Trial Outcomes & Findings for Herbal Mouthrinse for Oral Mucositis Study (NCT NCT01898091)

NCT ID: NCT01898091

Last Updated: 2017-03-06

Results Overview

Severity is assessed as the maximum change in mean mouth and throat soreness (MTS) score from baseline during the weeks of RT, using MTS question of the validated Oral Mucositis Daily Questionnaire (modified OMDQ): "During the past 24 hours, how much mouth and throat soreness did you have?" The MTS score is a 5-point score, ranging from 0=No soreness to 4=Extreme soreness. We compared the maximum change in MTS score between the two groups using the Wilcoxon rank sum test with a one-sided alpha of 0.05.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

MTS score is collected at the baseline visit and once each week during the 7 weeks of radiation therapy.

Results posted on

2017-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
Neem Mouthrinse
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base plus 1% solution by weight of neem supercritical extract\], three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base\], three times per day, for approximately 7 weeks during radiation therapy.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
23
19
Overall Study
NOT COMPLETED
2
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Neem Mouthrinse
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base plus 1% solution by weight of neem supercritical extract\], three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base\], three times per day, for approximately 7 weeks during radiation therapy.
Overall Study
Lost to Follow-up
1
1
Overall Study
Withdrawal by Subject
1
5

Baseline Characteristics

Herbal Mouthrinse for Oral Mucositis Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neem Mouthrinse
n=23 Participants
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
n=19 Participants
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy.
Total
n=42 Participants
Total of all reporting groups
Age, Continuous
57 years
STANDARD_DEVIATION 13.4 • n=5 Participants
61 years
STANDARD_DEVIATION 11.5 • n=7 Participants
59 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Gender
Female
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Gender
Male
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
19 Participants
n=7 Participants
42 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 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
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
17 Participants
n=7 Participants
33 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
19 participants
n=7 Participants
42 participants
n=5 Participants

PRIMARY outcome

Timeframe: MTS score is collected at the baseline visit and once each week during the 7 weeks of radiation therapy.

Population: Exclusion criterion was those with a baseline mouth and throat soreness (MTS) extreme score of 4.

Severity is assessed as the maximum change in mean mouth and throat soreness (MTS) score from baseline during the weeks of RT, using MTS question of the validated Oral Mucositis Daily Questionnaire (modified OMDQ): "During the past 24 hours, how much mouth and throat soreness did you have?" The MTS score is a 5-point score, ranging from 0=No soreness to 4=Extreme soreness. We compared the maximum change in MTS score between the two groups using the Wilcoxon rank sum test with a one-sided alpha of 0.05.

Outcome measures

Outcome measures
Measure
Neem Mouthrinse
n=23 Participants
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
n=19 Participants
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy.
Maximum Change in Mean Mouth and Throat Soreness (MTS) Score From Baseline Through Weeks of Radiation Therapy Using the MTS Question of the Modified Oral Mucositis Daily Questionnaire*.
1.91 units on a scale
Standard Deviation 1.34
1.47 units on a scale
Standard Deviation 1.22

Adverse Events

Neem Mouthrinse

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Mouthrinse

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Neem Mouthrinse
n=25 participants at risk
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base plus 1% solution by weight of neem supercritical extract\], three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
n=25 participants at risk
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base\], three times per day, for approximately 7 weeks during radiation therapy.
General disorders
Respiratory insufficiency
4.0%
1/25 • Number of events 1 • 12 weeks
All adverse events are reported. The population includes a total of 50 patients, which includes 8 patients who were not evaluable for major outcome results.
0.00%
0/25 • 12 weeks
All adverse events are reported. The population includes a total of 50 patients, which includes 8 patients who were not evaluable for major outcome results.

Other adverse events

Other adverse events
Measure
Neem Mouthrinse
n=25 participants at risk
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Neem Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base plus 1% solution by weight of neem supercritical extract\], three times per day, for approximately 7 weeks during radiation therapy.
Placebo Mouthrinse
n=25 participants at risk
Participants will rinse for 30 seconds with the measured 10ml dose of the assigned study mouthrinse, three times per day, for approximately 7 weeks during radiation therapy. Placebo Mouthrinse: 10ml dose of assigned study mouthrinse \[mouthrinse base\], three times per day, for approximately 7 weeks during radiation therapy.
Skin and subcutaneous tissue disorders
Exanthema
0.00%
0/25 • 12 weeks
All adverse events are reported. The population includes a total of 50 patients, which includes 8 patients who were not evaluable for major outcome results.
4.0%
1/25 • Number of events 1 • 12 weeks
All adverse events are reported. The population includes a total of 50 patients, which includes 8 patients who were not evaluable for major outcome results.

Additional Information

Susan G. Reed, DDS, MPH, DrPH

Medical University of South Carolina

Phone: 843 792-1577

Results disclosure agreements

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