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Monarch Initiative

Monarch biomedical knowledge graph — diseases, phenotypes, genes, variants

Install Monarch Initiative

Pick your client, then add it in one click or paste the config.

STDIONode.js
~/Library/Application Support/Claude/claude_desktop_config.json
claude_desktop_config.json
{
  "mcpServers": {
    "monarch-initiative": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-monarch-initiative"
      ]
    }
  }
}

Settings → Developer → Edit Config, merge this into mcpServers, then fully quit and reopen Claude Desktop.

We couldn’t confirm it starts correctly

The install command started, but didn't respond the way we expected when we tried to talk to it.

npx -y @pipeworx/mcp-monarch-initiative

initialize succeeded but no response to tools/list.

This is an experimental automated check and can have false negatives — missing environment variables, a slow cold install, etc. It doesn’t necessarily mean something’s wrong. Last checked 8d ago.

Overview

Security & health

What it can reach and how reliably it runs — from our own checks, not the maintainer’s claims.

ActiveLast checked 2d ago

Recent health check succeeded.

7/7 checks healthy over the last 45d

Supply-chain signal

No high-severity advisories surfaced by our automated scan.

Critical 0High 0Medium 0Low 0

Scanned 14d ago via OSV.dev · @pipeworx/mcp-monarch-initiative (npm)

Adoption & maintenance

Factual signals from GitHub, npm, and our automated checks — not a rating.

npm downloads452Package downloads in the last 30 days.
Last commit26d agoMost recent push to the default branch.
Install checkInconclusiveStarted but did not complete the MCP handshake in our test.
Directory activity3 viewsConfig copies, upvotes, and views on AllMCPs.

From the project README

@pipeworx/monarch-initiative

Monarch Initiative MCP — biomedical knowledge graph linking diseases, phenotypes, genes, and variants across species. Keyless.

Part of Pipeworx — an MCP gateway connecting AI agents to 1683+ live data sources.

Tools

  • search(query, category?, limit?, offset?) — full-text node search
  • entity(id) — single node by curie (e.g. MONDO:0007947)
  • associations(entity_id, category?, predicate?, direction?, limit?) — associations involving an entity
  • phenotype_to_gene(phenotype_id) — gene candidates for a phenotype (HP:…)
  • gene_to_disease(gene_id) — diseases associated with a gene

Data source

https://api.monarchinitiative.org/v3/api/

Quick Start

Add to your MCP client (Claude Desktop, Cursor, Windsurf, etc.):

config.json
{
  "mcpServers": {
    "monarch-initiative": {
      "url": "https://gateway.pipeworx.io/monarch-initiative/mcp"
    }
  }
}

What this endpoint actually serves

tools/list at https://gateway.pipeworx.io/monarch-initiative/mcp returns the tools in the table above plus the shared Pipeworx meta-tools — ask_pipeworx, discover_tools, search_within, remember/recall and the rest of the gateway-wide set. So the tool count you see is larger than this table: a single-pack endpoint currently lists roughly 30 shared tools alongside the pack's own. The connection's initialize response states its exact scope, and is the authoritative answer for a given day.

This is deliberate, not multiplexing by accident. The meta-tools are what let a scoped connection answer a question this pack does not cover — via ask_pipeworx, which routes across the whole catalog — without you adding a second MCP server. There is currently no way to mount a pack endpoint without them; if the extra schemas cost you more context than the routing is worth, connect to the full gateway once rather than to several pack endpoints.

Or connect to the full Pipeworx gateway to get every pack's tools listed directly, instead of just this one's:

config.json
{
  "mcpServers": {
    "pipeworx": {
      "url": "https://gateway.pipeworx.io/mcp"
    }
  }
}

Both URLs reach the same gateway and the same 1683+ data sources. The only difference is which pack's tools are listed directly; ask_pipeworx reaches all of them from either one.

No MCP client? Call it over HTTP

Terminal
curl -X POST https://gateway.pipeworx.io/v1/tools/monarch_initiative_search \
  -H 'Content-Type: application/json' \
  -d '{"query":"cystic fibrosis","category":"biolink:Disease","limit":20}'

No account needed for the first calls. Inspect any tool: GET https://gateway.pipeworx.io/v1/tools/monarch_initiative_search. Find one: POST https://gateway.pipeworx.io/v1/tools/search_packs with {"query":"..."}.

Standalone (no gateway account)

This package also runs as a local stdio MCP server — no Pipeworx account, no gateway round-trip:

config.json
{
  "mcpServers": {
    "monarch-initiative": {
      "command": "npx",
      "args": ["-y", "@pipeworx/mcp-monarch-initiative"]
    }
  }
}

Or run it directly to confirm it starts:

Terminal
npx -y @pipeworx/mcp-monarch-initiative

It speaks MCP over stdin/stdout and answers initialize/tools/list/tools/call for only this pack's tools — none of the shared meta-tools the gateway connection above adds. Same source, same tools, no ask_pipeworx routing.

Using with ask_pipeworx

Instead of calling tools directly, you can ask questions in plain English — this works on the pack endpoint above as well as on the full gateway:

Code
ask_pipeworx({ question: "your question about Monarch Initiative data" })

The gateway picks the right tool and fills the arguments automatically.

More

License

MIT

Reviews

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Frequently Asked Questions about Monarch Initiative

Monarch Initiative is an MCP server that provides access to a biomedical knowledge graph linking diseases, phenotypes, genes, and variants across species. It offers search, entity lookup, association queries, phenotype-to-gene candidate retrieval, and gene-to-disease lookups. The server is keyless and uses Monarch Initiative data.

Use the `search(query, category?, limit?, offset?)` tool for full-text node searches. You can search for biomedical concepts such as diseases, phenotypes, genes, or variants and optionally provide a category, result limit, and offset.

The server provides `search`, `entity`, `associations`, `phenotype_to_gene`, and `gene_to_disease`. These tools support full-text search, CURIE-based entity lookup, association exploration, phenotype-to-gene candidate retrieval, and gene-to-disease queries.

Connect an MCP client to `https://gateway.pipeworx.io/monarch-initiative/mcp`, or run `npx -y @pipeworx/mcp-monarch-initiative` as a local stdio MCP server. The gateway endpoint includes shared Pipeworx meta-tools, while the standalone server exposes only the Monarch Initiative tools.

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