ClinicalTrials.gg
CompletedNCT07792512Updated Aug 28, 2026

Efficacy of Aloe Vera Compared to Corticosteroid in Topical Treatment of Oral Lichen Planus and on Salivary Levels of Tumor Necrosis Factor Alpha

A Phase 4 interventional study of aloevera gel and Topical Corticosteroid Creams (Triamcinolone acetonide 0.1% and Hydrocortisone 2.5%) in Oral Lichen Planus and Tumor Necrosis Factor-alpha, sponsored by Ain Shams University. Completed at 5 sites in Egypt. Open to participants aged 25 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Ain Shams University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 7 months after the study started (first participant enrolled Jan 2022, registered Aug 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
25 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 10 studies in Lichen Planus, Oral by Ain Shams University — 3 open to participants now, 4 under way, none of them phase 3. Lichen Planus, Oral · Ain Shams University.

Started
2022
the only one that year
Phase 4
7 of 10
1 open now
Registered
9th of 10
by date

Among the 10 studies in Lichen Planus, Oral by Ain Shams University, this one is the only one that started in 2022, is one of 7 in phase 4, and was the 9th registered.

Lichen Planus, Oral

142 studies on the registry are indexed under Lichen Planus, Oral; 27 are open to participants now.

Browse Lichen Planus, Oral studies →

Open to participants now

3 of the 10 studies in Lichen Planus, Oral by Ain Shams University are open now. Recruiting first, the newest first:

All 3 open studies →

Where they have run

Who these studies take

Of the 14 Lichen Planus, Oral studies recruiting now, 10 (71%) set no upper age limit and 2 (14%) stop at 75 or younger; 3 take children under 18; 3 take healthy volunteers.

This study: 25 Years to 60 Years · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

Aloe Vera Herbal treatment has been widely used as an anti-inflammatory and antioxidant the objective of this study was to evaluate the clinical efficacy of Aloevera gel compared to corticosteroid gel o for symptomatic oral lichen planus, and to investigate the effect of Aloe Vera or corticosteroids on the expression of Tumor necrosis factor alpha in oral lichen planus as an early marker of inflammation.

Read the detailed description

Twenty four patients with erosive or atrophic OLP were randomly assigned into two equal groups to receive Aloevera gel (70%) three times per day ( Group 1) , topical steroid ( triamcinolone acetonide 0.1%), four times per day ( Group 2 ),all groups are given treatment for 8 weeks and 4 weeks follow up period without treatment. Photographs of the most severe lesion were taken ( marker lesion ) in each patient and analyzed for total ulcerative area (TUA), total atrophic area (TAA). patients were also assessed using clinical scores (CS) and visual analogue scale (VAS). pre treatment and post treatment specimens were collected through salivary sample to test for expressionof tumor necrosis factor alpa.

03

Conditions studied

  • Oral Lichen Planus
  • Tumor Necrosis Factor-alpha

Browse trials for

Keywords

  • OLP
  • Oral Lichen
  • Oral LP
  • TNF alpha
04

Who can participate

Ages eligible
25 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Both genders, aged ranged from 25 to 60 years.
  • Clinically proven painful symptomatic forms of OLP confirmed by the presence of red or erythematous changes, or shallow ulcerations with fine lacy lines at the periphery of the lesion accentuated by stretching and not eliminated by rubbing (Wickham's striae)
  • Histopathological proven symptomatic OLP

Exclusion criteria

Exclusion Criteria:

  • History of drug induced lichenoid lesion.
  • Presence of systemic conditions as; serious active or recurrent infections, , diabetes mellitus, hypertension, or significant heart, liver, or renal diseases. Assessed using medical questionnaire guided by Cornell Medical Index.
  • Smoking
  • Known or severe adverse effects to the treatment drugs or to any ingredient of their preparation as mentioned in history
  • Pregnancy or breast-feeding.
  • History of previous treatments potentially effective on OLP such as antimalarial agents, retinoid, , or drugs from less than 2 weeks for topical medications, and 4 weeks for systemic medications prior to starting the study.
  • Loss of pliability or flexibility in the tissues involved by the lesions of OLP.
  • Histological signs of epithelial dysplasia or lichenoid lesions within the biopsied sites.
  • Patients with extensive skin lesions and indicated for systemic corticosteroids.
  • Vulnerable groups (Handicapped, orphans or prisoners)
Terms in these criteria, in plain language(4)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Group 1 Test Group

    Aloevera Gel

    Drug: aloevera gel

  • Active comparator
    Group 2 Control group

    Topical Corticosteriod

    Drug: Topical Corticosteroid Creams (Triamcinolone acetonide 0.1% and Hydrocortisone 2.5%)

Interventions

  • Drugaloevera gel

    Mature fresh leaves of Aloe Vera will be washed with fresh, water, their thick epidermis was removed and the solid mucilaginous gel will be collected in a sterile container. The Aloe Vera (AV) gel will consist of 70% AV mucilage, sorbitol, potassium sorbate, sodium metabisulphite and hydroxyethyl-cellulose Dosage : Four times daily for two months

  • DrugTopical Corticosteroid Creams (Triamcinolone acetonide 0.1% and Hydrocortisone 2.5%)

    Drug page: Triamcinolone Acetonide

    Each 0.1 mg triamcinolone acetonide in a dental gel containing gelatin, pectin, cream flavor, vanilla flavor and carboxymethylcellulose sodium in Plasticized Hydrocarbon Gel, a polyethylene and mineral oil gel base.

06

What researchers measure

Primary outcomes

  1. Primary Objective

    To compare the clinical efficacy of Aloe Vera gel 70% versus triamcinolone acetonide 0.1% gel in the treatment of symptomatic oral lichen planus (OLP) in terms of lesion size and patient pain The assessment will be carried out at 0, 2, 4 and 8 weeks after starting of the treatment protocol then at 12 weeks after the end of the observational period using the following parameters: 1. Clinical scoring (CS) (Thongprasom et al., 2003) 0: Mild represented no lesion/normal mucosa. 1: White striae/no erythematous area. 2: White striae with atrophic area less than 1 cm2 3: White striae with atrophic area more than 1 cm2 4: White striae with erosive area more than 1cm2 2. Visual Analog Scale (VAS) The VAS consisted of a 10-cm horizontal line marked 0-10 (0 no pain; 10 most severe pain experienced). 3. Imaging and measuring of the oral marker lesion the surface area of the lesion will be outlined and measured using specific image software.

    Time frame: 12 weeks

Secondary outcomes

  1. Secondary Objective

    To investigate the effect of Aloe Vera on the salivary level of Tumor Necrosis Factor-alpha The mean concentration of TNF-α in whole saliva of in patients with OLP lesions will be measured by ELISA kit. The assay will be performed according to the manufacturer's instruction (Pezelj-Ribaric S et al ,2004).

    Time frame: 12 weeks

07

Study locations

5 sites
  • Faculty Of Dentistry, Ainshams University.
    Al ‘Abbāsīyah, Cairo Governorate 01234, Egypt
  • Faculty Of Dentistry, Ainshams University.
    Al ‘Abbāsīyah, Cairo Governorate, Egypt
  • Ainshams University
    Cairo, Cairo Governorate 01234, Egypt
  • Faculty of dentistry Ainshams University
    Cairo, Egypt
  • Faculty Of Dentistry, Ainshams University.
    Cairo, Egypt
08

References and documents

Individual participant data

Plan to share: No — No plan to make individual participant data ( IPD) available at this time. data maybe shared upon reasonable request to corresponding author subject to institutional approval

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2022 to primary completion in Feb 2025, 36 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2026
First posted
Aug 28, 2026
StartActual
Jan 20, 2022
Primary completionActual
Feb 5, 2025
CompletionActual
Aug 5, 2025
Last update
Aug 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07792512
Responsible party
Rodina Ahmed Elsayed Mohamed Zoair (Post Graduate Researcher , Faculty of dentistry, AinShams University, Ain Shams University) — Principal investigator
First posted
Aug 28, 2026
Start date
Jan 20, 2022
Primary completion
Feb 5, 2025
Completion
Aug 5, 2025
Last update
Aug 28, 2026

Oversight

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

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

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