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Completed

NCT Number: NCT02142543

The Effect of 2-DeNT Oral Topical Powder on Minor Recurrent Aphthous Ulcer

This is a prospective, randomized, blinded, placebo-controlled, crossover clinical trial to evaluate the efficacy of 2-DeNT oral topical powder in the treatment of recurrent aphthous stomatitis (RAS). To be included in the study, subjects must have had minor RAS ulcers of less than 48 hours duration. It was randomly determined which powder was used first; all subjects used both the 2-DeNT powder and the placebo powder. Subjects applied the powder twice daily and maintained a daily log recording the size of the ulcer, its erythema score, and their level of pain. The subjects continued applying the 2-DeNT powder until the ulcer was resolved.

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Key information

Age range

12 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Texas A&M Baylor College of Dentisry

Dallas, Texas, 75246, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • a history of minor recurrent aphthous stomatitis (RAS) lesions occurring at least 3-4 time/ year, and usually requiring 5 or more days to resolve
  • presence of an active ulcer of less than 48 hours duration on either the buccal or labial mucosa (making them more easily accessible for powder application)
  • willing and able to give informed consent

Exclusion criteria

  • pregnant or lactating
  • if ulcers were manifestations of a systemic disease process such as ulcerative colitis, Crohn's disease, Behcet's syndrome, or anemia;
  • concurrent clinical conditions that could either pose a health risk to the patient by being involved in the study or potentially influence the outcome of the study
  • hypersensitivity to dexamethasone, diphenhydramine, tetracycline, metronidazole, nystatin, karaya gum, or zinc oxide
  • having used corticosteroids, oral retinoids, or other immunomodulatory agents within one month of participation in the study; non-steroidal anti-inflammatory agents (e.g., aspirin, ibuprofen, etc.), acetaminophen, or oral antihistamines chronically within one month of participation in the study or any use within five days of participation in the study; topical medication (including steroids, retinoids, and anti-microbial drugs) within two weeks of participation in the study, systemic antibiotics within two weeks of participation in the study; any preparation or medication (OTC or prescription) applied to the ulcer within 48 hours of participation in the study
  • history of drug or alcohol abuse
  • having had any dental work within 2 weeks of study entry
  • having had any orthodontic or oral appliances (that could cause oral trauma) within 1 cm of the ulcer or any recollection of trauma in the area of the ulcer
  • participating in any other study involving investigational or marketed products within 1 month of study entry or plans to participate in such an investigation during this study.

Treatment and study plan

2-DeNT powder

Drug

powder included dexamethasone, diphenhydramine, tetracycline, metronidazole, nystatin, zinc oxide, and karaya gum

placebo comparator

Drug

Other names: placebo powder containing zinc oxide, karaya gum, and yellow dye, which was added to imitate the color of the original powder

Primary outcomes

  1. Ulcer size

    Time frame: From time of randomization until ulcer was healed, an expected average of 3 to 5 days

    Size was measured from the outside edge of the white border to the outside edge of the opposite white border. If the ulcer was oval in shape, its longest dimension was measured.

Secondary outcomes

  1. Erythema

    Time frame: From time of randomization until ulcer was healed, an expected average of 3 to 5 days

    Erythema levels were recorded on a scale of 0 to 4 (0= no redness, 1= faint redness, 2= light red/pink, 3= moderate redness, 4= severe redness) using a guide that provided both picture and word descriptions of the degree of redness associated with each number on the scale

Other outcomes

  1. Pain

    Time frame: From time of randomization until ulcer was healed, an expected average of 3 to 5 days

    The perceived level of pain or discomfort was noted by the subject using a 10 cm visual analogue scale (VAS) with anchors of "no pain" and "worst pain ever"

Sponsors and collaborators

Lead sponsor

Texas A&M University

Other

Registry information

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
May 20, 2014
Registry last updated
Jun 6, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.