Clinical Study On Acute Radiotherapy-Induced Oral Mucositis In Patients With Locally Advanced Head And Neck Tumors

Affiliated Cancer Hospital & Institute of Guangzhou Medical University100 enrolled

Overview

To explore a more efficient and scientific clinical treatment plan for acute radiotherapy-induced oral mucositis(RIOM/RTOM).it is hoped that the drug combination can more effectively improve the cure rate of acute RIOM,reduce the degree of oral mucosal injury and utilization rate of analgesic drugs,and reduce the occurrence of severe acute RIOM. Almost all patients with head and neck will have RIOM because of receiving radiation therapy.Studies have shown that the incidence of severe acute RIOM accounted for about 34% to 56%.There is no specific drug when acute RIOM is often accompanied by varying degrees of pain and infection in the mouth.Severe RIOM seriously affects ingestion through the mouth and doesn't conducive to the treatment and prognosis of tumor diseases. To further explore the efficiency and advantages of the combined application of Jeksung and anti-radiation spray in the treatment of acute RIOM at all levels,and provide more data support for relevant clinical treatment.Explore whether the Jeksung with combination of anti-radiation spray can effectively delay the occurrence of acute RIOM and delay the course of the disease.It will be expected to improve the quality of life of cancer patients ,reduce the occurrence of adverse events due during radiotherapy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Head and Neck Cancer

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Head and neck cancer was confirmed by patholog * Received radical radiotherapy, and were observed and treated by RTOM in the stomatology department * Age range: 18-75 years old * The estimated survival period is more than 6 months, and the card functional status score (KPS) is 70 * There are no diseases that affect the treatment of oral mucositis, such as mouth opening restriction, Sjogren's syndrome, etc. * Sign the informed consent form Exclusion Criteria: * Failed to complete radiotherapy, or delayed radiotherapy more than 2 weeks than planned * There are previous oral mucosal diseases, such as oral lichen planus and pemphigus, which are not effectively controlled or still need long-term drug treatment * There are other diseases that affect radiotherapy, such as severe organ function injury, chronic infectious diseases, etc. * Had received radiotherapy for head and neck for other diseases; * The expected survival time is less than 6 months; * Refuse to provide personal information or sign informed consent * The investigator judged other conditions that might affect the conduct of the clinical study and the determination of the study results.

Outcomes

Primary Outcomes

Acute radiotherapy-induced oral mucositis

Occur rate of severe radiotherapy-induced oral mucositis

Time frame: The first day of radiation therapy for head and neck tumors to the last day

Secondary Outcomes

Oral pain

Utilization rate of analgesic drugs

Time frame: The first day to the last day of radiation therapy for head and neck tumors