
NCT05552053PHASE2/PHASE3ACTIVE_NOT_RECRUITINGResources, Inspiration, Support and Empowerment (RISE) for Black Pregnant Women
NCT06074250PHASE2/PHASE3RECRUITINGPerinatal Depression & Anxiety (PDA) and Maternal Gut Microbiome
NCT06855108PHASE3NOT_YET_RECRUITINGCaffeine for Hypoxic Ischemic Encephalopathy
NCT00097097PHASE3COMPLETEDNeonatal Resuscitation in Zambia
NCT00494702PHASE3COMPLETEDOxygen Toxicity in the Resuscitation in Extremely Premature Infants
NCT00890409PHASE3COMPLETEDSafety and Efficacy of Hypothermia to Treat Neonatal Hypoxic-Ischemic Encephalopathy
NCT01646619PHASE3UNKNOWNEfficacy Study of Hypothermia Plus Magnesium Sulphate(MgSO4) in the Management of Term and Near Term Babies With Hypoxic Ischemic Encephalopathy
NCT01732146PHASE3COMPLETEDEfficacy of Erythropoietin to Improve Survival and Neurological Outcome in Hypoxic Ischemic Encephalopathy
NCT02002039PHASE2/PHASE3COMPLETEDNeuroprotective Role of Erythropoietin in Perinatal Asphyxia
NCT02700828PHASE2/PHASE3COMPLETEDHydrocortisone Treatment In Systemic Low Blood Pressure During Hypothermia in Asphyxiated Newborns
NCT02811263PHASE3COMPLETEDHigh-dose Erythropoietin for Asphyxia and Encephalopathy
NCT03079167PHASE3COMPLETEDPAEAN - Erythropoietin for Hypoxic Ischaemic Encephalopathy in Newborns
NCT03163589PHASE3UNKNOWNErythropoietin in Management of Neonatal Hypoxic Ischemic Encephalopathy
NCT03181646PHASE3UNKNOWNRole of Citicoline in Treatment of Newborns With Hypoxic Ischemic Encephalopathy
NCT03549520PHASE3COMPLETEDCEUS Evaluation of Hypoxic Ischemic Injury
NCT04043299PHASE3UNKNOWNEffect of Intrapartum Oxygen Administration on Fetal and Early Neonatal Outcomes
NCT04145713PHASE3UNKNOWNEffects of Probiotic Mixture Supplementation and Evaluation of Intestinal Mucosal Tolerance and Gut Microbiome in Newborns With Perinatal Asphyxia Receiving Hypothermic Treatment
NCT06377098PHASE3WITHDRAWNIntrapartum Sildenafil in Laboring Mothers
NCT06522854PHASE3WITHDRAWNOral Sildenafil Citrate to Improve Maternal and Neonatal Outcomes in Low-resource Settings
NCT05514340PHASE2RECRUITINGAssess Safety and Efficacy of Sovateltide in Hypoxic-ischemic Encephalopathy
NCT05610085PHASE2RECRUITINGA Dose Escalation Study of Levetiracetam in the Treatment of Neonatal Seizures
NCT05778188PHASE2RECRUITINGA Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of RLS-0071 in Newborns With Moderate or Severe Hypoxic-Ischemic Encephalopathy Undergoing Therapeutic Hypothermia
NCT05853601PHASE1/PHASE2RECRUITINGTheophylline Prophylaxis During Hypothermia to Limit Neonatal Nephron Damage
NCT06810284PHASE2NOT_YET_RECRUITINGSildenafil Plus Hypothermia to Treat Neonatal Encephalopathy
NCT07406477PHASE2NOT_YET_RECRUITINGThe PROTECT-HIE Pilot Trial
NCT00808704PHASE1/PHASE2COMPLETEDNeurological Outcome After Erythropoietin Treatment for Neonatal Encephalopathy
NCT00817401PHASE1/PHASE2COMPLETEDSystemic Hypothermia Improves Outcome of Hypoxic-Ischemic Encephalopathy
NCT00945789PHASE1/PHASE2COMPLETEDErythropoietin in Infants With Hypoxic Ischemic Encephalopathy (HIE)
NCT01059461PHASE2COMPLETEDStudy of Cerebrolysin for Treatment of Infants With History of Neonatal Hypoxic Ischemic Encephalopathy
NCT01138176PHASE1/PHASE2UNKNOWNWhole Body Cooling Using Phase Changing Material
NCT01241019PHASE2COMPLETEDSafety and Efficacy of Topiramate in Neonates With Hypoxic Ischemic Encephalopathy Treated With Hypothermia
NCT01471015PHASE1/PHASE2COMPLETEDDarbe Administration in Newborns Undergoing Cooling for Encephalopathy
NCT01545271PHASE1/PHASE2COMPLETEDXenon and Cooling Therapy in Babies at High Risk of Brain Injury Following Poor Condition at Birth
NCT01626924PHASE2TERMINATEDA Study of 2-Iminobiotin in Neonates With Perinatal Asphyxia

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
CAFFEINE CITRATE44
MAGNESIUM SULFATE ANHYDROUS43
AMIKACIN41
ASCORBIC ACID41
DOBUTAMINE41
EPOETIN ALFA41
FISH OIL41
HYDROCORTISONE41
MORPHINE SULFATE41
OXYGEN41
PENTOXIFYLLINE41
PHENOBARBITAL41
SERTRALINE41
SULFUR HEXAFLUORIDE41
VITAMIN E41
XENON41
AUTOLOGOUS CORD BLOOD32
CITICOLINE32
2-IMINOBIOTIN21
CHEMBL178836101
CHEMBL407338701
CHEMBL209662501
CHEMBL479271801
CHEMBL543965101
CHEMBL479344501
ALPHA-TOCOPHEROL01