Efficacy of Orosol® in the Treatment of Chemo- and Radiation-induced Mucositis.
- Conditions
- Oral Mucositis
- Interventions
- Device: Topical application of Placebo comparatorDevice: Topical application of Orosol®
- Registration Number
- NCT05161091
- Lead Sponsor
- University Hospital, Clermont-Ferrand
- Brief Summary
Oral mucositis is one of the most debilitating side effects of radiation therapy and various forms of chemotherapy, especially for head and neck cancers and hematopoietic stem cell transplants.
It is a consequence of the cytostatic effects of anticancer treatments on rapidly renewing cells of the oral mucosa; An ulcer appears which will increase in size due to subsequent bacterial, fungal and / or viral growth, while the leakage of toxins through damaged capillaries causes irritation and a burning sensation. Proteolytic enzymes, known to destroy the extracellular matrix, inhibit cell regeneration and healing.
Depending on the severity of the ulceration, infection and feeding possibilities, mucositis is scored between grade 0 (absent) and grade 4 (maximum) (according to the WHO (World Health Organization) classification or the NCI-CTCAE (National Cancer Institute-Common Terminology Criteria for Adverse Events), the latter degree most often requiring a modification of the anticancer treatment which may have an impact on the prognosis of the disease.
Although, theoretically, mucositis is easy to treat because it only requires simple cleaning of the ulcers and stimulation of the growth of the underlying healthy cells to make up for the loss of substance, there are currently only limited symptomatic treatments available.
- Detailed Description
Oral mucositis is one of the frequent and disabling effects of radiotherapy and chemotherapy, with an impact on the quality of life of patients and induced or prolonged hospital stays. It is a consequence of the cytostatic effects of anticancer treatments on rapidly renewing cells of the oral mucosa. Proteolytic enzymes, known to destroy the extracellular matrix, inhibit cell regeneration and healing. Treatment is currently symptomatic, with little effectiveness. Orosol® is a medical device, osmotically active viscous solution. Applied to the surface of an ulcer, it forms a film and mechanically attracts the hypotonic fluid present under the injured surface, thus cleaning the ulcer of all contaminants present on the surface (dead cells, cell debris, bacterial toxins and chemical agents. toxic) and reducing pain and burning sensation. This mechanical action also cleanses the ulcer of toxic substances that inhibit cell growth and paves the way for healing. This device (class 1) is a medical device that complies with the requirements set by European regulations for the treatment of oral mucositis and has shown improvement in a preliminary study in patients with chemo-induced mucositis. However, its effectiveness has not yet been tested in the case of radiation-induced mucositis. The main objective of the research is to demonstrate the effectiveness of the curative treatment with Orosol® on the symptoms of chemo-induced or radiation-induced mucositis in patients treated for cancer by the evaluation at 28 days of the evolution of the mucositis via mucositis (WHO and NCI-CTCAE v3.0 scales) and food (WHO scales and functional signs of NCI-CTCAE v4.0) scores. The secondary objectives consist in evaluating during the treatment the mucositis score, the general state of health of the mouth, the burning sensation, the intensity of the pain on D1, D3, D5, D7, D14, D21 and D28 as well as analgesic consumption, the incidence of new ulcers, changes in anti-cancer treatment linked to mucositis and the tolerance of the treatment.
This is a prospective, randomized, double-blind, bicenter study to establish CE compliance in a new indication. 54 adult patients, treated by chemotherapy for haematological cancer or radiotherapy or radio-chemotherapy for head and neck cancer, with CTCAE grade ≥ 2 mucositis and agreeing not to take any treatment other than that studied (except the treatment symptomatic of mucositis recommended by the WHO), will be recruited during their treatment in the specialized services of the Clermont-Ferrand University Hospital or the Jean Perrin Center over a period estimated at 24 months. After information, collection of consent and verification of the selection criteria, patients will receive according to randomization (1: 1 stratified according to radio / chemotherapy) either the active treatment or a placebo. During the first visit, a clinical examination with evaluation of the grade of mucositis (WHO scale and clinical signs NCI-CTCAE v3.0), photographs of ulcers (retrospective control), evaluation of the state of the mouth (OAG (Oral Assessment Guide) grid), difficulty in feeding by the oral route (functional signs NCI- CTCAE v4.0) will be performed as well as assessments (VAS (Visual Analogic Scales) of pain and burning sensations before and 30 minutes after treatment. Visits are scheduled on D3, D5, D7, D14, D21 and D28 with clinical examination, photographs, evaluations of the condition of the mouth, difficulty in feeding, pain and burning sensation, collection of any adverse effects and changes in the anti-cancer treatment if necessary.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 54
-
Adult patient, male or female, either
- treated with chemotherapy for hematological cancer (leukemia, lymphoma) and suffering from grade 2 to 4 mucositis (according to WHO / NCI-CTCAE), or
- treated with radiotherapy or radio-chemotherapy (cisplatin or cetuximab) for head and neck cancer and suffering from grade 2 to 4 mucositis (according to WHO / NCI-CTCAE),
-
Agreeing not to take any treatment for mucositis other than the treatment proposed in this study, apart from the classic symptomatic treatment for mucositis recommended by WHO.
-
Able to give informed consent to participate in research.
-
Beneficiary of a Social Security scheme.
- A woman who is pregnant, breastfeeding, or may be.
- Major subject under guardianship, curators, deprived of liberty, or under the safeguard of justice.
- Medical and / or surgical history deemed by the investigator to be incompatible with the study because it would invalidate any reliable assessment.
- General state of health considered pejorative (Karnofsky index <60).
- Type 1 or type 2 diabetic subject (presence of honey in Orosol®).
- Subject on an anticoagulant (AVK or AOD) (interaction of the cranberry contained in Orosol® with anticoagulants (in particular warfarin) with instability of the International Normalized Ratio; the AODs can potentially present the same type of interaction).
- History of administration of the treatment (or equivalent) in the study.
- Anticipated difficulties in reading / understanding the protocol and its questionnaires.
- Subjects in the exclusion period from another clinical trial
- Refusal of participation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Radio-induced oral mucositis / Placebo comparator Topical application of Placebo comparator Patient with radio-induced oral mucositis at least grade 2 treated with placebo Chemo-induced oral mucositis / placebo comparator Topical application of Placebo comparator Patient with chemo-induced oral mucositis at least grade 2 treated with placebo Radio-induced oral mucositis / Medical Device Topical application of Orosol® Patient with radio-induced oral mucositis at least grade 2 treated with experimental medical device Chemo-induced oral mucositis / Medical Device Topical application of Orosol® Patient with chemo-induced oral mucositis at least grade 2 treated with experimental medical device
- Primary Outcome Measures
Name Time Method Demonstrate the effectiveness of the curative treatment with Orosol® on mucositis score (WHO) At day 28 Evolution the symptoms of chemo-induced or radiation-induced mucositis by collecting the mucositis score according to the World Health Organization scale (from 0 (absence of mucositis) to 4 (Oral feeding not possible, enteral (tube) or parenteral feeding indicated))
Demonstrate the effectiveness of the curative treatment with Orosol® on oral feeding (NCI-CTCAE v4.0) At day 28 Evolution the symptoms of chemo-induced or radiation-induced mucositis by collecting the difficulty in feeding orally with the functional signs scale from the National Cancer Institute Common Terminology Criteria for Adverse Events (functional scale) (v 4.0) (from 0 (absence of mucositis) to 4 (Necrosis, Vital prognosis engaged))
Demonstrate the effectiveness of the curative treatment with Orosol® on mucositis score (NCI-CTCAE v3.0) At day 28 Evolution the symptoms of chemo-induced or radiation-induced mucositis by collecting the mucositis score according to the National Cancer Institute Common Terminology Criteria for Adverse Events (clinical scale) (v 3.0) (from 0 (absence of mucositis) to 4 (Necrosis, spontaneous hemorrhage))
- Secondary Outcome Measures
Name Time Method Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "item mucous membrane and gums" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item mucous membrane and gums" scale is a scale from 1 (pink and wet) to 3 (ulcerations and / or bleeding) assessing the state of aggression of the mucous membranes
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "teeth" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item teeth" scale is a scale from 1 (clean and free of debris) to 3 (widespread plaques and debris on all damaged gums and teeth) assessing the state of aggression of the teeth
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "item salivation" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item salivation" scale is a scale from 1 (normal) to 3 (absence of salivation) assessing the hyposialia
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "item voice" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item voice" scale is a scale from 1 (Normal) to 3 (highly impacted) assessing the difficulty of speaking
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "item tongue aspect" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item tongue aspect" scale is a scale from 1 (pink, wet and presence of taste buds) to 3 (cracked, blistered) assessing the aspect of the tongue
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "item swallowing" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item swallowing" scale is a scale from 1 (Normal) to 3 (highly impacted) assessing the difficulty of swallowing
Assessment of general state of health of the mouth with Oral Assessment Guide (OAG) scale "lips" At day 1, 3 , 5, 7, 14, 21 and 28 The OAG "item lips" scale is a scale from 1 (smooth, dewy and damp) to 3 (ulcerations or bleeding) assessing the state of aggression of the lips
Burning sensation At day 1, 3 , 5, 7, 14, 21 and 28 Assessment of burning symptom with visual analogical scale (from 0 (absence of burning sensation to 10 (strongest burning sensation imaginable)
Pain intensity At day 1, 3 , 5, 7, 14, 21 and 28 Assessment of pain with visual analogical scale (from 0 (absence of pain sensation to 10 (strongest pain sensation imaginable)
Trial Locations
- Locations (2)
CHU clermont-ferrand
🇫🇷Clermont-Ferrand, France
Centre Jean-Perrin
🇫🇷Clermont-Ferrand, France