The aim of the present study is to collect data on the feasibility of a preventative/therapeutic approach of radiation-induced oral mucositis with benzydamine oromucosal solution (mouthwash) in patients with head and neck cancer.
This is a phase IV clinical study whose aim is to collect data on the feasibility of a preventative/therapeutic approach of radiation-induced oral mucositis with benzydamine oromucosal solution (mouthwash) in patients with Head and Neck cancer. Benzydamine mouthwash is considered the gold standard among anti-inflammatory agents in the management of oral mucositis in cancer patients. The 2014 mucositis guidelines recommended benzydamine mouthwash for the prevention of radiation-induced oral mucositis among Head and Neck Cancer patients treated with moderate doses of radiation therapy. The updated 2019 guidelines not only confirm the existing guidelines proving new evidences, but also recommend to use benzydamine as preventative treatment of radiation-induced Oromucositi among Head and Neck Cancer. patients treated with radiation therapy with/without systemic concurrent treatments and confirm benzydamine mouthwash as the only anti-inflammatory agent with evidence in prevention of oral mucositis to date.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Benzydamine Hydrochloride 0.15% w/v oromucosal solution (mouthwash), Angelini Pharma S.p.A.
Orszagos Onkologiai Intezet, Gyogyszertar
Budapest, Hungary
Debreceni Egyetem Klinikai Kozpont, Intezeti Gyogyszertar
Debrecen, Hungary
Petz Aladar Egyetemi Oktato Korhaz, Intezeti Gyogyszertar,
Győr, Hungary
Number of responders
The effectiveness of benzydamine oromucosal solution (mouthwash) in the prevention/tratment of radiation-induced oral mucositis in Head and Neck cancer patients is evaluated as the number of responders, expressed in percentage, defined as the number of head and neck cancer patients with oral mucositis pain intensity \<5 in the Numeric Rating Scale.
Time frame: Up to 7 weeks
Number of compliant patients to Benzydamine treatment.
The compliance to the treatment is calculated at the end of the study. A patient is considered compliant to the benzydamine treatment if he/she takes ≥80% of the total dose assigned by the Investigator.
Time frame: Up to 7 weeks
Change score in the World Health Organization oral mucositis grading scale.
The severity of oral mucositis is evaluated using the World Health Organization (WHO) oral mucositis grading scale. The Investigator gives a score corresponding to the grade of mucositis of the patient, from "0" = "None" to "4" = "Life-threatening", "Oral alimentation impossible".
Time frame: Up to 7 weeks
Number of days of duration of severe oral mucositis.
The duration of severe oral mucositis (grade 3 or 4 on the World Health Organization oral mucositis grading scale) is assessed.
Time frame: Up to 7 weeks
Time of onset of severe oral mucositis.
Time of onset of severe oral mucositis (grade 3 or 4 on the World Health Organization oral mucositis grading scale) is assessed.
Time frame: Up to 7 weeks
Percentage change in body weight
The percentage change in body weight from baseline is assessed.
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Somogy Megyei Kaposi Mor Oktato Korhaz - Eszaki Tomb, 1. Emelet, 4. Szarny, Klinikai - Vizsgalati Egyseg.
Kaposvár, Hungary
Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Oktatokorhaz Klinikai Kutatasi Osztaly
Nyíregyháza, Hungary
Csolnoky Ferenc Korhaz, Onkologiai Centrum Sugarterapias Osztaly
Veszprém, Hungary
Centrum Onkologii im. Prof. Franciszka Łukaszczyka Apteka Szpitalna
Bydgoszcz, Poland
Szpitale Pomorskie Sp. z o. o.,
Gdynia, Poland
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii im. M. Kopernika w Lodzi, - Lódzkie
Lodz, Poland
Mazowiecki Szpital Wojewódzki im. św. Jana Pawła II w Siedlcach -
Siedlce, Poland
Time frame: Up to 7 weeks
Number of days of duration of Radiotherapy/Chemotherapy
Radiotherapy/Chemotherapy is assessed as number of days of duration of therapy.
Time frame: Up to 7 weeks
Number of days of discontinuation of Radiotherapy/Chemotherapy
Radiotherapy/Chemotherapy is assessed in terms of days of therapy discontinuation.
Time frame: Up to 7 weeks
Dose modifications of Radiotherapy/Chemotherapy
Radiotherapy/Chemotherapy is evaluated as dose modifications of therapy.
Time frame: Up to 7 weeks
Delays in Radiotherapy/Chemotherapy
Radiotherapy/Chemotherapy is evaluated as days of delay in therapy.
Time frame: Up to 7 weeks
Number of days of hospitalization.
The healthcare resources consumed in terms of number of days of hospitalization due to oral mucositis are evaluated.
Time frame: Up to 7 weeks
Change in QoL (EORTC QLQ C-30) from baseline
The health-related quality of life is measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ C-30)
Time frame: Up to 7 weeks
Change in QoL (EORTC QLQ-H&N35) from baseline
The health-related quality of life is measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck (EORTC QLQ-H\&N35).
Time frame: Up to 7 weeks
Number and type of opioid analgesics
The use of opioid analgesics prescribed for oral mucositis pain is assessed.
Time frame: Up to 7 weeks
Frequency of adverse events
AEs occurred during a clinical trial are assessed by the Investigator in terms of seriousness and relationship with the investigational product.
Time frame: Up to 7 weeks