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A rare pulmonary condition characterized by non-cardiogenic pulmonary edema occurring in otherwise healthy individuals within days of an ascent above 2500-3000 m. Early symptoms include exertional dyspnea, non-productive cough, chest tightness, and reduced exercise performance, followed by dyspnea at rest and possibly orthopnea, as well as gurgling in the chest and pink frothy sputum in advanced cases. Clinical signs are cyanosis, tachypnea, tachycardia, crackles or wheezing, and elevated body temperature (generally not exceeding 38.5°C). Signs of concomitant high-altitude cerebral edema may also be observed. Chest x-rays typically show patchy opacities predominantly in the right middle lobe.
Features include always present findings: Low blood oxygen levels (hypoxemia) and Pulmonary edema; and very common findings: Dyspnea. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 4 | Low blood oxygen levels (hypoxemia), Pulmonary edema, Dyspnea |
Biomarker and diagnostic research for high altitude pulmonary edema has been reported in the published literature.
No approved treatments are currently available for high altitude pulmonary edema. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for high altitude pulmonary edema, 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 high altitude pulmonary edema. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 2 always present features, 1 very common feature, 11 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
10 clinical trials registered, 1 recruiting. Interventions under study include other interventions, drug therapy, medical devices, and biologic therapy. Pipeline includes 1 PHASE4, 5 NA. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06152744](https://clinicaltrials.gov/study/NCT06152744) |
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 11:33 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
2 |
Tachycardia, Chest pain |
Digestive system | 2 | Nausea and vomiting, Anorexia |
Brain and nerves | 2 | Headache, Exercise intolerance |
Blood and immune system | 1 | Elevated white blood cell count (increased total leukocyte count) |
Metabolism | 1 | Fever |
Ears | 1 | Vertigo |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
synthetic peptide; cyclo-Cys-Gly-Gln-Arg-Glu-Thr-Pro-Glu-Gly-Ala-Glu-ALA-Lys-Pro-Trp-Tyr-Cys | synthetic peptide; cyclo-Cys-Gly-Gln-Arg-Glu-Thr-Pro-Glu-Gly-Ala-Glu-ALA-Lys-Pro-Trp-Tyr-Cys | Apeptico Forschung und Entwicklung GmbH | 2013 | — | Designated |
Gene therapy approaches for high altitude pulmonary edema have been reported in the published literature.
10 trials found
Evaluation of Membrane Lung Function in High-altitude Regions |
— |
Beijing Chao Yang Hospital |
RECRUITING |
102 publications have been identified in PubMed for high altitude pulmonary edema. Research spans Basic Science / Preclinical (25%), Review / Meta-Analysis (25%), and Case Report / Case Series (14%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 26 | 25% |
Research summaries | 25 | 25% |
Patient case studies | 14 | 14% |
New treatment approaches | 14 | 14% |
Testing and diagnosis research | 11 | 11% |
Disease patterns and progression | 6 | 6% |
Other research | 3 | 3% |
Clinical study results | 3 | 3% |
Wei X (2026). [PMID: 41953030](https://pubmed.ncbi.nlm.nih.gov/41953030/). *Front Immunol*. [Basic Science / Preclinical]
Millet GP (2026). [PMID: 41269159](https://pubmed.ncbi.nlm.nih.gov/41269159/). *High Alt Med Biol*. [Other]
Si S (2026). [PMID: 41848507](https://pubmed.ncbi.nlm.nih.gov/41848507/). *Adv Healthc Mater*. [Gene Therapy / Novel Therapeutics]
Paudyal A (2026). [PMID: 42254115](https://pubmed.ncbi.nlm.nih.gov/42254115/). *Ann Med Surg (Lond)*. [Case Report / Case Series]
Rodriguez JO (2026). [PMID: 41723859](https://pubmed.ncbi.nlm.nih.gov/41723859/). *J Spec Oper Med*. [Case Report / Case Series]
Li X (2026). [PMID: 41795851](https://pubmed.ncbi.nlm.nih.gov/41795851/). *Physiol Rep*. [Gene Therapy / Novel Therapeutics]
Wu P (2026). [PMID: 42072415](https://pubmed.ncbi.nlm.nih.gov/42072415/). *Biomedicines*. [Basic Science / Preclinical]
Xie J (2026). [PMID: 41695186](https://pubmed.ncbi.nlm.nih.gov/41695186/). *Front Med (Lausanne)*. [Case Report / Case Series]
McGowan J (2026). [PMID: 28723040](https://pubmed.ncbi.nlm.nih.gov/28723040/). *Unknown Journal*. [Review / Meta-Analysis]
Brillhart A (2026). [PMID: 42002892](https://pubmed.ncbi.nlm.nih.gov/42002892/). *High Alt Med Biol*. [Diagnostic / Biomarker]