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Salivary IL-6 and Interleukin Gene Polymorphisms in Oral Squamous Cell Carcinoma (IL6-OSCC)

2. juli 2026 opdateret af: Andrea Scribante, University of Pavia

Salivary Interleukin-6 Levels and Interleukin Gene Polymorphisms for the Biological Stratification of Locoregional Progression in Oral Squamous Cell Carcinoma (OSCC): A Multicentre Observational Cross-Sectional Study

This observational study will evaluate whether salivary interleukin-6 levels and selected interleukin gene polymorphisms are associated with regional lymph node involvement in patients with oral squamous cell carcinoma.

Adult patients with histologically confirmed oral squamous cell carcinoma will be enrolled before receiving any cancer-specific treatment. Participants will be classified into two groups according to the presence or absence of regional lymph node metastasis: OSCC N0M0 and OSCC N+M0.

The study does not involve any experimental treatment and does not change the standard diagnostic or therapeutic pathway. Each participant will provide a saliva sample using a sterile absorbent swab. The saliva sample will be used to measure interleukin-6 levels. Available biological material will also be used to analyze selected interleukin gene polymorphisms, including IL6, IL1B, IL10, IL8/CXCL8, and IL1RN.

The aim of the study is to explore whether these salivary and genetic markers may help characterize different biological patterns of locoregional progression in oral squamous cell carcinoma.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Oral squamous cell carcinoma is characterized by variable biological behavior, including different patterns of regional lymph node involvement. Regional lymph node metastasis is one of the main prognostic factors in this disease. However, patients with similar clinicopathological characteristics may show different patterns of locoregional progression, suggesting that additional biological markers may help describe tumor behavior.

This multicentre observational cross-sectional study will investigate salivary interleukin-6 and selected interleukin gene polymorphisms in adult patients with histologically confirmed oral squamous cell carcinoma. Participants will be enrolled before any cancer-specific treatment and classified according to regional lymph node status as OSCC N0M0 or OSCC N+M0.

Saliva will be collected using a standardized sterile absorbent swab procedure. Salivary interleukin-6 levels will be quantified and expressed as pg/mL. Selected interleukin-related genetic polymorphisms, including IL6, IL1B, IL10, IL8/CXCL8, and IL1RN, will be analyzed from available biological material using validated molecular biology methods.

The primary objective is to compare salivary interleukin-6 levels between patients without regional lymph node metastasis and patients with regional lymph node metastasis. Secondary objectives include evaluating the association between nodal status and interleukin gene polymorphisms, and exploring the relationship between these polymorphisms and salivary interleukin-6 levels.

No experimental treatment will be administered, and participation will not modify the standard diagnostic or therapeutic management of oral squamous cell carcinoma.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

38

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Italien
    • Lombardy
      • Milan, Lombardy, Italien, 20122
        • Maxillo-Facial Surgery and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
        • Kontakt:
      • Pavia, Lombardy, Italien, 27100
        • Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Paediatrics - University of Pavia
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population will include adult patients with histopathologically confirmed oral squamous cell carcinoma of the oral cavity, enrolled before any OSCC-specific oncological treatment. Participants will be classified according to regional lymph node status into two observational cohorts: OSCC N0M0, defined as absence of regional lymph node metastasis and absence of distant metastasis, and OSCC N+M0, defined as presence of regional lymph node metastasis and absence of distant metastasis. Patients will be recruited from participating Italian study centres involved in the clinical management of oral squamous cell carcinoma.

Beskrivelse

Inclusion Criteria:

  • Age 18 years or older
  • Histopathologically confirmed diagnosis of oral squamous cell carcinoma of the oral cavity
  • Oral squamous cell carcinoma site excluding oropharyngeal sites
  • Defined regional lymph node status allowing classification as OSCC N0M0 or OSCC N+M0
  • Absence of distant metastasis, classified as M0
  • Saliva sample collection feasible before any OSCC-specific oncological treatment, including surgery, radiotherapy, chemotherapy, immunotherapy, or targeted therapy
  • Suitability for saliva collection using a standardized absorbent swab
  • Availability of biological material for genotyping
  • Ability to provide written informed consent for study participation, biological sampling, and genetic analysis

Exclusion Criteria:

  • Age younger than 18 years
  • Oral squamous cell carcinoma involving oropharyngeal sites
  • Presence of distant metastasis
  • Previous OSCC-specific oncological treatment before saliva sample collection
  • Acute infection at the time of sampling or within the previous 2 weeks
  • Active or inadequately controlled systemic autoimmune or inflammatory disease that may significantly alter cytokine profiles
  • Systemic immunosuppressive or immunomodulatory therapy within the previous 4 to 8 weeks
  • Recent oncological treatment for malignancies other than OSCC within the previous 6 months, if considered potentially interfering with the immune-inflammatory profile
  • Clinically significant acute oral infection or inflammatory process at the time of sampling
  • Active oral bleeding or evident blood contamination of the salivary swab Invasive dental procedures within the previous 2 weeks
  • Systemic antibiotic therapy within the previous 2 weeks
  • Inability to provide written informed consent

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
OSCC N0M0
Adult patients with histologically confirmed oral squamous cell carcinoma of the oral cavity, without regional lymph node metastasis and without distant metastasis. Participants will undergo saliva sample collection before any OSCC-specific oncological treatment. No experimental intervention will be administered.
Andet: Saliva Collection and Biomarker Analysis
Participants will undergo saliva sample collection using a sterile disposable absorbent salivary swab before any OSCC-specific oncological treatment. Salivary samples will be analyzed to measure interleukin-6 levels. Available biological material will also be used to analyze selected interleukin gene polymorphisms, including IL6, IL1B, IL10, IL8/CXCL8, and IL1RN. No experimental treatment will be administered, and the study procedures will not modify the standard diagnostic or therapeutic pathway.
Andre navne:
  • Salivary IL-6 Measurement; Interleukin Gene Polymorphism Analysis
OSCC N+M0
Adult patients with histologically confirmed oral squamous cell carcinoma of the oral cavity, with regional lymph node metastasis and without distant metastasis. Participants will undergo saliva sample collection before any OSCC-specific oncological treatment. No experimental intervention will be administered.
Andet: Saliva Collection and Biomarker Analysis
Participants will undergo saliva sample collection using a sterile disposable absorbent salivary swab before any OSCC-specific oncological treatment. Salivary samples will be analyzed to measure interleukin-6 levels. Available biological material will also be used to analyze selected interleukin gene polymorphisms, including IL6, IL1B, IL10, IL8/CXCL8, and IL1RN. No experimental treatment will be administered, and the study procedures will not modify the standard diagnostic or therapeutic pathway.
Andre navne:
  • Salivary IL-6 Measurement; Interleukin Gene Polymorphism Analysis

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Difference in Salivary Interleukin-6 Levels Between OSCC N0M0 and OSCC N+M0 Patients
Tidsramme: Baseline, before any OSCC-specific oncological treatment
Salivary interleukin-6 levels will be compared between patients with oral squamous cell carcinoma without regional lymph node metastasis, classified as OSCC N0M0, and patients with oral squamous cell carcinoma with regional lymph node metastasis, classified as OSCC N+M0. Salivary interleukin-6 will be measured from saliva samples collected using sterile absorbent swabs and expressed as a continuous variable in pg/mL.
Baseline, before any OSCC-specific oncological treatment

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Association Between Regional Lymph Node Status and Interleukin Gene Polymorphisms
Tidsramme: Baseline, before any OSCC-specific oncological treatment
The association between regional lymph node status and selected interleukin gene polymorphisms will be evaluated by comparing genotype and/or allele frequencies of IL6, IL1B, IL10, IL8/CXCL8, and IL1RN between patients with OSCC N0M0 and patients with OSCC N+M0. Where appropriate, results will be expressed as odds ratios for regional lymph node metastasis.
Baseline, before any OSCC-specific oncological treatment
Association Between Interleukin Gene Polymorphisms and Salivary Interleukin-6 Levels
Tidsramme: Baseline, before any OSCC-specific oncological treatment
The association between selected interleukin gene polymorphisms and salivary interleukin-6 levels will be assessed by comparing salivary interleukin-6 concentrations across genotype groups and/or through regression models using salivary interleukin-6 as a continuous dependent variable. Salivary interleukin-6 will be expressed in pg/mL.
Baseline, before any OSCC-specific oncological treatment

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Pavia

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

31. maj 2028

Studieafslutning (Anslået)

30. juni 2028

Datoer for studieregistrering

Først indsendt

2. juli 2026

Først indsendt, der opfyldte QC-kriterier

2. juli 2026

Først opslået (Faktiske)

9. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • IL6-OSCC-2026

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Data will be available upon motivated request to the corresponding authors.

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