ClinicalTrials.gg
CompletedNCT07229469SUMAC-RASUpdated May 8, 2026

A Study on Sumac Mouth Rinse for Treating Recurrent Aphthous Stomatitis

An interventional study of Sumac mouth rinse and Tantum Verde mouth rinse in Recurrent Aphthous Stomatitis, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-08.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Dec 2023, registered Nov 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This randomized controlled clinical study aims to evaluate the effectiveness of a Sumac mouth rinse in the management of recurrent aphthous stomatitis (RAS). In addition to assessing clinical improvement in ulcer healing and pain reduction, biochemical analysis will be performed by measuring serum TNF-α levels to evaluate the anti-inflammatory effect of Sumac.

Read the detailed description

Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal disorders, characterized by recurrent, painful ulcers that interfere with eating and speaking. The etiology of RAS is multifactorial and involves immune dysregulation and increased levels of inflammatory cytokines, particularly tumor necrosis factor-alpha (TNF-α).

Sumac (Rhus coriaria) is a natural herbal extract known for its anti-inflammatory, antioxidant, and antimicrobial properties. This randomized controlled clinical study aims to evaluate the clinical effectiveness of a Sumac mouth rinse in promoting ulcer healing and reducing pain among patients with recurrent aphthous stomatitis.

In addition to clinical assessment, biochemical evaluation of serum TNF-α levels will be performed before and after treatment to investigate the possible anti-inflammatory mechanism of Sumac. The study findings are expected to provide new insights into the potential therapeutic role of Sumac in managing RAS.

02

Conditions studied

  • Recurrent Aphthous Stomatitis

Keywords

  • Sumac, Rhus coriaria, mouth rinse, recurrent aphthous stomatitis, oral ulcers, TNF-alpha, anti-inflammatory, herbal therapy, clinical trial
03

In context

Stomatitis, Aphthous

63 studies on the registry are indexed under Stomatitis, Aphthous; 17 are open to participants now.

This study's enrollment of 38 is close to the median of 41 across 54 interventional studies indexed under Stomatitis, Aphthous.

Browse Stomatitis, Aphthous studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,950 studies on the registry; 429 are open to participants now.

Of its 35 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged 18 years or older
  • Systemically healthy
  • Patients with recurrent aphthous stomatitis minor type
  • Duration of ulcer does not exceed 2 days
  • Oral pain score of 4 or higher on the Visual Analog Scale (VAS)

Exclusion criteria

Exclusion Criteria:

  • Patients with poor oral hygiene
  • Smokers and alcohol users
  • Pregnant or lactating females
  • Patients with a history of any topical or systemic medication or therapy within 1 month prior to the study
  • Vulnerable populations such as prisoners or individuals with mental or physical disabilities
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Study group

    Study group receiving sumac mouth rinse

    Other: Sumac mouth rinse

  • Active comparator
    Control group

    Control group receiving tantum Verde mouth rinse

    Drug: Tantum Verde mouth rinse

Interventions

  • OtherSumac mouth rinse

    Herbal mouth rinse containing Sumac extract

  • DrugTantum Verde mouth rinse

    Standard mouth rinse according to manufacturer instructions

06

What researchers measure

Primary outcomes

  1. Pain (VAS)

    Visual Analog Scale (VAS) to assess the intensity of oral ulcer pain reported by the patient, where 0 indicates no pain and 10 indicates the worst imaginable pain.

    Time frame: At the baseline / Day 2 / Day 6

  2. Ulcer size

    Measurement of the oral ulcer diameter in millimeters using a ruler or photographic analysis to evaluate ulcer size reduction over time.

    Time frame: At the baseline / Day 2 / Day 6

Secondary outcomes

  1. Healing index

    Healing index included four categories: 1. Complete reepithelialization 2. Incomplete reepithelialization 3. Ulcer 4. Tissue defect or necrosis

    Time frame: At the baseline / Day 2/ Day 6

  2. TNF- alpha

    Quantification of the inflammatory cytokine TNF-α in blood or saliva using ELISA to evaluate the inflammatory response associated with oral ulcers.

    Time frame: At the baseline/ Day 6

07

Study locations

1 site
  • Department of oral medicine, Faculty of dentistry, Ain Shams university
    Cairo, Cairo Governorate 11517, Egypt
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07229469
Responsible party
Sponsor
First posted
Nov 17, 2025
Start date
Dec 20, 2023
Primary completion
May 25, 2025
Completion
Aug 18, 2025
Last update
May 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion