RCT: Basil Extract (Ocimum Basilicum) in the Management of Recurrent Aphthous Stomatitis

Sponsor
Tanta University (Other)
Overall Status
Recruiting
CT.gov ID
NCT04710888
Collaborator
(none)
30
1
3
11
2.7

Study Details

Study Description

Brief Summary

A randomized double-blind placebo controlled trial will be carried out on 20 patients complaining from aphthus ulcer and 10 patient healthy control 10 patients treated with mucoadhesive gel containing 2% of basil extract 4 times per day (test group) for 20 min after every meal and before going to bed. The other 10 patients treated by mucoadhesive gel without drug which was used as placebo (composed from 6% w/w PVA (Mw = 31-50 kDa, 98-99% hydrolysed) and 2% w/w sodium tetraydroxy borate) 4 times per day 10 healthy patients will be selected to participate in the study to test the salivary level of endocan in the healthy individuals (negative control group)

Condition or Disease Intervention/Treatment Phase
  • Drug: use of basil extract gel in treatment of aphthus ulcer
  • Other: muco adhesive placebo gel
  • Other: no treatment
Phase 2

Detailed Description

A randomized double-blind placebo controlled trial will be carried out on 20 patients complaining from aphthus ulcer and 10 patient healthy control. Inclusion criteria will be: (i) age > 18 years; (ii) a clear history of RAS(recurrent apthous stomatitis)occurring no less than four times a year; (iii) presentation with one or two ulcers measuring 10 mm in diameter for 48 hours and yet to receive treatment; (iv) ulcers that took > 5 days to resolve without treatment. Individuals will excluded if they: (i) had underlying systemic disease(s) or a history of immunologic disorder(s); (ii) were taking immunomodulatory agents or systemic nonsteroidal anti-inflammatory drugs < 1 month before study commencement; (iii) are smokers; (iv) are pregnant; (v) had a history of abusing drugs or alcohol; (vi) could not provide written informed consent.

10 patients treated with mucoadhesive gel containing 2% of basil extract 4 times per day (test group) for 20 min after every meal and before going to bed. The other 10 patients treated by mucoadhesive gel without drug which was used as placebo (composed from 6% w/w PVA (Mw = 31-50 kDa, 98-99% hydrolysed) and 2% w/w sodium tetraydroxy borate) 4 times per day 10 healthy patients will be selected to participate in the study to test the salivary level of endocan in the healthy individuals (negative control group)

Study Design

Study Type:
Interventional
Anticipated Enrollment :
30 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Muco-bioadhesive Gel Containing Basil Extract (Ocimum Basilicum) in the Management of Recurrent Aphthous Stomatitis: A Randomized Clinical Study
Actual Study Start Date :
Jan 1, 2021
Actual Primary Completion Date :
May 1, 2021
Anticipated Study Completion Date :
Dec 1, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: basil extract mucoadhesive gel

10 patients treated with mucoadhesive gel containing 2% of basil extract 4 times per day (test group) for 20 min after every meal and before going to bed.

Drug: use of basil extract gel in treatment of aphthus ulcer
This study aimed to evaluate the efficacy of basil extract (Ocimum basilicum) in the treatment of aphthous ulcers
Other Names:
  • anti inflammatory and immunomodulation effect of basil extract
  • Placebo Comparator: mucoadhesive placebo gel

    10 patients treated by mucoadhesive gel without drug which was used as placebo (contains tragacanth gum, alcohol, sodium benzoate, and distilled water) 4 times per day

    Other: muco adhesive placebo gel
    mucoadhesive gel without drug which was used as placebo (contains tragacanth gum, alcohol, sodium benzoate, and distilled water) 4 times per day
    Other Names:
  • placebo gel
  • Sham Comparator: healthy patients

    10 healthy patients will be selected to participate in the study to test the salivary level of endocan in the healthy individuals (negative control group)

    Other: no treatment
    (i) had underlying systemic disease(s) or a history of immunologic disorder(s); (ii) were taking immunomodulatory agents or systemic nonsteroidal anti-inflammatory drugs < 1 month before study commencement; (iii) are smokers; (iv) are pregnant; (v) had a history of abusing drugs or alcohol; (vi) could not provide written informed consent.
    Other Names:
  • negative control
  • Outcome Measures

    Primary Outcome Measures

    1. pain score VAS (Visual Analogue Scale) [one week]

      The patients will be asked to record the daily level of pain severity of the ulcers through VAS (Visual Analogue Scale). It consisted of a 10-cm horizontal line, and the end of the line is (0) indicating "no pain" and the other end is (10) denoting "unbearable pain".

    2. healing duration [one week]

      patient evaluated by how long the ulcer takes to heal from baseline

    3. size of the ulcer [one week]

      measuring the ulcer size at baseline,5 days, and one week

    4. salivary endocan level [one week]

      enzyme-linked immunosorbent assays to measure the salivary concentrations of endocan marker at the first visit (i.e., before treatment) and the other was just after healing

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    15 Years to 40 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • age > 18 years;

    • a clear history of RAS (recurrent apthous stomatitis) occurring no less than four times a year;

    • presentation with one or two ulcers measuring 10 mm in diameter for 48 hours and yet to receive treatment;

    • ulcers that took > 5 days to resolve without treatment.

    Exclusion Criteria:
    • had underlying systemic disease(s) or a history of immunologic disorder(s);

    • were taking immunomodulatory agents or systemic nonsteroidal anti-inflammatory drugs < 1 month before study commencement;

    • are smokers;

    • are pregnant;

    • had a history of abusing drugs or alcohol;

    • could not provide written informed consent

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Malak Yousef Mohamed Shoukheba Tanta Egypt 20

    Sponsors and Collaborators

    • Tanta University

    Investigators

    • Principal Investigator: malak YM shoukheba, faculty of dentistry tanta university

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    malak mohamed shoukheba, associate prof., Tanta University
    ClinicalTrials.gov Identifier:
    NCT04710888
    Other Study ID Numbers:
    • 3
    First Posted:
    Jan 15, 2021
    Last Update Posted:
    Jul 14, 2021
    Last Verified:
    Jul 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by malak mohamed shoukheba, associate prof., Tanta University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 14, 2021