Photobiomodulation Home-use Device for Prevention or Treatment of Oral Mucositis in Patients With Head&Neck Malignancies

Erika Carmel ltd20 enrolled

Overview

Patients with head and neck malignancy that are treated with Radiation Therapy \[RT\] are expected to develop Oral Mucositis (OM) in 60% of cases. Mucositis is a side effect of radiation and / or chemotherapy that causes severe pain and inability to eat and drink and a decrease in quality of life. In addition it may impair the treatment protocol and treatment outcomes. Photobiomodulation is a non-ionizing optical radiation in the near or near-infrared range used for acceleration of wound healing and pain reduction. Photobiomodulation therapy for the reduction of mucositis is included in the International Guidelines of the MASCC / ISOO Association and the British NICE. To date the treatment has been performed by members of professional medical staff in hospitals or clinics. The study device is home-used photobiomodulation device approved for indications of pain reduction and acceleration of wound healing. The device has shown efficacy in treating mucositis around dental implants in a clinical trial and after oncological treatments in a limited number of cases as reported in the scientific literature.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Mucositis Head and Neck Cancer Radiotherapy Side Effect

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with malignant neoplasm in the oral cavity, pharynx or salivary glands. 2. The patient should receive a continuous course of radiation therapy (IMRT) with all of the following criteria applicable: * For a period of 3-7 weeks, 5-6 fractions per week. * A minimum cumulative dose of 30Gy expected to cause OM (ORAL MUCOSITIS) by the third week. Or: Based on the clinical judgment of the Radiation Oncologist and BED2 ≥ 30 Gy * The treatment field will include at least one oral site (buccal mucosa, floor of mouth, tongue, hard palate, retro-molar trigon, lips or oropharynx) * With or without chemotherapy and / or immunotherapy at the same time. 3. A patient with an ECOG PS functional status equal to or less than 2 4. Able to read and understand the informed consent form (ICF) and voluntarily provided informed consent 5. The patient is able to undergo intra-oral treatments 6. The patient is willing to perform the protocol. Exclusion Criteria: 1. The patient underwent previous radiation to the current therapeutic field 2. The patient has health conditions of the teeth or mouth that will prevent the application of intra-oral treatment 3. The patient receives non-standard treatment for mucositis such as benzidamine, palifermin, etc. 4. The patient is enrolled to any other clinical trial that includes treatment or intervention that may affect the course of mucositis. 5. The patient has a diagnosis that affects the healing of wounds (eg diabetes, lupus, etc.) 6. Pregnancy

Outcomes

Primary Outcomes

Proportion of patients performing at least 50% of expected daily treatments during radiotherapy period.

The patients are expected to treat themselves 5 times a week during the 7 week period of radiotherapy, accumulating to a total of 35 treatments. The date of each treatment will be documented in a diary. The number of treatment actually done divided by the 35 expected treatments will be calculated. The outcome is the proportion of patients that will treat themselves at least 18 treatments out of the 35 expected (at least 50%).

Time frame: 7 weeks

Secondary Outcomes

The proportion of the patients that will experience severe oral mucositis

The proportion of the patients that will experience severe oral mucositis defined as grade 3 or 4 of the World Health Organization (WHO) grading for oral mucositis, according to the following: Grade 0=the patient has no signs and symptoms; Grade 1=painless ulcers, edema, or mild soreness; Grade 2=painful erythema, edema, or ulcers but able to eat; Grade 3=painful erythema, edema, or ulcers but unable eat; Grade 4=requires parenteral or enteral support