Treatmant of Oral Lichen Planus With Lycopene

NCT ID: NCT00656214

Last Updated: 2008-04-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-12-31

Study Completion Date

2006-07-31

Brief Summary

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the purpose of this study was to evaluate that if lycopene, a potent antioxidant can be used in the treatment of oral lichen planus. this could be useful as lycopene has no reported side effects and hence it can used in place of steroids which are commonly used for this condition and have many reported adverse effects.

lycopene can be used in the treatment of this condition as free radicals have been found to play a role in the cause of this disease and also lower levels of lycopene were seen in these patints.

Detailed Description

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Lichen planus, a chronic inflammatory mucocutaneous disease, occurs in about 2% of the adult population, affecting the skin and or oral mucosa. Clinically, lichen planus appears in keratotic, atrophic or erosive form. The atrophic and erosive forms are usually symptomatic.

Various treatment modalities viz. corticosteroids, antimicrobials, immunomodulators, phenytoin, retinoids, UV-radiation and surgical treatment etc. have been tried. Though none of these have shown to achieve satisfactory results with recurrence of lesion occurring in most of the cases after few weeks of discontinuation of therapy.

Recently a population based case control study has revealed lower levels of lycopene in atrophic and erosive oral lichen planus cases, while no significant difference was noted in any other carotenoid levels.

Lycopene is an antioxidant and free radical scavenger being used in the management of infertility, pre-eclampsia, cataract prevention, osteoarthritis, as adjuvant therapy in various malignancies, cardiovascular disorders, diabetes mellitus, aging, Alzheimer's disease, parkinsonism, etc.

Systemic lycopene has been found to be effective in treatment of oral leukoplakia, owing to its antioxidant properties.

The utility of lycopene in oral lichen planus has not been reported in the literature; therefore, this study has been designed to assess the efficacy of systemic lycopene in management of oral lichen planus patients.

The data collected from this study can move us closer to deriving a specific treatment plan for oral lichen planus - a dividend, not only for patients but dental fraternity as well.

Conditions

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Lichen Planus, Oral

Keywords

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Lichen Planus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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A

Patients with symptomatic oral lichen planus

Group Type ACTIVE_COMPARATOR

Lycopene

Intervention Type DRUG

08 mg/day in two divided dosage

B

Patients with symptomatic oral lichen planus

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Two divided dosage

Interventions

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Lycopene

08 mg/day in two divided dosage

Intervention Type DRUG

Placebo

Two divided dosage

Intervention Type DRUG

Other Intervention Names

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Lycored (Jagsonpal Pharmaceuticles, India)

Eligibility Criteria

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Inclusion Criteria

1. Patients who were physically healthy and well oriented in time space and as a person.
2. Patients clinically \& histopathologically diagnosed to be suffering from oral lichen planus.
3. Patients who had symptoms i.e. pain and/or burning sensation secondary to oral lichen planus.
4. Patients not on any treatment for the same. In case they were, then such treatment was stopped and a washout period of two weeks was given.
5. Patients who agreed to take medication supplied.
6. Patients who were willing for evaluation once in every two weeks for 8 weeks and also agreed to follow up every 30 days for 60 days.
7. Patients who agreed for the biopsy and hematological examination.

Exclusion Criteria

1. Patients suffering from any systemic disease/s like Diabetes, Hypertension, Cardiovascular system disease, Renal dysfunction, Liver disorders etc.
2. Patients with any other mucosal disease or any other skin disease which may be associated with oral lesions.
3. Patients on any drug therapy which may cause lichen planus like lesions.
4. Patients with findings of any physical or mental abnormality, which would interfere with or be affected by the study procedure.
5. Patients with a known allergy or contraindication to study medications.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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College of Dental Sciences, India

OTHER

Sponsor Role lead

Principal Investigators

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Dr MC Shashikanth, MDS

Role: STUDY_DIRECTOR

Professor & Head of Department, Department of Oral Medicine & Radiology, College of Dental Sciences, Davangere, Karnataka, India

Locations

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Department of oral medicine & radiology, College of dental sciences

Davangere, Karnataka, India

Site Status

Countries

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India

References

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Nagao T, Warnakulasuriya S, Ikeda N, Fukano H, Yamamoto S, Yano M, Miyazaki H, Ito Y. Serum antioxidant micronutrient levels in oral lichen planus. J Oral Pathol Med. 2001 May;30(5):264-7. doi: 10.1034/j.1600-0714.2001.300502.x.

Reference Type BACKGROUND
PMID: 11334461 (View on PubMed)

Lycopene. Monograph. Altern Med Rev. 2003 Aug;8(3):336-42. No abstract available.

Reference Type BACKGROUND
PMID: 12946243 (View on PubMed)

Singh M, Krishanappa R, Bagewadi A, Keluskar V. Efficacy of oral lycopene in the treatment of oral leukoplakia. Oral Oncol. 2004 Jul;40(6):591-6. doi: 10.1016/j.oraloncology.2003.12.011.

Reference Type BACKGROUND
PMID: 15063387 (View on PubMed)

Other Identifiers

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olplycopene

Identifier Type: -

Identifier Source: org_study_id