Protocol summary

Study aim
Determining the therapeutic effect of a formulated mouthwash containing dexamethasone and fluconazole on oral lichen planus
Design
A phase III randomized clinical trial study with a control group is designed for 70 patients. Randomization is performed using a computerized random number table.
Settings and conduct
This randomized clinical trial is being conducted at Mashhad Dental School. Randomization is done using the sealed envelope method. Random numbers are generated with the help of the Randomaize.com website. The printed sheets will be placed inside the envelope. The envelopes will be closed and . Based on the contents of the envelope, the individual will be assigned to the intervention or control group.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Adults over 18 and under 65 years of age People who are prescribed mouthwash due to the number or extent of pathological lesions, as approved by a specialist, and the severity of the lesions is equal to two or more according to the Thongprsom criteria. Those who have informed consent to participate in the study exclusion criteria: Severe problems due to systemic diseases (more than two according to the ASA classification). People who are unable to rinse their mouth with topical corticosteroids due to systemic or medication reasons. People who have severe dysplasia based on the pathology results People who, for whatever reason, do not wish to continue participating in the project. People who have allergies to the drug or a history of allergies to other components of the formulation. Topical and systemic use of corticosteroid medications in the last 3 weeks Pregnant and breastfeeding women Immunocompromised patients
Intervention groups
5 ml of a mouthwash formulated with dexamethasone 0.1 mg/ml + fluconazole 2 mg/ml, 3 times a day for 3 weeks
Main outcome variables
Severity of oral lichen planus lesions

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20250715066509N1
Registration date: 2025-08-18, 1404/05/27
Registration timing: prospective

Last update: 2025-08-18, 1404/05/27
Update count: 0
Registration date
2025-08-18, 1404/05/27
Registrant information
Name
Ehsan Jannat Abadi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3883 2300
Email address
jannatabadie4031@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-09-23, 1404/07/01
Expected recruitment end date
2026-06-21, 1405/03/31
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the therapeutic effect of formulated mouthwash containing dexamethasone and fluconazole on oral lichen planus
Public title
Investigating the effect of dexamethasone and fluconazole mouthwash on oral lichen planus
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Adults over 18 and under 65 years of age People who are prescribed mouthwash due to the number or extent of pathological lesions, as approved by a specialist, and the severity of the lesions is equal to two or more according to the Thongprsom criteria. Those who have informed consent to participate in the study
Exclusion criteria:
Severe problems due to systemic diseases (more than two according to the ASA classification). People who are unable to rinse their mouth with topical corticosteroids due to systemic or medication reasons. People who have severe dysplasia based on the pathology results People who, for whatever reason, do not wish to continue participating in the project. People who have allergies to the drug or a history of allergies to other components of the formulation. Topical and systemic use of corticosteroid medications in the last 3 weeks Pregnant and breastfeeding women Immunocompromised patients
Age
From 18 years old to 65 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
Sealed envelope Sealed envelope method: The envelopes are prepared and printed by a member of the research team and random numbers are generated with the help of the website Randomaize.com. The printed sheets will be placed inside the envelope. The envelopes will be closed and their contents will not be visible from the outside. Then, initially, the purpose of the study is explained to the person who meets the conditions for entering the study and, if desired, they sign the informed consent form and take an envelope. Then, it is opened and based on the contents of the envelope, the person is entered into the intervention or control group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Mashhad University of Medical Sciences- Research Ethics Committee
Street address
Mashhad Dental School, Azadi Square, Vakilabad Blvd
City
mashhad
Province
Razavi Khorasan
Postal code
911735984
Approval date
2025-06-11, 1404/03/21
Ethics committee reference number
IR.MUMS.DENTISTRY.REC.1404.037

Health conditions studied

1

Description of health condition studied
Oral lichenplanus
ICD-10 code
L43
ICD-10 code description
Diseases of the skin and subcutaneous tissue, Papulosquamous disorders

Primary outcomes

1

Description
Severity of oral lichen planus lesions
Timepoint
At the beginning of the study /1 week/2 weeks/3 weeks
Method of measurement
Thongprosam

2

Description
Pain and burning
Timepoint
At the beginning of the study /1 week/2 weeks/3 weeks
Method of measurement
Visual Analogue Scale (VAS)

Secondary outcomes

1

Description
Treatment Satisfaction
Timepoint
End of the third week
Method of measurement
Treatment Satisfaction Questionnaire for Medication-9 (TSQM-9)

Intervention groups

1

Description
5 ml of a mouthwash formulated with dexamethasone 0.1 mg/ml + fluconazole 2 mg/ml, 3 times a day for 3 weeks
Category
Treatment - Drugs

2

Description
Control group: Mix a 0.5 mg tablet with 30 drops of nystatin 100,000 units and rinse 3 times a day for 3 weeks
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Oral and maxillofacial Diseases Department of Mashhad Dental School
Full name of responsible person
Dr. Atessa Pakfetrat
Street address
Department of Oral Medicine, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blv
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948959
Phone
+98 51 3882 9501
Email
pakfetrata@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr Mohsen Tafaghodi
Street address
Mashhad University of Medical Sciences, Daneshgah St.
City
Mashhad
Province
Razavi Khorasan
Postal code
91388-13944
Phone
+98 51 3882 3255
Email
tafaghodiM@mums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad 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
Mashhad University of Medical Sciences
Full name of responsible person
Dr. Ehsan Jannatabadi
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Dentistry
Street address
Mashad,Vakilabad Blv, Dental school
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948959
Phone
+98 51 3882 9501
Email
jannatabadiE4031@mums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr Atessa Pakfetrat
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Dentistry
Street address
Mashhad Dental School, Azadi Square, Vakilabad Blvd
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948959
Phone
+98 51 3882 9501
Email
pakfetrata@mums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr Atessa Pakfetrat
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Dentistry
Street address
Mashhad Dental School, Azadi Square, Vakilabad Blvd
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948959
Phone
+98 51 3882 9501
Email
pakfetrata@mums.ac.ir

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
No - There is not a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
Some data including demographic properties, signs and symptoms
When the data will become available and for how long
11 months after publication
To whom data/document is available
academic researchers
Under which criteria data/document could be used
It is permitted to use the data in other studies with reference.
From where data/document is obtainable
Dr Atessa Pakfetrat e-mail: pakfetrata@mums.ac.ir
What processes are involved for a request to access data/document
Sending email to authors.
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