Trial Outcomes & Findings for Use of Topical NSAID to Reduce Pain in Oral Lichen Planus and Oral Lichenoid Lesions. (NCT NCT03509675)

NCT ID: NCT03509675

Last Updated: 2020-05-08

Results Overview

We will be looking for an improvement in symptoms through summation of the reduction in pain using a 100mm, where 0= no pain and 100= worst pain experienced Visual Analog Scale(VAS). Minimum pain level of 30mm out of 100 mm was an inclusion criteria in the study. Participants were asked to record spontaneous pain level at day 0, day 4 and at the end of day 7 timepoints for both arms/groups. Lower scores mean a better outcome.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

23 participants

Primary outcome timeframe

Total pain improvement over day 0 to day 7 (summation of improvement over 7 days)

Results posted on

2020-05-08

Participant Flow

The recruitment started in April 2018 and ended on Jan 30, 2019. All subjects were asked to join the trial at Oral Medicine Clinical Services at the University of Washington.

Participant milestones

Participant milestones
Measure
Placebo First, Then Ibuprofen Rinse
Subjects were asked to rinse 4 times per day with 5ml of placebo rinse. Self-reported pain scores were recorded using a 100mm VAS pain scale at timepoints Day 0, Day 4 and Day 7. A seven day washout period was used after the placebo rinse, before commencing the ibuprofen rinse. Placebos: Placebo
Ibuprofen Rinse First, Then Placebo
Subjects were asked to rinse 4 times per day with 5ml of ibuprofen suspension (5mg/100ml) as a rinse. Self-reported pain scores were recorded using a 100mm VAS pain scale at timepoints Day 0, Day 4 and Day 7. A seven day washout period was used after the ibuprofen rinse, before commencing the placebo rinse. Non-Steroidal Anti-inflammatory Topical Rinse: Non-Steroidal Anti-inflammatory Topical Rinse will be used for Symptomatic OLP patients.
First Intervention (7 Days)
STARTED
11
12
First Intervention (7 Days)
COMPLETED
6
8
First Intervention (7 Days)
NOT COMPLETED
5
4
Washout Period (7 Days)
STARTED
6
8
Washout Period (7 Days)
COMPLETED
6
8
Washout Period (7 Days)
NOT COMPLETED
0
0
Second Intervention )7 Days)
STARTED
6
8
Second Intervention )7 Days)
COMPLETED
4
8
Second Intervention )7 Days)
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo First, Then Ibuprofen Rinse
Subjects were asked to rinse 4 times per day with 5ml of placebo rinse. Self-reported pain scores were recorded using a 100mm VAS pain scale at timepoints Day 0, Day 4 and Day 7. A seven day washout period was used after the placebo rinse, before commencing the ibuprofen rinse. Placebos: Placebo
Ibuprofen Rinse First, Then Placebo
Subjects were asked to rinse 4 times per day with 5ml of ibuprofen suspension (5mg/100ml) as a rinse. Self-reported pain scores were recorded using a 100mm VAS pain scale at timepoints Day 0, Day 4 and Day 7. A seven day washout period was used after the ibuprofen rinse, before commencing the placebo rinse. Non-Steroidal Anti-inflammatory Topical Rinse: Non-Steroidal Anti-inflammatory Topical Rinse will be used for Symptomatic OLP patients.
First Intervention (7 Days)
Lost to Follow-up
3
3
First Intervention (7 Days)
Lack of Efficacy
2
1
Second Intervention )7 Days)
Withdrawal by Subject
1
0
Second Intervention )7 Days)
Lost Rinse B
1
0

Baseline Characteristics

Use of Topical NSAID to Reduce Pain in Oral Lichen Planus and Oral Lichenoid Lesions.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo First, Then Ibuprofen Rinse
n=11 Participants
Placebo suspension was compounded with the same taste as the active medication but without the active ingredient. Placebos: Placebo
Ibuprofen Rinse First, Then Placebo
n=12 Participants
The topical suspension of the topical NSAID was 100 mg per 5 ml concentration of ibuprofen, with similar ingredients as OTC children's ibuprofen and was compounded by an external drug service. Non-Steroidal Anti-inflammatory Topical Rinse: Non-Steroidal Anti-inflammatory Topical Rinse will be used for Symptomatic OLP patients.
Total
n=23 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Categorical
>=65 years
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Age, Continuous
66.9 years
STANDARD_DEVIATION 33.0 • n=5 Participants
66.9 years
STANDARD_DEVIATION 33.0 • n=7 Participants
66.9 years
STANDARD_DEVIATION 33.0 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Baseline Pain
55.9 units on a scale
STANDARD_DEVIATION 19.2 • n=5 Participants
50.8 units on a scale
STANDARD_DEVIATION 16.6 • n=7 Participants
53.2 units on a scale
STANDARD_DEVIATION 17.8 • n=5 Participants

PRIMARY outcome

Timeframe: Total pain improvement over day 0 to day 7 (summation of improvement over 7 days)

We will be looking for an improvement in symptoms through summation of the reduction in pain using a 100mm, where 0= no pain and 100= worst pain experienced Visual Analog Scale(VAS). Minimum pain level of 30mm out of 100 mm was an inclusion criteria in the study. Participants were asked to record spontaneous pain level at day 0, day 4 and at the end of day 7 timepoints for both arms/groups. Lower scores mean a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=23 Participants
Placebo suspension was compounded with the same taste as the active medication but without the active ingredient. Placebos: Placebo
Ibuprofen Rinse
n=23 Participants
The topical suspension of the topical NSAID was 100 mg per 5 ml concentration of ibuprofen, with similar ingredients as OTC children's ibuprofen and was compounded by an external drug service. Non-Steroidal Anti-inflammatory Topical Rinse: Non-Steroidal Anti-inflammatory Topical Rinse will be used for Symptomatic OLP patients.
Self-reported Pain Scores Using 100m Visual Analog Scale 0-100 Pain Score.
6.4 mm
Standard Deviation 15.3
12.3 mm
Standard Deviation 23.4

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active Ingredient

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Stuart Taylor

University of Washington

Phone: 206-221-3772

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place