Biomarker & Intervention Discovery

Coeliac Disease (Refractory / RCD)

This page lists 10 druggable gene targets, 42 approved or trial-tested drug candidates and 15 recent clinical trials for Coeliac Disease (Refractory / RCD), with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

Spontaneous remissionNo spontaneous remission — autoimmune injury continues as long as gluten is consumed; villous atrophy persists in…
Best-intervention remissionStrict gluten-free diet: histological remission (Marsh 0-1) in 60-70% at 2 years; mucosal healing complete in only…
Gap sizeModerate — GFD is effective but imperfect; adherence is the primary barrier; and no pharmacotherapy exists for GFD…
Primary barrierframing/biological
Full remission profile →

Remission & chronicity

Spontaneous remission
No spontaneous remission — autoimmune injury continues as long as gluten is consumed; villous atrophy persists in 30-40% at 5 years even on gluten-free diet (GFD) due to cross-contamination
Best-intervention remission
Strict gluten-free diet: histological remission (Marsh 0-1) in 60-70% at 2 years; mucosal healing complete in only ~40% at 5 years; non-responsive celiac in 7-30% (defined as persistent symptoms/histology on strict GFD)
Gap size
Moderate — GFD is effective but imperfect; adherence is the primary barrier; and no pharmacotherapy exists for GFD non-responders
Primary barrier
framing/biological
The GFD is the only treatment and no pharmacotherapy is approved, leaving 7-30% of non-responsive/refractory patients without additional options; even 'strict' adherence fails to achieve mucosal healing in a large minority due to food labelling gaps and cross-contamination; quality of life impact of GFD is substantial; refractory celiac disease Type II (RCDII) has very poor prognosis

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

CTLA4 33HLA-DQA1 17HLA-DQB1 24IFNG 31IL15 38IL21 2IL2RB 14JAK1 233JAK3 275TGM2 174
Therapeutic Agent Effect Direction Evidence Tier Potency Source
TUVONRALIMAB ? unclear Mechanistic
RIBAVIRIN ? unclear Mechanistic
QUAVONLIMAB ? unclear Mechanistic
THALIDOMIDE ? unclear Mechanistic
IPILIMUMAB ↓ inhibits Mechanistic
METHIMAZOLE ? unclear Mechanistic
BLEOMYCIN ? unclear Mechanistic
RECOMBINANT FAS LIGAND ? unclear Mechanistic
PEGINTERFERON ALFA-2A ? unclear Mechanistic
RETRO-INVERSO PEPTIDE ? unclear Mechanistic
CYCLOSPORINE ? unclear Mechanistic
PEGINTERFERON ALFA-2B ? unclear Mechanistic
VISILIZUMAB ? unclear Mechanistic
ANTIBIOTIC ? unclear Mechanistic
CADONILIMAB ↓ inhibits Mechanistic
PREDNISONE ? unclear Mechanistic
ERFONRILIMAB ↓ inhibits Mechanistic
ANTI-THYMOCYTE GLOBULIN ? unclear Mechanistic
ZALIFRELIMAB ↓ inhibits Mechanistic
WORTMANNIN ? unclear Mechanistic
FF-10501-01 ? unclear Mechanistic
ATEZOLIZUMAB ? unclear Mechanistic
DEHYDRATED ALCOHOL ? unclear Mechanistic
MELPHALAN ? unclear Mechanistic
TETRADECANOYLPHORBOL ACETATE ? unclear Mechanistic
ABATACEPT ? unclear Mechanistic
NURULIMAB ? unclear Mechanistic
INOSINE 5'-MONOPHOSPHATE DEHYDROGENASE INHIBITOR FF-10501-01 ? unclear Mechanistic
TREMELIMUMAB ↓ inhibits Mechanistic
BISPECIFIC ANTIBODY ? unclear Mechanistic
SIROLIMUS ? unclear Mechanistic
LORIGERLIMAB ? unclear Mechanistic
CHEMBL5291170 ↓ inhibits Mechanistic 31000.0 nM (Kd)
Therapeutic Agent Effect Direction Evidence Tier Potency Source
DOCETAXEL ANHYDROUS ? unclear Mechanistic
EPIRUBICIN ? unclear Mechanistic
AZATHIOPRINE ? unclear Mechanistic
MEASLES VACCINE ? unclear Mechanistic
FLOXACILLIN ? unclear Mechanistic
CYCLOPHOSPHAMIDE ANHYDROUS ? unclear Mechanistic
LAPATINIB ? unclear Mechanistic
LUMIRACOXIB ? unclear Mechanistic
INTERFERON BETA-1B ? unclear Mechanistic
FLUOROURACIL ? unclear Mechanistic
PEGASPARGASE ? unclear Mechanistic
TAMOXIFEN ? unclear Mechanistic
TRASTUZUMAB ? unclear Mechanistic
CARBAMAZEPINE ? unclear Mechanistic
MERCAPTOPURINE ? unclear Mechanistic
RECOMBINANT LYMPHOKINE ? unclear Mechanistic
INTERFERON BETA-1A ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
EPIRUBICIN ? unclear Mechanistic
INFLIXIMAB ? unclear Mechanistic
TICLOPIDINE ? unclear Mechanistic
CLAVULANIC ACID ? unclear Mechanistic
TAMOXIFEN ? unclear Mechanistic
AMOXICILLIN ANHYDROUS ? unclear Mechanistic
PEGASPARGASE ? unclear Mechanistic
TRASTUZUMAB ? unclear Mechanistic
DOCETAXEL ANHYDROUS ? unclear Mechanistic
ASPIRIN ? unclear Mechanistic
LAMOTRIGINE ? unclear Mechanistic
CARBAMAZEPINE ? unclear Mechanistic
ABACAVIR ? unclear Mechanistic
LUMIRACOXIB ? unclear Mechanistic
NEVIRAPINE ? unclear Mechanistic
FLOXACILLIN ? unclear Mechanistic
FLUOROURACIL ? unclear Mechanistic
METHOTREXATE ? unclear Mechanistic
HYDROXYCHLOROQUINE ? unclear Mechanistic
SULFASALAZINE ? unclear Mechanistic
CYCLOPHOSPHAMIDE ANHYDROUS ? unclear Mechanistic
FLUPIRTINE ? unclear Mechanistic
BUCILLAMINE ? unclear Mechanistic
ACETAMINOPHEN ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
GANCICLOVIR ? unclear Mechanistic
EMAPALUMAB ↓ inhibits Mechanistic
PEFLOXACIN ? unclear Mechanistic
TRETINOIN ? unclear Mechanistic
AMITRIPTYLINE HYDROCHLORIDE ? unclear Mechanistic
MELPHALAN ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
EDRECOLOMAB ? unclear Mechanistic
METHYLPREDNISOLONE ? unclear Mechanistic
DOXIFLURIDINE ? unclear Mechanistic
CYCLOPHOSPHAMIDE ANHYDROUS ? unclear Mechanistic
URSODIOL ? unclear Mechanistic
PREDNISONE ? unclear Mechanistic
BLEOMYCIN ? unclear Mechanistic
AMIKACIN ? unclear Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
FONTOLIZUMAB ↓ inhibits Mechanistic
AMG-811 ↓ inhibits Mechanistic
THEOPHYLLINE ? unclear Mechanistic
PENICILLIN G POTASSIUM ? unclear Mechanistic
TRASTUZUMAB ? unclear Mechanistic
FUMARIC ACID ? unclear Mechanistic
SURAMIN ? unclear Mechanistic
IBUPROFEN, SODIUM SALT ? unclear Mechanistic
THERAPEUTIC MELATONIN ? unclear Mechanistic
THERAPEUTIC AUTOLOGOUS LYMPHOCYTES ? unclear Mechanistic
THROMBIN ALFA ? unclear Mechanistic
INTERFERON ALFA-2B ? unclear Mechanistic
RECOMBINANT INTERLEUKIN-1-BETA ? unclear Mechanistic
CHEMBL3288259 ↓ inhibits Mechanistic 10000.0 nM (Kd)
CHEMBL3288260 ↓ inhibits Mechanistic 7000.0 nM (Kd)
Therapeutic Agent Effect Direction Evidence Tier Potency Source
IMMUNOADJUVANT ? unclear Mechanistic
RECOMBINANT CD40-LIGAND ? unclear Mechanistic
BACILLUS CALMETTE-GUERIN ANTIGEN ? unclear Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
CYCLOSPORINE ? unclear Mechanistic
ORDESEKIMAB ? unclear Mechanistic
MEGESTROL ACETATE ? unclear Mechanistic
MYCOPHENOLATE MOFETIL ? unclear Mechanistic
TETRADECANOYLPHORBOL ACETATE ? unclear Mechanistic
LEVODOPA ? unclear Mechanistic
SIROLIMUS ? unclear Mechanistic
LYMPHOKINE-ACTIVATED KILLER CELLS ? unclear Mechanistic
CHEMBL4102828 ↓ inhibits Mechanistic 48400.0 nM (Kd)
CHEMBL4103753 ↓ inhibits Mechanistic 19100.0 nM (Kd)
CHEMBL4085144 ↓ inhibits Mechanistic 11600.0 nM (Kd)
CHEMBL4101575 ↓ inhibits Mechanistic 24100.0 nM (Kd)
CHEMBL4066271 ↓ inhibits Mechanistic 19600.0 nM (Kd)
CHEMBL4093847 ↓ inhibits Mechanistic 21200.0 nM (Kd)
CHEMBL4087773 ↓ inhibits Mechanistic 42400.0 nM (Kd)
CHEMBL4088685 ↓ inhibits Mechanistic 26000.0 nM (Kd)
CHEMBL4096400 ↓ inhibits Mechanistic 19000.0 nM (Kd)
CHEMBL4069144 ↓ inhibits Mechanistic 20900.0 nM (Kd)
CHEMBL4070160 ↓ inhibits Mechanistic 25000.0 nM (Kd)
CHEMBL4101389 ↓ inhibits Mechanistic 21800.0 nM (Kd)
CHEMBL4066088 ↓ inhibits Mechanistic 78000.0 nM (Kd)
CHEMBL4067098 ↓ inhibits Mechanistic 16000.0 nM (Kd)
CHEMBL4864820 ↓ inhibits Mechanistic 4200.0 nM (IC50)
CHEMBL4878149 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4848978 ↓ inhibits Mechanistic 20000.0 nM (IC50)
CHEMBL4875914 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4868024 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4851186 ↓ inhibits Mechanistic 710.0 nM (IC50)
CHEMBL4846844 ↓ inhibits Mechanistic 280.0 nM (IC50)
CHEMBL4864898 ↓ inhibits Mechanistic 9500.0 nM (IC50)
CHEMBL4847472 ↓ inhibits Mechanistic 14900.0 nM (IC50)
CHEMBL4861648 ↓ inhibits Mechanistic 20000.0 nM (IC50)
CHEMBL4857666 ↓ inhibits Mechanistic 50.0 nM (IC50)
CHEMBL4852416 ↓ inhibits Mechanistic 3900.0 nM (Kd)
Therapeutic Agent Effect Direction Evidence Tier Potency Source
IL-21 ? unclear Mechanistic
NNC0114-0006 ~ modulates Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
BEMPEGALDESLEUKIN ? unclear Mechanistic
DENILEUKIN DIFTITOX ~ modulates Mechanistic
MIK-BETA-1 ↓ inhibits Mechanistic
BASILIXIMAB ↓ inhibits Mechanistic
ALDESLEUKIN ? unclear Mechanistic
HUMIK-BETA-1 ↓ inhibits Mechanistic
RECOMBINANT HUMAN INTERLEUKIN-15 ↑ activates Mechanistic
DACLIZUMAB ↓ inhibits Mechanistic
LEUKOCYTE INTERLEUKIN ? unclear Mechanistic
HUMAN INTERLEUKIN-2 ? unclear Mechanistic
SIMLUKAFUSP ALFA ~ modulates Mechanistic
RECOMBINANT INTERLEUKIN-2 ? unclear Mechanistic
PEGENZILEUKIN ↑ activates Mechanistic
NOGAPENDEKIN ALFA INBAKICEPT ↑ activates Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
TRICETAMIDE ↓ inhibits Mechanistic
NEZULCITINIB ↓ inhibits Mechanistic
IVARMACITINIB ↓ inhibits Mechanistic
OCLACITINIB ↓ inhibits Mechanistic
MOMELOTINIB ↓ inhibits Mechanistic 11.0 nM (IC50)
DECERNOTINIB ↓ inhibits Mechanistic
GOLIDOCITINIB ↓ inhibits Mechanistic
UPADACITINIB ↓ inhibits Mechanistic
LEPZACITINIB ↓ inhibits Mechanistic
BREPOCITINIB ↓ inhibits Mechanistic
COMPOUND 30 [PMID: 37057760] ↓ inhibits Mechanistic
WXFL10203614 ↓ inhibits Mechanistic
LIRUCITINIB ↓ inhibits Mechanistic
VEXICITINIB ↓ inhibits Mechanistic
ILGINATINIB ↓ inhibits Mechanistic
COMPOUND 5E [PMID: 28580438] ↓ inhibits Mechanistic
COMPOUND 25AP [PMID: 37796543] ↓ inhibits Mechanistic
ZEMPROCITINIB ↓ inhibits Mechanistic
PEMBROLIZUMAB ? unclear Mechanistic
AZD1480 ↓ inhibits Mechanistic
CERDULATINIB ↓ inhibits Mechanistic
LONDAMOCITINIB ↓ inhibits Mechanistic
JAK INHIBITOR 20A ↓ inhibits Mechanistic
FILGOTINIB ↓ inhibits Mechanistic
GUSACITINIB ↓ inhibits Mechanistic
COMPOUND 8L [PMID: 36053746] ↓ inhibits Mechanistic
COMPOUND 13AC [PMID: 33256400] ↓ inhibits Mechanistic
FEDRATINIB ↓ inhibits Mechanistic 100.0 nM (IC50)
FILGOTINIB MALEATE ↓ inhibits Mechanistic
PF-956980 ↓ inhibits Mechanistic
SDC-1801 ↓ inhibits Mechanistic
ROPSACITINIB ↓ inhibits Mechanistic
COMPOUND 18E [PMID: 31670517] ↓ inhibits Mechanistic
UPADACITINIB HEMIHYDRATE ↓ inhibits Mechanistic
BLOVACITINIB ↓ inhibits Mechanistic
DEURUXOLITINIB ↓ inhibits Mechanistic
RUXOLITINIB PHOSPHATE ↓ inhibits Mechanistic
SOLCITINIB ↓ inhibits Mechanistic
CEE321 ↓ inhibits Mechanistic
NIK INHIBITOR 12F ↓ inhibits Mechanistic

Showing top 40 of 233 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
TOFACITINIB ↓ inhibits Mechanistic 13.0 nM (IC50)
NEZULCITINIB ↓ inhibits Mechanistic
SORAFENIB ? unclear Mechanistic
2-TERT-BUTYL-9-FLUORO-1,6-DIHYDROBENZO[H]IMIDAZO[4,5-F]ISOQUINOLIN-7-ONE ↓ inhibits Mechanistic
RUXOLITINIB ↓ inhibits Mechanistic
PACRITINIB ↓ inhibits Mechanistic
FILGOTINIB ↓ inhibits Mechanistic
PIM KINASE INHIBITOR LGH447 ? unclear Mechanistic
QUIZARTINIB ? unclear Mechanistic
TASOCITINIB ? unclear Mechanistic 180.0 nM (Kd)
COMPOUND 18E [PMID: 31670517] ↓ inhibits Mechanistic
DECERNOTINIB ↓ inhibits Mechanistic
COMPOUND 13AC [PMID: 33256400] ↓ inhibits Mechanistic
DEXAMETHASONE ? unclear Mechanistic
IZENCITINIB ↓ inhibits Mechanistic
IBRUTINIB ↓ inhibits Mechanistic
VEXICITINIB ↓ inhibits Mechanistic
SELUMETINIB ? unclear Mechanistic
PF-06263276 ↓ inhibits Mechanistic
TOFACITINIB CITRATE ↓ inhibits Mechanistic
PEFICITINIB ↓ inhibits Mechanistic
COMPOUND 8 [PMID: 17480064] ? unclear Mechanistic
BARICITINIB ↓ inhibits Mechanistic
CYC-116 ? unclear Mechanistic
PF-956980 ↓ inhibits Mechanistic
CEP-33779 ↓ inhibits Mechanistic
SJ988497 ? unclear Mechanistic
JNJ-7706621 ? unclear Mechanistic 180.0 nM (Kd)
DELGOCITINIB ↓ inhibits Mechanistic
COMPOUND 2 [PMID: 15546730] ↓ inhibits Mechanistic
GANDOTINIB ↓ inhibits Mechanistic
TAMATINIB ? unclear Mechanistic
AT-9283 ↓ inhibits Mechanistic 1.1 nM (IC50)
RITLECITINIB ? unclear Mechanistic
CERDULATINIB ↓ inhibits Mechanistic
CENISERTIB ? unclear Mechanistic
CEE321 ↓ inhibits Mechanistic
R-333 ↓ inhibits Mechanistic
RITLECITINIB TOSYLATE ↓ inhibits Mechanistic
COMPOUND 1D [PMID: 21493067] ↓ inhibits Mechanistic

Showing top 40 of 275 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CORTICOTROPIN ? unclear Mechanistic
MIDAZOLAM HYDROCHLORIDE ? unclear Mechanistic
THROMBIN ALFA ? unclear Mechanistic
PROGESTERONE ? unclear Mechanistic
RETINYL ACETATE ? unclear Mechanistic
RECOMBINANT NERVE GROWTH FACTOR ? unclear Mechanistic
LEVAMISOLE HYDROCHLORIDE ? unclear Mechanistic
COMPOUND 11 [PMID: 37449845] ↓ inhibits Mechanistic
SIROLIMUS ? unclear Mechanistic
ISOTRETINOIN ? unclear Mechanistic
VITAMIN A COMPOUND ? unclear Mechanistic
VILAGLETISTAT ↓ inhibits Mechanistic
AMPHOTERICIN B LIPOSOMAL ? unclear Mechanistic
GENTAMICIN ? unclear Mechanistic
SODIUM BUTYRATE ? unclear Mechanistic
DECITABINE ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
HEPARAN SULFATE ? unclear Mechanistic
DEHYDRATED ALCOHOL ? unclear Mechanistic
ERW1041E ↓ inhibits Mechanistic
DOXORUBICIN HYDROCHLORIDE ? unclear Mechanistic
ANTINEOPLASTIC AGENT ? unclear Mechanistic
FINASTERIDE ? unclear Mechanistic
HEPARIN ? unclear Mechanistic
GEMCITABINE ? unclear Mechanistic
IONOMYCIN ? unclear Mechanistic
TNF-ALPHA ? unclear Mechanistic
PERFOSFAMIDE ? unclear Mechanistic
ACIVICIN ? unclear Mechanistic
RECOMBINANT INTERLEUKIN-8 ? unclear Mechanistic
CAMPTOTHECIN ? unclear Mechanistic
EFLORNITHINE ? unclear Mechanistic
TAMOXIFEN CITRATE ? unclear Mechanistic
GARLIC ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
ANTISERUM ? unclear Mechanistic
RECOMBINANT INTERLEUKIN-6 ? unclear Mechanistic
DEFEROXAMINE ? unclear Mechanistic
RECOMBINANT VASCULAR ENDOTHELIAL GROWTH FACTOR ? unclear Mechanistic
EDODEKIN ALFA ? unclear Mechanistic

Showing top 40 of 174 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Coeliac Disease (Refractory / RCD): recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT02633020 Phase: 2 Started: 2016-04-13

Protocol CELIM-RCD-002 is designed to evaluate the efficacy and safety of AMG 714 for the treatment of adult patients with type II refractory celiac disease (RCD-II), an in-situ small bowel T-cell lymphoma.

NCT07815821 Phase: N/A Started: 2024-02-01

The goal of this clinical trial is to evaluate the effect of A2 β-casein-containing milk and dairy product consumption on nutritional status, gastrointestinal symptoms, quality of life, sleep quality, and selected biochemical parameters in adolescents aged 10-18 years with celiac disease. The main q...

NCT06807463 Phase: 2 Started: 2025-03-31

The primary efficacy objective of the trial is to assess the ability of TEV-53408 to attenuate gluten-induced enteropathy in adults with celiac disease. The primary safety objective of the trial is to assess the safety of TEV-53408 in adults with celiac disease. A secondary objective is to further a...

NCT04530123 Phase: 2 Started: 2022-06-23

The main aim of the study is to assess if TAK-101 can reduce gluten related symptoms and immune activation in adult participants with celiac disease (CeD) on a gluten-free diet (GFD). Participants will receive TAK-101 and/or placebo through the vein on Day 1 and Day 8. All participants will receive ...

NCT05636293 Phase: 2 Started: 2023-03-01

Subjects include: aged 18 to 75 years, inclusive, have biopsy-confirmed disease that is clinically inactive as determined by negative celiac disease (CeD) serology and histology (determined via endoscopy at time of screening), have followed a gluten-free diet (GFD) for ≥6 months as reported by the s...

NCT03562221 Phase: N/A Started: 2018-12-04

This study aims to investigate the impact of being on a gluten free diet the first three years of life compared to a daily intake of a probiotic supplementation or placebo on the risk of developing celiac disease autoimmunity or celiac disease in genetically susceptible children. This is a three-arm...

NCT06557772 Phase: 2 Started: 2024-08-29

This is a Phase 2a/b, randomized, double-blind, placebo-controlled, parallel-group, 6-arm study to evaluate the efficacy and safety of amlitelimab in adult participants with non-responsive celiac disease (NRCD) who are on a gluten free diet (GFD) with and without simulated inadvertent gluten exposur...

NCT07239336 Phase: 2 Started: 2025-12-16

The main aim is to see how DONQ52 works to improve small intestinal damage and reduce celiac-related symptoms due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls.

NCT06310291 Phase: Early 1 Started: 2024-08-01

GLU001 is a first-in-human clinical trial to assess the safety and tolerability of VTP-1000 for adults with celiac disease. This trial will assess VTP-1000 at various dose levels compared to placebo in a single ascending dose (SAD) and multiple ascending dose (MAD) format. Participants will be follo...

NCT07585669 Phase: N/A Started: 2025-10-01

The goal of this clinical trial is to learn if omega-3 fatty acid supplements (n-3 PUFAs) can help reduce inflammation and promote intestinal healing in adults newly diagnosed with celiac disease (CD). Celiac disease is a chronic autoimmune disorder where eating gluten-a protein found in wheat-trigg...

NCT06178107 Phase: N/A Started: 2022-04-12

Recent studies have also shown that 30% of the world's population carries the susceptibility genes for coeliac disease and that only 2-5% of these individuals are really affected, however, studies suggest the existence of other factors capable of contributing to the onset of the disease, such as int...

NCT07563582 Phase: N/A Started: 2025-12-23

Celiac disease in children is frequently associated with iron deficiency and/or iron deficiency anemia due to intestinal malabsorption and chronic inflammation. Although a gluten-free diet is the standard treatment and can restore iron balance over time, there is currently no clear evidence or conse...

NCT04014660 Phase: N/A Started: 2019-10-01

The incidence of autoimmune diseases (celiac disease, type 1 diabetes, thyroid disease) have increased over the past 30 years. Although most autoimmune diseases have a strong link to different risk genes, the rapid increase is thought to be due to changes in environmental factors. There is currently...

NCT07298343 Phase: 2 Started: 2024-06-10

A study to discover if ZED1227 can improve continued celiac disease symptoms despite a gluten-free diet

NCT07360106 Phase: N/A Started: 2026-01-29

Coeliac Disease (CD) is a lifelong autoimmune condition where eating gluten (a protein found in wheat, barley, and rye) causes damage to the small intestine. It affects around 1 in 100 people. Most individuals feel better and their gut heals after switching to a strict gluten-free diet. However, up ...


Agents Found By Disease-Level Search

Searched directly from “Coeliac Disease (Refractory / RCD)” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 10-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

42 agents shown (approved or with trial evidence) — 41 not found by the gene-target search above.

GlutenNOT in gene-target list

· 5 trials · source: ClinicalTrials.gov
NCT00931892 NCT00931892 NCT03288831

larazotide acetateNOT in gene-target list

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00386165 NCT00386490

Celiac Plexus BlockNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT06793527 NCT05205720

TIMP-GLIANOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT03738475 NCT03486990

Aspergillus niger prolyl endoproteaseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00810654

Prednisolone and Gluten free dietNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01045837

Capsule EndoscopyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00555737

EUSNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01615653

gluten phaseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03129932

CALY-002NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04593251

Probiotic administration and glutenNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05798689

EUS-guided celiac plexus neurolysisNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00974948

Gluten ChallengeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01932476

wheat flourNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01762579

XyloseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01762579

First-Line Systemic TherapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07326137

Celiac Plexus Neurolysis (CPN)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07326137

triamcinoloneNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00583271

98% dehydrated alcoholNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00583271

ESP blockNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06793527

LidacaineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06793527

dehydrated alcohol

· 1 trial · source: ClinicalTrials.gov
NCT00578279

Celiac plexus SBRTNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07117032

Endoscopic Coeliac Artery Release (eCAR)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05468580

tissue transglutaminase autoantibodiesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03966625

Nexvax2NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03543540

Unilateral Neurolytic Celiac Plexus Block with Absolute AlcoholNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06316908

Bilateral Neurolytic Celiac Plexus Block with Absolute AlcoholNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06316908

B. infantisNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04769037

Blood draw once a timeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04351828

Pure, uncontaminated oatsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02612766

Celiac Plexus NeurolysisNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04403074

iVYCHECK GIP UrineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05186038

CeliacDetectNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05186038

KAN-101NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06001177

Probiotic supplementationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06884241

RopivacaineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05205720

Prolyl EndopeptidaseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04788797

latiglutenase (ALV003)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00669825

TAK-101NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04530123

Total laparoscopic proximal gastrectomy with preservation of both the hepatic and celiac branches of the vagus nerve, followed by double-tract reconstruction.NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07142122

Total laparoscopic proximal gastrectomy with preservation of the hepatic branch of the vagus nerve but deliberate resection of the celiac branch, followed by double-tract reconstruction.NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07142122

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.