Topical Chamomile in Preventing Chemotherapy-induced Oral Mucositis

NCT ID: NCT04317183

Last Updated: 2020-03-23

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-15

Study Completion Date

2020-03-30

Brief Summary

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the main aim of this study is to clinically assess the effectiveness of topical chamomile oral gel in the prevention of chemotherapy-induced oral mucositis.

Detailed Description

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The study was designed as a randomized, controlled, clinical trial. patients who were undergoing to receive chemotherapy were divided into three groups: Group I: was given conventional treatment. Group II: was given topical oral gel of chamomile. Group III: was given topical oral gel of chamomile in combination with the conventional treatment.

All patients have clinically evaluated at the start of the chemotherapy and three weeks later for pain and oral mucositis severity.

Conditions

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Oral Mucositis Due to Chemotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Chamomile topical gel

Topical oral chamomile gel three times daily for three weeks.

Topical oral chamomile gel is prepared with the aid of Pharmacognosy and pharmaceutics departments, faculty of pharmacy, Alexandria University and mucoadhesive hydrogels (Carbopol® 970).

Group Type EXPERIMENTAL

chamomile topical oral gel

Intervention Type DRUG

Chemical constituents of chamomile, such as bisabolol, chamazulene, and the flavonoids apigenin and luteolin, possess anti-inflammatory properties.

conventional therapy

Conventional therapy (symptomatic treatment) which included:

Miconaz oral gel BBC oral spray Oracure gel

Dose: Three times a day for three weeks

Group Type ACTIVE_COMPARATOR

Miconazole Topical Gel

Intervention Type DRUG

topical anti fungal agent

BBC oral spray

Intervention Type DRUG

Topical anesthetics and anti-inflammatory agent

Oracure gel

Intervention Type DRUG

Topical analgesic gel

combination therapy

Topical oral chamomile gel three times daily for three weeks in combination with the symptomatic treatment

Symptomatic treatment which included:

Miconaz oral gel BBC oral spray Oracure gel

Symptomatic treatment dose: Three times a day for three weeks

Group Type EXPERIMENTAL

chamomile topical oral gel

Intervention Type DRUG

Chemical constituents of chamomile, such as bisabolol, chamazulene, and the flavonoids apigenin and luteolin, possess anti-inflammatory properties.

Miconazole Topical Gel

Intervention Type DRUG

topical anti fungal agent

BBC oral spray

Intervention Type DRUG

Topical anesthetics and anti-inflammatory agent

Oracure gel

Intervention Type DRUG

Topical analgesic gel

Interventions

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chamomile topical oral gel

Chemical constituents of chamomile, such as bisabolol, chamazulene, and the flavonoids apigenin and luteolin, possess anti-inflammatory properties.

Intervention Type DRUG

Miconazole Topical Gel

topical anti fungal agent

Intervention Type DRUG

BBC oral spray

Topical anesthetics and anti-inflammatory agent

Intervention Type DRUG

Oracure gel

Topical analgesic gel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who are going to receive 5-Fluoroucil (5-FU) based chemotherapy regime.

Males and females with an age of not less than 20 years and not exceeding 70 years.

Exclusion Criteria

* 1\. Patients suffering from any uncontrolled systemic diseases that affect integrity of the epithelium (such as diabetes, cardiovascular, liver disorder and renal dysfunction) 2. Pregnant and lactating women 3. Patients with findings of any physical or mental abnormality which would interfere with or be affected by the study procedure
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hams Hamed Abdelrahman

OTHER

Sponsor Role lead

Responsible Party

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Hams Hamed Abdelrahman

Assistant lecturer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ehsan El-Negomy, PhD

Role: STUDY_DIRECTOR

Alexandria University

Maha Talaab, PhD

Role: STUDY_DIRECTOR

Alexandria University

Reham Ibrahim, Phd

Role: STUDY_DIRECTOR

Alexandria University

Rasha El-Saka

Role: STUDY_DIRECTOR

Alexandria University

Locations

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Outpatient clinic of Department of Clinical Oncology, Faculty of Medicine

Alexandria, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Mahmoud Elhadad, BDS

Role: CONTACT

01009394469

Facility Contacts

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Mahmoud Elhadad

Role: primary

01009394469

References

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Presibella MM, Villas-Bôas LDB, Belletti KMdS, Santos CAdM, Weffort-Santos AM. Comparison of chemical constituents of Chamomilla recutita (L.) Rauschert essential oil and its anti-chemotactic activity. Brazilian archives of biology and technology. 2006;49(5):717-24.

Reference Type BACKGROUND

Ferreira E, Vasques C, Jesus C, Reis P. Topical effects of Chamomilla recutita in skin damage: a literature review. 2015.

Reference Type BACKGROUND

Tadbir AA, Pourshahidi S, Ebrahimi H, Hajipour Z, Memarzade MR, Shirazian SJJoHM. The effect of Matricaria chamomilla (chamomile) extract in Orabase on minor aphthous stomatitis, a randomized clinical trial. 2015;5(2):71-6.

Reference Type BACKGROUND

Fidler P, Loprinzi CL, O'Fallon JR, Leitch JM, Lee JK, Hayes DL, Novotny P, Clemens-Schutjer D, Bartel J, Michalak JC. Prospective evaluation of a chamomile mouthwash for prevention of 5-FU-induced oral mucositis. Cancer. 1996 Feb 1;77(3):522-5. doi: 10.1002/(SICI)1097-0142(19960201)77:33.0.CO;2-6.

Reference Type BACKGROUND
PMID: 8630960 (View on PubMed)

Braga FT, Santos AC, Bueno PC, Silveira RC, Santos CB, Bastos JK, Carvalho EC. Use of Chamomilla recutita in the Prevention and Treatment of Oral Mucositis in Patients Undergoing Hematopoietic Stem Cell Transplantation: A Randomized, Controlled, Phase II Clinical Trial. Cancer Nurs. 2015 Jul-Aug;38(4):322-9. doi: 10.1097/NCC.0000000000000194.

Reference Type BACKGROUND
PMID: 25232958 (View on PubMed)

Baydar M, Dikilitas M, Sevinc A, Aydogdu I. Prevention of oral mucositis due to 5-fluorouracil treatment with oral cryotherapy. J Natl Med Assoc. 2005 Aug;97(8):1161-4.

Reference Type BACKGROUND
PMID: 16173332 (View on PubMed)

Sonis ST, Elting LS, Keefe D, Peterson DE, Schubert M, Hauer-Jensen M, Bekele BN, Raber-Durlacher J, Donnelly JP, Rubenstein EB; Mucositis Study Section of the Multinational Association for Supportive Care in Cancer; International Society for Oral Oncology. Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer. 2004 May 1;100(9 Suppl):1995-2025. doi: 10.1002/cncr.20162.

Reference Type BACKGROUND
PMID: 15108222 (View on PubMed)

Rubenstein EB, Peterson DE, Schubert M, Keefe D, McGuire D, Epstein J, Elting LS, Fox PC, Cooksley C, Sonis ST; Mucositis Study Section of the Multinational Association for Supportive Care in Cancer; International Society for Oral Oncology. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cancer. 2004 May 1;100(9 Suppl):2026-46. doi: 10.1002/cncr.20163.

Reference Type BACKGROUND
PMID: 15108223 (View on PubMed)

Other Identifiers

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00010556-IORG 0008839

Identifier Type: -

Identifier Source: org_study_id

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