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CompletedNCT00315679Updated Aug 3, 2018

A Trial of Pentoxifylline for the Treatment of Recurrent Aphthous Stomatitis

An interventional study of Pentoxifylline (also known as oxpentifylline) in Recurrent Aphthous Stomatitis, sponsored by Manchester University NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 16 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-08-03.

Sponsored by Manchester University NHS Foundation Trust · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
16 Years to 65 Years
Sex
All
01

Study summary

This is a randomized, double blind, placebo controlled trial of the use of pentoxifylline (oxpentifylline) for the treatment of recurrent mouth ulcers.

Read the detailed description

There are few effective treatments for recurrent aphthous stomatitis (cancer sores, recurrent mouth ulcers). Most existing treatments are palliative topical treatments. Some systemic drugs e.g. steroids and thalidomide can suppress the recurrence of mouth ulcers but have serious long term side effects. Pentoxifylline (also known as oxpentifylline) has been used systemically for many years to treat peripheral vascular disease and has a good side effect profile. It shares several actions with thalidomide but does not share its serious side effects. Furthermore, some small scale, open label clinical studies have indicated it may be very effective in treating recurrent aphthous stomatitis (RAS). This study enrolled patients with RAS for which no underlying cause could be identified. Patients kept a diary of the pattern of their mouth ulcers for 60 days to confirm the pattern of ulceration and provide baseline data. Those still qualified for the study were then randomized to treatment with pentoxifylline 400mg three times daily or an identical placebo tablet three times daily for a further 60 days during which they continued to keep a daily ulcer diary. At the end of this period, treatment was stopped and they kept the daily ulcer diary for a further 60 days to identify if any benefit from the treatment was continued after ceasing treatment.

02

Conditions studied

  • Recurrent Aphthous Stomatitis

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Keywords

  • recurrent aphthous stomatitis
  • recurrent mouth ulcers
  • pentoxifylline
  • clinical trial
  • double blind
  • placebo controlled
  • randomized
03

In context

Stomatitis, Aphthous

63 studies on the registry are indexed under Stomatitis, Aphthous; 17 are open to participants now.

This study's enrollment of 30 is below the median of 46 across 55 interventional studies indexed under Stomatitis, Aphthous.

Browse Stomatitis, Aphthous studies →

Lead sponsor

Manchester University NHS Foundation Trust is the lead sponsor of 139 studies on the registry; 26 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of minor recurrent aphthous stomatitis
  • 2 or more mouth ulcers per month for more than 6
  • No current treatment for oral ulceration or willing to stop treatment
  • Age 16 to 65 years

Exclusion criteria

Exclusion Criteria:

  • Taking ketorolac, theophylline or anti-hypertensive medication except diuretics (contra-indicated in patients treated with pentoxifylline)
  • Systemic diseases that contra-indicate the use of pentoxifylline i.e. pregnancy, hypotension, ischaemic heart disease, acute myocardial infarction, cerebral or occular hemorrhage, renal or hepatic failure, porphyria or allergy to pentoxifylline.
  • Patients with an underlying deficiency state or systemic disease that could cause recurrent mouth ulcers e.g. iron, vitamin B12 or foliate deficience, coeliac disease, Crohn's disease, ulcerative colitis, Behcet's disease or Aids.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
30 participants
06

What researchers measure

Primary outcomes

  1. Reduction in the median pain score

  2. Reduction in the median ulcer size

  3. Reduction in the median ulcer number

  4. Reduction in the total number of episodes of ulceration (RAS)

Secondary outcomes

  1. Change in global ulcer severity score

  2. Increase in the proportion of ulcer free days

  3. Difference in the proportion of ulcer free days (comparing trial v baseline)

  4. Side effect incidence

  5. Side effect type

07

Study locations

1 site
  • University Dental Hospital of Manchester
    Manchester, M15 6FH, United Kingdom
08

References and documents

Publications

  • Thornhill MH, Baccaglini L, Theaker E, Pemberton MN. A randomized, double-blind, placebo-controlled trial of pentoxifylline for the treatment of recurrent aphthous stomatitis. Arch Dermatol. 2007 Apr;143(4):463-70. doi: 10.1001/archderm.143.4.463. PubMed 17438178 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00315679
First posted
Apr 19, 2006
Start date
Jun 1996
Primary completion
Nov 1998
Completion
Nov 1998
Last update
Aug 3, 2018

Study contacts

Martin H Thornhill, MBBS, BDS
principal investigator · University of Sheffield School of Clinical Dentistry
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pentoxifylline

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