Low Level Diode Laser Versus Topical Chamomile in Management of Chemotherapy Induced Oral Mucositis

NCT ID: NCT06214273

Last Updated: 2024-01-23

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-30

Study Completion Date

2024-10-31

Brief Summary

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a three-arm head-to-head randomized clinical trial assessing two of the promising studied interventions, low-level diode laser and topical Chamomile, comparing them to each other's and to conventional therapy in the management of oral mucositis-induced chemotherapy.

Detailed Description

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The latest MASCC/ISOO Mucositis Guidelines recommend relieving pain, reducing inflammation, and preventing secondary infection as the main pillars in the management of chemotherapy-induced oral mucositis. Accordingly, our comparator will be conventional therapy, including topical anti-inflammatory, topical analgesic, and topical antifungal.

Conditions

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Chemotherapy Induced Oral Mucositis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

a three-arm head-to-head RCT assessing two of the promising studied interventions, low-level diode laser and topical chamomile, comparing them to each other's and to conventional therapy.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors
Double-blinded trial:

The outcome assessor and the statistician will be blinded. Participants can't be blinded because of the difference in intervention methods of application.

Study Groups

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Ibuprofen oral gel and miconazole oral gel

One group will receive conventional oral therapy composed of topical ibuprofen oral gel as an anti-inflammatory and analgesic and topical miconazole as an anti-fungal oral gel.

Group Type ACTIVE_COMPARATOR

Ibuprofen analgesic and anti-inflammatory oral gel and miconazole anti fungal oral gel

Intervention Type DRUG

Topical anti-inflammatory, topical analgesic and topical antifungal

low-level diode laser diode laser

The second group will receive a diode laser with a wave length range of 800-980 nm and power less than 500 ml.

Group Type EXPERIMENTAL

Low level diode laser

Intervention Type DEVICE

diode laser with a wave length range of 800-980 n m and power less than 500 ml

Chamomile

The third group will receive chamomile 3% mucoadhesive gel.

Group Type EXPERIMENTAL

Chamomile

Intervention Type DRUG

Chamomile 3% mucoadhesive gel

Interventions

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Low level diode laser

diode laser with a wave length range of 800-980 n m and power less than 500 ml

Intervention Type DEVICE

Chamomile

Chamomile 3% mucoadhesive gel

Intervention Type DRUG

Ibuprofen analgesic and anti-inflammatory oral gel and miconazole anti fungal oral gel

Topical anti-inflammatory, topical analgesic and topical antifungal

Intervention Type DRUG

Other Intervention Names

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Photobiomodulation Matricaria conventional oral therapy Ibuprofen oral gel and miconazole oral gel

Eligibility Criteria

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Inclusion Criteria

* Patients with chemotherapy-induced oral mucositis.
* Patients who will agree to participate in the study.
* Adult Patients above 18 years.

Exclusion Criteria

* Patients with any visible oral lesions other than oral mucositis.
* Patients who have received radiotherapy 2 weeks earlier to the diagnosis of the oral mucositis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Clair Sobhy Nagieb Botros

Oral medicine specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Paice JA, Cohen FL. Validity of a verbally administered numeric rating scale to measure cancer pain intensity. Cancer Nurs. 1997 Apr;20(2):88-93. doi: 10.1097/00002820-199704000-00002.

Reference Type RESULT
PMID: 9145556 (View on PubMed)

Soares ADS, Wanzeler AMV, Cavalcante GHS, Barros EMDS, Carneiro RCM, Tuji FM. Therapeutic effects of andiroba (Carapa guianensis Aubl) oil, compared to low power laser, on oral mucositis in children underwent chemotherapy: A clinical study. J Ethnopharmacol. 2021 Jan 10;264:113365. doi: 10.1016/j.jep.2020.113365. Epub 2020 Sep 10.

Reference Type RESULT
PMID: 32920135 (View on PubMed)

Elhadad MA, El-Negoumy E, Taalab MR, Ibrahim RS, Elsaka RO. The effect of topical chamomile in the prevention of chemotherapy-induced oral mucositis: A randomized clinical trial. Oral Dis. 2022 Jan;28(1):164-172. doi: 10.1111/odi.13749. Epub 2020 Dec 19.

Reference Type RESULT
PMID: 33290635 (View on PubMed)

de Lima VHS, de Oliveira-Neto OB, da Hora Sales PH, da Silva Torres T, de Lima FJC. Effectiveness of low-level laser therapy for oral mucositis prevention in patients undergoing chemoradiotherapy for the treatment of head and neck cancer: A systematic review and meta-analysis. Oral Oncol. 2020 Mar;102:104524. doi: 10.1016/j.oraloncology.2019.104524. Epub 2020 Feb 13.

Reference Type RESULT
PMID: 32062592 (View on PubMed)

Other Identifiers

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27283522022441

Identifier Type: -

Identifier Source: org_study_id

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