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CTRI Number  CTRI/2024/01/061403 [Registered on: 12/01/2024] Trial Registered Prospectively
Last Modified On: 15/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   comparison of the effectiveness of placentrex, hyaluronidase, and dexamethasone in the treatment of Oral submucous fibrosis. 
Scientific Title of Study   Comparative assessment of efficacy of intralesional injection of placentrex, hyalouronidase and dexamethasone in treatment of Oral submucous fibrosis- A randomized control 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  Jay Goyal 
Designation  Associate Professor 
Affiliation  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College  
Address  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College Sakri Road Dhule MAHARASHTRA 424001 India

Dhule
MAHARASHTRA
424001
India 
Phone  8081259757  
Fax    
Email  dentopathfider2009@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jay Goyal 
Designation  Associate Professor 
Affiliation  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College  
Address  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College Sakri Road Dhule MAHARASHTRA 424001 India

Dhule
MAHARASHTRA
424001
India 
Phone  8081259757  
Fax    
Email  dentopathfider2009@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jay Goyal 
Designation  Associate Professor 
Affiliation  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College  
Address  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College Sakri Road Dhule MAHARASHTRA 424001 India

Dhule
MAHARASHTRA
424001
India 
Phone  8081259757  
Fax    
Email  dentopathfider2009@gmail.com  
 
Source of Monetary or Material Support  
Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College Sakri Road  
 
Primary Sponsor  
Name  Jay Goyal 
Address  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College Sakri Road 
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 Jay Goyal  Jawahar Medical Foundations Aannasaheb Chudaman Patil Memorial Dental College  Room no 2, Department of Oral Surgery
Dhule
MAHARASHTRA 
8081259757

dentopathfider2009@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 3||Administration,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Drug administration  Intralesional injections of Placentrex in group 2, Hyaluronidase and dexamethasone in group 3, and Combination of Placentrex, Hyaluronidase, and dexamethasone in group 4 will be given weekly for 12 weeks and follow-up will be done for 12 months  
Comparator Agent  Oral suppliments  Group 1 OSMF patients will be given only oral supplements and mouth exercises for 12 weeks and follow up will be done for 12 months 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  The patients diagnosed with Grade 2, and Grade 3 of oral submucous fibrosis (OSMF), as evident from their detailed clinical and histopathological examination 
 
ExclusionCriteria 
Details  The patients with previous treatment of OSMF, patients who had Grade 1 and 4 OSMF, who were allergic to placental extract, steroids, and hyaluronidase, the patients who did not give their consents, who have syndromic or systemic disease with mouth ulcers, who had undergone radiotherapy sessions leading to oral ulcers, those who gave previous history of major surgery in the oral cavity, patients with carcinoma of oral cavity, were excluded from the study.  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The significant increase in the mouth-opening and relief of burning sensation with combination intralesional injection therapy in OSMF  at Baseline, 4th week, 8th week, 12th week and 12th month. 
 
Secondary Outcome  
Outcome  TimePoints 
The significant increase in the mouth-opening and relief of burning sensation with combination intralesional injection therapy in OSMF  At baseline 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
Final Enrollment numbers achieved (Total)= "160"
Final Enrollment numbers achieved (India)="160" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/01/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. 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.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [dentopathfider2009@gmail.com].

  6. For how long will this data be available start date provided 15-12-2024 and end date provided 23-12-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Oral submucous fibrosis (OSMF) is a very common premalignant condition in India, with high rates of malignant transformation. The most prevalent are Grade 2 and 3 OSMF cases, and therefore, various treatment modalities have been tried in these cases. The aim of the present study was to compare the efficacy of intralesional injection of placentrex, hyaluronidase, and dexamethasone in the treatment of OSMF

A single-center open label randomized control trial will be conducted on 160 patients of Grade 2 and 3 OSMF, divided into four groups as follows: Group 1: 40 patients who will have various oral supplements only; Group 2: 40 patients will be given intra-lesional injection of 2ml placentrex, mixed with 1ml of 2% lignocaine; Group 3: 40 patients will have injection of 1500 IU of 1ml hyaluronidase, with 1ml dexamethasone, mixed with 1ml of 2% lignocaine; Group 4: 40 patients will receive a combination of the above 2 groups (2ml placentrex, 1ml hyaluronidase, 1ml dexamethasone, mixed with 1 ml of 2% lignocaine). The patients will be evaluated for mouth opening, and burning sensation with Likert five-point scale at baseline, one week, fourth week, eighth week, twelfth week, and twelfth month. Analysis of variance (ANOVA) will be used for inter, and intra-group comparison for assessment of mouth opening, and Kruskal Wallis test will be used for assessment of burning sensation.

 
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