ORPHA:440368
Necrotizing soft tissue infection
Also known as: NSTI
Publications
1,569
Trials
8
Interventional, condition-specific
Researchers
983
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare infectious disease characterized by painful, rapidly infection of deep soft tissue structures. Infections can be mono- or polymicrobial and involve gram-positive cocci, enteric gram-negative bacilli, anaerobes, among others. Fungal infections have also been described in rare cases. Physical examination findings are often subtle and may include erythema, bullae, induration of subcutaneous tissues, and tenderness to palpation.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018602
- UMLS:C2732890
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
1,569 matched papers (1,216 in last 10 years) Source
- Phenotype characterisedNot checked
Not yet enriched from Monarch / HPO
- Animal modelNot checked
Not yet enriched from Monarch / Alliance
- Orphan designationNot checked
FDA/EMA orphan-drug designation not enriched yet
- Interventional trialPresent
8 matched on ClinicalTrials.gov (3 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
Not enriched in this build — Monarch phenotype joins were not run for this record.
Animal models (Monarch / Alliance)
Not enriched in this build.
Literature
Is anyone studying this?
1,569
1,569 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.
1,569 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).
1,216 in the last 10 years · low confidence
Phrase hits: 1,569 · MeSH hits: 0
Who's working on it?
983
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Wang X5 papers · 2026
Department of Anorectal Surgery, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Papers in Europe PMC - 02Inaba K4 papers · 2026
Division of Acute Care Surgery, Los Angeles General Medical Center, University of Southern California, Los Angeles, CA, USA.
Papers in Europe PMC - 03Coimbra R3 papers · 2026
Division of Trauma and Acute Care Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USA.
Papers in Europe PMC - 04Kashimoto T3 papers · 2026
Laboratory of Veterinary Public Health, School of Veterinary Medicine, Kitasato University, Aomori, Japan.
Papers in Europe PMC - 05Kim D3 papers · 2026
Department of Surgery, Victoria General Hospital, Victoria, BC, Canada.
Papers in Europe PMC - 06Tonosaki Y3 papers · 2026
Laboratory of Veterinary Public Health, School of Veterinary Medicine, Kitasato University, Aomori, Japan.
Papers in Europe PMC - 07Wang L3 papers · 2026
Department of Medical, Southeast University, 87 Dingjiaqiao street, Nanjing, Jiangsu Province, China.
Papers in Europe PMC - 08Yamazaki K3 papers · 2026
Laboratory of Veterinary Public Health, School of Veterinary Medicine, Kitasato University, Aomori, Japan.
Papers in Europe PMC - 09Alexander J2 papers · 2026
Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Papers in Europe PMC - 10Alvarez C2 papers · 2026
Department of Surgery, Division of Division of Trauma, Burns and Surgical Critical Care, University of California Irvine, Orange, CA, USA.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
8
interventional trials for this specific condition
8 interventional trials matched this specific condition name; 3 currently recruiting in our sample.
Data as of 27 July 2026
8 interventional trials — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 90.6th percentile).
low confidence · 90.6th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
8 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT03482245·RECRUITING·The Role of Circadian Clock Proteins in Innate and Adaptive Immunity
Conditions: Pneumonia · Necrotizing Soft Tissue Infection · Intraabdominal Infections · Infection Joint·Matched via name phrase
- NCT06857708·RECRUITING·The Management of Necrotizing Soft Tissue Infection Wounds With Cytal® Wound Matrix and MicroMatrix®
Conditions: Necrotizing Fascitis · Necrotizing Soft Tissue Infection·Matched via name phrase
- NCT07489274·RECRUITING·Adjunctive Hyperbaric Oxygen Treatment for Patients With Necrotizing Soft-Tissue Infection (HOT-NSTI Trial).
Conditions: Necrotizing Soft Tissue Infection·Matched via name phrase
Observational and natural-history studies
10 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT06002607·RECRUITING·Shorter Versus Extended Course of Antibiotic Therapy for Necrotizing Soft Tissue Infections
Conditions: Necrotizing Soft Tissue Infection·Matched via name phrase
- NCT05243966·RECRUITING·Myriad™ Augmented Soft Tissue Reconstruction Registry
Conditions: Abdominal Wound Dehiscence · Necrotizing Soft Tissue Infection · Lower Extremity Wound · Pilonidal Sinus·Matched via name phrase
- NCT07107555·ENROLLING BY INVITATION·Necrotizing Soft Tissue Infections
Conditions: Necrotizing Soft Tissue Infection · Fournier Gangrene · Sepsis · Surgical Infection·Matched via name phrase
Where to find support
We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Necrotizing soft tissue infection"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Necrotizing soft tissue infection"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 8 interventional · 10 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: NSTI
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (1569) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T16:20:49.523Z
