E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the effectiveness of a probiotic (Lactobacillus rhamnosus Lcr35®, Bacilor®) for the treatment of recurrent and idiopathic aphtous stomatitis compared to placebo after 3 months of treatment (M3) |
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E.2.2 | Secondary objectives of the trial |
1 / To evaluate the effectiveness of a probiotic (Lactobacillus rhamnosus Lcr35®, Bacilor®) for the treatment of recurrent and idiopathic aphtous stomatitis compared to placebo 3 months after the discontinuation of the treatment (M6)
2 / To evaluate the effectiveness on the pain of a probiotic (Lactobacillus rhamnosus Lcr35®, Bacilor®) for the treatment of recurrent and idiopathic aphtous stomatitis compared to placebo after 3 months of treatment (M3) and 3 months after the discontinuation of the treatment (M6).
3 / To compare the satisfaction of the patients on the efficiency and safety of the treatments after 3 months of treatment (M3)
4 / To evaluate the impact on quality of life of a probiotic (Lactobacillus rhamnosus Lcr35®, Bacilor®) for the treatment of recurrent and idiopathic aphtous stomatitis compared to placebo after 3 months of treatment (M3) and 3 months after the discontinuation of the treatment (M6).
5 / To study the possible side effects during treatment |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients older than 18 years old with recurrent and idiopathic aphtous stomatitis. They must have a medical history of recurrent minor aphthous ulcer for at least 6 months with a frequency of at least 1 flare per month |
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E.4 | Principal exclusion criteria |
Use of a probiotic for any other reason. Immunosuppression. Aphtous ulcers as manifestation of systemic disorders such as ulcerative colitis, Crohn disease, Behcet syndrome. Use of medications such as systemic steroids or immunomodulatory agents or colchicine during the last 3 months. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary outcome measure is the monthly number of new aphtous ulcers (incidental events) during the 3 months of treatment (D0, M1, M2 and M3 ) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1 / The monthly number of new aphtous ulcers (incidental events) during the 3 months of follow up without treatment (M4, M5 and M6)
2 / The average monthly pain evaluated by analogical visual scale during the 3 months of treatment (M1, M2 and M3)
3 / The satisfaction of the patients on the efficiency and the safety of the treatments after 3 months of treatment (M3) evaluated on a visual analogical scale
4 / The oral health-related quality of life evaluated with the Oral Health Impact Profile 14 after 3 months of treatment (M3) and 3 months after the discontinuation of the treatment (M6).
5 / The frequency, severity and occurrence of side effects will be noted.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1 / During the 3 months of follow up without treatment (M4, M5 and M6)
2 / During the 3 months of treatment (M1, M2 and M3)
3 / After 3 months of treatment (M3) evaluated on a visual analogical scale
4 / At M3 and 3 months after the discontinuation of the treatment (M6).
5 / At each visit
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Study end when the report is final after data analysis |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |