Dexamethasone Solution and Dexamethasone in Mucolox™
Study Details
Study Description
Brief Summary
Topical steroid therapy is considered the first line of treatment for Oral Inflammatory Ulcerative Diseases with current treatment regimens requiring multiple application or rinses daily. Using Mucolox™ as a vehicle to deliver topical dexamethasone to the oral mucosa has the potential to effectively prolong contact time between the medication. The primary objective of this study is to determine the clinical efficacy and tolerability of compound dexamethasone at 0.5 mg/5 mL in Mucolox™ for the treatment of Oral Inflammatory Ulcerative Diseases as measured by a reduction in oral symptoms between patients treated with compounded dexamethasone 0.5mg/5ml solution in Mucolox™ (group A) and patients treated with topical commercial dexamethasone 0.5mg/5ml solution only (group B). and mucosa, leading to improved clinical outcomes due to the need for less frequent application.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: dexamethasone 0.5mg/5ml solution in Mucolox™ (group A) Dexamethasone solution (0.5mg/5ml) in Mucolox™ three times a day (TID) swish and spit for 4 weeks |
Drug: dexamethasone 0.5mg/5ml solution in Mucolox™
Patient with oral ulcerative conditions will be asked to rinse with dexamethasone 0.5mg/5ml solution in Mucolox™ three times a day for 4 weeks and expectorate
Other Names:
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Active Comparator: dexamethasone 0.5mg/5ml solution (Arm B) Dexamethasone solution (0.5mg/5ml) TID swish and spit for 4 weeks |
Drug: dexamethasone 0.5mg/5ml solution
Patient with oral ulcerative conditions will be asked to rinse with dexamethasone 0.5mg/5ml solution three times a day for 4 weeks and expectorate
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Mean Change from Baseline in Oral Pain Scores on the Visual Analog Scale (VAS) at 4 Weeks [4 weeks]
Oral Pain Scores will be measured on the Visual Analog Scale (VAS), the score ranges from 0-10, zero indicating no pain and 10 indicating the worst pain. The pain score measured on a VAS scale will be compared between group A and group B to detect any significant differences pre and post treatment at 4 weeks.
Secondary Outcome Measures
- Mean Change from Baseline in Reticulation/keratosis, erythema, and ulceration (REU) scores at 4 Weeks [4 weeks]
Oral lesions will be scored using the REU system. Reticular/hyperkeratotic changes will be scored from 0 to 1 (0 = no white striations, 1 = presence of white striations or keratotic papules); erosive/erythematous lesions will be scored from 0 to 3 by area of involvement (0 = no lesion, 1 = lesions less than 1 cm2, 2 = lesions from 1 to 3 cm2, 3 = lesions greater than 3 cm2); ulcers will be scored from 0 to 3 by area of involvement. In order to evaluate the clinical improvement in clinician-reported outcome measures for oral lesions, REU scores within the compound dexamethasone solution in Mucolox™ group (Arm A) will be compared to that in the dexamethasone solution only group (Arm B). The REU scores will be summarized descriptively for each arm at pre-treatment, post-treatment, and pre-to-post treatment change. The pre-to-post treatment change will be compared between the arms using either student's t-test or Mann-Whitney test, depending on the distribution of the data.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 18 years and older.
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Patients with symptomatic biopsy proven Oral Inflammatory Ulcerative Diseases (worst VAS sensitivity score ≥ 7 over the last week).
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Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
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Patients already on topical or systemic steroids.
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Inability to comply with study instructions.
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Uncontrolled intercurrent illness or psychiatric illness/social situations that would limit compliance with study requirements.
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VAS sensitivity score < 7.
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Pregnant women. A urine pregnancy test will be performed for women of child bearing potential.
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Allergy to fluconazole.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sol Silverman Oral Medicine Clinic - UCSF | San Francisco | California | United States | 94117 |
Sponsors and Collaborators
- University of California, San Francisco
Investigators
- Principal Investigator: Alessandro Villa, DDS, PhD, MPH, University of California, San Francisco
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20-32068