Several natural products have been use to promote wound healing and relieve pain. Acmella oleracea has a component that has anesthetic and anti-inflammatory properties. The mucoadhesive film can be improved by drug delivery system due to close contact with the absorption tissue leading to improvement in both local and systemic effects. This study aims to evaluate the effectiveness and safety of mucoadhesive film containing Acmella oleracea extract in healthy subjects. This is a randomised, double-blind (participant and investigator), parallel-controlled clinical trial. In total, approximately 72 subjects will be enrolled into study. Objectives 1. To investigate the potential of skin allergy reaction to mucoadhesive film containing Acmella oleracea extract in healthy subjects 2. To study the duration of mucosal adhesion of mucoadhesive film 3. To study the local anesthetic effect, participant's satisfaction and adverse effect of mucoadhesive film containing Acmella oleracea extract
Total 72 Participants will divided into 2 groups by dentist who was not an examiner performed the randomization using blocked randomization (block of 4) from program of https://www.sealedenvelope.com/simple-randomiser/v1/lists/1. Study group will receive mucoadhesive film containing Acmella oleracea extract while control group will receive mucoadhesive film without active component. All participants in the study group will be test for allergic reaction of mucoadhesive film by skin prick test and patch skin test before testing and have to follow-up appointments (at 2, 4 and 7 days after skin test). At first visit, all participants will received oral examination and informed how to use mucoadhesive film by examiner. Then participants will asked to apply the mucoadhesive film at oral mucosa of lower lip. The effectiveness of intra-oral mucoadhesive film in this study will evaluated as follows : 1. Duration of mucosal adhesion and adverse effect by self report 2. The local anesthetic effect by using Numeric rating scale (NRS) 3. Participant's satisfaction by using Numeric rating scale (NRS) The statistical methods : General and oral health data, duration of mucosal adhesion will reported as frequencies, percentages and means (Standard deviation). The different of NRS score between groups will analyzed Independent t- test or Mann-Whitney U test. Using SPSS software. Statistically significant will considered at p-value \< 0.05.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
72
Participants will apply a mucoadhesive film containing Acmella oleracea extract on labial mucosa of lower lip by themselves at least for 2 hours
Participants will apply a mucoadhesive film on labial mucosa of lower lip by themselves at least for 2 hours
Faculty of Dentistry , Khon Kaen University
Khon Kaen, Thailand
To investigate the potential of skin allergy reaction to mucoadhesive film containing Acmella oleracea extract by skin prick test
Outcome will be a number of participants with skin allergic reaction assessed by skin prick test
Time frame: Evaluate at 15 minutes after test in the 1st visit
To investigate the potential of skin allergy reaction to mucoadhesive film containing Acmella oleracea extract by patch skin test at 2nd day after test
Outcome will be a number of participants with skin allergic reaction assessed by patch skin test at 2nd day after test
Time frame: Evaluate at 2 days after patch skin test application
To investigate the potential of skin allergy reaction to mucoadhesive film containing Acmella oleracea extract by patch skin test at 4th day after test
Outcome will be a number of participants with skin allergic reaction assessed by path skin test at 4th day after test.
Time frame: Evaluate at 4th day after patch skin test application
To investigate the potential of skin allergy reaction to mucoadhesive film containing Acmella oleracea extract by patch skin test at 7th day after test
Outcome will be a number of participants with skin allergic reaction assessed by path skin test at 7th day after test.
Time frame: Evaluate at 7th day after patch skin test application
To study the duration of mucosal adhesion of mucoadhesive film in healthy oral mucosa
Outcomes will be the duration in minutes of the mucoadhesive film adhering to participant' s oral mucosa
Time frame: Self reporting the time at which the film detaches (e.g. 16.30 hr.), within 24 hours after mucoadhesive film application
To study the local anesthetic effect
Outcome will be a score of Numeric rating scale (NRS) of local anesthetic effect. On a scale of 0-10, where 0 = no anesthetic effect and 10 = completely anesthetize
Time frame: Self reporting at 1st visit, at 3 and 5minutes after application
To study adverse effect related to mucoadhesive film use
Outcome will be a number of participants who have adverse effect and the symptom of adverse effect
Time frame: Evaluate within 2 hours after mucoadhesive film application
To evaluate participant's satisfaction
Outcome will be a score of Numeric rating scale (NRS) of satisfaction of mucoadhesive film use. On a scale of 0-10, where 0 = totally unsatisfied and 10 = the most satisfied
Time frame: Evaluate at 2 hours after mucoadhesive film application
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