Trial Outcomes & Findings for Comparative Trial of Cryotherapy Versus Caphosol Versus Saline Solution Mouth Washes for the Prevention of Oral Mucositis in Patients With Multiple Myeloma Undergoing Hematopoietic Stem Cell Transplantation (NCT NCT01066624)

NCT ID: NCT01066624

Last Updated: 2015-07-23

Results Overview

Incidence of grade I-IV oral mucositis

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

117 participants

Primary outcome timeframe

First 30 days post-tranplantation

Results posted on

2015-07-23

Participant Flow

Participant milestones

Participant milestones
Measure
0.9% Sodium Chloride Irrigation Solution
Standard of care for prevention and management of oral mucositis (0.9% Sodium Chloride irrigation solution): Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study. 0.9% Sodium Chloride irrigation solution: Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study
Cryotherapy (Ice Chips)
Cryotherapy (ice chips): Patients randomized to this group, on day -2 and -1, will be instructed to place approximately 1 ounce of crushed ice in their mouths 15 minutes prior to the initiation of melphalan infusion. The ice will be allowed to melt and should be replenish as soon as it had completely melted. Patients will be instructed to continue this procedure during the melphalan infusion and for 90 minutes after the end of the infusion. After patients are done with the cryotherapy they will follow the standard of care for prevention and management of oral mucositis until the end of the study.
Calcium Phosphate (Caphosol) Mouth Rinse
Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study. Calcium phosphate (Caphosol) Ca2+/PO43- mouth rinse: Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study.
Overall Study
STARTED
38
40
39
Overall Study
COMPLETED
38
40
39
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparative Trial of Cryotherapy Versus Caphosol Versus Saline Solution Mouth Washes for the Prevention of Oral Mucositis in Patients With Multiple Myeloma Undergoing Hematopoietic Stem Cell Transplantation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
0.9% Sodium Chloride Irrigation Solution
n=38 Participants
Standard of care for prevention and management of oral mucositis (0.9% Sodium Chloride irrigation solution): Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study. 0.9% Sodium Chloride irrigation solution: Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study
Cryotherapy (Ice Chips)
n=40 Participants
Cryotherapy (ice chips): Patients randomized to this group, on day -2 and -1, will be instructed to place approximately 1 ounce of crushed ice in their mouths 15 minutes prior to the initiation of melphalan infusion. The ice will be allowed to melt and should be replenish as soon as it had completely melted. Patients will be instructed to continue this procedure during the melphalan infusion and for 90 minutes after the end of the infusion. After patients are done with the cryotherapy they will follow the standard of care for prevention and management of oral mucositis until the end of the study.
Calcium Phosphate (Caphosol) Mouth Rinse
n=39 Participants
Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study. Calcium phosphate (Caphosol) Ca2+/PO43- mouth rinse: Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study.
Total
n=117 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=5 Participants
28 Participants
n=7 Participants
30 Participants
n=5 Participants
88 Participants
n=4 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
12 Participants
n=7 Participants
9 Participants
n=5 Participants
29 Participants
n=4 Participants
Age, Continuous
61.5 years
n=5 Participants
62 years
n=7 Participants
62 years
n=5 Participants
62 years
n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
38 Participants
n=7 Participants
36 Participants
n=5 Participants
110 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
9 Participants
n=7 Participants
5 Participants
n=5 Participants
21 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
n=5 Participants
31 Participants
n=7 Participants
34 Participants
n=5 Participants
96 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
15 Participants
n=7 Participants
11 Participants
n=5 Participants
40 Participants
n=4 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
25 Participants
n=7 Participants
28 Participants
n=5 Participants
77 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
38 participants
n=5 Participants
40 participants
n=7 Participants
39 participants
n=5 Participants
117 participants
n=4 Participants

PRIMARY outcome

Timeframe: First 30 days post-tranplantation

Incidence of grade I-IV oral mucositis

Outcome measures

Outcome measures
Measure
0.9% Sodium Chloride Irrigation Solution
n=38 Participants
Standard of care for prevention and management of oral mucositis (0.9% Sodium Chloride irrigation solution): Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study. 0.9% Sodium Chloride irrigation solution: Patients randomized to this group will be instructed to rinse their mouths twice, with 1 ounce (30 ml) of room temperature 0.9% NaCl (normal saline), 4 times daily after admission and until end of study
Cryotherapy (Ice Chips)
n=40 Participants
Cryotherapy (ice chips): Patients randomized to this group, on day -2 and -1, will be instructed to place approximately 1 ounce of crushed ice in their mouths 15 minutes prior to the initiation of melphalan infusion. The ice will be allowed to melt and should be replenish as soon as it had completely melted. Patients will be instructed to continue this procedure during the melphalan infusion and for 90 minutes after the end of the infusion. After patients are done with the cryotherapy they will follow the standard of care for prevention and management of oral mucositis until the end of the study.
Calcium Phosphate (Caphosol) Mouth Rinse
n=39 Participants
Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study. Calcium phosphate (Caphosol) Ca2+/PO43- mouth rinse: Patients randomized to this group will be instructed to rinse their mouths with Caphosol 4 times daily after admission and until end of study.
Incidence of Oral Mucositis
66 percentage of participants
10 percentage of participants
64 percentage of participants

Adverse Events

0.9% Sodium Chloride Irrigation Solution

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cryotherapy (Ice Chips)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Calcium Phosphate (Caphosol) Mouth Rinse

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Juan J Toro

South Texas Veterans Health Care System

Phone: 210-617-5300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place