Protocol summary

Study aim
Determining the effectiveness of combined pilocarpine mouthwash and omega-3 emulsion in improving the oral symptoms of Sjogren's patients compared to placebo.
Design
Clinical trial with control group and parallel design. In this clinical trial, 44 patients with Sjogren's syndrome with symptoms of dry mouth will be included in the study and will randomly be divided into two groups of 22 people. Forty four identical cards, 22 have the letter A and 22 have the letter B, are placed in an envelope in a jumbled manner, and for each patient, we take out one card randomly.
Settings and conduct
This study will be conducted in the Hajar educational-therapeutic center in Shahrekord on patients with Sjogren's syndrome (primary and secondary) with symptoms of dry mouth who have referred to the educational clinic of Hajar Hospital. This clinical trial study will be double-blind; Considering that the contents of the jars are not known, the researcher and the patient are blind to the intervention and the labeling is done with a random code (not with the contents).
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age of 18-75 years old; Documented diagnosis of primary or secondary Sjogren's syndrome. Non-inclusion criteria: heart, lung, kidney or digestive system diseases, diabetes and oral ulcers; pregnancy; breastfeeding; being allergic to pilocarpine
Intervention groups
Intervention group: standard treatment plus pilocarpine drug with a concentration of 1% (Sina Daru Company) along with Omega 3 emulsion with a concentration of 1% (Amin Company) in the form of mouthwash. Placebo group: standard treatment plus placebo
Main outcome variables
Saliva weight; Dry mouth questionnaire (XI) score

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230419057964N1
Registration date: 2023-05-13, 1402/02/23
Registration timing: registered_while_recruiting

Last update: 2023-05-13, 1402/02/23
Update count: 0
Registration date
2023-05-13, 1402/02/23
Registrant information
Name
Sadaf Baghernejad MonavarGilani
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 6608 0435
Email address
baghernejad.sadaf@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-05-05, 1402/02/15
Expected recruitment end date
2023-07-22, 1402/04/31
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation the effectiveness of a combined mouthwash of pilocarpine and omega-3 emulsion with placebo on oral symptoms of patients with Sjögren syndrome
Public title
The effect of Pilocarpine and omega-3 emulsion combined mouthwash on oral symptoms of Sjogren's syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Being at the age of 18-75 years old Documented diagnosis of primary or secondary Sjogren's syndrome with symptoms of dry mouth based on ACR criteria
Exclusion criteria:
Patients who are allergic to pilocarpine. Suffering from heart, lung, kidney or digestive system diseases, diabetes and oral ulcers Pregnancy lactation Being allergic to Pilocarpine
Age
From 18 years old to 75 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 44
Randomization (investigator's opinion)
Randomized
Randomization description
In this clinical trial, 44 patients with Sjogren's syndrome with symptoms of dry mouth were included in the study and were randomly divided into two groups of 22 people under the name of combined pilocarpine and omega-3 emulsion mouthwash group and placebo group.For this purpose, 44 identical cards, 22 of which have the letter A and 22 of which have the letter B, are placed in an envelope in a jumbled manner and for each patient, we take out one card at random. The letter written on the card will show the patient's treatment.
Blinding (investigator's opinion)
Double blinded
Blinding description
This clinical trial study will be double-blind; Considering that the contents of the jars are not clear, the researcher is blind to the intervention. Considering that the patient is not aware of the contents and the labeling is done with a random code (not with the contents), the patient is also blind to the intervention.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Sharekord University of Medical Sciences
Street address
Kashani street
City
Sharekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813833435
Approval date
2023-02-08, 1401/11/19
Ethics committee reference number
IR.SKUMS.MED.REC.1401.057

Health conditions studied

1

Description of health condition studied
Sjögren
ICD-10 code
M35.0
ICD-10 code description
Sicca syndrome [Sjogren]

Primary outcomes

1

Description
The amount of saliva secretion
Timepoint
Before and 15 days after the intervention
Method of measurement
Saliva weight and dry mouth eleven-item questionnaire (XI)

Secondary outcomes

1

Description
Dry mouth score in related questionnaire
Timepoint
Effectiveness of combined pilocarpine mouthwash and omega-3 emulsion before and 15 days after the intervention
Method of measurement
Questionnaire of the list of eleven items of dry mouth (XI)

Intervention groups

1

Description
Intervention group: Standard treatment plus pilocarpine drug with a concentration of 1% (Sina Daru Company) along with Omega 3 emulsion with a concentration of 1% (Amin Company) will be given to the patients in the form of mouthwash. The medicine is prepared in the laboratory of compound medicines in the pharmaceutical care department of Hajar Hospital, and the products are prepared in 120 cc brown bottles and labeled with random codes so that the contents of the bottles are not known. To prepare local mucosal emulsion (mouthwash) "omega three and pilocarpine", from oil in water omega three emulsion 6.7% containing a mixture of Docosahexanoic Acid (DHA) Eicosapentaenoic Acid (EPA) produced in Amin Pharmaceutical Company, Iran and pilocarpine 2 solution % produced in Sina Daru Pharmaceutical Company is used. Before each dose, the patient shakes the medicine bottle well for 30 seconds, then gargles the volume of 5 ml using a measuring cup for one minute, and then spits it. Mouthwash is delivered to patients in a brown glass bottle with a volume of 225 cc for 15 days consumption in the first visit. The amount of saliva secretion is also evaluated by measuring the weight of a weighed cigarette filter placed in the patient's mouth for 5 minutes in both visits (the first day and the 15th day after taking the medicine) by the project manager.
Category
Treatment - Drugs

2

Description
Control group: standard treatment plus placebo. Half-saline (45% sodium chloride) will be used for the placebo solution. The placebo product is prepared in a 120 cc brown glass with exactly the same shape and packaging as the mouthwash and is labeled with random codes so that the contents of the glass are not clear. Before each dose, the patient shakes the medicine bottle well for 30 seconds, then gargles the volume of 5 ml using a measuring cup for one minute, and then spits it. Placebo is delivered to patients in a brown glass bottle with a volume of 225 cc for 15 days at the first visit. The amount of saliva secretion is also evaluated by measuring the weight of a weighed cigarette filter placed in the patient's mouth for 5 minutes in both visits (the first day and the 15th day after taking the medicine) by the project manager.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Teaching Clinic of Hajar Hospital
Full name of responsible person
Mohammad Musavi
Street address
Kashani street
City
Sharekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813833435
Phone
+98 38 3334 9507
Email
moosavi@skums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Elham Reisi
Street address
Kashani street
City
Sharekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813833435
Phone
+98 38 3334 9507
Email
baghernejad.sadaf@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahre-kord University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Sadaf Baghernejad Monavar Gilani
Position
mediacal assistant
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
Kashani street
City
Sharekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816754633
Phone
+98 38 3222 0016
Email
baghernejad.sadaf@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Mohammad Mousavi
Position
Associate Professor
Latest degree
Subspecialist
Other areas of specialty/work
Rheumatology
Street address
Kashani street
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816754633
Phone
0383222116
Email
moosavi@skums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Sadaf Baghernejad Monavar Gilani
Position
Mediacal Assistant
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
Kashani Street
City
Sharekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816754633
Phone
+98 38 3222 0016
Email
baghernejad.sadaf@gamil.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
To share the data and documents of this research, only the information related to the main outcome will be shared. Also, files that can be published and do not violate people's privacy will be published.
When the data will become available and for how long
The access period will start 6 months after the results are published.
To whom data/document is available
Our data will only be available to researchers working in academic and scientific institutions
Under which criteria data/document could be used
If possible, all our data will be shared except personal information of people. The use of our data will only be allowed for similar research and review of our data by other researchers. All those who work in universities and scientific centers and decide to conduct similar research or check the accuracy of our data can access our data.
From where data/document is obtainable
In order to receive information, all eligible people can collect data by referring to the person in charge of the project. The contact methods are the email address baghernejad.sadaf@gmail.com or the contact number 00989122982219
What processes are involved for a request to access data/document
To receive information after sending the request, the requests will be reviewed within 10 days. If the above conditions are met, the information will be sent to the provided email within 30 days at most.
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