Stomatitis

disease
On this page

Also known as inflammation of mouth mucosamouth mucosa inflammationmucositis oraloral mucositis

Summary

Stomatitis (MONDO:0004842) is a disease (an umbrella term covering 7 Mondo subtypes) with 10 GWAS associations across 26 studies and 207 clinical trials. Top therapeutic interventions include benzydamine, palifermin, and chlorhexidine. A subtype of mucositis — broader associated-gene and molecular evidence is on the parent page (see Disease family below).

At a glance

  • Umbrella term: 7 Mondo subtypes
  • GWAS associations: 10
  • Clinical trials: 207

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namestomatitis
Mondo IDMONDO:0004842
EFOEFO:0009688
MeSHD013280
DOIDDOID:9637
NCITC26887
SNOMED CT61170000
UMLSC0038362
MedGen52511
Is cancer (heuristic)no

Also known as: inflammation of mouth mucosa · mouth mucosa inflammation · mucositis oral · oral mucositis

Data availability: 10 GWAS associations (26 studies).

Disease family

This is a subtype of mucositis. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.

Classification path: disease › human disease › disease by developmental or physiological process › inflammatory diseasemucositisstomatitis

Related subtypes (5): gastrointestinal mucositis, endometritis, rhinitis, epiglottitis, tracheitis

Subtypes (7): gingivitis, aphthous stomatitis, ulcerative stomatitis, canker sore, chemotherapy-induced oral mucositis, herpes simplex virus gingivostomatitis, denture stomatitis

Genetics & variants

GWAS landscape

10 GWAS associations across 26 studies. Top hits map to 7 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs3687326114e-12SLC4A8A3.42
rs9018955881e-11PWRN1A3.09
rs5369229993e-11NTRK3T3.54
rs22391412e-09VWF?
rs120290034e-07TMIGD3?3
rs124330345e-07LINC02332?2.8
rs1417486905e-07LINC02214 - RPL35AP15?3.7
rs1436858749e-07LINC02504?3.5
rs12333781e-06SUMO2P1 - MOG?2.4
rs1397614392e-06ITLN1 - ITLN2?

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90652237Liu TY20255,562215,085Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90473764UK Biobank Whole-Genome Sequencing Consortium20254,234454,206Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90651342Liu TY20253,888215,085Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90726978Kim HI20262,00142,025Exome sequencing and analysis of 44,028 British South Asians enriched for high autozygosity.
GCST90080179Backman JD20211,778382,114Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90084165Backman JD20211,778382,114Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90478306Verma A20241,710444,108Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90079555Backman JD20211,312386,618Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083541Backman JD20211,312386,618Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90080178Backman JD2021770385,531Exome sequencing and analysis of 454,787 UK Biobank participants.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic10

MAF distribution

BucketVariants
common (>=0.05)5
low_freq (0.01-0.05)0
rare (<0.01)3
unknown2

Functional consequences

ConsequenceCount
intron_variant9
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs3687326111251416407A>G0intron_variantSLC4A84e-12Tier 4: intronic/intergenic
rs9018955881524779338A>C0intron_variantPWRN11e-11Tier 4: intronic/intergenic
rs5369229991588019982T>A,C0intron_variantNTRK33e-11Tier 4: intronic/intergenic
rs2239141126091212T>Aintron_variantVWF2e-09Tier 4: intronic/intergenic
rs120290031111529398C>T0.05intron_variantTMIGD34e-07Tier 4: intronic/intergenic
rs124330341422557405T>A,C0.05non_coding_transcript_exon_variantLINC023325e-07Tier 4: intronic/intergenic
rs1417486905116796980T>C0.05intron_variantLINC02214 - RPL35AP155e-07Tier 4: intronic/intergenic
rs1436858744171295973CATGT>C0.05intron_variantLINC025049e-07Tier 4: intronic/intergenic
rs1233378629636347G>A0.05intron_variantSUMO2P1 - MOG1e-06Tier 4: intronic/intergenic
rs1397614391160939870A>Gintron_variantITLN1 - ITLN22e-06Tier 4: intronic/intergenic

Genes & proteins

No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).

Function

No pathway enrichment — requires an associated-gene cohort.

Therapeutics

Drugs indicated for this disease

1 approved, 13 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
PaliferminApproved (phase 4)
Avasopasem ManganesePhase 3 (in late-stage trials)
BenzydaminePhase 3 (in late-stage trials)
Bifidobacterium Spp.Phase 3 (in late-stage trials)
CisplatinPhase 3 (in late-stage trials)
CurcuminPhase 3 (in late-stage trials)
DiphenhydraminePhase 3 (in late-stage trials)
GlutaminePhase 3 (in late-stage trials)
Lactobacillus AcidophilusPhase 3 (in late-stage trials)
LidocainePhase 3 (in late-stage trials)
NepiderminPhase 3 (in late-stage trials)
NystatinPhase 3 (in late-stage trials)
ThalidomidePhase 3 (in late-stage trials)
UlinastatinPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Acetylcysteine, Aluminum Hydroxide, Amlexanox, Ascorbic Acid, Celecoxib, Chamomile, Chlorhexidine, Clazakizumab, Clonidine, Dexpanthenol, Dusquetide, Etanercept, Magnesium, Meclocycline Sulfosalicylate, Miconazole, Morphine, Nibrozetone, OMEGA-3-ACID ETHYL ESTERS, Povidone-Iodine, Sodium Chloride, Vitamin E, Wax, Emulsifying, Zinc Acetate Anhydrous.

Clinical trials & evidence

Clinical trials

Clinical trials: 207.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified91
PHASE254
PHASE326
PHASE411
PHASE111
PHASE2/PHASE36
PHASE1/PHASE24
EARLY_PHASE14

Top trials by phase / activity

NCTPhaseStatusTitle
NCT07357597PHASE4NOT_YET_RECRUITINGAn Open-label, Single-arm Study of Prophylaxis for Datopotamab Deruxtecan (Dato-DXd) -Related Stomatitis in Eligible Patients With Metastatic or Inoperable Locally Recurrent Breast Cancer or Locally Advanced or Metastatic Epidermal Growth Factor Receptor-Mutated Non-small Cell Lung Cancer.
NCT01115049PHASE4COMPLETEDHexetidine and Chlorobutanol for Lesions Due to Prostheses
NCT01283906PHASE4COMPLETEDA Study to Evaluate the Efficacy of MuGard for the Amelioration of Oral Mucositis in Head and Neck Cancer Patients
NCT01288625PHASE4WITHDRAWNProspective Study of Head and Neck Cancer Radiation Treatment With or Without Amifostine
NCT01876407PHASE4UNKNOWNEffectiveness of Low Energy Laser Treatment in Oral Mucositis Induced by Chemotherapy and Radiotherapy in Head and Neck Cancer
NCT02407834PHASE4COMPLETEDEffectiveness of Hygiene Solutions on Denture Biofilm
NCT02662374PHASE4UNKNOWNOral Hygiene Regimen in Patients on HCT
NCT03490396PHASE4TERMINATEDGelclair at Conditioning or After Oral Mucositis Diagnosed vs. Magic Mouth Wash in Stem Cell Transplant Recipients
NCT03867214PHASE4UNKNOWNEffects of Oral Care With Glutamine on Oral Health, Oral Flora and Incidence of Pneumonia After Neurosurgery With Microbiome Analysis
NCT05211622PHASE4UNKNOWNOZOCLO_MUCOSITIS: a New Protocol for Prevention of Oral Mucositis
NCT05818007PHASE4COMPLETEDIs Hyaluronic Acid Gel Effective on Oral Mucositis in Children Who Receiving Chemotherapy
NCT03983369PHASE3RECRUITINGLow-level Laser Therapy in the Prevention of Chemotherapy-induced Mucositis in Children and Young Adults
NCT06071637PHASE3RECRUITINGLow Power Laser Therapy As Prevention Of Oral Mucositis And Oropharyngeal Pain In Patients Undergoing Allogenetic HSCT
NCT07325383PHASE3ACTIVE_NOT_RECRUITINGSafety and Efficacy of N-Acetylcysteine Mouthwash in Prevention of Mucositis in HSCT Patients
NCT07543978PHASE3NOT_YET_RECRUITINGTraditional Chinese Medicine for the Prevention of Radiotherapy-Induced Oral Mucositis (RTOM)
NCT00001812PHASE3COMPLETEDA Randomized, Double-Blind, Placebo Controlled Trial Evaluating the Impact of Nystatin on the Development of Oral Irritation in Patients Receiving High Dose Intravenous Interleukin-2
NCT00041665PHASE3COMPLETEDRecombinant Human Keratinocyte Growth Factor to Reduce Oral Mucositis in Hematologic Malignancy Patients Undergoing Peripheral Blood Stem Cell Transplantation After Radiation and High-dose Chemotherapy
NCT00051441PHASE3COMPLETEDSafety & Efficacy Study of Benzydamine Oral Rinse for the Treatment of Oral Mucositis (Mouth Sores) Resulting From Radiation Therapy for Cancer of the Oral Cavity, Oropharynx, or Nasopharynx
NCT00101582PHASE3COMPLETEDPalifermin for the Reduction of Oral Mucositis in Patients With Locally Advanced Head and Neck Cancer
NCT00293462PHASE3COMPLETEDGM-CSF Mouthwash for Preventing and Treating Mucositis in Patients Undergoing Radiation Therapy for Head and Neck Cancer
NCT00574860PHASE3TERMINATEDEN3285 for the Prevention or Delay of Oral Mucositis in Patients With Head and Neck Cancer
NCT00790322PHASE3COMPLETEDEfficacy and Safety Study of SBG vs Placebo in Head and Neck Cancer Patients Undergoing Radiation Therapy
NCT01007617PHASE2/PHASE3UNKNOWNLow-energy Laser Therapy for Prevention of Oral Mucositis in Children
NCT01099891PHASE3UNKNOWNThe Clinical Study for Evaluation of Efficacy and Safety of EGF on Oral Mucositis in Radiation Therapy Patients
NCT01837446PHASE2/PHASE3COMPLETEDMorphine Mouthwash for Management of Oral Mucositis in Patients With Head and Neck Cancer
NCT02020928PHASE3UNKNOWNLaser Therapy Prevents Mucositis Oral in Chemotherapy for Bone Marrow Transplantation?
NCT02539342PHASE3TERMINATEDCaphosol Study: Prevention of Oral Mucositis in Children, Adolescents and Young Adults Receiving Chemotherapy
NCT02555501PHASE3COMPLETEDOral Mucositis and Laser Therapy Associated With Photodynamic Therapy
NCT02762019PHASE3COMPLETEDLaser for Oral Mucositis in Pediatric Onco-hematology
NCT02868151PHASE2/PHASE3COMPLETEDEffect of Oral Vitamin C in Assessing the Severity of Oral Mucositis in Chemoradiation of Head and Neck Cancers
NCT03237325PHASE3COMPLETEDDOM-INNATE: Study of SGX942 for the Treatment of Oral Mucositis in Patients With Concomitant Chemoradiation Therapy for Head and Neck Cancer
NCT03689712PHASE3COMPLETEDROMAN: Phase 3 Trial Investigating the Effects of GC4419 on Radiation Induced Oral Mucositis in Head/Neck Cancer Patients
NCT04080622PHASE3COMPLETEDEvaluate the Efficacy of Selenium for the Prevention of Chemotherapy-induced Mucositis During Autologous Stem Cell Transplantation.
NCT04187222PHASE3COMPLETEDEffect of Probiotic Use Bifidobacterium Animalis Subsp. Lactis in Peri-implant Mucositis
NCT04303312PHASE3UNKNOWNTreatment of Chemotherapy and Radiotherapy Induced Oral Mucositis
NCT04685395PHASE3UNKNOWNComparative Efficacy of Rebamipide Gargle And Benzydamine HCL Gargle in Prevention and Management of Chemo- and Radio-therapy-induced Oral Mucositis
NCT04896164PHASE3UNKNOWNRandomized Trial of Curcumin to Reduce Mucositis in Autologous Transplant Setting
NCT04995354PHASE2/PHASE3UNKNOWNEfficacy of EGF-loaded Self Healing Gel in Treatment of Oral Mucositis
NCT05214495PHASE2/PHASE3COMPLETEDOmega-3 Hydrogel and Prevention of Oral Mucositis
NCT05878405PHASE3COMPLETEDMethylene Blue Mouthwash for the Treatment of Oral Mucositis Pain in Patients With Cancer

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
BENZYDAMINE44
PALIFERMIN44
CHLORHEXIDINE43
GLUTAMINE43
METHYLENE BLUE CATION43
NYSTATIN42
SODIUM BICARBONATE42
ZINC ACETATE ANHYDROUS42
ALFACALCIDOL41
AMIFOSTINE41
AMLEXANOX41
ASCORBIC ACID41
DIPHENHYDRAMINE41
FOLIC ACID41
HEXETIDINE41
HYALURONIC ACID41
METHADONE HYDROCHLORIDE41
OLIVE OIL41
OXYCODONE HYDROCHLORIDE41
PHENYLEPHRINE41
PROCAINE41
SARGRAMOSTIM41
VALACYCLOVIR41
HONEY36
PROPOLIS WAX35
AVASOPASEM MANGANESE32
CURCUMIN32
DUSQUETIDE32
NIBROZETONE32
OZONE32