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CTRI Number  CTRI/2024/08/072568 [Registered on: 16/08/2024] Trial Registered Prospectively
Last Modified On: 15/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Malabar spinach gel for reducing mouth discomfort and white patches in the mouth 
Scientific Title of Study   Comparative efficacy of topical Basella alba gel and Clobetasol propionate gel for the management of Oral Lichen Planus- a double blinded randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pavithra G 
Designation  Post graduate student 
Affiliation  KLE Vishwanath Katti Institute of Dental Sciences 
Address  Department of Oral Medicine and Radiology KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy Of Higher Education And Research, JNMC Campus, Nehru Nagar

Belgaum
KARNATAKA
590010
India 
Phone  9677533351  
Fax    
Email  paviviji75@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pavithra G 
Designation  Post graduate student 
Affiliation  KLE Vishwanath Katti Institute of Dental Sciences 
Address  Department of Oral Medicine and Radiology KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy Of Higher Education And Research, JNMC Campus, Nehru Nagar

Belgaum
KARNATAKA
590010
India 
Phone  9677533351  
Fax    
Email  paviviji75@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Zameera Naik 
Designation  Professor 
Affiliation  KLE Vishwanath Katti Institute of Dental Sciences 
Address  Department of Oral Medicine and Radiology KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy Of Higher Education And Research, JNMC Campus, Nehru Nagar

Belgaum
KARNATAKA
590010
India 
Phone  9448854710  
Fax    
Email  drznaik@gmail.com  
 
Source of Monetary or Material Support  
KLE Vishwanath Katti Institute of Dental Sciences, BELAGAVI KARNATAKA 590010 
 
Primary Sponsor  
Name  Dr Pavithra G 
Address  Department of Oral Medicine and Radiology KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy Of Higher Education And Research, JNMC Campus, Nehru Nagar 
Type of Sponsor  Other [Self funded] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pavithra G  KLE VK Institute of dental sciences  Department of Oral Medicine and Radiology, Department Number 1, Ground floor, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy Of Higher Education And Research, JNMC Campus, Nehru Nagar
Belgaum
KARNATAKA 
9677533351

paviviji75@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research and Ethics Committee KLE VKIDS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K137||Other and unspecified lesions of oral mucosa,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Basella alba gel  Topical application of the gel on the oral mucosa thrice daily after breakfast, lunch and dinner for 60 days will be advised. Sufficient quantity of the gel will be used based on the size of the lesion (approximately 1g per application)  
Comparator Agent  Clobetasol Propionate gel  Commercially available product will be used. Topical route of application on the oral mucosa thrice daily after breakfast, lunch and dinner for 60 days will be advised. Sufficient quantity of the gel will be used based on the size of the lesion (approximately 1g). If there is complete regression in the lesion size and symptom(burning sensation) in less than 60 days, the dosage and frequency will be advised to stop as it is a steroid drug. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients clinically diagnosed with Oral lichen planus (all variants according to Andreason ) irrespective of mucocutaneous involvement.
2. Patients above 18 years of age and of either gender.
3. Patients who are willing to participate in this study.
 
 
ExclusionCriteria 
Details  1. Patients with potentially malignant disorders other than Oral lichen planus.
2. Patients with systemic diseases.
3. Pregnant and lactating females.
4. Patients who have already undergone treatment for Oral lichen planus (within the past 3 months).
5. Patients who are allergic to Basella alba gel after oral mucosa patch test.
6. Patients who refuse follow-up.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in the intensity of burning sensation and reduction in the size of the lesion  15 days, 30 days, 45 days, 60 days 
 
Secondary Outcome  
Outcome  TimePoints 
Whether Basella alba gel can or cannot be used as an alternative treatment modality for the management of Oral Lichen planus and whether it has comparable effects of Clobetasol propionate will be known  15 days, 30 days, 45 days, 60 days 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   26/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   NULL HYPOTHESIS:
There will be no change in the intensity of burning sensation and size of the lesion on application of Basella alba gel in comparison to Clobetasol propionate gel in Oral Lichen planus  patients.

ALTERNATIVE HYPOTHESIS:
There will be a change in the intensity of burning sensation and size of the lesion on application of Basella alba gel in comparison to Clobetasol propionate gel in Oral Lichen planus patients.

Clinical evaluation of the efficacy of Basella alba gel and Clobetasol propionate gel:

Clinically diagnosed cases of Oral lichen planus (according to Andreason) with bilateral white striations along with burning sensation will be included in this study. The clinical evaluation of burning sensation will be done using Numeric pain rating scale and the size of the lesion will be measured by a vernier caliper(according to RECIST criteria) by the first investigator. The second investigator will be allocating the patients by randomized concealed chit method (stratified method of allocation will be followed for categorizing Oral lichen planus cases into moderate and severe, using scoring of Malhotra et al,2008) as Group I and Group II ( 32 participants under each group). The application of the gel will be demonstrated to the patients by the second investigator and checked for adverse reaction after a time period of half an hour. The patients will then be advised for topical application of Basella alba gel and Clobetasol propionate gel respectively with sterile cotton buds thrice a day  after breakfast, lunch and dinner. Both the patient and the first investigator will be blinded of the type of intervention. Patients will be recalled after 15, 30, 45, 60 days for reevaluation of burning sensation with Numeric pain rating scale and size of the lesion( RECIST criteria) by the first investigator. The application of gel will be advised until the healing of lesion.

RECIST CRITERIA:
The RECIST system is a simplified tumor measurement by using only the longest uni-dimensional measurement of a lesion, and for multiple lesions, using the sum of the longest diameters.
 
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