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A rare, biliary tract disease characterized by progressive obliterative cholangiopathy of the intra- and extrahepatic bile ducts, occurring in the embryonic/ perinatal period, leading to severe and persistent neonatal jaundice and acholic stool.
Features include very common findings: Jaundice, Cholestasis, and Failure to thrive; and common findings: Decreased liver function, Severe failure to thrive, Enlarged liver (hepatomegaly), and Fat malabsorption and others. 28 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 9 | Jaundice, Cholestasis, Decreased liver function |
Biomarker and diagnostic research for biliary atresia has been reported in the published literature.
No approved treatments are currently available for biliary atresia. An additional 2 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for biliary atresia, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for biliary atresia. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 3 very common features, 13 common features.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
26 clinical trials registered, 17 recruiting. Interventions under study include other interventions, drug therapy, procedural interventions, and biologic therapy. Pipeline includes 2 PHASE3, 5 PHASE1, 1 EARLY_PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06764082](https://clinicaltrials.gov/study/NCT06764082) |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 3:29 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Lab test results |
3 |
Conjugated hyperbilirubinemia, Elevated circulating hepatic transaminase concentration, Elevated circulating alkaline phosphatase concentration |
Growth and development | 2 | Failure to thrive, Severe failure to thrive |
Pregnancy and birth | 1 | Prolonged neonatal jaundice |
Hormones | 1 | Hypothyroidism |
Skin | 1 | Pruritus |
Brain and nerves | 1 | Seizure |
Blood and immune system | 1 | Enlarged spleen (splenomegaly) |
Head and neck | 1 | Abnormal facial shape |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
maralixibat | maralixibat | Mirum Pharmaceuticals, Inc. | 2020 | — | Designated |
odevixibat | odevixibat | Ipsen Biopharmaceuticals, Inc. | 2019 | — | Designated |
Gene therapy approaches for biliary atresia have been reported in the published literature.
26 trials found
Nutritional Intervention for Biliary Atresia |
NA |
Tongji Hospital |
RECRUITING |
[NCT05848310](https://clinicaltrials.gov/study/NCT05848310) | Preoperative Serum FGF19 in the Prognosis of Biliary Atresia | — | Children's Hospital of Fudan University | RECRUITING |
[NCT05072626](https://clinicaltrials.gov/study/NCT05072626) | High Medium-chain Triglyceride Nutritional Support in Infants With Biliary Atresia | — | Children's Hospital of Fudan University | RECRUITING |
[NCT04272515](https://clinicaltrials.gov/study/NCT04272515) | Molecular Characterization for Understanding Biliary Atresia | NA | Institut National de la Santé Et de la Recherche Médicale, France | RECRUITING |
[NCT00061828](https://clinicaltrials.gov/study/NCT00061828) | A Prospective Database of Infants With Cholestasis | — | Arbor Research Collaborative for Health | RECRUITING |
258 publications have been identified in PubMed for biliary atresia. Kisho has analyzed 104 by research type. Research spans Review / Meta-Analysis (36%), Basic Science / Preclinical (18%), and Diagnostic / Biomarker (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 37 | 36% |
Laboratory research | 19 | 18% |
Testing and diagnosis research | 17 | 16% |
Disease patterns and progression | 12 | 12% |
Other research | 8 | 8% |
Patient case studies | 5 | 5% |
Clinical study results | 4 | 4% |
New treatment approaches | 2 | 2% |
Husnain A (2026). [PMID: 42166344](https://pubmed.ncbi.nlm.nih.gov/42166344/). *Radiographics*. [Review / Meta-Analysis]
Ackermann O (2026). [PMID: 40675343](https://pubmed.ncbi.nlm.nih.gov/40675343/). *Gastroenterology*. [Epidemiology / Natural History]
Sun D (2026). [PMID: 40915360](https://pubmed.ncbi.nlm.nih.gov/40915360/). *J Hepatol*. [Basic Science / Preclinical]
Kastenberg ZJ (2026). [PMID: 41707679](https://pubmed.ncbi.nlm.nih.gov/41707679/). *Pediatrics*. [Epidemiology / Natural History]
Poddar U (2026). [PMID: 41949751](https://pubmed.ncbi.nlm.nih.gov/41949751/). *Indian Pediatr*. [Other]
Zhao Q (2026). [PMID: 42130294](https://pubmed.ncbi.nlm.nih.gov/42130294/). *Ann Med*. [Review / Meta-Analysis]
Xu Y (2026). [PMID: 41365298](https://pubmed.ncbi.nlm.nih.gov/41365298/). *Immunity*. [Basic Science / Preclinical]
de Carvalho E (2026). [PMID: 41730318](https://pubmed.ncbi.nlm.nih.gov/41730318/). *J Pediatr (Rio J)*. [Review / Meta-Analysis]
Snyder E (2026). [PMID: 30969603](https://pubmed.ncbi.nlm.nih.gov/30969603/). *Unknown Journal*. [Diagnostic / Biomarker]
Jain V (2026). [PMID: 41522466](https://pubmed.ncbi.nlm.nih.gov/41522466/). *World J Pediatr Surg*. [Review / Meta-Analysis]
AI-curated news mentioning biliary atresia
Updated Sep 7, 2026
Recent research highlights that ductular reaction plays a critical role in the development of portal hypertension in biliary atresia. This discovery could inform future therapeutic strategies for managing this condition.
A case study highlights the manifestation of variegate porphyria in an 11-month-old girl following a living-related liver transplantation for biliary atresia. This research underscores the complexities of liver grafts and their potential to reveal underlying genetic conditions.
A recent study reveals significant hepatic protein alterations in neonatal and infant biliary atresia, providing insights into the disease's pathophysiology. These findings could inform future research and therapeutic strategies.