- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05322421
Effectiveness of Topical Olive Oil in Prevention and Management of Radiation Induced Oral Mucositis
April 8, 2022 updated by: Salma Hesham Elhoufi
Effectiveness of Topical Olive Oil in Prevention and Management of Radiation Induced Oral Mucositis: a Randomised Clinical Control Trial
This research aims to investigate the effectiveness of topical olive oil application both clinically and biochemically as a suitable affordable treatment modality for prevention and management of radiation oral mucositis and its associated pain for head and neck cancer patients receiving radiotherapy.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Twenty adult patients seeking radiotherapy treatment for head and neck cancer are to be selected.
Patients meeting the eligibility criteria are to be equally and randomly allocated in 2 different groups.
Group 1 will include10 patients receiving topical olive oil application, twice daily (Experimental arm).
Group 2 will include 10 patients receiving Sodium bicarbonate 5% solution, twice daily (Control arm).
Both intervention and control groups will start the application of the agents two days before the induction of radiotherapy.
Evaluation will be done using World Health Organization (WHO) scale for oral mucositis to record the extent and severity of oral mucositis.
Clinical evaluation will be performed after starting radiotherapy every other week (at baseline, after 2 weeks, after 4 weeks and after 6 weeks at the end of the treatment).
Pain and discomfort will be evaluated using Numeric Rating Scale (NRS).
Patients scores will be recorded at similar intervals.
Total Antioxidant Capacity "TAC" will be used to study the biochemical effect of topical olive oil application by evaluating the oxidative stress in the saliva.
Saliva samples will be collected from all patients of both groups prior to the beginning of radiotherapy, and a second sample will be collected after six weeks.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Salma H Elhoufi
- Phone Number: 00201018222825
- Email: salooma92@gmail.com
Study Locations
-
-
Select
-
Cairo, Select, Egypt, 11571
- Recruiting
- Salma Hesham Elhoufi
-
Contact:
- Salma H Elhoufi
- Email: salooma92@gmail.com
-
Contact:
- Radwa Ragheb, lecturer
- Email: radwa.ragheb@dent.asu.edu.eg
-
Principal Investigator:
- Salma H Elhoufi
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
25 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients who are aged above 25 years up to 65 years.
- Both genders are eligible.
- Patients with head and neck cancer who are planned to receive radiotherapy either as postoperative (adjuvant after surgery) or definitive therapy.
- Patients planned to receive radiotherapy treatment with a dose of 60-70 Gy.
Exclusion Criteria:
- Patients with known sensitivity to olive oil and/or any of its products
- Patients with gingival or oral ulceration or mucositis
- Patients taking of any antiviral or antifungal therapy and/or any other agents for oral mucositis before the beginning of the study for 3 months.
- Smokers
- Vulnerable patients (pregnant women, neonates, children, prisoners, persons with physical handicaps or mental disabilities)
- Pregnant and lactating women.
- Patients with any uncontrolled systemic diseases (such as diabetes, cardiovascular, liver disorder, renal dysfunction)
- Patients suffering from any physical or mental disabilities that would interfere with or be affected by the study procedure.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Olive Oil
Will include10 patients receiving topical olive oil application, twice daily
|
Olive oil will be placed in 200 ml opaque glass containers.
For each application, a new stick with a sponge will be submerged into one of the agents to absorb then coat the tongue, buccal mucosa, lips, and hard palate.
Patients will be instructed to refrain form eating for 1 hour after the application
|
Active Comparator: Sodium Bicarbonate
Will include 10 patients receiving Sodium bicarbonate 5% solution, twice daily
|
Sodium bicarbonate 5% solution will be placed in 200 ml opaque glass containers.
For each application, a new stick with a sponge will be submerged into one of the agents to absorb then coat the tongue, buccal mucosa, lips, and hard palate.
Patients will be instructed to refrain form eating for 1 hour after the application
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Oral Radiation mucositis
Time Frame: Every other week (at baseline, 2 weeks, 4 weeks and 6 at the end of the treatment)
|
Number of participants who develop Radiation mucositis according to the WHO Scale.
(grade 0 indicates that no changes have occurred in the oral cavity and grade 4 indicates the worst level of mucositis )
|
Every other week (at baseline, 2 weeks, 4 weeks and 6 at the end of the treatment)
|
Grade of oral radiation mucositis
Time Frame: Every other week (at baseline, 2 weeks, 4 weeks and 6 weeks at the end of the treatment)
|
Clinical evaluation using the WHO scale will be performed to record the changes in the oral cavity after starting radiotherapy, (grade 0 indicates that no changes have occurred in the oral cavity and grade 4 indicates the worst level of mucositis )
|
Every other week (at baseline, 2 weeks, 4 weeks and 6 weeks at the end of the treatment)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post operative pain assessment using Numeric Pain Rating Scale
Time Frame: Patients scores will be recorded after starting radiotherapy every other week (at baseline, 2 weeks, 4 weeks and 6 weeks at the end of the treatment)
|
To evaluate patient's perception of postoperative pain during the treatment time using the NRS (Numeric Pain Rating Scale).
The NRS is an 11-point numeric scale that ranges from '0' representing one pain extreme (e.g.
"no pain") to '10' representing the other pain extreme (e.g.
"pain as bad as you can imagine" or "worst pain imaginable")
|
Patients scores will be recorded after starting radiotherapy every other week (at baseline, 2 weeks, 4 weeks and 6 weeks at the end of the treatment)
|
Total antioxidant capacity
Time Frame: Salivary samples will be collected at baseline before the induction of radiotherapy and at 6 weeks at the end of the treatment for TAC analysis.
|
To evaluate the biochemical effect of topical olive oil application using the Total Antioxidant Capacity (TAC) test in the saliva of patients with radiation oral mucositis
|
Salivary samples will be collected at baseline before the induction of radiotherapy and at 6 weeks at the end of the treatment for TAC analysis.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Suzan S Ibrahim, Professor, Ain Shams University
- Study Director: Radwa Ragheb, Lecturer, Ain Shams University
- Principal Investigator: Salma H Elhoufi, Ain Shams University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 10, 2022
Primary Completion (Anticipated)
September 1, 2022
Study Completion (Anticipated)
September 1, 2022
Study Registration Dates
First Submitted
November 1, 2021
First Submitted That Met QC Criteria
April 8, 2022
First Posted (Actual)
April 11, 2022
Study Record Updates
Last Update Posted (Actual)
April 11, 2022
Last Update Submitted That Met QC Criteria
April 8, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FDASU-REC 964123
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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