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Congenital factor XIII deficiency is an inherited bleeding disorder due to reduced levels and activity of factor XIII (FXIII) and characterized by hemorrhagic diathesis frequently associated with spontaneous abortions and defective wound healing. Factor XIII deficiency is one of the most rare coagulation factor deficiencies.
Features include very common findings: Reduced factor XIII activity, Abnormal umbilical stump bleeding, and Umbilical cord hematoma; and common findings: Bruising susceptibility, Cerebral hemorrhage, Subcutaneous hemorrhage, and Joint hemorrhage and others. 25 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 9 | Abnormal umbilical stump bleeding, Oral cavity bleeding, Gingival bleeding |
Biomarker and diagnostic research for congenital factor XIII deficiency has been reported in the published literature.
1 FDA-approved treatment is available for congenital factor XIII deficiency, including Factor XIII Concentrate (Human) (Corifact, approved 2011). An additional 1 compound holds orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
Phenotype severity distribution: 3 very common features, 7 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for congenital factor XIII deficiency.
91 publications have been identified in PubMed for congenital factor XIII deficiency. Research spans Case Report / Case Series (45%), Review / Meta-Analysis (24%), and Epidemiology / Natural History (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 41 | 45% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 11:12 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Digestive system | 2 | Hepatic failure, Inflammation of the large intestine |
Brain and nerves | 1 | Cerebral hemorrhage |
Skin | 1 | Subcutaneous hemorrhage |
Bones and joints | 1 | Joint hemorrhage |
Age of onset: newborn period.
Corifact |
Factor XIII Concentrate (Human) |
— |
2011 |
Available |
The following drugs have received orphan drug designation from the FDA for congenital factor XIII deficiency. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Factor XIII, recombinant | Factor XIII, recombinant | Zymogenetics, Inc. | 1993 | — | Withdrawn |
Gene therapy approaches for congenital factor XIII deficiency have been reported in the published literature.
View trials for congenital factor XIII deficiency
Research summaries
22 |
24% |
Disease patterns and progression | 10 | 11% |
Laboratory research | 9 | 10% |
Other research | 4 | 4% |
Testing and diagnosis research | 3 | 3% |
Clinical study results | 1 | 1% |
New treatment approaches | 1 | 1% |
Jacobs JW (2026). [PMID: 41583548](https://pubmed.ncbi.nlm.nih.gov/41583548/). *Clin Hematol Int*. [Review / Meta-Analysis]
Zichao X (2026). [PMID: 41894265](https://pubmed.ncbi.nlm.nih.gov/41894265/). *Medicine (Baltimore)*. [Review / Meta-Analysis]
Duque P (2026). [PMID: 41311329](https://pubmed.ncbi.nlm.nih.gov/41311329/). *Blood Coagul Fibrinolysis*. [Epidemiology / Natural History]
Wang M (2026). [PMID: 41524096](https://pubmed.ncbi.nlm.nih.gov/41524096/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Ichinose A (2026). [PMID: 40506046](https://pubmed.ncbi.nlm.nih.gov/40506046/). *Semin Thromb Hemost*. [Review / Meta-Analysis]
Luo S (2026). [PMID: 41364521](https://pubmed.ncbi.nlm.nih.gov/41364521/). *J Clin Invest*. [Basic Science / Preclinical]
Nesseler N (2026). [PMID: 42157260](https://pubmed.ncbi.nlm.nih.gov/42157260/). *Crit Care*. [Other]
Li X (2026). [PMID: 41543089](https://pubmed.ncbi.nlm.nih.gov/41543089/). *Clin Lab*. [Case Report / Case Series]
Bai J (2026). [PMID: 41313954](https://pubmed.ncbi.nlm.nih.gov/41313954/). *Transfus Apher Sci*. [Case Report / Case Series]
von der Forst M (2026). [PMID: 41576750](https://pubmed.ncbi.nlm.nih.gov/41576750/). *Thromb Res*. [Epidemiology / Natural History]