Salivary IL-6 and Interleukin Gene Polymorphisms in Oral Squamous Cell Carcinoma (IL6-OSCC)
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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Estimé)
Contacts et emplacements
Coordonnées de l'étude
- Nom: Matteo Pellegrini, DDS
- Numéro de téléphone: +39 0382 516209
- E-mail: matteo.pellegrini02@universitadipavia.it
Lieux d'étude
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Lombardy
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Milan, Lombardy, Italie, 20122
- Maxillo-Facial Surgery and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
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Contact:
- Giada Anna Beltramini, Associate Professor
- Numéro de téléphone: +39 02 5503 4422
- E-mail: giada.beltramini@policlinico.mi.it
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Pavia, Lombardy, Italie, 27100
- Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Paediatrics - University of Pavia
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Contact:
- Matteo Pellegrini, DDS
- Numéro de téléphone: +39 0382 516209
- E-mail: matteo.pellegrini02@universitadipavia.it
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
|---|---|
|
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.
|
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.
Autres noms:
|
|
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.
|
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.
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Difference in Salivary Interleukin-6 Levels Between OSCC N0M0 and OSCC N+M0 Patients
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Association Between Regional Lymph Node Status and Interleukin Gene Polymorphisms
Délai: Baseline, before any OSCC-specific oncological treatment
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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.
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Baseline, before any OSCC-specific oncological treatment
|
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Association Between Interleukin Gene Polymorphisms and Salivary Interleukin-6 Levels
Délai: Baseline, before any OSCC-specific oncological treatment
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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
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- IL6-OSCC-2026
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Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
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