Vasculitis
diseaseOn this page
Also known as systemic vasculitis
Summary
Vasculitis (MONDO:0018882) is a disease (an umbrella term covering 18 Mondo subtypes) with 5 cohort genes (19 GWAS associations across 3 studies) and 98 clinical trials. Top therapeutic interventions include azathioprine, avacopan, and cyclophosphamide anhydrous.
At a glance
- Prevalence: 1-9 / 100 000 (Europe)
- Umbrella term: 18 Mondo subtypes
- Cohort genes: 5
- GWAS associations: 19
- ClinVar variants: 2
- Clinical trials: 98
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-9 / 100 000 | 6.3 | Europe | Not yet validated |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | vasculitis |
| Mondo ID | MONDO:0018882 |
| EFO | EFO:0006803 |
| MeSH | D014657 |
| Orphanet | 52759 |
| DOID | DOID:865 |
| ICD-11 | 572581721 |
| NCIT | C26912 |
| SNOMED CT | 31996006 |
| UMLS | C0042384 |
| MedGen | 12054 |
| GARD | 0018844 |
| MedDRA | 10036023, 10047115 |
| Is cancer (heuristic) | no |
Also known as: systemic vasculitis
Data availability: 2 ClinVar variants · 19 GWAS associations (3 studies).
Disease family
An umbrella term covering 18 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › vasculitis
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, patent ductus arteriosus, 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, 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 (18): choroiditis, Shwartzman phenomenon, central nervous system vasculitis, phlebitis, lymphangitis, aortitis, hypersensitivity vasculitis, retinal vasculitis, vasculitis, lymphocytic, nodular, Kawasaki disease, deficiency of adenosine deaminase 2, immune complex mediated vasculitis, secondary vasculitis, cutaneous vasculitis, livedoid vasculopathy, autoimmune vasculitis, arteritis, necrotizing vasculitis
Genetics & variants
GWAS landscape
19 GWAS associations across 3 studies. Top hits map to 15 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs2242944 | 1e-10 | LINC02940 - RPL23AP12 | A | 0.75 |
| rs7725339 | 2e-10 | IL12B-AS1 | T | 1.24 |
| rs11209039 | 6e-10 | DNAJB6P4 - IL12RB2 | G | 0.81 |
| rs3743841 | 8e-10 | NAGPA | T | |
| rs128738 | 3e-09 | P4HA2 | T | 1.32 |
| rs4690319 | 5e-09 | CPLX1 - GAK | A | 0.82 |
| rs1837253 | 8e-09 | BCLAF1P1 - TSLP | T | 0.65 |
| rs6894249 | 8e-09 | CARINH, IRF1 | ? | |
| rs2087726 | 1e-08 | CCR3 | G | 0.81 |
| rs73223431 | 2e-08 | PTK2B | T | 0.73 |
| rs10995248 | 2e-08 | LINC02929 | ? | |
| rs62184865 | 2e-08 | RNU6-474P - CTLA4 | T | 1.72 |
| rs4252120 | 3e-08 | PLG | C | 1.28 |
| rs72836352 | 4e-08 | MIR4435-2HG, BCL2L11 | T | 1.83 |
| rs60689680 | 5e-08 | IL12B-AS1 | ? | |
| rs73379591 | 7e-08 | EPB41L3 | C | |
| rs10508313 | 1e-07 | LINP1 | C | |
| rs16925200 | 6e-07 | KDM4C | C | 1.75 |
| rs6704162 | 4e-06 | RGS2-AS1 | G | 1.25 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST012636 | Ortiz-Fernandez L | 2018 | 2,425 | 4,526 | Cross-phenotype analysis of Immunochip data identifies KDM4C as a relevant locus for the development of systemic vasculitis. |
| GCST90095078 | Carmona EG | 2021 | 402 | 7,538 | Identification of a shared genetic risk locus for Kawasaki disease and IgA vasculitis by a cross-phenotype meta-analysis. |
| GCST90271348 | Ortiz-Fernandez L | 2023 | 0 | 0 | Identification of new risk loci shared across systemic vasculitides points towards potential target genes for drug repurposing. |
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 | 19 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 19 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 12 |
| intergenic_variant | 7 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs2242944 | 21 | 39093252 | G>A,C | 0.05 | intergenic_variant | LINC02940 - RPL23AP12 | 1e-10 | Tier 4: intronic/intergenic |
| rs7725339 | 5 | 159349993 | G>C,T | 0.05 | intergenic_variant | IL12B-AS1 | 2e-10 | Tier 4: intronic/intergenic |
| rs11209039 | 1 | 67285510 | A>G,T | 0.05 | intergenic_variant | DNAJB6P4 - IL12RB2 | 6e-10 | Tier 4: intronic/intergenic |
| rs3743841 | 16 | 5030085 | C>G,T | 0.05 | intron_variant | NAGPA | 8e-10 | Tier 4: intronic/intergenic |
| rs128738 | 5 | 132205182 | G>A,T | 0.05 | intron_variant | P4HA2 | 3e-09 | Tier 4: intronic/intergenic |
| rs4690319 | 4 | 831200 | A>G,T | 0.05 | intergenic_variant | CPLX1 - GAK | 5e-09 | Tier 4: intronic/intergenic |
| rs1837253 | 5 | 111066174 | T>C | 0.05 | intron_variant | BCLAF1P1 - TSLP | 8e-09 | Tier 4: intronic/intergenic |
| rs6894249 | 5 | 132461855 | A>C,G,T | 0.05 | intron_variant | CARINH, IRF1 | 8e-09 | Tier 4: intronic/intergenic |
| rs2087726 | 3 | 46166818 | G>A | 0.05 | intron_variant | CCR3 | 1e-08 | Tier 4: intronic/intergenic |
| rs73223431 | 8 | 27362470 | C>A,T | 0.05 | intron_variant | PTK2B | 2e-08 | Tier 4: intronic/intergenic |
| rs10995248 | 10 | 62636282 | C>A,G,T | 0.05 | intron_variant | LINC02929 | 2e-08 | Tier 4: intronic/intergenic |
| rs62184865 | 2 | 203824653 | G>T | 0.05 | intergenic_variant | RNU6-474P - CTLA4 | 2e-08 | Tier 4: intronic/intergenic |
| rs4252120 | 6 | 160722576 | T>C,G | 0.05 | intron_variant | PLG | 3e-08 | Tier 4: intronic/intergenic |
| rs72836352 | 2 | 111137297 | C>T | 0.05 | intron_variant | MIR4435-2HG, BCL2L11 | 4e-08 | Tier 4: intronic/intergenic |
| rs60689680 | 5 | 159407359 | G>A,T | 0.05 | intergenic_variant | IL12B-AS1 | 5e-08 | Tier 4: intronic/intergenic |
| rs73379591 | 18 | 5503378 | T>C | 0.05 | intron_variant | EPB41L3 | 7e-08 | Tier 4: intronic/intergenic |
| rs10508313 | 10 | 6791131 | C>T | 0.05 | intron_variant | LINP1 | 1e-07 | Tier 4: intronic/intergenic |
| rs16925200 | 9 | 7045058 | T>C | 0.05 | intron_variant | KDM4C | 6e-07 | Tier 4: intronic/intergenic |
| rs6704162 | 1 | 192445292 | A>G | 0.05 | intergenic_variant | RGS2-AS1 | 4e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
2 retrieved; paginated sample, class counts are floors:
2 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 523540 | NM_031443.4(CCM2):c.1234C>T (p.Arg412Trp) | CCM2 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 523445 | NM_001846.4(COL4A2):c.1776+13A>G | COL4A2 | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 3 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| CCM2 | Orphanet:221061 | Familial cerebral cavernous malformation |
| COL4A2 | Orphanet:36383 | COL4A1/2-related familial vascular leukoencephalopathy |
| COL4A2 | Orphanet:99810 | Familial porencephaly |
Cohort genes → proteins
5 cohort genes, 5 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 3 |
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| KDM4C | HGNC:17071 | ENSG00000107077 | Q9H3R0 | Lysine-specific demethylase 4C | gwas |
| CCM2 | HGNC:21708 | ENSG00000136280 | Q9BSQ5 | Cerebral cavernous malformations 2 protein | clinvar |
| COL4A2 | HGNC:2203 | ENSG00000134871 | P08572 | Collagen alpha-2(IV) chain | clinvar |
| RGS21 | HGNC:26839 | ENSG00000253148 | Q2M5E4 | Regulator of G-protein signaling 21 | gwas |
| RGS1 | HGNC:9991 | ENSG00000090104 | Q08116 | Regulator of G-protein signaling 1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| KDM4C | Lysine-specific demethylase 4C | Histone demethylase that specifically demethylates ‘Lys-9’ and ‘Lys-36’ residues of histone H3, thereby playing a central role in histone code. |
| CCM2 | Cerebral cavernous malformations 2 protein | Component of the CCM signaling pathway which is a crucial regulator of heart and vessel formation and integrity. |
| COL4A2 | Collagen alpha-2(IV) chain | Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen. |
| RGS21 | Regulator of G-protein signaling 21 | Inhibits signal transduction by increasing the GTPase activity of G protein alpha subunits thereby driving them into their inactive GDP-bound form. |
| RGS1 | Regulator of G-protein signaling 1 | Regulates G protein-coupled receptor signaling cascades, including signaling downstream of the N-formylpeptide chemoattractant receptors and leukotriene receptors. |
Protein-family classification
Druggable: 0 · Difficult: 1 · Unknown: 4 · 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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Transcription factor | 1 | 1.6× | 0.476 |
| Other/Unknown | 4 | 1.4× | 0.476 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| KDM4C | Transcription factor | no | 1.14.11.27 | Znf_PHD, Tudor, JmjC_dom |
| CCM2 | Other/Unknown | no | PTB/PI_dom, PH-like_dom_sf, Malcavernin | |
| COL4A2 | Other/Unknown | no | Collagen_IV_NC, Collagen, CTDL_fold | |
| RGS21 | Other/Unknown | no | RGS, RGS_subdom1/3, RGS_sf | |
| RGS1 | Other/Unknown | no | RGS, RGS_subdom1/3, RGS_sf |
Expression context
Cohort genes with no expression data: 0.
5 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 1 |
| moderate (6-20) | 0 |
| broad (>20) | 4 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cerebellar cortex | 1 |
| cerebellar hemisphere | 1 |
| right hemisphere of cerebellum | 1 |
| anterior cingulate cortex | 1 |
| nucleus accumbens | 1 |
| putamen | 1 |
| decidua | 1 |
| placenta | 1 |
| saphenous vein | 1 |
| colonic epithelium | 1 |
| ganglionic eminence | 1 |
| sural nerve | 1 |
| C1 segment of cervical spinal cord | 1 |
| olfactory bulb | 1 |
| right lung | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| KDM4C | 250 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| CCM2 | 243 | ubiquitous | marker | putamen, nucleus accumbens, anterior cingulate cortex |
| COL4A2 | 284 | ubiquitous | marker | saphenous vein, decidua, placenta |
| RGS21 | 1 | marker | ganglionic eminence, sural nerve, colonic epithelium | |
| RGS1 | 260 | broad | marker | C1 segment of cervical spinal cord, olfactory bulb, right lung |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| COL4A2 | 2,746 |
| RGS1 | 2,264 |
| CCM2 | 1,600 |
| KDM4C | 1,380 |
| RGS21 | 984 |
Structural data
PDB: 4 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| CCM2 | Q9BSQ5 | 8 |
| KDM4C | Q9H3R0 | 7 |
| COL4A2 | P08572 | 4 |
| RGS1 | Q08116 | 2 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| RGS21 | Q2M5E4 | 85.05 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 26. Enrichment computed across 5 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Anchoring fibril formation | 1 | 190.3× | 0.030 | COL4A2 |
| Scavenging by Class A Receptors | 1 | 150.3× | 0.030 | COL4A2 |
| Fibronectin matrix formation | 1 | 142.8× | 0.030 | COL4A2 |
| Crosslinking of collagen fibrils | 1 | 142.8× | 0.030 | COL4A2 |
| Attachment of bacteria to epithelial cells | 1 | 124.1× | 0.030 | COL4A2 |
| G alpha (q) signalling events | 2 | 28.7× | 0.030 | RGS21, RGS1 |
| G alpha (i) signalling events | 2 | 19.5× | 0.030 | RGS21, RGS1 |
| Laminin interactions | 1 | 95.2× | 0.034 | COL4A2 |
| RHO GTPases activate PKNs | 1 | 79.3× | 0.035 | KDM4C |
| Collagen chain trimerization | 1 | 64.9× | 0.035 | COL4A2 |
| Signaling by PDGF | 1 | 63.4× | 0.035 | COL4A2 |
| NCAM1 interactions | 1 | 62.1× | 0.035 | COL4A2 |
| HDMs demethylate histones | 1 | 57.1× | 0.035 | KDM4C |
| Assembly of collagen fibrils and other multimeric structures | 1 | 50.1× | 0.036 | COL4A2 |
| Collagen degradation | 1 | 43.9× | 0.036 | COL4A2 |
| Collagen biosynthesis and modifying enzymes | 1 | 42.6× | 0.036 | COL4A2 |
| Activated PKN1 stimulates transcription of AR (androgen receptor) regulated genes KLK2 and KLK3 | 1 | 42.0× | 0.036 | KDM4C |
| Non-integrin membrane-ECM interactions | 1 | 38.6× | 0.036 | COL4A2 |
| ECM proteoglycans | 1 | 37.6× | 0.036 | COL4A2 |
| Integrin cell surface interactions | 1 | 33.6× | 0.038 | COL4A2 |
| Chromatin organization | 1 | 20.4× | 0.060 | KDM4C |
| Chromatin modifying enzymes | 1 | 18.1× | 0.064 | KDM4C |
| RHO GTPase Effectors | 1 | 17.0× | 0.065 | KDM4C |
| Signaling by Rho GTPases | 1 | 8.6× | 0.119 | KDM4C |
| Signaling by Rho GTPases, Miro GTPases and RHOBTB3 | 1 | 8.4× | 0.119 | KDM4C |
| Signal Transduction | 1 | 2.5× | 0.339 | KDM4C |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| negative regulation of signal transduction | 2 | 149.8× | 0.003 | RGS21, RGS1 |
| leukotriene signaling pathway | 1 | 3370.4× | 0.007 | RGS1 |
| endothelial cell development | 1 | 842.6× | 0.012 | CCM2 |
| blood vessel endothelial cell differentiation | 1 | 674.1× | 0.012 | CCM2 |
| sensory perception of bitter taste | 1 | 561.7× | 0.012 | RGS21 |
| venous blood vessel morphogenesis | 1 | 481.5× | 0.012 | CCM2 |
| sensory perception of sweet taste | 1 | 481.5× | 0.012 | RGS21 |
| sensory perception of umami taste | 1 | 481.5× | 0.012 | RGS21 |
| pericardium development | 1 | 374.5× | 0.012 | CCM2 |
| endothelial tube morphogenesis | 1 | 374.5× | 0.012 | CCM2 |
| endothelium development | 1 | 259.3× | 0.014 | CCM2 |
| collagen-activated tyrosine kinase receptor signaling pathway | 1 | 259.3× | 0.014 | COL4A2 |
| regulation of androgen receptor signaling pathway | 1 | 198.3× | 0.017 | KDM4C |
| blastocyst formation | 1 | 153.2× | 0.018 | KDM4C |
| regulation of stem cell differentiation | 1 | 153.2× | 0.018 | KDM4C |
| androgen receptor signaling pathway | 1 | 140.4× | 0.018 | KDM4C |
| stress-activated MAPK cascade | 1 | 140.4× | 0.018 | CCM2 |
| transmission of nerve impulse | 1 | 129.6× | 0.018 | RGS21 |
| cell-cell junction organization | 1 | 124.8× | 0.018 | CCM2 |
| G protein-coupled receptor signaling pathway | 2 | 14.5× | 0.018 | RGS21, RGS1 |
| endodermal cell differentiation | 1 | 99.1× | 0.022 | COL4A2 |
| stem cell population maintenance | 1 | 84.3× | 0.023 | KDM4C |
| regulation of angiogenesis | 1 | 84.3× | 0.023 | CCM2 |
| inner ear development | 1 | 74.9× | 0.025 | CCM2 |
| response to activity | 1 | 64.8× | 0.028 | COL4A2 |
| positive regulation of GTPase activity | 1 | 55.2× | 0.030 | RGS1 |
| cellular response to transforming growth factor beta stimulus | 1 | 55.2× | 0.030 | COL4A2 |
| vasculogenesis | 1 | 51.1× | 0.031 | CCM2 |
| DNA-templated transcription | 1 | 44.9× | 0.033 | COL4A2 |
| collagen fibril organization | 1 | 44.9× | 0.033 | COL4A2 |
Therapeutics
Drugs indicated for this disease
2 approved, 7 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Mepolizumab | Approved (phase 4) |
| Rituximab | Approved (phase 4) |
| Avacopan | Phase 3 (in late-stage trials) |
| Azathioprine | Phase 3 (in late-stage trials) |
| Belimumab | Phase 3 (in late-stage trials) |
| Colchicine | Phase 3 (in late-stage trials) |
| Ibuprofen | Phase 3 (in late-stage trials) |
| Methotrexate | Phase 3 (in late-stage trials) |
| Prednisone | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Mycophenolate Mofetil.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 4
Druggability breadth: 2 of 5 evidence-associated genes (40%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| KDM4C | 4 | 3 |
| CCM2 | 0 | 0 |
| COL4A2 | 0 | 0 |
| RGS21 | 0 | 0 |
| RGS1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| TANESPIMYCIN | 3 | KDM4C |
| GELDANAMYCIN | 2 | KDM4C |
| ALVESPIMYCIN | 2 | KDM4C |
| ZAVONDEMSTAT | 2 | KDM4C |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| KDM4C | 122 | Binding:120, Functional:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| KDM4C | 1.14.11.27, 1.14.11.66, 1.14.11.69 | [histone H3]-dimethyl-L-lysine36 demethylase, [histone H3]-trimethyl-L-lysine9 demethylase, [histone H3]-trimethyl-L-lysine36 demethylase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| KDM4C | 122 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 5; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
4 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) |
|---|---|---|
| TANESPIMYCIN | 3 | KDM4C |
| GELDANAMYCIN | 2 | KDM4C |
| ALVESPIMYCIN | 2 | KDM4C |
| ZAVONDEMSTAT | 2 | KDM4C |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 1 | KDM4C |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 4 | CCM2, COL4A2, RGS21, RGS1 |
Undrugged target profiles
4 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CCM2 | 0 | — |
| COL4A2 | 0 | — |
| RGS21 | 0 | — |
| RGS1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 98.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 63 |
| PHASE2 | 12 |
| PHASE3 | 7 |
| PHASE4 | 6 |
| PHASE1 | 4 |
| PHASE2/PHASE3 | 3 |
| PHASE1/PHASE2 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06763783 | PHASE4 | ENROLLING_BY_INVITATION | Vaccination Against Herpes Zoster in Patients With Inflammatory Rheumatic Diseases |
| NCT00128895 | PHASE4 | TERMINATED | Prevention of Relapses in Proteinase 3 (PR3)-Anti-neutrophil Cytoplasmic Antibodies (ANCA)-Associated Vasculitis |
| NCT00307671 | PHASE4 | COMPLETED | Treatment of Necrotizing Vasculitides for Patients Older Than 65 Years |
| NCT01151644 | PHASE4 | UNKNOWN | Safety and Efficacy of Anti-Pandemic H1N1 Vaccination in Rheumatic Diseases |
| NCT01405807 | PHASE4 | UNKNOWN | Alemtuzumab for ANCA Associated Refractory Vasculitis |
| NCT03762824 | PHASE4 | COMPLETED | Combined Pneumococcal Conjugate and Polysaccharide Vaccination in Inflammatory Rheumatic Disease |
| NCT01933724 | PHASE3 | ACTIVE_NOT_RECRUITING | The Assessment of Prednisone In Remission Trial (TAPIR) - Patient Centric Approach |
| NCT06321601 | PHASE3 | RECRUITING | Study to Evaluate Avacopan in Combination With a Rituximab or Cyclophosphamide-containing Regimen, in Children From 6 Years to < 18 Years of Age With AAV. |
| NCT00103792 | PHASE3 | COMPLETED | Mycophenolate Mofetil for Treatment of Relapses of Wegener’s Disease or Microscopic Polyangiitis (MPA) |
| NCT00104299 | PHASE2/PHASE3 | COMPLETED | Rituximab for the Treatment of Wegener’s Granulomatosis and Microscopic Polyangiitis |
| NCT00414128 | PHASE2/PHASE3 | COMPLETED | Clinical Trial of Mycophenolate Versus Cyclophosphamide in ANCA Vasculitis |
| NCT01257802 | PHASE3 | TERMINATED | GnRH-a for Ovarian Protection During CYC Therapy for Rheumatic Diseases |
| NCT01663623 | PHASE3 | COMPLETED | Belimumab in Remission of VASculitis |
| NCT03371095 | PHASE3 | COMPLETED | Induction Therapy With Anti-TNFα vs Cyclophosphamide in Severe Behçet Disease |
| NCT03692416 | PHASE3 | UNKNOWN | The Effect of Some Drugs Used in Treatment of Vasculitis on the Complement System in Children |
| NCT05236491 | PHASE2/PHASE3 | UNKNOWN | COvid-19 Vaccine Booster in Immunocompromised Rheumatic Diseases |
| NCT02638701 | PHASE1/PHASE2 | RECRUITING | Infliximab Therapy for Dolichoectactic Vertebrobasilar Aneurysms |
| NCT04629144 | PHASE2 | RECRUITING | Efficacy and Safety of Belimumab in the Treatment of Non-infectious Active Cryoglobulinemia Vasculitis Compared to Placebo. TRIBECA STUDY (Treatment nd BElimumab in Cryoglobulinemia Associated Vasculitis) |
| NCT00001155 | PHASE2 | COMPLETED | Treatment of Wegener’s Granulomatosis With Cyclophosphamide |
| NCT00001256 | PHASE2 | COMPLETED | Steroids and Methotrexate to Treat Systemic Vasculitis |
| NCT00001901 | PHASE2 | COMPLETED | Etanercept to Treat Wegener’s Granulomatosis |
| NCT00004357 | PHASE2 | COMPLETED | Absorption of Corticosteroids in Children With Juvenile Dermatomyositis |
| NCT00004567 | PHASE2 | COMPLETED | Comparison of Treatments to Maintain Disease Remission in Patients With Wegener’s Granulomatosis and Related Vasculitis Syndromes |
| NCT00005928 | PHASE2 | COMPLETED | Effects of Angiotensin-Converting Enzyme Inhibitor (Ramipril) Therapy on Blood Vessel Inflammation |
| NCT00029107 | PHASE2 | COMPLETED | Rituximab to Treat Hepatitis C-Associated Cryoglobulinemic Vasculitis |
| NCT01170936 | PHASE2 | COMPLETED | Ilaris® in Urticarial Vasculitis - Investigation of Treatment Responses |
| NCT01363388 | PHASE2 | COMPLETED | A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis |
| NCT02418273 | PHASE1/PHASE2 | WITHDRAWN | Denosumab for Glucocorticoid-treated Children With Rheumatic Disorders |
| NCT02556866 | PHASE2 | TERMINATED | Rituximab Plus Corticosteroids in Non-infectious Active Mixed Cryoglobulinemia Vasculitis |
| NCT03514979 | PHASE2 | UNKNOWN | Acquired Immunodeficiency in ANCA Associated Vasculitis |
| NCT00001761 | PHASE1 | COMPLETED | Phase I Trial of Recombinant Human Interleukin-10 (SCH 52000) in Patients With Wegener’s Granulomatosis |
| NCT00001764 | PHASE1 | COMPLETED | Mycophenolate Mofetil to Treat Wegener’s Granulomatosis and Related Vascular Inflammatory Conditions |
| NCT00278512 | PHASE1 | TERMINATED | Hematopoietic Stem Cell Support in Vasculitis |
| NCT05984251 | PHASE1 | COMPLETED | A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of CCX168 in Healthy Participants |
| NCT05263817 | EARLY_PHASE1 | UNKNOWN | A Clinical Study of CD19/BCMA CAR-T Cells in the Treatment of Refractory POEMS Syndrome, Amyloidosis, Autoimmune Hemolytic Anemia, and Vasculitis |
| NCT02280733 | Not specified | RECRUITING | A Real-World Registry of Chronic Wounds and Ulcers |
| NCT02593565 | Not specified | RECRUITING | Vasculitis Pregnancy Registry |
| NCT03004326 | Not specified | RECRUITING | Clinical Transcriptomics in Systemic Vasculitis (CUTIS) |
| NCT03755245 | Not specified | ENROLLING_BY_INVITATION | Biodistribution, Dosimetry and Performance of [68Ga]Ga-DOTA-Siglec-9 in Healthy and Patients With Rheumatoid Arthritis, Vasculitis or Pulmonary Sarcoidosis |
| NCT04006535 | Not specified | RECRUITING | Whole Exome Sequencing of Familial and Pediatric Forms of Vasculitis |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| AZATHIOPRINE | 4 | 4 |
| AVACOPAN | 4 | 3 |
| CYCLOPHOSPHAMIDE ANHYDROUS | 4 | 3 |
| BELIMUMAB | 4 | 2 |
| ALEMTUZUMAB | 4 | 1 |
| CANAKINUMAB | 4 | 1 |
| METHOTREXATE | 4 | 1 |
| METHYLPREDNISOLONE | 4 | 1 |
| MYCOPHENOLATE MOFETIL | 4 | 1 |
| PREDNISONE | 4 | 1 |
| RAMIPRIL | 4 | 1 |
| STREPTOCOCCUS PNEUMONIAE POLYSACCHARIDE CONJUGATED TO CORYNEBACTERIUM DIPHTHERIAE CRM197 | 4 | 1 |
| VARICELLA ZOSTER VIRUS ENVELOPE GLYCOPROTEIN E | 4 | 1 |
| BQ-123 | 2 | 1 |
| INTERLEUKIN-10 | 2 | 1 |
| CHEMBL15720 | 0 | 1 |
| CHEMBL426 | 0 | 1 |
Related Atlas pages
- Cohort genes: KDM4C, CCM2, COL4A2, RGS21, RGS1
- Drugs: Azathioprine, Avacopan, Cyclophosphamide, Belimumab, Alemtuzumab, Canakinumab, Methotrexate, Methylprednisolone, Mycophenolate Mofetil, Prednisone, Ramipril, STREPTOCOCCUS PNEUMONIAE POLYSACCHARIDE CONJUGATED TO CORYNEBACTERIUM DIPHTHERIAE CRM197, Varicella Zoster Virus Envelope Glycoprotein E