Oral Lichen Planus
Conditions
Keywords
Oral lichen planus, chronic inflammatory, mucous membranes, erosive lesions
Brief summary
The purpose of this study is to determine wether topical rapamycin is more efficient than topical steroids in the treatment of chronic erosive lichen planus.
Interventions
APPLICATION ON THE LESIONS OF TOPICAL SIROLIMUS (RAPAMUNE\*)1mg/ml bid during 3 months
APPLICATION ON THE LESIONS OF TOPICAL BETAMETHASONE (DIPROLENE\*)0.05% bid during 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Oral Lichen Planus * Oral Erosive Area More Than 1cm² * Lichen Planus Pathologically Proven
Exclusion criteria
* No Previous Treatment by Rapamycin * Non Child Bearing Or Breast Feeding Woman * Patient Who Cannot Be Treated By Rapamycin Or Betamethasone * Chronic Renal Insufficiency (Creatinin Clearance \< 40ml/Mn) * Ongoing Treatment By Topical Calcineurin Inhibitors Or Systemic Steroids Or Retinoids Or Systemic Immunosuppressors Or Thalidomide Or Griseofulvin Or Antimalarials * Cholesterolemia \>7.8 Mmol/L Or Hypertriglyceridemia \>3.95mmol/L Non Responsive To Medical Treatments * Leucopenia (\<3000/Mm3) * Thrombopenia (\<100 000/Mm3) * Hypertransaminasemia (\>3n) * Hypersensitivity To Macrolides
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| COMPLETE CLEARING OF ORAL EROSIVE LESIONS | THREE MONTHS |
Secondary
| Measure | Time frame |
|---|---|
| REGRESSION OF EROSIVE SURFACE AREA | THREE MONTHS |
Countries
France