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The goal of this clinical trial is to assess Honey in orabase (1:1) for treating patients with OLP and improving their quality of life:
The research question aims to answer:
Does honey in orabase (1:1) improve or reduce OLP symptoms compared to the standardized treatment by triamcinolone acetonide 0.1% drug and improve the patient's quality of life?
Participants will:
Take drug ABC or a placebo every day for 4 months Visit the clinic once every 2 weeks for checkups and tests Keep a diary of their symptoms and the number of times they use a rescue inhaler
The study comprised 56 patients diagnosed with Oral Lichen Planus, who were randomly selected according to inclusion and exclusion criteria. The subjects were between 35 and 60 years old, capable of complying with the study procedure, and provided informed consent. Exclusion criteria encompassed those with alternative oral mucosal illnesses, systemic problems influencing OLP or wound healing, allergies or sensitivities to honey or triamcinolone, or those receiving systemic corticosteroids or immunosuppressive drugs. Individuals who were pregnant or lactating, as well as those unable to provide informed written consent, were excluded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I with OLP at buccal mucosa | Experimental | The trial Group (I) (honey in orabase 1: 1 paste), four times daily after meals or rinsing |
|
| Group II with OLP at buccal mucosa | Active Comparator | Group (II): triamcinolone acetonide 0.1% ointment, four times daily after meals or rinsing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Honey in orabase 1: 1 paste | Drug | The experimental drug was manufactured and packed at the Faculty of Pharmacy, Price Sattam University, SA. Production of a mucoadhesive paste involves a step-by-step process. in the final step, honey, comprising 50% of the total composition was thoroughly blended with the prepared base to ensure homogeneity |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Assessment of OLP lesions using OLP score | will be assessed by OLP score: Thongprasom et al.: score 0 (no lesions), score 1 (mild white striae only with no erythematous areas), score 2 (white striae exhibiting an atrophic area < 1 cm2), score 3 (white striae alongside an atrophic area ≥ 1 cm2), score 4 (white striae in an erosive area < 1 cm2), and score 5 (white striae alongside an erosive area ≥1 cm2). Atrophic OLP was defined as thinning of the oral mucosa, with a smooth red appearance, while erosive OLP involved ulceration and erosion of the mucosal surface. | baseline to 1 year |
| Pain assessment using Visual analogue scale (VAS) | (VAS) is a self-reported score typically consisting of a 10 cm horizontal line from right (best) to left (worst) with verbal descriptions (word anchors: 0 cm: No pain; 1 cm: Hardly notice pain; 2 cm: Notice pain does not interfere with activities; 3 cm: Sometimes distracts me; 4 cm: Distracts me, can do usual activities; 5 cm: Interrupts some activities; 6 cm: Hard to ignore, avoid usual activities; 7 cm: focus of attention, prevent doing daily activities; 8 cm: Awful, hard to do anything; 9 cm: Can not bear the pain, unable to do anything; 10 cm: As bad as it could be, nothing else matters) | baseline- to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Long-term satisfaction of patients with OLP treated with honey, recurrence rates, and quality of life after one year of treatment | Patient Satisfaction: Measured using a Likert scale questionnaire (e.g., 1-5, where 1 = very dissatisfied and 5 = very satisfied). Recurrence % or Complications Quality of Life: Reassess by using OHIP-14 at each follow-up. | baseline to 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sally A ElHaddad, Assist Prof | Contact | 00966011494 | 9212 | s.elhaddad@dau.edu.sa |
| Name | Affiliation | Role |
|---|---|---|
| Sally A ElHaddad, Assist. Prof | Dar AlUloom University, SA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dar AlUloom University | Recruiting | Riyadh | 11512 | Saudi Arabia |
will be made available to researchers upon reasonable request, in order to support further research and meta-analyses.
Data to be Shared:
Demographic data (e.g., age, gender)
Baseline clinical characteristics
Treatment allocation (coded)
Outcome measures (e.g., clinical response, pain scores, lesion size)
Adverse events and safety data
Follow-up assessments
Supporting Documents:
Study protocol
Statistical analysis plan
Informed consent form (redacted)
Case report forms (CRFs)
IPD will be available beginning 6 months following publication and for up to 5 years. Data will be shared through secure data repositories or direct communication with the corresponding author, after review and approval of a formal data request, including a data use agreement.
Access to IPD will be granted to qualified researchers affiliated with academic institutions, healthcare organizations, or non-profit research entities. Requests must include:
A research proposal with clear scientific objectives and methods
Evidence of ethical approval (if applicable)
A signed data use agreement ensuring confidentiality, data protection, and responsible data handling
Agreement not to attempt to re-identify individual participants
Requests will be evaluated by the study team based on scientific merit, ethical considerations, and alignment with the purpose of the original study.
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| ID | Term |
|---|---|
| D006722 | Honey |
| D014222 | Triamcinolone Acetonide |
| D009824 | Ointments |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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N≈55.65 N=56
56 patients diagnosed with Oral Lichen Planus, randomly assigned to one of the 2 groups
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This was a double-blind, parallel-group clinical trial. Both participants and outcome assessors were blinded to the intervention. The honey in orabase and triamcinolone formulations were prepared to appear similar in color, texture, and packaging to ensure concealment. Identical containers were used for both treatments, and labeling was done using coded identifiers maintained by a third party not involved in the assessment or data analysis. Participants were instructed to apply the provided formulation as directed without being informed of the specific treatment assignment.
|
|
| D014221 |
| Triamcinolone |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |