| CTRI Number |
CTRI/2020/09/027836 [Registered on: 16/09/2020] Trial Registered Prospectively |
| Last Modified On: |
01/08/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Dentistry |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A novel approach for the treatment of oral submucous fibrosi by injection pentoxyphylline and dexamethasone |
|
Scientific Title of Study
|
“Comparison of Combination of Intralesional Pentoxyphylline and Dexamethasone, with Intralesional Pentoxyphylline, Intralesional Dexamethasone alone in Treatment of Oral submucous fibrosis.†|
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| nil |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
SEEMA DENGRA |
| Designation |
ASSOCIATE PROF |
| Affiliation |
DATTA MEGHE INSTITUTE OF MEDISCAL SCIENCES. DEEMED TO BE UNIVERSITY. |
| Address |
Dept. of oral and maxillofacial surgery
GOVT. DENTAL COLLEGE. RAJBANDHA MAIDAAN.RAIPUR CHATTISGARH Dept. of oral and maxillofacial surgery
SHARAD PAWAR DENTAL COLLEGE, SAWANGI, MEGHE. WARDHA Maharashtra 442004 India Raipur CHHATTISGARH 492001 India |
| Phone |
|
| Fax |
|
| Email |
seema_denggra@yahoo.co.in |
|
Details of Contact Person Scientific Query
|
| Name |
Nitin Bhola |
| Designation |
PROFESSOR |
| Affiliation |
DATTA MEGHE INSTITUTE OF MEDISCAL SCIENCES. DEEMED TO BE UNIVERSITY. |
| Address |
Dept. of oral and maxillofacial surgery
SHARAD PAWAR DENTAL COLLEGE, SAWANGI, MEGHE. WARDHA Maharashtra 442004 India Dept. of oral and maxillofacial surgery
SHARAD PAWAR DENTAL COLLEGE, SAWANGI, MEGHE. WARDHA Maharashtra 442004 India Raipur CHHATTISGARH 492001 India |
| Phone |
|
| Fax |
|
| Email |
cybervt1@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
SEEMA DENGRA |
| Designation |
ASSOCIATE PROF |
| Affiliation |
DATTA MEGHE INSTITUTE OF MEDISCAL SCIENCES. DEEMED TO BE UNIVERSITY. |
| Address |
Dept. of oral and maxillofacial surgery
GOVT. DENTAL COLLEGE. RAJBANDHA MAIDAAN.RAIPUR CHATTISGARH Dept. of oral and maxillofacial surgery
SHARAD PAWAR DENTAL COLLEGE, SAWANGI, MEGHE. WARDHA Maharashtra 442004 India Raipur CHHATTISGARH 492001 India |
| Phone |
|
| Fax |
|
| Email |
seema_denggra@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Sharad pawar dental college sawangi wardha Maharashtra |
|
|
Primary Sponsor
|
| Name |
sharad pawar dental college wardha maharashtra |
| Address |
Datta Meghe institute of Medical sciences. ( deemed university) Sharad pawar dental college. sawangi (meghe) wardha. india |
| Type of Sponsor |
Research institution |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr seema dengra |
sharad pawar dental college and Hospital , |
Dept. of Oral and Maxillofacial Surgery. Wardha MAHARASHTRA |
9752810701
seema_denggra@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Datta Meghe Institute of Medical Sciences (deemed to be university) Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K135||Oral submucous fibrosis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Group I - combination of Injection Pentoxyfylline and injection Dexamethasone |
1mg/ml Pentoxyfylline biweekly,3months.
4mg/ml dexamethasone biweekly for 3 months.
|
| Comparator Agent |
Group II- Injection Pentoxyfylline
Group III patients - Injection Dexamethasone |
1mg/ml biweekly pentoxyfylline for 3 months.
4mg/ml dexamethasone biweekly for 3 months |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1) Patients clinically diagnosed as having Grade II, III IV OSMF.
2) No obvious malignant disease in surroundings
|
|
| ExclusionCriteria |
| Details |
1) Patient allergic or hypersensitive to the prescribed drugs. Patients who have previously exhibited intolerance to PTX or other xanthines such as caffeine, theophylline, etc.
2)Patient who have been treated with Intralesional injections/surgical modality.
3) Systemically compromised patients.
4) Pregnant or lactating mothers.
5) Patients with trismus of oral cavity due to reasons other than OSMF like TMJ ankylosis, Temporomandibular disorders, Myositis Ossificans etc.
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| mouth opening |
every 1 month for 6 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| reduction in burning sensation |
every 1 month for 6 months |
| quality of life |
every 1 month for 6 months |
| Functional improvement |
every 1 month for 6 months |
| Down staging of grading of Oral Submuacous fibrosis |
every 1 month for 6 months |
|
|
Target Sample Size
|
Total Sample Size="75" Sample Size from India="75"
Final Enrollment numbers achieved (Total)= "75"
Final Enrollment numbers achieved (India)="75" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
20/09/2020 |
| Date of Study Completion (India) |
15/11/2023 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
15/11/2023 |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
NIL |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response (Others) -
- What additional supporting information will be shared?
Response - Study Protocol Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response (Others) -
- For how long will this data be available start date provided 02-10-1970 and end date provided 02-01-1970?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
Modification(s)
|
The present randomized clinical study was undertaken to compare the efficacy of intralesional Pentoxyfylline combined with dexamethasone, intralesional pentoxyphylline alone, and intralesional dexamethasone alone in the management of Grade II and Grade III OSMF. A total of 75 patients were randomly allocated into three equal groups. Clinical parameters, including mouth opening and burning sensation, were evaluated along with ultrasonographic evaluation of submucosal thickness and Doppler evaluation of vascular parameters. The results demonstrated significant improvement in all treatment groups. However, combination therapy produced greater improvement in mouth opening, reduction in burning sensation, and decrease in submucosal thickness and favourable vascular changes as compared with either drug used alone. The study also established ultrasonography with Doppler as a useful objective and non-invasive method for monitoring treatment response in OSMF. The findings suggest that combining the antifibrotic and vasodilatory effects of Pentoxyphylline with the anti-inflammatory action of dexamethasone provides superior clinical outcomes in patients with Grade II and III OSMF. |