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N-acetyl Cysteine for the Prevention of Oral Mucositis After Autologous Hematopoietic Cell Transplantation.

Phase 3
Conditions
Mucositis
Transplant-Related Disorder
Interventions
Registration Number
NCT04756622
Lead Sponsor
moshe yeshurun
Brief Summary

Oral mucositis (OM) is a major source of morbidity in patients undergoing hematopoietic cell transplantation (HCT). N-acetyl cysteine (NAC) is an antioxidant, widely used as mucolytic agent or antidote of acetaminophen overdose hepatotoxicity. we intend to explore the safety and efficacy of NAC in the prevention of OM after high-dose chemotherapy and autologous HCT in a phase III, randomized, open label and multi-center study.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
116
Inclusion Criteria
  • Patients with multiple myeloma and lymphoma in partial response and complete remission.
  • Undergoing high-dose chemotherapy with autologous transplantation.
Exclusion Criteria

• Known sensitivity to NAC

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
N acetyl cysteineN acetyl cysteineNAC dissolved in water at a dose of 600 mg three times per day from day of transplant until neutrophil engraftment, or upon resolution of OM, whichever appears later.
Primary Outcome Measures
NameTimeMethod
Proportion of patients with grade 3-4 OMday 14

Proportion of patients with grade 3-4 OM

Secondary Outcome Measures
NameTimeMethod
Time from transplantation to first hospital discharge30 days

Time from transplantation to first hospital discharge

Proportion of patients with grade 1-4 OM14 days

Proportion of patients with grade 1-4 OM

Non-relapse mortalityday 50

Non-relapse mortality

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