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CTRI Number  CTRI/2024/11/077144 [Registered on: 20/11/2024] Trial Registered Prospectively
Last Modified On: 13/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effectiveness of Moringa Oliefera Capsules in Oral Sub Mucous Fibrosis. 
Scientific Title of Study   Comparative Evaluation of Effectiveness of Moringa Oliefera Capsules and Lycopene Capsules in the Management of Oral Submucous Fibrosis – A 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 M Kavinraj 
Designation  Post Graduate Student 
Affiliation  Government Dental College and Hospital Nagpur 
Address  Room No 25 Department of Oral Medicine and Radiology Government Dental College and Hospital Nagpur Maharashtra.

Nagpur
MAHARASHTRA
440003
India 
Phone  8056903523  
Fax    
Email  kavinkr199810@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Amit R. Parate  
Designation  Associate Professor 
Affiliation  Government Dental College and Hospital Nagpur. 
Address  46 West Avenue 101 First floor Shivaji Nagar Nagpur 440010.

Nagpur
MAHARASHTRA
440003
India 
Phone  9370998219  
Fax    
Email  amit_parate11@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr M Kavinraj 
Designation  Post Graduate Student 
Affiliation  Government Dental College and Hospital Nagpur 
Address  Room No 25 Department of Oral Medicine and Radiology Government Dental College and Hospital Nagpur Maharashtra

Nagpur
MAHARASHTRA
440003
India 
Phone  8056903523  
Fax    
Email  kavinkr199810@gmail.com  
 
Source of Monetary or Material Support  
Government Dental College and Hospital Hanuman Nagar Nagpur 440003 Maharashtra. 
 
Primary Sponsor  
Name  Dr M Kavinraj 
Address  Room No 25 Department of Oral Medicine and Radiology Government Dental College and Hospital Nagpur Maharashtra.  
Type of Sponsor  Other [Self] 
 
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 
KAVINRAJ M  Government Dental College and Hospital Nagpur   Room No 25 department of oral Medicine and Radiology
Nagpur
MAHARASHTRA 
8056903523

kavinkr199810@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Government Dental College and hospital Nagpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients fulfilling the Diagnostic criteria for Oral Sub Mucous Fibrosis. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Multivitamin capsules  lycopene capsules 5 mg Per Day Orally BD 
Comparator Agent  Natural ayurvedic capsules  Moringa oliefera capsules 500mg Orally BD 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients in INTERINCISAL OPENING RANGE of 15-35mm. oral sub mucous fibrosis grade1,2,3 acc.to Khanna and Andrade classification (1995).


2.No history of prior treatment for the same.

3.Patient willing for habit cessation and visit the hospital for regular follow up.

 
 
ExclusionCriteria 
Details  1.Patients with systemic disease.
2.Patients with trismus due to other reason (pericoronitis, abscess).
3.Presence of other premalignant lesion (leukoplakia, oral lichen planus) or malignancy.
4.History of hypersensitivity to moringa oliefera and its components.
5.Any tongue abnormalities and disorders.
6.Missing upper and lower central incisors
7.Pregnant and lactating mothers.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Evaluation of the following Parameters
1.Maximal interincisal opening using Vernier Caliper.
2.Reduction of burning sensation on the VAS scale
3.Increase in tongue protrusion measured by using steel scale.
4.Cheek flexibility. 
Patients will be recalled at the end of 1st week ,2nd week ,4th week, at the end of 2nd month and 3rd month. Post treatment follow up will be done on monthly basis for three months. 
 
Secondary Outcome  
Outcome  TimePoints 
side effects of intervention if any  Patient will be recalled at the end of 1st week,
2nd week,
4th week,
At the end of 2nd month and
At the end of 3rd month.
Post Treatment follow up on monthly basis for three months.
 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 
Date of First Enrollment (India)   25/11/2024 
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="1"
Months="6"
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  
Oral submucous fibrosis, till date having no definite treatment has been treated with various treatment modalities, which includes the use of various antioxidant and anti-inflammatory therapies. Of all the antioxidants tried in OSMF, lycopene has shown to be an effective antioxidant. There is high reactivity between the long polyene chain and free radicals which enables the elimination of singlet oxygen and the reduction of reactive oxygen species (ROS). But long term use of lycopene may cause lycopenemia, which manifests as deposition of lycopene in liver and orange discolouration of skin. Therefore, newer modalities are needed to  be tried in chronic inflammatory conditions like OSMF. Moringa oliefera is a mineral and vitamin rich nutritious and medicinally important tree species. Moringa leaves also has potent antioxidant activity, due to phenolic compounds and flavonoids in it. Oral submucous fibrosis, till date having no definite treatment has been treated with various treatment modalities, which includes the use of various antioxidant and anti-inflammatory therapies. Considering these properties, Moringa oliefera can be considered in the management of OSMF. Also comparing it with lycopene, an effective antioxidant, would further help in better understanding its potential in the management of OSMF.
 
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