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Oral topical cyclo-oxygenase 2 inhibitors (COX2-1) mouthwash for the treatment of oral dysplasia

Not Applicable
Completed
Conditions
Topic: National Cancer Research Network, Ear
Subtopic: Head and Neck Cancer, Ear (all Subtopics)
Disease: Head and Neck, Ear, nose & throat
Cancer
Other diseases of lip and oral mucosa
Registration Number
ISRCTN31503555
Lead Sponsor
Coventry University Hospital (UK)
Brief Summary

2012 Results article in http://www.ncbi.nlm.nih.gov/pubmed/22731119 results

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
13
Inclusion Criteria

1. Patients with clinically evident leukoplakia
2. Can attend follow up
3. Requiring biopsy and surgery
4. 18 years old or over, either sex
5. Able to give informed consent
6. Not known to be pregnant

Exclusion Criteria

1. Histologically confirmed cancer
2. Prior oral cancer
3. Patients on aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid treatment
4. Current treatment of oral dysplasia with topical/systemic treatment
5. Active peptic ulcer disease
6. History of aspirin induced asthma, stomach ulcers or aspirin sensitivity
7. History of associated angioedema, urticaria or suspected aspirin allergy in the past

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
evel of COX expression, prostaglandin level and change in histological grade measured pre- and post-treatment. Measurement of the primary outcome measures will only occur once all patients have been recruited to the study. Pre and post treatment biopsy samples (6 weeks apart) are snap frozen and stored at -80°C.
Secondary Outcome Measures
NameTimeMethod
All biochemical measures for the secondary outcomes will be measured at the same time. The histological grade of the tissue will be made within 7 - 10 days of each biopsy being taken as is normal clinical practive for these lesions. The tolerability and side effects will be ascertained on the patients return for their second biopsy (6 weeks after commencing the Aspirin).
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