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CTRI Number  CTRI/2025/06/089097 [Registered on: 18/06/2025] Trial Registered Prospectively
Last Modified On: 17/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A Study Comparing Medicines and Surgery for Treating Mouth Stiffness in People with Oral Submucous Fibrosis 
Scientific Title of Study   NOVEL INTERVENTIONS IN OSMF TREATMENT: COMPARING PHARMACOLOGICAL AND SURGICAL MODALITIES THROUGH A TRIPLE-ARM CLNICAL 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 SHARIQUE TANVEER 
Designation  1st YEAR RESIDENT DOCTOR 
Affiliation  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY GOVERNMENT DENTAL COLLEGE AND HOSPITAL JAMNAGAR 
Address  GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR

Jamnagar
GUJARAT
361008
India 
Phone  8887607115  
Fax    
Email  sharique662@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gagandeep Singh Randhawa 
Designation  ASSOCIATE PROFESSOR  
Affiliation  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY GOVERNMENT DENTAL COLLEGE AND HOSPITAL JAMNAGAR 
Address  GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR

Jamnagar
GUJARAT
361008
India 
Phone  9669051622  
Fax    
Email  randhawa@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr GAGANDEEP SINGH RANDHAWA 
Designation  ASSOCIATE PROFESSOR 
Affiliation  DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY GOVERNMENT DENTAL COLLEGE AND HOSPITAL JAMNAGAR 
Address  GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR

Jamnagar
GUJARAT
361008
India 
Phone  9669051622  
Fax    
Email  randhawa@yahoo.com  
 
Source of Monetary or Material Support  
Government Dental college and hospital Jamnagar 
 
Primary Sponsor  
Name  Dr SHARIQUE TANVEER 
Address  GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr GAGANDEEP SINGH RANDHAWA  GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR 
DR NISHIT KUMAR   GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR 
Dr RAJBIR KAUR RANDHAWA   GOVERNMENT DENTAL COLLEGE AND HOSPITAL DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY NAVAGAM GHED JAMNAGAR  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr SHARIQUE TANVEER  GOVERNMENT DENTAL COLLEGE AND HOSPITAL JAMNAGAR  ROOM NUMBER 4 DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY GOVERNMENT DENTAL COLLEGE AND HOSPITAL NAVAGAM GHED JAMNAGAR PINCODE 361008
Jamnagar
GUJARAT 
8887607115

sharique662@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K135||Oral submucous fibrosis, (2) ICD-10 Condition: K135||Oral submucous fibrosis, (3) ICD-10 Condition: K135||Oral submucous fibrosis, (4) ICD-10 Condition: K135||Oral submucous fibrosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fibrotomy and reconstruction with Buccal Fat Pad  Patients undergoing fibrotomy and reconstruction with Buccal Fat Pad 
Intervention  Intralesional Triamcinolone Hyaluronidase injections, Intralesional Platelet Rich Plasma.  Patients will be administered Intralesional Triamcinolone Hyaluronidase injections weekly for 6 weeks. Patients undergoing Intralesional Platelet Rich Plasma injections weekly for 6 weeks.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  53.00 Year(s)
Gender  Both 
Details  Patients with an interincisal mouth opening between 15 to 25mm
Biopsy proven OSMF
No systemic disorders
Patients with hemoglobin greater than 10g per dl and platelet count greater than 150000 per microlitre
Patients aged between 18 to 53 years
Patients who have quit tobacco use more than 6 months ago
Patients willing to take part in the study
Available for the long term follow up 
 
ExclusionCriteria 
Details  Patients with an interincisal mouth opening less than 15 mm
Patients with age less than 18 years and greater than 53 years
Currently chewing tobacco or less than 6 months of quitting of habit
Smokers
Patients having allergy to local drugs
Patients who have undergone any kind of treatment for OSMF previously
Patients with an uncontrolled systemic illness
Patients with altered hemodynamic values
Patients who have undergone treatment for malignancy any radiotherapy or chemotherapy
Women who are pregnant lactating or taking oral contraceptives
Patients who have reduced mouth opening due to reasons other than OSMF
Patients who are not willing to participate in the study 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Mouth opening in mm
Reduction in the burning sensation will be assessed by visual analogue scale 
Mouth opening in mm
Reduction in the burning sensation will be assessed by visual analogue scale 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of life using Oral Health Impact Profile 14 Questionnaire  Follow up for more than 12 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 3/ Phase 4 
Date of First Enrollment (India)   16/07/2025 
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="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 is a chronic disease characterised by progressivefibrosis of  the oral mucosa leading to restructed mouth opening burning sensation and difficulty in eating and speaking. It is strongly associated with areca nut chewing and is prevelant in south aisa. The condition significantly reduces the patient’s quality of life and can have long term effects if left untreated. the study evaluates three treatment modalities for osmf to determine their effectiveness in improving mouth opening and reducing symptoms like burning sensation. 60 patients will be divided into three groups. Group 1 have weekly traimcinolone injections for six weeks. Group 2 have PRP for 6 weeks. Group 3 have Surgical fibrotomy with buccal fat pad reconstruction. Patiens will be assessed for moth opening improvementsand burning sensation over 6 months with long term follow up evaluating quality of life using Oral Health Impact Profile 14 Questionnairefor more than one year. 
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