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CTRI Number  CTRI/2025/02/080456 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 12/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the effectiveness of topical Roflumilasr 0.3 percent and topical Triamcinolone 0.1 percent in Oral Lichen Planus patients. 
Scientific Title of Study   Comparative effectiveness of topical Roflumilast 0.3 percent vs Triamcinolone acetonide 0.1 percent in symptomatic Oral Lichen Planus patients: 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  KRITIKA TIWARI 
Designation  JUNIOR RESIDENT 
Affiliation  Faculty of Dental Sciences Institute of Medical Sciences Uttar Pradesh 
Address  Oral Medicine and Radiology, Room no 1, Faculty of Dental Sciences, Banaras Hindu University
Lanka, Varanasi, Uttar Pradesh
Varanasi
UTTAR PRADESH
221005
India 
Phone  9569897813  
Fax    
Email  Krikx29tiwari@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Adit 
Designation  Professor and Head, Unit of Oral Medicine and Radiology 
Affiliation  Institute of Medical Sciences, Banaras Hindu University 
Address  Unit of Oral Medicine and Radiology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University Varanasi UTTAR PRADESH

Varanasi
UTTAR PRADESH
221005
India 
Phone  9451525522  
Fax    
Email  adit@bhu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Adit 
Designation  Professor and Head, Unit of Oral Medicine and Radiology 
Affiliation  Institute of Medical Sciences, Banaras Hindu University 
Address  Unit of Oral Medicine and Radiology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University Varanasi UTTAR PRADESH

Varanasi
UTTAR PRADESH
221005
India 
Phone  9451525522  
Fax    
Email  adit@bhu.ac.in  
 
Source of Monetary or Material Support  
Unit of Oral Medicine and Radiology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi (221005), India. 
 
Primary Sponsor  
Name  KRITIKA TIWARI 
Address  Unit of Oral Medicine and Radiology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu UNiversity 
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 
Dr Adit  Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University  Room no. 1,Unit of Oral Medicine and Radiology, Faculty of Dental Sciences
Varanasi
UTTAR PRADESH 
9451525522

adit@bhu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Institute Of Medical Sciences, Banaras Hindu University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L439||Lichen planus, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Topical Roflumilast 0.3%  Topical application of Roflumilast 0.3% in symptomatic Oral Lichen Planus patients with followup on baseline, 1,2 and 3 months. 
Comparator Agent  Topical Triamcinolone acetonide 0.1%  Topical application of Triamcinolone acetonide 0.1% in symptomatic Oral Lichen Planus patients with followup on baseline, 1,2 and 3 months. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Participants of both gender and age between 18 years to 60 years, will be diagnosed with symptomatic lesions of reticular, atrophic, and erosive oral lichen planus based on clinical, histopathological criteria by WHO.

Patients who give informed consent after explaining the treatment type will be included in the study.
 
 
ExclusionCriteria 
Details  Patients with any other Potentially Malignant Oral Disorders (PMOD) will be excluded.
Pregnant females and breastfeeding mothers will be excluded.
Patients with a history of corticosteroids, NSAIDs, or any other treatment in the last 30 days will be excluded.
Treatment with any drug or restoration that may include lichenoid reaction.
Patients with other systemic diseases or illnesses will be excluded.
Patient allergic to stated medication will also be excluded
 
 
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 
appearance of normal mucosa (Score 2 on Thongprasom scale),pain and Burning sensation (VAS 3).   Baseline, 1 month, 2 months, 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
normal mucosa (Score 0),absence of pain and BS (VAS 0)  Baseline, 1 month, 2 months, 3 months 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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   N/A 
Date of First Enrollment (India)   23/02/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   OBJECTIVES OF THE STUDY-

1. Assess the effectiveness of  topical Roflumilast 0.3% in the management of Oral Lichen Planus.

2. To compare the effectiveness of  topical Roflumilast 0.3% and triamcinolone acetonide 0.1% in the management of Oral lichen planus.

Source of data

Data will be collected from patients reporting to the Out-Patient Unit of Oral Medicine and Radiology in the Faculty of Dental Sciences, I.M.S., B.H.U. Patients fulfilling the inclusion criteria (stated below) will be selected. Diagnosis of OLP would be based on the patient’s history, clinical features, and histopathological confirmation by biopsy

Sampling technique- Simple Randomised Sampling

Sample size determination-

The sample size was estimated using the data (internal resorption) obtained from a previous study conducted by Zirwas MJ et al with a=0.05 and power of study 80%, the sample size calculated was n=32 samples per group.

 Study design -  Randomized control trial with concurrent parallel design.

1. Diagnosis of patient of Oral Lichen Planus will be made clinically as well as histologically. Pain will be recorded using VAS (Visual Analog Scale) and clinical signs and symptoms will be recorded using RAE Score used by Thongprasom and co-workers (Reticular, Atrophic, Ulcerative).

2. An informed consent and treatment to be given will be explained to the patient before including in either group.

3. Baseline scoring of pain and clinical signs and symptoms will be recorded.

4. Patients will then be divided randomly into two groups i.e control group and the experimental group.

5. Patients in the control group will be given topical corticosteroid (0.1% triamcinolone acetonide), topical application 3 times daily with no food or fluid intake 1hour after application for 2 weeks. Follow-up will be done every week but VAS and RAE scoring once a month and at baseline (i.e baseline,1 month, 2 months, 3 months).

6. Patients of the experimental group will be treated with topical ROFLUMILAST 0.3% topical application 2 times daily with no food or fluid intake 1hour after application for 2 weeks. Follow-up will be done every week but VAS and RAE scoring once a month and at baseline (i.e baseline,1 month, 2 months, 3 months).

7. VAS and RAE scoring will be done every month and at baseline (i.e baseline,1month,2months,3 months).

8. Comparative evaluation of VAS and RAE scores will be done.

 
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