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CTRI Number  CTRI/2024/11/076160 [Registered on: 01/11/2024] Trial Registered Prospectively
Last Modified On: 23/10/2024
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   Evaluating the usefulness of Stressnil oral spray in treating patients with oral lichen planus  
Scientific Title of Study   Therapeutic evaluation of Stressnil oral spray in the management of oral lichen planus- 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 Fathima Mohammed Abdul Majeed  
Designation  Postgraduate resident Department Of Oral Medicine And Radiology  
Affiliation  Yenepoya Dental College And Hospital 
Address  Department Of Oral Medicine And Radiology, Room number 1, Yenepoya Dental College, Deralakatte, Dakshina Kannada

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9663637193  
Fax    
Email  fathimamajeed102@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prashanth Shenoy  
Designation  Professor and head of Department Of Oral Medicine And Radiology  
Affiliation  Yenepoya Dental College And Hospital 
Address  Department Of Oral Medicine And Radiology, Room number 1, Yenepoya Dental College, Deralakatte, Dakshina Kannada

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9845082753  
Fax    
Email  prashanthshenoy4@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prashanth Shenoy 
Designation  Professor and head of Department Of Oral Medicine And Radiology  
Affiliation  Yenepoya Dental College And Hospital, Mangalore 
Address  Department Of Oral Medicine And Radiology, Room number 1, Yenepoya Dental College, Deralakatte, Mangalore, Karnataka 575018

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9845082753  
Fax    
Email  prashanthshenoy4@gmail.com  
 
Source of Monetary or Material Support  
Department Of Oral Medicine And Radiology, Room number 1, Yenepoya Dental College, Deralakatte, Dakshina Kannada  
 
Primary Sponsor  
Name  Dr Fathima Mohammed Abdul Majeed 
Address  Department Of Oral Medicine And Radiology, Room number 1, Yenepoya Dental College, Deralakatte, Mangalore Karnataka 575018 
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 Fathima Mohammed Abdul Majeed   Yenepoya Dental College And Hospital   Department Of Oral Medicine And Radiology Room no 1 Derlakatte Mangalore 575018
Dakshina Kannada
KARNATAKA 
9663637193

fathimamajeed102@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
YENEPOYA ETHICS COMMITTE-1 E  Approved 
YENEPOYA ETHICS COMMITTE-1 E  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, (2) ICD-10 Condition: K137||Other and unspecified lesions of oral mucosa,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Stressnil Anti-Antistress Oral spray  Stressnil oral spray is sprayed 5-6 times sublingually equivalent to 1 ml of the spray. The ingredients of the spray include Indian valerian 30mg, Melatonin 3mg, L-theanine 3 mg, and Tryptophan 5mg. It has to be sprayed one hour before bed at night along with applying triamcinolone acetonide 0.1% paste on the affected site. The application of stressnil oral spray and triamcinolone acetonide 0.1% paste will continue for 1 month. 
Comparator Agent  Triamcinolone acetonide 0.1% paste   Triamcinolone acetonide paste 0.1% is applied to the oral lichen planus affected site in the oral mucosa 3 times a day. This application has to be continued for one month.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1) Biopsy confirmed Oral lichen planus cases.
2) Age > 18 years. 
 
ExclusionCriteria 
Details  1. Patient < 18 years.
2. Patients who are pregnant and lactating.
3. Medically compromised patients undergoing treatment for all systemic conditions except for blood pressure and diabetes (COPD patients, chronic kidney disease patients, liver disorder patients, etc will be excluded from the study)
4. Patients with lichenoid drug reactions(caused by drugs like ACE inhibitors, beta-blockers, diuretics, etc) and that arise due to heavy
metal restorations or any drugs.
5. Histologic signs of dysplasia. (participants who have malignancy/cancer and are under treatment for the same will be excluded from the study). 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduction in the size of oral lichen planus lesion by visual assessment and photographic documentation.
Reduction in symptoms/ burning sensation using NRS(numeric rating scale)  
Baseline, 1 week, 2 weeks, 3 weeks, and 4 weeks.  
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in the progression of lesion.   2 weeks & 4 weeks. 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
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/ Phase 3 
Date of First Enrollment (India)   30/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/11/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
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   This randomised controlled trial titled" therapeutic evaluation of Stressnil oral spray in the management of Oral Lichen planus" will be conducted in the department of oral medicine and radiology in Yenepoya dental college. the study has a total of 34 patients 17 in each group was estimated as sample size. All the participants in this study will be clinically and histologically confirmed cases of oral lichen planus. group A will be prescribed Stressnil oral spray along with routine triamcinolone acetonide 0.1%. this spray has to be spayed 5-6 times sublingual one hour prior to going to bed at night for a span of one month. group b will be prescribed triamcinolone acetonide 0.1% alone. patients will be recalled every week for a month to assess the reduction in size and pain of the patient. all the participants will be given standard modality of treatment and informed consent and will be taken from all the participants. 
oral lichen planus is a chronic inflammatory condition associated that has various etiology and predisposing factors, stress is found to be one of the factors hence we are trying to treat stress using this spray as it claims to reduce stress ,modulate sleep and provide relaxation in patients. 
 
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