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An area of necrotic bone in the mandible or maxilla.
Biomarker and diagnostic research for osteonecrosis of the jaw has been reported in the published literature.
No approved treatments are currently available for osteonecrosis of the jaw. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for osteonecrosis of the jaw, 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 osteonecrosis of the jaw. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
13 clinical trials registered, 4 recruiting. Interventions under study include other interventions, procedural interventions, medical devices, and drug therapy. Pipeline includes 1 PHASE3, 1 PHASE2, 5 NA. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT05795647](https://clinicaltrials.gov/study/NCT05795647) |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 8:44 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
Recombinant human platelet derived growth factor BB | Recombinant human platelet derived growth factor BB | Luitpold Pharmaceuticals, Inc. | 2007 | — | Designated |
Gene therapy approaches for osteonecrosis of the jaw have been reported in the published literature.
13 trials found
The PENTO Protocol in Medication-related Osteonecrosis of the Jaw |
PHASE2 |
University Hospital, Limoges |
RECRUITING |
[NCT06457776](https://clinicaltrials.gov/study/NCT06457776) | Medication Related Osteonecrosis of the Jaws (MRONJ) in a Cohort of Patients Treated by Antiresorptive Drugs | — | Catholic University of the Sacred Heart | RECRUITING |
[NCT06430762](https://clinicaltrials.gov/study/NCT06430762) | Therapeutic Exposures and Risk Factors in MRONJ | — | Marmara University | RECRUITING |
[NCT07435259](https://clinicaltrials.gov/study/NCT07435259) | Comparing Implant Retention Versus Removal for MRONJ at Implant Sites | NA | Kyunghee University Dental Hospital | RECRUITING |
248 publications have been identified in PubMed for osteonecrosis of the jaw. Kisho has analyzed 112 by research type. Research spans Review / Meta-Analysis (45%), Epidemiology / Natural History (20%), and Basic Science / Preclinical (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 50 | 45% |
Disease patterns and progression | 22 | 20% |
Laboratory research | 18 | 16% |
Clinical study results | 10 | 9% |
Patient case studies | 6 | 5% |
Testing and diagnosis research | 3 | 3% |
New treatment approaches | 3 | 3% |
Cintra LTA (2026). [PMID: 41225109](https://pubmed.ncbi.nlm.nih.gov/41225109/). *Adv Exp Med Biol*. [Review / Meta-Analysis]
Nischal V (2026). [PMID: 30521192](https://pubmed.ncbi.nlm.nih.gov/30521192/). *Unknown Journal*. [Review / Meta-Analysis]
Ruiz Rincón M (2026). [PMID: 41352995](https://pubmed.ncbi.nlm.nih.gov/41352995/). *Oral Surg Oral Med Oral Pathol Oral Radiol*. [Review / Meta-Analysis]
Oliveira AVG (2026). [PMID: 41794596](https://pubmed.ncbi.nlm.nih.gov/41794596/). *Oral Surg Oral Med Oral Pathol Oral Radiol*. [Review / Meta-Analysis]
Macari S (2026). [PMID: 41354410](https://pubmed.ncbi.nlm.nih.gov/41354410/). *Crit Rev Oncol Hematol*. [Review / Meta-Analysis]
Nowak AZ (2026). [PMID: 41954070](https://pubmed.ncbi.nlm.nih.gov/41954070/). *Dent Med Probl*. [Epidemiology / Natural History]
Ou L (2026). [PMID: 40908637](https://pubmed.ncbi.nlm.nih.gov/40908637/). *Cell Prolif*. [Basic Science / Preclinical]
Zhang H (2026). [PMID: 41354629](https://pubmed.ncbi.nlm.nih.gov/41354629/). *Adv Sci (Weinh)*. [Basic Science / Preclinical]
Aoki T (2026). [PMID: 41672804](https://pubmed.ncbi.nlm.nih.gov/41672804/). *Oral Surg Oral Med Oral Pathol Oral Radiol*. [Diagnostic / Biomarker]
Alaranji G (2026). [PMID: 32966002](https://pubmed.ncbi.nlm.nih.gov/32966002/). *Unknown Journal*. [Review / Meta-Analysis]
AI-curated news mentioning osteonecrosis of the jaw
Updated Aug 7, 2026
A case study highlights capitate osteonecrosis in a patient with thalassemia, contributing to the understanding of complications associated with this blood disorder. This research may inform future clinical approaches to managing osteonecrosis in thalassemia patients.
A case report suggests a potential link between COVID-19 and Kienböck's disease, a rare form of osteonecrosis. This finding may prompt further investigation into the long-term effects of COVID-19 on bone health.
Research reveals that engineered exosomal miR-146a-5p can reprogram bone marrow stem cell fate and restore mitochondrial homeostasis in glucocorticoid-induced osteonecrosis of the femoral head. This study highlights a potential therapeutic approach for this condition.