Screening of Biomarkers and Related Mechanisms for RIX

NCT ID: NCT07170358

Last Updated: 2025-09-12

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

RECRUITING

Total Enrollment

126 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-17

Study Completion Date

2026-12-31

Brief Summary

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A large number of patients undergoing radiotherapy and chemotherapy are suffering from dry mouth. Due to reduced saliva secretion, patients may experience symptoms such as difficulty chewing and swallowing. In severe cases, they may also experience pain and burning sensation in the oral mucosa, decreased taste, ulcers, which seriously affect the quality of life of patients. However, radiation-induced dry mouth lacks early objective predictive indicators (molecular biomarkers) and the mechanism is unclear. Only when patients experience clinical symptoms will symptomatic treatment be taken to alleviate them. Therefore, elucidating the mechanism of radiation-induced dry mouth syndrome (RIX) and achieving early prediction, detection, and intervention of RIX are crucial in improving the prognosis and quality of life of radiotherapy patients. It is urgent to seek early and precise detection targets in clinical practice to predict dry mouth caused by irreversible damage to salivary gland tissue. This study aims to collect blood samples from patients with severe dry mouth before and after radiotherapy and chemotherapy in clinical practice. Multiple omics techniques will be used to search for predictive molecular biomarkers for RIX, construct a predictive model, and verify the sensitivity and specificity of the biomarkers. The goal is to predict the occurrence of RIX early in clinical practice, intervene in advance, greatly improve the prognosis of radiotherapy and chemotherapy patients, and enhance their quality of life.

Detailed Description

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Conditions

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Xerostomia Due to Radiotherapy (Disorder)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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No xerostomia before radiotherapy

Resting saliva flow rate greater than 1ml/10min before radiotherapy

No interventions assigned to this group

Mild xerostomia during radiotherapy

During radiotherapy, a resting saliva flow rate between 0.5ml/10min-1ml/10min is considered mild dry mouth

Radiation Therapy

Intervention Type RADIATION

Radiotherapy for Head and Neck Cancer Patients

Moderate to severe xerostomia during radiotherapy

A resting saliva flow rate below 0.5ml/10min during radiotherapy is considered moderate to severe xerostomia

Radiation Therapy

Intervention Type RADIATION

Radiotherapy for Head and Neck Cancer Patients

Mild xerostomia after radiotherapy

After radiotherapy, a resting saliva flow rate between 0.5ml/10min-1ml/10min is considered mild dry mouth

Radiation Therapy

Intervention Type RADIATION

Radiotherapy for Head and Neck Cancer Patients

Moderate to severe xerostomia xerostomia after radiotherapy

A resting saliva flow rate below 0.5ml/10min after radiotherapy is considered moderate to severe xerostomia

Radiation Therapy

Intervention Type RADIATION

Radiotherapy for Head and Neck Cancer Patients

Interventions

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Radiation Therapy

Radiotherapy for Head and Neck Cancer Patients

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histological diagnosis of head and neck cancer;
* Plan to undergo curative treatment with radiotherapy alone or in combination with synchronous chemotherapy, immunotherapy, or targeted therapy;
* Age greater than or equal to 18 years old, Fully understand the purpose and significance of this study, voluntarily participate and sign an informed consent form.

Exclusion Criteria

* Metastatic diseases;
* History of head and neck radiotherapy;
* Severe dry mouth before radiotherapy;
* Suffering from advanced chronic diseases: heart failure - New York Heart Association functional classification III/IV, renal failure - estimated glomerular filtration rate under 30mL/min/1.73m2, liver failure - Child Pugh score C or D.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Tumor Hospital of Jiangsu Province

OTHER

Sponsor Role collaborator

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role collaborator

Jinling Hospital Affiliated to Nanjing University School of Medicine

UNKNOWN

Sponsor Role collaborator

Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

Affiliated Jinling Hospital, Medical School of Nanjing University

Nanjing, Jiangsu, China

Site Status RECRUITING

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Lei Jin

Role: CONTACT

86+13868063666

Facility Contacts

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Lei Jin

Role: primary

86+18951013666

yi Shuai

Role: primary

86+15996270440

lirong Wu

Role: primary

86+13701588737

Lei Jin

Role: primary

86+13868063666

Other Identifiers

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2025-0461

Identifier Type: -

Identifier Source: org_study_id

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