This is a open,randomized phase II trial comparing effectiveness and safety of local use of rhGM-CSF and Compound Vitamin B12 to Compound Vitamin B12 solution alone treating oral mucositis in primary nasopharyngeal cancer. The main end point is the incidence of grade II and less oral mucositis at the end of treatment.The hypothesis of the study is that the local use of rhGM-CSF and Compound Vitamin B12 can decrease the incidence of grade III and more oral mucositis at the end of treatment compared to local use of Compound Vitamin B12 alone.
Inclusion Criteria: 1. Grade II oral mucositis induced by chemoradiotherapy in patient with primary nasopharyngeal carcinoma. 2. Receiving 68-72 Gray of radiation dose. 3. Age between 18 and 65 years. 4. KPS≥70. 5. Patient who has given his/her written consent before any specific procedure of the protocol. Exclusion Criteria: 1. Severe uncontrolled infection. 2. Pregnant or breast-feeding females. 3. Allergy to this medicine. 4. Diarrhea. Outcome measures: 1. Grade of oral mucositis:NCI Common Terminology Criteria for Adverse Events v3.0, NCI CTCAE v3.0 2. Pain: WHO,Numerical Rating Scale(NRS) 3. Tumor response to chemoradiotherapy:Response Evaluation Criteria in Solid Tumors,RECIST1.1
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
160
The rhGM-CSF is prepared as a mouthwash solution,diluting 150μg in 100ml water(final concentration of 1.5μg/ml).Patient is instructed to use the solution five times daily.
Compound Vitamin B12 solution 5ml being sprayed to mouth five times daily
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
RECRUITINGThe incidence of grade II and less oral mucositis at the end of treatment
Using the criteria of NCI CTCAE v3.0
Time frame: 7 weeks
Pain
Cumulative incidence and time of different grade,using the criteria of WHO,NRS
Time frame: 12 weeks
Cumulative incidence and time of grade III and more oral mucositis
Using the criteria of NCI CTCAE v3.0
Time frame: 7 weeks
Dysphagia
Cumulative incidence and time of different grade,using NCI CTCAE v3.0
Time frame: 12 weeks
Tumor response to chemoradiotherapy
Using the criteria of Response Evaluation Criteria in Solid Tumors1.1(RECIST1.1)
Time frame: 12 weeks
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