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CompletedNCT07891130Updated Oct 23, 2026

Curcumin Plus Topical Steroid Versus Topical Steroid Alone for Oral Submucous Fibrosis

An interventional study of Curcumin and and triamcinolone acetonide and Triamcinolone Acetonide in Oral Submucous Fibrosis, sponsored by Liaquat College of Medicine and Dentistry. Completed at 1 site in Pakistan. Open to participants aged 20 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Liaquat College of Medicine and Dentistry · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Oct 2025, registered Oct 2026).
Updated Oct 23, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years to 60 Years
Sex
All
01

Study summary

This study evaluates whether combining oral curcumin (a natural compound derived from turmeric) with a topical steroid is more effective than using a topical steroid alone in treating Oral Submucous Fibrosis (OSMF).

OSMF is a chronic mouth condition that can cause burning, tissue stiffness, and difficulty opening the mouth, affecting eating, speaking, and oral hygiene.

Eligible participants will be randomly assigned to one of two groups:

Group A: Curcumin 500 mg twice daily + 0.1% triamcinolone acetonide ointment three times daily.

Group B: 0.1% triamcinolone acetonide ointment alone, three times daily.

Participants will be followed for six months, with assessments at baseline, 1, 3, and 6 months. Mouth opening and burning sensation will be measured.

Participation is voluntary, and all personal information will remain confidential. Participants may withdraw at any time without affecting their medical care. The study aims to determine whether the combination treatment improves mouth opening and reduces burning sensation more effectively.

Read the detailed description

Oral Submucous Fibrosis (OSMF) is a chronic, progressive, potentially malignant disorder characterized by fibrosis of the oral mucosa and restricted mouth opening. Curcumin, a bioactive polyphenolic compound derived from Curcuma longa, has demonstrated anti-inflammatory, antioxidant, and potential antifibrotic properties. Topical triamcinolone acetonide is used to manage inflammatory symptoms associated with OSMF. This study will evaluate whether adding oral curcumin to topical triamcinolone acetonide improves clinical outcomes compared with topical triamcinolone acetonide alone.

This randomized, controlled, parallel-group clinical trial will be conducted in the Department of Oral and Maxillofacial Surgery at Liaquat College of Medicine and Dentistry, Karachi, Pakistan. The planned study duration is six months. A total of 60 participants will be allocated in a 1:1 ratio to the two treatment groups using a sealed-envelope randomization method.

Participants assigned to the intervention group will receive oral curcumin 500 mg twice daily in combination with 0.1% triamcinolone acetonide ointment applied to the affected oral mucosa three times daily. Participants assigned to the control group will receive 0.1% triamcinolone acetonide ointment applied to the affected oral mucosa three times daily. Treatment and follow-up will be conducted according to the study protocol.

Clinical assessments will be performed at baseline and at 1, 3, and 6 months. Interincisal mouth opening will be measured in millimeters using a metallic ruler, and burning sensation will be assessed using a 10-point Visual Analog Scale (VAS). A blinded examiner will perform the clinical measurements to reduce observer-related measurement bias.

The primary outcome is the change in interincisal mouth opening from baseline to six months. The secondary outcome is the change in burning sensation VAS score from baseline to six months.

Data will be analyzed using IBM SPSS Statistics, Version 26. Quantitative variables will be summarized using means and standard deviations, where appropriate, and categorical variables using frequencies and percentages. Between-group comparisons will use the independent-samples t-test or Mann-Whitney U test, as appropriate to the distribution of the data. Repeated-measures analysis of variance will be used for within-group comparisons over time, where appropriate, and the chi-square test will be used for categorical variables. Statistical significance will be set at p ≤ 0.05.

The study will compare clinical changes between the two treatment groups to assess whether adjunctive oral curcumin provides additional benefit when combined with topical triamcinolone acetonide for the management of OSMF.

02

Conditions studied

  • Oral Submucous Fibrosis

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Keywords

  • Oral Submucous Fibrosis
  • Curcumin
  • Triamcinolone Acetonide
  • Topical Steroid
  • Mouth Opening
  • Burning Sensation
03

In context

Paresthesia

41 studies on the registry are indexed under Paresthesia; 10 are open to participants now.

This study's enrollment of 60 is above the median of 46 across 32 interventional studies indexed under Paresthesia.

Browse Paresthesia studies →

Lead sponsor

Liaquat College of Medicine and Dentistry is the lead sponsor of 4 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
20 Years to 60 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

  • Age between 20-60 years

    • Clinical diagnosis of OSMF (Stages I or II based on Haider's classification)
    • Burning sensation score ≥ 4 on VAS
    • Interincisal mouth opening \<35 mm
    • Patients with no history of previous OSMF treatment

Exclusion criteria

Exclusion Criteria:

  • Systemic illness (e.g., diabetes, immunocompromised status)

    • Pregnant or lactating women
    • Patients currently on any anti-inflammatory, antioxidant, or immunomodulatory drugs
    • Known allergy to curcumin or corticosteroids
    • TMJ disorders or any mechanical cause of trismus other than OSMF
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Curcumin + Topical Steroid

    Participants receive oral curcumin 500 mg twice daily plus topical triamcinolone acetonide 0.1% three times daily for 6 months.

    Other: Curcumin and and triamcinolone acetonide

  • Active comparator
    Triamcinolone Acetonide 0.1%

    Participants receive topical triamcinolone acetonide 0.1% three times daily for 6 months.

    Other: Curcumin and and triamcinolone acetonide · Drug: Triamcinolone Acetonide

Interventions

  • OtherCurcumin and and triamcinolone acetonide

    Oral curcumin 500 mg administered twice daily for 6 months and topical application of triamcinolone acetonide 3 times a day

  • Triamcinolone acetonide 0.1% ointment applied to the affected oral mucosa three times daily for 6 months.

06

What researchers measure

Primary outcomes

  1. interincisal mouth opening

    The change in interincisal mouth opening from baseline to 6 months.

    Time frame: 1,3, and 6 months

07

Study locations

1 site
  • Liaquat College of Medicine and Dentistry
    Karachi, Sindh 75400, Pakistan
08

References and documents

Publications

  • 20. Khan AA, Akhter S. Trends of OSMF among adolescents in Lahore. J Coll Physicians Surg Pak. 2022;32(5):603-7.
  • 19. More CB, Rao NR. Proposed clinical classification for OSMF. J Oral Maxillofac Pathol. 2019;23(1):101-6.
  • 16. Ravindra SN, Kumar M, Baroi A. Use of curcumin with antioxidants in OSMF: a clinical study. J Neonatal Surg. 2023;14:2083.
  • Adhikari S, Rimal J, Maharjan IK, Shrestha A. Efficacy of Curcumin in Combination with Intralesional Dexamethasone with Hyaluronidase in the Treatment of Oral Submucous Fibrosis: A Randomized Controlled Trial. Asian Pac J Cancer Prev. 2022 Sep 1;23(9):3125-3132. doi: 10.31557/APJCP.2022.23.9.3125. PubMed 36172675 ↗
  • Deepak TA, Manjunath M, Thakur H. Efficacy of Curcumin and Topical Steroids in the Treatment for Oral Submucous Fibrosis: A Comparative study. J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S542-S548. doi: 10.4103/jpbs.JPBS_687_20. Epub 2021 Jun 5. PubMed 34447150 ↗
  • Guo JC, Xie H, Wu H, Tong TJ. [Efficacy of curcumin in the treatment of oral submucous fibrosis: a Meta-analysis]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Apr 1;39(2):195-202. doi: 10.7518/hxkq.2021.02.011. Chinese. PubMed 33834675 ↗
  • 12. Wang Y, Chen X, Li Y. Curcumin suppresses myofibroblast differentiation in OSMF models. Int J Mol Sci. 2021;22(17):9334
  • Zhang L, Tan J, Liu Y, Luo M. Curcumin relieves arecoline-induced oral submucous fibrosis via inhibiting the LTBP2/NF-kappaB axis. Oral Dis. 2024 May;30(4):2314-2324. doi: 10.1111/odi.14656. Epub 2023 Jun 29. PubMed 37382472 ↗
  • Waghmare M, Pagare S, Bhor K, Srivastava R, Manoj R, Gavand K. Comparing efficacy of curcumin with other treatment modalities in oral submucous fibrosis management - A systematic review and meta-analysis. J Ayurveda Integr Med. 2024 Jul-Aug;15(4):100950. doi: 10.1016/j.jaim.2024.100950. Epub 2024 Jul 9. PubMed 38986267 ↗
  • Chen X, Xie H, Guo J. Drug treatment for oral submucous fibrosis: an update. BMC Oral Health. 2023 Oct 12;23(1):748. doi: 10.1186/s12903-023-03488-9. PubMed 37828490 ↗
  • 8. Patil S, Maheshwari S, Bagri-Manjrekar K. Curcumin: The Indian solid gold. Oral Oncol. 2017;68:110-8.
  • She R, Xu P. Mechanism of curcumin in the prevention and treatment of oral submucosal fibrosis and progress in clinical application research. BDJ Open. 2024 Oct 25;10(1):82. doi: 10.1038/s41405-024-00268-7. PubMed 39455570 ↗
  • 6. More CB, Rao NR, More M, Bhavsar K. Proposed clinical classification for OSMF. J Oral Maxillofac Pathol. 2019;23(1):101-6
  • 5. Khan AA, Akhter S, Rehman S, Mirza T. Trends of OSMF among adolescents in Lahore. J Coll Physicians Surg Pak. 2022;32(5):603-7.
  • 4. Ahmed S, Mehmood A, Iqbal T. Prevalence and risk factors of OSMF in Punjab, Pakistan. Pak Oral Dent J. 2020;40(2):72-6.
  • 3. Mirza S, Alamgir W, Qazi S. Prevalence of oral submucous fibrosis among gutka users in Karachi. J Pak Dent Assoc. 2017;26(3):119-23.
  • Borle RM, Borle SR. Management of oral submucous fibrosis: a conservative approach. J Oral Maxillofac Surg. 1991 Aug;49(8):788-91. doi: 10.1016/0278-2391(91)90002-4. PubMed 2072189 ↗
  • Angadi PV, Rekha KP. Oral submucous fibrosis: a clinicopathologic review of 205 cases in Indians. Oral Maxillofac Surg. 2011 Mar;15(1):15-9. doi: 10.1007/s10006-010-0225-x. PubMed 20414694 ↗

Study documents

  • Protocol, analysis plan and consent form · Nov 14, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07891130
Lead sponsor
Liaquat College of Medicine and Dentistry
Responsible party
Arshia Altaf Butt (Principal Investigator, Liaquat College of Medicine and Dentistry) — Principal investigator
First posted
Oct 23, 2026
Start date
Oct 10, 2025
Primary completion
Sep 1, 2026
Completion
Sep 5, 2026
Last update
Oct 23, 2026

Oversight

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

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