Chronic intestinal failure

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1FDA treatments3Active trials45Specialists8Treatment centers1Financial resources

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

Chronic intestinal failure (CIF) is a rare and serious condition where the intestines cannot absorb enough nutrients, water, and electrolytes to keep the body healthy. This means the gut is unable to do its main job of digesting food and delivering what the body needs to survive and grow. People with this condition cannot maintain their nutrition through eating alone and typically need long-term intravenous (IV) nutrition, called parenteral nutrition, to stay alive and healthy. Chronic intestinal failure can happen for several reasons. It may result from short bowel syndrome (when a large portion of the small intestine has been surgically removed), motility disorders (where the intestines do not move food along properly), or conditions that damage the lining of the intestines so they cannot absorb nutrients. In children, it is often caused by birth defects of the gut, necrotizing enterocolitis, or conditions like Hirschsprung disease. In adults, common causes include Crohn's disease, blood vessel problems affecting the gut, radiation damage, or surgical complications. Key symptoms include severe weight loss, chronic diarrhea, dehydration, malnutrition, and deficiencies in vitamins and minerals. Treatment centers on providing adequate nutrition through IV feeding, managing the underlying cause, and preventing complications such as liver disease and bloodstream infections related to IV lines. In some cases, intestinal transplantation may be considered. Advances in parenteral nutrition and multidisciplinary care have significantly improved outcomes for many patients.

Also known as:

Key symptoms:

Severe weight loss or failure to gain weightChronic diarrheaDehydrationMalnutritionFatigue and weaknessVitamin and mineral deficienciesBloating and abdominal discomfortNausea and vomitingSwelling in the legs or feet from low protein levelsFrequent infections related to IV feeding linesPoor growth in childrenBone thinning or osteoporosisMuscle wastingDifficulty maintaining normal body temperature

Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Variable

Can begin at different ages, from infancy through adulthood

Orphanet ↗NORD ↗

FDA & Trial Timeline

10 events
Jul 2026The LIFT-ECHO Last Mile Project

Icahn School of Medicine at Mount Sinai — NA

TrialNOT YET RECRUITING
Apr 2026AGE Accumulation in Patients on Long-term Parenteral Nutrition (NUPARAGE2)

University Hospital, Bordeaux — NA

TrialNOT YET RECRUITING
Jan 2026Bisacodyl Oral for Lowering Dysfunction (of Tenckhoff Catheter)

Chinese University of Hong Kong — PHASE4

TrialNOT YET RECRUITING
Jan 2026Pediatric GI Endoscopy at Assiut University

Assiut University

TrialNOT YET RECRUITING
Jan 2026Precision Subtyping and Prognostic Study of Heart Failure Based on Multi-Omics Integration and Clinical Indicators: A Prospective Single-Center Cohort Study

Xinjiang Medical University

TrialNOT YET RECRUITING
Nov 2025Drug Interaction Potential of Pro-Inflammatory Conditions

Indiana University

TrialRECRUITING
Sep 2025Intestinal Microbiota Transplantation in Patients With Chronic Heart Failure

Melana Yuzefpolskaya, MD — PHASE1

TrialRECRUITING
Apr 2025Effect of Probiotic and Synbiotic Administration on Nutritional Status in Hemodialysis Patients

Mansoura University — NA

TrialNOT YET RECRUITING
Jan 2025The Role of Brain-Bone Marrow-Gut Interaction Following Major Trauma

University of Florida

TrialRECRUITING
Oct 2024The Gut Microbiome in Chronic Heart Failure

Nazarbayev University — NA

TrialRECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

1 available

Extraneal (with 7.5% Icodextrin) Peritoneal Dialysis Solutio

Icodextrin 7.5% with Electrolytes Peritoneal Dialysis Solution· Baxter Healthcare Corporation
For use as a single daily exchange for the long (8-16 hour) dwell during continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD) for the management of chronic renal fai

For use as a single daily exchange for the long (8-16 hour) dwell during continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD) for the management of chronic renal failure

Clinical Trials

3 recruitingView all trials with filters →
N/A2 trials
Changing the Future of Intestinal Failure in Intestinal Chronic Inflammation (INT-FAIL)
N/A
Active
PI: Alfredo Papa, MD (Fondazione Policlinico A. Gemelli IRCCS, Rome) · Sites: Roma · Age: 1875 yrs
Anabolic Response To Intravenous Amino Acids In Chronic Intestinal Failure Patients
N/A
Actively Recruiting
· Sites: Ljubljana · Age: 1899 yrs
Other1 trial
Prospective Multisite Study of Quality of Life in Pediatric Intestinal Failure
Actively Recruiting
PI: Patrick J Javid, MD (Seattle Children's Hospital) · Sites: Birmingham, Alabama; Aurora, Colorado +12 more · Age: 025 yrs

Specialists

Showing 25 of 45View all specialists →
FM
Florian POULLENOT, MD
Specialist
PI on 2 active trials
CM
Clair A Francomano, MD
INDIANAPOLIS, IN
Specialist
PI on 1 active trial
EM
Evandro T Mesquita, MD,PhD
Specialist
PI on 1 active trial
AM
Annelise C Costanza, MD
Specialist
PI on 1 active trial1 Chronic intestinal failure publication
VI
Vladimir Ivashkin
Specialist
PI on 1 active trial1 Chronic intestinal failure publication
AM
Alicia Mohr, MD
GAINESVILLE, FL
Specialist
PI on 1 active trial1 Chronic intestinal failure publication
GM
Gary Briefel, M.D.
BALTIMORE, MD
Specialist
PI on 1 active trial
SM
Subodh J Saggi, M.D., MPH
BROOKLYN, NY
Specialist
PI on 1 active trial
EF
Eli Friedman, M.D., MACP, FRCP
Specialist
PI on 1 active trial
GM
Giuseppe Losurdo, MD
NEW YORK, NY
Specialist
PI on 1 active trial1 Chronic intestinal failure publication
LM
Laura Dember, MD
PHILADELPHIA, PA
Specialist
PI on 1 active trial1 Chronic intestinal failure publication
DM
Dominic Raj, MD
WASHINGTON, DC
Specialist
PI on 1 active trial
JM
Jaime Uribarri, MD
NEW YORK, NY
Specialist
PI on 2 active trials
AM
Andreana De Mauri
Specialist
PI on 1 active trial4 Chronic intestinal failure publications
GP
Gabriel Olveira, MD, PhD
Specialist
PI on 1 active trial
FP
Fazheng Ren, PhD
Specialist
PI on 1 active trial
UM
Ursula K. Braun, MD MPH
HOUSTON, TX
Specialist
PI on 1 active trial
SM
Stephanie DeLoach, M.D.
NEW YORK, NY
Specialist
PI on 2 active trials
MM
Martin Fortin, MD, M.Sc
Specialist
PI on 1 active trial2 Chronic intestinal failure publications
JP
J Richard Landis, PhD
Specialist
PI on 1 active trial
MP
Marielle PKJ Engelen, PhD
Specialist
PI on 1 active trial
MM
Mary Mallapallil, M.D.
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Financial Resources

1 resources

IVABRADINE

Amgen

Chronic Systolic Heart Failure

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copay card
Copay CardPatient Assistance
Accepting applications

Travel Grants

No travel grants are currently matched to Chronic intestinal failure.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Chronic intestinal failure

Disease timeline:

New recruiting trial: Different Intervention Models of Premature Infants Based on the ICF Biopsychosocial Model

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: Intestinal Microbiota Transplantation in Patients With Chronic Heart Failure

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: The Gut Microbiome in Chronic Heart Failure

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: Drug Interaction Potential of Pro-Inflammatory Conditions

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: The Role of Brain-Bone Marrow-Gut Interaction Following Major Trauma

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: Rifaximin and Cardiac Function in Patients with Heart Failure with Preserved Ejection Fraction

A new clinical trial is recruiting patients for Chronic intestinal failure

New recruiting trial: Anabolic Response To Intravenous Amino Acids In Chronic Intestinal Failure Patients

A new clinical trial is recruiting patients for Chronic intestinal failure

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What is the underlying cause of my intestinal failure, and can it be treated?,How long will I need parenteral nutrition, and is there a chance I can reduce or stop it over time?,Am I a candidate for teduglutide (Gattex/Revestive) or other medications to help my gut absorb more?,What are the risks of long-term parenteral nutrition, and how will you monitor for complications like liver disease?,Should I be referred to a specialized intestinal rehabilitation center?,What dietary changes can help maximize what my intestines can absorb?,Under what circumstances would intestinal transplantation be considered for me?

Common questions about Chronic intestinal failure

What is Chronic intestinal failure?

Chronic intestinal failure (CIF) is a rare and serious condition where the intestines cannot absorb enough nutrients, water, and electrolytes to keep the body healthy. This means the gut is unable to do its main job of digesting food and delivering what the body needs to survive and grow. People with this condition cannot maintain their nutrition through eating alone and typically need long-term intravenous (IV) nutrition, called parenteral nutrition, to stay alive and healthy. Chronic intestinal failure can happen for several reasons. It may result from short bowel syndrome (when a large por

Are there clinical trials for Chronic intestinal failure?

Yes — 3 recruiting clinical trials are currently listed for Chronic intestinal failure on UniteRare. See the clinical trials section on this page for phase, sponsor, and site details sourced from ClinicalTrials.gov.

Which specialists treat Chronic intestinal failure?

25 specialists and care centers treating Chronic intestinal failure are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.

What treatment and support options exist for Chronic intestinal failure?

1 patient support program are currently tracked on UniteRare for Chronic intestinal failure. See the treatments and support programs sections for copay assistance, eligibility, and contact details.