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Oral Lichen PlanusPhase 2NCT03592342

Intra-oral Treatment of OLP With Rivelin®-CLO Patches

A Phase 2 study testing Clobetasol Propionate in people with Oral Lichen Planus, run by Dermtreat at 27 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Participants with symptomatic Oral Lichen Planus lesions will be treated with Rivelin® patches containing either 0, 1, 5, or 20 μg clobetasol per patch. Each participant will apply up to 6 patches twice daily for 4 weeks. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Oral Lichen Planus
What is being tested?
Clobetasol Propionate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
140 participants
Where
27 sitesin 6 countries
Study dates
28 Jun 2018to 20 Dec 2019
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • OLP patients with at least one visible and measurable symptomatic ulcerative OLP lesion, assessable via OLP Clinician Reported Outcome Measure (OLPClinROM).
  • Diagnosis of LP histologically confirmed by result of either an existing clinically relevant biopsi or a new clinically representative biopsy at first screening visit (i.e. a biopsy report either indicative of OLP, LP or indicative of lichenoid inflammation will be sufficient).
  • Patients aged ≥ 18 years.
  • Patients practicing daily oral hygiene (by tooth brushing and/or mouth rinse) and willing to maintain at least their routine oral hygiene procedure during study participation.
  • Willingness to keep already used permitted concomitant medication, food supplements (e.g. probiotics) or herbals, which might have in the discretion of the investigator a potential influence on OLP, on a stable basis during the study.

Who cannot join

  • Patients requiring more than 6 patches (corresponding to an area of approximately 3 cm2 per patch) to cover symptomatic ulcerative and erythematous OLP lesions at baseline visit.
  • Ongoing active visible fungal, bacterial or viral infection of oral mucosa, including ongoing treatment of those at baseline.
  • Patient with any un-healed oral surgery (including recent diagnostic biopsies, if applicable) or oral laser therapeutic wound(s) at baseline visit.
  • Any of the following systemic treatments prior to baseline visit and throughout the study:
  • Protease inhibitors used for the treatment of HIV (e.g. atazanavir, idinavir, nelfinavir, etc.): 1 week
  • Corticosteroids (i.v., intra articular, intra-lesional): 4 weeks
Show all 26Show fewer
  • Antimycotics: 4 weeks The following systemic treatments are allowed, if on stable dose for a defined period of time to baseline and throughout the study.
  • Antibiotics: 4 weeks
  • Corticosteroids (oral, rectal, inhalative) washout/stable with maxinum dose of 10 mg daily prednisolone or equivalent for 4 weeks.
  • Retinoids: 12 weeks
  • Immunosuppressive drugs (e.g. azathioprine, cyclosporine, mycophenolate mofetil, or biologics): 12 weeks
  • Any of the following topical treatments used in the oral cavity prior to baseline visit:
  • Corticosteroids: 2 weeks
  • Antibiotics: 2 weeks
  • Cyclosporine: 2 weeks
  • Tacrolimus, pimecrolimus: 2 weeks
  • Antimycotics: 2 weeks
  • Retinoids: 4 weeks
  • Phototherapy in oral cavity prior to baseline visit: UVB, PUVA.
  • Current participation in another clinical study and/or having received treatment with any non-marketed / investigational medicinal product (drug substance or medical device) within 4 weeks prior to screening.
  • Known or suspected intolerance/hypersensitivity/resistance to clobetasol propionate or any component of the investigational medicinal product.
  • Any history of squamous cell carcinoma (even if resected), as well as history of other non-squamous cell carcinoma (e.g. sarcoma, salivary gland tumors) that have been managed with radiation or chemotherapy.
  • History of cancer (except resected cutaneous basal cell carcinoma and except in situ cervical cancer) unless it can be documented that the patient has been in a disease-free state for at least 5 years, or at least 2 years in a disease-free state for low-grade cancers. In case of clinical suspicion of malignancy in the oral cavity, a patient can only be included after an excluding biopsy.
  • Professional dental cleaning within 2 weeks prior to baseline and unwillingness to refrain from professional dental cleaning during study conduct.
  • Close affiliation with the investigator (e.g. a close relative) or persons working at the study sites or patient who is an employee of the Sponsor's company.
  • Pregnant, confirmed by a positive pregnancy test, or nursing (lactating) women, or women of childbearing potential (WOCP) planning to become pregnant or WOCP not using or willing to continue to use a defined highly effective method of contraception throughout the study.

Trial locations and contacts

27 sites in 6 countries.

27 sites in 6 countries

United States14 sites
  • The Dental College of Georgia

    Augusta, Georgia, 30912

  • Tufts University, School of Dental Medicine

    Boston, Massachusetts, 02111

  • Brigham and Women's Hospital, Division of Oral Medicine and Dentistry

    Boston, Massachusetts, 02115

  • UNC Dermatology and Skin Cancer Center

    Chapel Hill, North Carolina, 27516

  • Carolinas Center for Oral Health

    Charlotte, North Carolina, 28209

  • The Oral and Facial Surgery Center

    Clearfield, Utah, 84105

  • Texas A&M University (TAMU), College of Dentistry

    Dallas, Texas, 75246

  • UT Southwestern Medical Center Department of Surgery

    Dallas, Texas, 75390-9109

  • ENT Associates of Texas

    Frisco, Texas, 75035

  • QWay Research

    Hialeah, Florida, 33010

  • Vitae Research Center, LLC

    Miami, Florida, 33135

  • Valencia Medical & Research Center

    Miami, Florida, 33165

  • NYU College of Dentistry, Bluestone Center for Clinical Research

    New York, New York, 10010

  • University of Pennsylvania Health System, Dept. Oral amd Maxillofacial Surgery

    Philadelphia, Pennsylvania, 19104

Other trials in United States

United Kingdom7 sites
  • Edinburgh Dental Institute

    Edinburgh, EH3 9HA

  • University of Glasgow Dental School

    Glasgow, G2 3JZ

  • Leeds Dental Institute

    Leeds, LS9 9LU

  • King´s College London Dental Institute, Oral Clinical Research Unit

    London, SE1 9RT

  • University College London and University College London Hospitals Trust

    London, WC1X 8LD

  • School of Dental Sciences Newcastel Upon Tyne

    Newcastle upon Tyne, Newcastel, NE2 4BW

  • University of Sheffield, School of Clinical Dentistry

    Sheffield, S10 2TA

Other trials in United Kingdom

Canada2 sites
  • Kaye Edmonton Clinic

    Edmonton, Alberta, T6G1Z1

  • Health Sciences North, North East Cancer Center

    Greater Sudbury, Ontario, P3E5JL

Other trials in Canada

Denmark2 sites
  • Rigshospitalet

    Copenhagen, 2100

  • University of Copenhagen Department of Odontology

    Copenhagen, 2100

Other trials in Denmark

Germany1 site
  • LMU München, Klinik und Poliklinik für Dermatologie und Allergologie

    Munich, 80337

Other trials in Germany

Ireland1 site
  • Cork University Dental School and Hospital

    Cork, T12 E8YV

Other trials in Ireland

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel Group Clinical Study to Assess the Safety and Efficacy of Three Doses of Clobetasol Propionate When Administered Intra-orally Twice Daily in Patients With Oral Lichen Planus (OLP) Using Rivelin®-CLO Patches

Participants with symptomatic Oral Lichen Planus lesions will be treated with Rivelin® patches containing either 0, 1, 5, or 20 μg clobetasol per patch. Each participant will apply up to 6 patches twice daily for 4 weeks.

Read the detailed description

Randomized, double-blind, placebo-controlled, parallel group clinical study with 3 active dose arms (Rivelin®-CLO patches) and one placebo arm (Rivelin® plain patch). Up to 6 Rivelin® patches will be applied to symptomatic ulcerative and symptomatic erythematous OLP lesions.

After screening (visit 1, day -14 to day -7), patients who have signed the informed consent form and who are fulfilling the inclusion criteria and none of the exclusion criteria will be randomized at baseline (visit 2, day 1) to one of the four treatment arms in a double-blinded fashion.

  • Arm A: Rivelin® plain patch (Placebo)
  • Arm B: Rivelin®-CLO 1 μg/patch
  • Arm C: Rivelin®-CLO 5 μg/patch
  • Arm D: Rivelin®-CLO 20 μg/patch Randomization will be 1:1:1:1 and patients will be stratified according to number of patches needed (1-3 and 4-6).

The screening phase ranges between 7 and 14 days, i.e. that the screening visit (visit 1) needs to be performed 7 days prior to baseline at latest. For visits 3 (day 8), 4 (day 15), 5 (day 22), and 6 (day 29) a visit window of +/- 2 days will be allowed. Visit 7 will be defined as visit 6 + 14 days, with a visit window of +/- 3 days.

Randomized patients will enter a 28-days (4-weeks) treatment period. Dosing is two times per day (morning and evening) with patches applied directly on OLP lesions as instructed by a clinician or delegated site staff. Patients will record symptoms and adhesion time in daily diaries by using an electronic diary (eDiary).

During the treatment period, the treating physician or dentist will perform an assessment of the disease status on a weekly basis. A final examination of disease status will be performed at the follow-up visit (visit 7), 14 days after the end of treatment.

Other treatments of symptomatic OLP lesions during the study are prohibited. Only rescue analgesics determined by the investigator at study entry on a patient specific basis are allowed to be taken, in case that OLP associated symptoms like pain cannot be managed by the sole use of the patches. All doses of rescue analgesics will be recorded by the patient in the eDiary.

If the patients' condition is worsening (at the discretion of the investigator) and if associated symptoms cannot longer be managed acceptably by the additional use of rescue analgesics, i.e. if there is the need to start any other OLP treatment, IMP treatment for that patient should be discontinued prematurely and patient should be withdrawn from the study.

At visit 3 (day 8), a blood sample will be drawn to measure the blood plasma concentration of clobetasol and to determine the morning serum cortisol level (between 7 and 9 AM).

All patients will have a follow-up visit that will be performed 2 weeks after the EoT/ET visit (visit 6).

Safety data (by means of AE documentation including fungal infections and SAE reporting) will be closely monitored by an independent Data and Safety Monitoring Board (DSMB). DSMB will advise the Sponsor of any potential risk for the safeguard of patients.

Being tested
Clobetasol Propionate
Keywords
Patch, Rivelin-Clo Patch, Oral Lichen Planus, Ulcerative, Erythematous, OLP, OLPClinROM, OLPSSM
Medical subject headings
Lichen Planus, Oral, Ulcer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Clobetasol PropionateDrug

    Rivelin® patch is a two-layer patch comprised of a muco-adhesive, drug-delivery layer and a protective layer.

Study groups in NCT03592342
Study groupRoleWhat they receive
Rivelin® plain patchesPlacebo comparatorDosing is two times per day (morning and evening) with Rivelin® plain patches (placebo).
Receives: Drug: Clobetasol Propionate
Rivelin®-CLO patch 1µgExperimentalDosing is two times per day (morning and evening) with Rivelin®-CLO patch 1µg Clobetasol propionate per patch.
Receives: Drug: Clobetasol Propionate
Rivelin®-CLO patch 5µgExperimentalDosing is two times per day (morning and evening) with Rivelin®-CLO patch 5µg Clobetasol propionate per patch.
Receives: Drug: Clobetasol Propionate
Rivelin®-CLO patch 20µgExperimentalDosing is two times per day (morning and evening) with Rivelin®-CLO patch 20µg Clobetasol propionate per patch.
Receives: Drug: Clobetasol Propionate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in ulcer area

    The change will be calculated from baseline to end of trial

    Measured: 4 weeks

Secondary outcomes (9)
  1. Change in lesion area

    The change will be calculated from baseline to end of trial

    Measured: 4 weeks

  2. Change in 5-point erythema score

    The change will be calculated from baseline to end of trial using a 5-point erythema score (assessed as no redness (0) or very severe redness (4))

    Measured: 4 weeks

  3. Change in Clinical global impression score

    The change will be calculated from baseline to end of trial using the Clinical Global Impression Score assessed on a 5-point rating scale ranging between no disease (0) and very severe disease (4)

    Measured: 4 weeks

  4. Change in OLPSSM total score (item #1 to #7)

    The change will be calculated from baseline to end of trial. The OLPSSM (OLP Symptom Severity Measure) is a recently developed questionnaire, which serves for the patient to assess his/her specific OLP symptoms. This questionnaire consists of overall 12 items, to be assessed at different time points. Most items should be completed on a daily basis (in the evening). These items will be assessed as part of the patient's eDiary

    Measured: 4 weeks

  5. Change in individual diary symptom scores (item #1 to #7 of the OLPSSM)

    The change will be calculated from baseline to end of trial. The OLPSSM (OLP Symptom Severity Measure) is a recently developed questionnaire, which serves for the patient to assess his/her specific OLP symptoms. This questionnaire consists of overall 12 items, to be assessed at different time points. Most items should be completed on a daily basis (in the evening). These items will be assessed as part of the patient's eDiary.

    Measured: 4 weeks

  6. Change in worst symptoms at anatomical sites

    The change will be calculated from baseline to end of trial

    Measured: 4 weeks

  7. The proportion of positive outcomes (score 0 or 1) on each of the 11 questions in the Patch Sensation Questionnaire

    The patient will assess the sensation of wearing the Rivelin® patches by answering 11 questions (the Patch sensation questionnaire) according to 5-point rating scales (ranging between 0 [most positive response] and 4 [most negative response]).The Patch Sensation Questionnaire will be completed during the clinic visit at baseline (visit 2) after first patch application and at visit 4 (2 weeks).

    Measured: 2 weeks

  8. The proportion of patients with successful (>=80% of days on treatment) patch applications

    Defined as an adhesion time more than 30 minutes during the 4 weeks treatment

    Measured: 4 weeks

  9. Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)

    Frequency and intensity of adverse events (AEs) reported during the study

    Measured: 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jul 2018
  2. Study start28 Jun 2018
  3. Primary completion20 Dec 2019
  4. Study completion20 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomization will be 1:1:1:1 to 1 of the 4 parallel arms (3 active and 1 placebo) and patients will be stratified according to number of patches needed (1-3 and 4-6).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03592342
Sponsor's protocol ID
DT-001-R-004
Status last verified
Jul 2020
First submitted
19 Jun 2018
Last updated
14 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Clobetasol Propionate in people with Oral Lichen Planus, run by Dermtreat at 27 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, United Kingdom, Canada, Denmark, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in ulcer area (time frame: 4 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2020.

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