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A study to evaluate the efficacy, safety and tolerability of tacrolimus ointment 0.1% in patients of oral lichen planus

Phase 2
Completed
Conditions
Other lichen planus,
Registration Number
CTRI/2015/09/006211
Lead Sponsor
Intas Pharmaceuticals Ltd
Brief Summary

Lichen planus (LP) is a chronic inflammatorymucocutaneous disease that can have both cutaneous and oral involvement affectingthe skin, the tongue, and the oral mucosa. Lichen planus is most commonly foundon the flexor surfaces of the upper extremities, on the genitalia, the nails,and the scalp and on the mucous membranes. At present there is no permanent cure for lichen planus. When itinvolves multiple mucosal surfaces, it becomes more resistant to treatment.Even with the effective treatments, relapses are common. Moreover, patients areunable to tolerate a treatment because of its adverse effects.  According to a survey mailed to 40 patientswith symptomatic oral lichen planus treated with topical tacrolimus, mostpatients experienced symptomatic improvement in less than 1 month. Topicaltacrolimus has been reported to be effective for OLP, including those formsthat had been recalcitrant to treatment and disabling. Further, based on thesafety demonstrated in atopic dermatitis trials that included children as youngas age 2 years, topical tacrolimus ointment is apparently a safe, effective,and well-tolerated therapeutic modality. Overall, the lipid based tacrolimusointment approved by the drugs controller general of India for usage in atopicdermatitis is expected to offer a safe and effective therapeutic modality withlong-term benefits for lesions of lichen planus also.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
30
Inclusion Criteria

1.Male or female participants between 18 and 65 years of age 2.Confirmed diagnosis of symptomatic oral lichen planus 3.Symptomatic OLP (Spontaneous or meal related oral pain).

Exclusion Criteria
  • 1.Asymptomatic lichen planus with no ulcerated or erythematous oral lesions.
  • 2.Who have received systemic immunosuppressants, oral retinoids or any other systemic therapies known or suspected to have an effect on lichen planus within 4 weeks prior to participation in the study.
  • 3.Who have been treated with topical therapy 4.Severe or recurrent systemic or generalized infections (bacterial, viral or fungal).
  • 5.Who have unstable or uncontrolled diabetes or hypertension.
  • 6.Hypersensitivity to tacrolimus or any of the ointment excipients, pimecrolimus, any macrolides such as clindamycin, erythromycin, azithromycin, clarithyromycin, etc.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in the Physicians Global Assessment of Clinical Condition from baseline to week 6 / complete healing of all baseline lesions whichever comes first.Baseline to week 6
Secondary Outcome Measures
NameTimeMethod
•Patient’s pain experience measured by means of the Visual Analogue Scale (VAS).•Patient’s quality of life measured by means of the Oral Health Impact Profile (OHIP - 14).

Trial Locations

Locations (9)

B.J. Medical College & Civil Hospital

🇮🇳

Ahmadabad, GUJARAT, India

Bhagwan Mahaveer Jain Hospital

🇮🇳

Bangalore, KARNATAKA, India

Dermatology Medical College

🇮🇳

Kolkata, WEST BENGAL, India

Jehangir Clinical Development Centre Pvt.Ltd, Jehangir Hospital Premises

🇮🇳

Pune, MAHARASHTRA, India

King George Hospital

🇮🇳

Visakhapatnam, ANDHRA PRADESH, India

Medical College Baroda , Sir Sayajirao General Hospital

🇮🇳

Vadodara, GUJARAT, India

Ratandeep Multispeciality Hospital

🇮🇳

Ahmadabad, GUJARAT, India

Sheth V. S. General Hospital ,Smt. N. H. L. Municipal Medical College

🇮🇳

Ahmadabad, GUJARAT, India

Sri Venkateshwara Hospital

🇮🇳

Bangalore, KARNATAKA, India

B.J. Medical College & Civil Hospital
🇮🇳Ahmadabad, GUJARAT, India
Dr Bela J Shah
Principal investigator
9898059289
shah.drbela@gmail.com

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