Mouth Care Regimes During Radiotherapy

NCT ID: NCT00138827

Last Updated: 2005-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-11-30

Study Completion Date

2003-03-31

Brief Summary

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The purpose of this study is to assess whether Biotene oral care products have a benefit in the treatment of xerostomia and mucositis when compared with conventional bicarbonate mouth care regimes.

Detailed Description

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Grade III and IV mucositis occurs in 30-60% of patients undergoing head and neck irradiation. Where mucositis is severe a patient's ability to swallow may become significantly compromised and nutritional requirements may not be met.

Xerostomia is often an early side effect of treatment. As salivary tissue is very sensitive to radiation there is often a change in saliva early in the treatment.

New products on the market have claimed to alleviate the symptoms of dry mouth and to help the body's natural defenses reduce the harmful oral bacteria. These products contain the important salivary enzymes lactoperoxidase, lysozyme, lactoferrin and glucose oxidase. Biotene products therefore have the potential to reduce microbial populations which result in radiation caries and periodontal disease and in addition provide relief from the discomfort of xerostomia.

Despite the knowledge surrounding xerostomia in the head and neck irradiation population, its treatment has not been well documented and the question of patient comfort is not well addressed.

Comparisons: This study aims to compare the different mouth care regimes and determine the most effective treatment alternatives during radiotherapy. Patients will be randomised to either Biotene or Bicarbonate-based mouth care regimes. Patients will be stratified according to whether they are receiving radiotherapy alone or chemo irradiation to ensure equal distribution across the different mouth care regimes.

Conditions

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Head and Neck Neoplasms

Keywords

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Radiotherapy Mucositis Xerostomia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Interventions

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Biotene (mouth care)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Are undergoing oral or pharyngeal irradiation with a cumulative dose \> 35Gy with at least 1/2 of the salivary tissue contained within the field of treatment.
* May or may not have undergone surgery.
* Are available for follow-up questionnaires.
* Are English speaking or have an easily accessible interpreter.

Exclusion Criteria

* No co-morbidities which may result in dry mouth, for example Sjögren syndrome.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St George Hospital, Australia

OTHER

Sponsor Role lead

Principal Investigators

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Associate Professor Peter H Graham

Role: PRINCIPAL_INVESTIGATOR

St George Hospital, Sydney, Australia

Locations

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St George Hospital, Cancer Care Centre

Sydney, New South Wales, Australia

Site Status

Countries

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Australia

Other Identifiers

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99/65 Graham

Identifier Type: -

Identifier Source: org_study_id