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Adverse effects of radioiodine treatment on salivary glands in patients with thyroid cancer

Conditions
Salivary glandsDifferentiated thyroid carcinoma (DTC)Radioiodine therapy (I131)
Registration Number
NL-OMON24390
Lead Sponsor
T.P. Links, University Medical Center Groningen
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

1. Age at diagnosis is at least 18 years

2. The patient is awaiting radioiodine ablation therapy following DTC diagnosis, or is in follow-up for DTC and awaiting radioiodine therapy for persistent or recurrent disease

Exclusion Criteria

1. A history of Sjögrens syndrome or other salivary gland disease affecting salivary gland function

2. Oral ulceration

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The main study parameter is difference in stimulated salivary flow rate before and after radioiodine therapy, for 1) whole saliva and 2) glandular saliva. <br><br>Other main study parameters: <br>- Difference in parameters before and after radioiodine therapy: <br> o Whole saliva flow rate (unstimulated) <br> o Sialochemistry (sodium, potassium, chloride, amylase, total protein) in:<br> - Unstimulated whole saliva <br> - Stimulated whole saliva <br> - Stimulated glandular saliva <br> <br>- The correlation between: <br> o Semi-quantitative radioiodine uptake in salivary glands on the pre-therapy WBS and difference in stimulated saliva flow rates pre and post I-131 therapy<br> o Semi-quantitative radioiodine uptake in salivary glands on the post-therapy WBS and difference in stimulated saliva flow rates pre and post I-131 therapy <br> o Quantitative radioiodine uptake in salivary glands on the SPECT/CT and difference in stimulated saliva flow rates pre and post I-131 therapy
Secondary Outcome Measures
NameTimeMethod
- Difference in Xerostomia Inventory score (questionnaire) before and after radioiodine therapy <br /><br>- Correlation between post-therapy Xerostomia Inventory score and difference in stimulated saliva flow rates pre/post I-131 <br /><br>- Difference in stimulated salivary flow rates in patients with 1 radioiodine cycle as compared with patients with 2 or more radioiodine cycles <br /><br>- Correlation between cumulative radioiodine dose and post-therapy stimulated saliva flow rates
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