MedPath

Efficacy of Purslane in Treatment of Oral Lichen Planus

Phase 2
Completed
Conditions
Lichen Planus, Oral
Interventions
Registration Number
NCT00746772
Lead Sponsor
Qazvin University Of Medical Sciences
Brief Summary

Oral lichen planus (OLP) is a chronic inflammatory disease whose prevalence in the general population is 0.5 -2.2%.Oral lesions in OLP are chronic, rarely undergo spontaneous remission. Patients with OLP had significantly increased risk of oral squamous cell carcinoma, irrespective of the clinical type of OLP and therapy. there is currently no cure for OLP. Previous study demonstrated a decreased antioxidant defence and increased oxidative damage to lipids.DNA and proteins in lichen planus. This oxidative modifications point to pathophysiological alterations mainly within the basal cell layers of epidermis and at the dermoepidermal junction. Purslane is an excellent source of vitamin A,C and E and essential amino acids, has been described as a power food of the future because of its high nutritive and antioxidant properties. The purpose of the study was to determined the efficacy of Purslane in the treatment of oral lichen planus.

Detailed Description

Oral lichen planus is a chronic common inflammatory disorder affecting stratified squamous epithelia. The majority problem of OLP is development of oral squamous cell carcinoma , irrespective of the clinical type of OLP and therapy. Previous study demonstrated a decreased antioxidant defence and increased oxidative damage to lipids, DNA and proteins in lichen planus .This oxidative modifications point to pathophysiological alterations mainly within the basal cell layers of epidermis and at the dermoepidermal junction. So oxidative stress could be effective in pathogenesis of OLP. Purslane is an excellent source of vitamin A,C and E and essential amino acids, has been described as a power food of the future because of its high nutritive and antioxidant properties. Purslane also decreased the level of TNF-α and IL6, that are responsible for up-regulated adhesion molecules (in OLP lymphocyte T (T cell) recruited and retained in sub mucosa through receptors to endothelial adhesion molecule. and basal keratinocytes undergo apoptosis). The purpose of the study was to determined the efficacy of Purslane in the treatment of oral lichen planus.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
37
Inclusion Criteria
  • Biopsy confirmed symptomatic oral lichen planus: WHO histological criteria in combination with clinical appearance will be used for diagnosis
  • Patients who had symptoms such as burning sensation, pain
  • Patients not on any immunosuppressive or immunomodulatory treatment. In case they were,then such treatment should be stopped and a washout period of 1 month was given.
  • Patients of both sexes between 30 to 70 year's old
  • Patients who gave written informed consent
  • Patients who were willing for evaluation in second week after therapy and every 1 month up to 6 months
Exclusion Criteria
  • The presence of histological signs of dysplasia
  • Patients suffering from any localized or systemic disease
  • Renal disease patients
  • Pregnant patients
  • Patients who can not continue the study for private or social reasons
  • Patients who used lichenoid reaction including drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Purslane 235mg/day in one dosagePatients with oral lichen planus
Primary Outcome Measures
NameTimeMethod
Relief sign &symptom and clinical features(every 1 month up to 6months)
Secondary Outcome Measures
NameTimeMethod
Relief sign &symptom and clinical features(time frame6 months)

Trial Locations

Locations (1)

Qazvin university of medical sciences

🇮🇷

Qazvin, Iran, Islamic Republic of

© Copyright 2025. All Rights Reserved by MedPath