An Exploratory Study on Optical Assessment of Oral Mucositis

NCT ID: NCT00488332

Last Updated: 2012-07-20

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

TERMINATED

Total Enrollment

2 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-03-31

Study Completion Date

2010-07-31

Brief Summary

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Objectives:

1. To assess the tolerability of performing optical coherence tomography and/or optical spectroscopy in patients with acute oral mucositis.
2. To determine the feasibility of obtaining optical coherence tomography images and/or fluorescence excitation emission matrices from normal and affected sites in patients with acute oral mucositis.
3. To compare optical data obtained with optical coherence tomography and/or spectroscopy with the clinical appearance and scoring of oral mucositis lesions.

Detailed Description

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Optical coherence tomography (OCT) works similarly to ultrasound but uses infrared light waves rather than sound waves to create high-resolution pictures. This tool has been approved by the Food \& Drug Administration (FDA), is used routinely for standard diagnosis of eye conditions, and is now being used to look inside your mouth for tissue changes.

For the OCT procedure, a small probe, about the size of a pencil eraser, will be gently placed against the lining of your mouth and light will be shone through the probe to create pictures of the tissue. The probe will be placed on 1-2 abnormal-looking areas and 1 normal-looking area inside the mouth. If there are no abnormal-looking areas, researchers will place the probe and make pictures of an area on the inside of the cheek and side of the tongue, since these are the areas most often affected by the chemotherapy and radiation therapies.

In fluorescence spectroscopy (FS), a small beam of light, shines through a small probe onto the lining of the mouth. A small amount of light will be emitted from the tissue in the form of fluorescence, similar to "glow in the dark" toys . This light is not seen by the eye, but it is detected by the probe and recorded by a computer.

For the FS procedure, a small probe, about the size of a pencil eraser, will be gently placed against the lining of your mouth and light will be shone through the probe. The probe will then collect the fluorescence light signals and they will be recorded on a computer. The probe will be placed on 1-2 abnormal-looking areas and 1 normal-looking area inside the mouth. If there are no abnormal-looking areas, researchers will place the probe and make pictures of an area on the inside of the cheek and side of the tongue, since these are the areas most often affected by the chemotherapy and radiation therapies.

If you agree to take part in this study, your mouth will be examined before your treatment begins, and then once a week after that. Every week, you will also be asked how much pain you are having on a scale of 1-10.

Photographs will be taken of the inside of the mouth with a standard camera. You will not be identified in these photographs.

You will be asked to return once a week until you finish all radiation treatments to have all the exams repeated. Most radiation treatments last about 6-8 weeks.

This is an investigational study. About 18 patients will take part in this study. All will be enrolled at M. D. Anderson.

Conditions

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Head and Neck Cancer Oral Mucositis

Keywords

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Head and Neck Cancer Oral Mucositis Optical Coherence Tomography Fluorescence Spectroscopy Optical Assessment

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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OCT + FS + Questionnaire

Optical Coherence Tomography (OCT) + Fluorescence Spectroscopy (FS) and Questionnaire

Optical Coherence Tomography

Intervention Type PROCEDURE

Before radiation treatment and once a week thereafter.

Fluorescence Spectroscopy

Intervention Type PROCEDURE

Before radiation treatment and once a week thereafter.

Pain Scale Questionnaire

Intervention Type BEHAVIORAL

Administered before the examination, OCT, and FS and immediately afterward.

Interventions

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Optical Coherence Tomography

Before radiation treatment and once a week thereafter.

Intervention Type PROCEDURE

Fluorescence Spectroscopy

Before radiation treatment and once a week thereafter.

Intervention Type PROCEDURE

Pain Scale Questionnaire

Administered before the examination, OCT, and FS and immediately afterward.

Intervention Type BEHAVIORAL

Other Intervention Names

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OCT FS Survey

Eligibility Criteria

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Inclusion Criteria

1. Patients greater than 18 years old.
2. Patients undergoing radiation therapy or chemoradiotherapy for head and neck cancer treatment.
3. Subject must sign an informed consent indicating awareness of the investigational nature of this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ann M. Gillenwater, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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UT MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.mdanderson.org

UT MD Anderson Cancer Center

Other Identifiers

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2005-0872

Identifier Type: -

Identifier Source: org_study_id