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CompletedNCT07702474Updated Jul 14, 2026

Efficacy of 5% Chitosan Nanoparticle Paste in the Treatment of Recurrent Aphthous Stomatitis

A Phase 2 interventional study of Triamcinolone Acetonide 0.1% Oral Paste and 5 wt.% Chitosan Nanoparticle Paste in Recurrent Aphthous Stomatitis and Oral Ulcers, sponsored by Kerman University of Medical Sciences. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by Kerman University of Medical Sciences · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 17 years 2 months after the study started (first participant enrolled Apr 2009, registered Jul 2026).
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the therapeutic clinical efficacy of a synthesized 5 wt.% chitosan nanoparticle paste compared to a standard topical corticosteroid (triamcinolone acetonide 0.1% oral paste) in patients suffering from minor recurrent aphthous stomatitis. The study specifically monitors changes in clinical ulcer diameter and pain reduction.

Read the detailed description

Recurrent aphthous stomatitis (RAS) is a common oral mucosal disease causing significant pain and discomfort. This randomized, active-controlled, single-blind clinical trial investigates a novel mucoadhesive 5 wt.% chitosan nanoparticle paste formulation synthesized via the ionic gelation technique. Eligible patients diagnosed with minor RAS are randomly allocated in a 1:1 ratio to either Group A (active control: triamcinolone acetonide 0.1% oral paste) or Group B (experimental: 5 wt.% chitosan nanoparticle paste). Both groups apply their designated medication topically four times a day using a sterile swab after rinsing and drying the affected area. Treatment is continued until complete healing of the ulcer occurs. Clinical follow-up examinations are performed periodically at days 0, 1, 6, and 10 to measure the clinical ulcer diameter using a Hu-Friedy periodontal probe and to record subjective pain scores via a Visual Analogue Scale (VAS).

02

Conditions studied

  • Recurrent Aphthous Stomatitis
  • Oral Ulcers

Keywords

  • Chitosan
  • Nanoparticles
  • Triamcinolone Acetonide
  • Aphthous Ulcers
  • Wound Healing
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 41 across 54 interventional studies indexed under Stomatitis, Aphthous.

Browse Stomatitis, Aphthous studies →

Lead sponsor

Kerman University of Medical Sciences is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Patients complaining of oral recurrent ulcers with signs of minor recurrent aphthous stomatitis.
  • History of oral recurrent ulcers with a recurrence rate of 2 to 3 times per year.
  • Ulcer diameter less than 1 cm at baseline.
  • Maximum of 4 days passed since the emergence of the current ulcer.
  • No use of any prior medications or treatment for the current ulcer.
  • Signed written .

Exclusion criteria

Exclusion Criteria:

  • Background of systemic diseases, including diabetes mellitus.
  • Connective tissue diseases such as Lupus.
  • Syndromes or diseases related to aphthous ulcers, such as cyclic neutropenia and Behcet's disease.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Active Comparator: Triamcinolone Group

    Patients received triamcinolone acetonide 0.1% oral paste (Adcortyl) applied topically 4 times a day until complete healing.

    Drug: Triamcinolone Acetonide 0.1% Oral Paste

  • Experimental
    Experimental: Chitosan Nanoparticle Group

    Patients received mucoadhesive 5 wt.% chitosan nanoparticle paste applied topically 4 times a day until complete healing.

    Drug: 5 wt.% Chitosan Nanoparticle Paste

Interventions

  • Standard reference topical corticosteroid ointment utilized as the active standard of care control.

    Also known as: Adcortyl

  • Drug5 wt.% Chitosan Nanoparticle Paste

    Synthesized via ionic gelation method using low molecular weight chitosan and sodium tripolyphosphate, formulated into a 5 wt.% mucoadhesive paste.

    Also known as: Chitosan Paste, CN

06

What researchers measure

Primary outcomes

  1. Change in clinical ulcer diameter

    Measured in millimeters using a Hu-Friedy periodontal probe to evaluate clinical wound contraction and reduction in lesion size.

    Time frame: Days 0, 1, 6, and 10

Secondary outcomes

  1. Change in pain severity score

    Subjective pain intensity recorded by patients using a Visual Analogue Scale (VAS) graded from 0 (no pain) to 10 (highest rate of pain).

    Time frame: Days 0, 1, 6, and 10

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07702474
Lead sponsor
Kerman University of Medical Sciences
Responsible party
zahra atai (Professor of Oral Medicine, Kerman University of Medical Sciences) — Principal investigator
First posted
Jul 14, 2026
Start date
Apr 21, 2009
Primary completion
Nov 3, 2009
Completion
Dec 1, 2009
Last update
Jul 14, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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