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  • HP:0000217: Xerostomia
  • Pneumonia (312) Abnormality of the cardiovascular system (29) Neoplasm (27) Respiratory tract infection (27) Hypoxemia (22) Depressivity (21) Diabetes mellitus (19) Acute kidney injury (19) Abnormal lung morphology (19) Thromboembolism (17) Hypertension (16) Anosmia (14) Myocardial infarction (14) Abnormality of coagulation (14) Stroke (13) Pulmonary embolism (13) Arthritis (12) Leukemia (12) Interstitial pneumonitis (12) Autistic behavior (11) Mental deterioration (11) Deep venous thrombosis (10) Type II diabetes mellitus (10) Pulmonary obstruction (10) Crohn's disease (10) Abnormality of the kidney (9) Autism (9) Obesity (9) Congestive heart failure (9) Chronic pulmonary obstruction (9) Chronic pain (9) Rheumatoid arthritis (8) Abnormality of the liver (8) Respiratory distress (8) Pulmonary fibrosis (8) Colitis (8) Myocarditis (8) Carcinoma (8) Ulcerative colitis (8) Behavioral abnormality (7) Dementia (7) Infertility (7) Inflammation of the large intestine (7) Pulmonary insufficiency (7) Low levels of vitamin D (7) Neoplasm of the lung (7) Type I diabetes mellitus (7) Psychosis (6) Coronary artery atherosclerosis (6) Lymphoma (6) Abnormality of the gastrointestinal tract (6) Chronic kidney disease (6) Sepsis (6) Renal insufficiency (5) Lymphopenia (5) Gastroparesis (5) Immunodeficiency (5) Systemic lupus erythematosus (5) Breast carcinoma (5) Peripheral arterial stenosis (5) Allergy (5) Encephalopathy (4) Hepatic fibrosis (4) Cardiac arrest (4) Dysphagia (4) Asthma (4) Alzheimer disease (4) Osteoarthritis (4) Neoplasm of the pancreas (4) Autoimmunity (4) Disseminated intravascular coagulation (4) Attention deficit hyperactivity disorder (4) Sleep apnea (4) Prostate cancer (4) Neoplasm of head and neck (4) Addictive behavior (4) Insomnia (4) Obsessive-compulsive behavior (3) Seizure (3) Cardiomyopathy (3) Weight loss (3) Fever (3) Migraine (3) Pulmonary arterial hypertension (3) Bronchiectasis (3) Obstructive sleep apnea (3) Colon cancer (3) Reduced factor VIII activity (3) Malnutrition (3) Knee osteoarthritis (3) Lymphoid leukemia (3) Renal cell carcinoma (3) Arrhythmia (3) Fatigue (3) Endometriosis (3) Non-small cell lung carcinoma (3) Neuroendocrine neoplasm (3) Hypercoagulability (3) Schizophrenia (3) Hearing impairment (2) Visual impairment (2) Conjunctivitis (2) Uveitis (2) Agoraphobia (2) Abnormality of the endocrine system (2) Abnormal heart morphology (2) Tachycardia (2) Angina pectoris (2) Gastroesophageal reflux (2) Neurodegeneration (2) Abnormal intestine morphology (2) Alopecia of scalp (2) Mutism (2) Headache (2) Transient ischemic attack (2) Hyperkinetic movements (2) Polyphagia (2) Atherosclerosis (2) Hypoventilation (2) Myelodysplasia (2) Psoriasiform dermatitis (2) Paroxysmal atrial fibrillation (2) Acute myeloid leukemia (2) Lymphoproliferative disorder (2) Myeloproliferative disorder (2) Multiple myeloma (2) Intervertebral disc degeneration (2) Stridor (2) Cystoid macular edema (2) Hemeralopia (2) Cutaneous melanoma (2) Arteritis (2) Glioblastoma multiforme (2) Cervix cancer (2) Pulmonary edema (2) Ovarian neoplasm (2) Angioedema (2) Mania (2) Neoplasm of the large intestine (2) Urinary retention (1) Urinary incontinence (1) Nephritis (1) Menorrhagia (1) Xerostomia (1) Hypogeusia (1) Conductive hearing impairment (1) Abnormality of the eye (1) Cataract (1) Amblyopia (1) Periodontitis (1) Enuresis (1) Hypoparathyroidism (1) Adrenal insufficiency (1) Hyperaldosteronism (1) Osteopenia (1) Abnormality of the skin (1) Jaundice (1) Lymphedema (1) Angiokeratoma corporis diffusum (1) Keratoconjunctivitis (1) Spasticity (1) Hemiparesis (1) Polyneuropathy (1) Syncope (1) Meningitis (1) Cerebral hemorrhage (1) Abnormal joint morphology (1) Hepatic steatosis (1) Hepatic failure (1) Hepatocellular carcinoma (1) Premature birth (1) Sudden cardiac death (1) Aortic valve stenosis (1) Bradycardia (1) Torsade de pointes (1) Atrioventricular block (1) Pancreatitis (1) Abnormality of blood and blood-forming tissues (1) Gout (1) Diarrhea (1) Anorexia (1) Esophageal varix (1) Hypothermia (1) Apnea (1) Status epilepticus (1) Subarachnoid hemorrhage (1) Memory impairment (1) Difficulty walking (1) Encephalitis (1) Waddling gait (1) Increased intracranial pressure (1) Celiac disease (1) Biliary cirrhosis (1) Hypotension (1) Osteomyelitis (1) Squamous cell carcinoma (1) Central apnea (1) Hypokalemia (1) Hyponatremia (1) Hyperphosphatemia (1) Skeletal muscle atrophy (1) Male infertility (1) Spondylolisthesis (1) Myalgia (1) Back pain (1) Low back pain (1) Muscular dystrophy (1) Neonatal death (1) Thrombophlebitis (1) Chronic bronchitis (1) Ventricular tachycardia (1) Coronary artery stenosis (1) Chronic lymphatic leukemia (1) Hypersensitivity pneumonitis (1) Intraalveolar phospholipid accumulation (1) Abnormal anterior horn cell morphology (1) Amyotrophic lateral sclerosis (1) Neoplasm of the skin (1) Female infertility (1) Benign prostatic hyperplasia (1) Hip osteoarthritis (1) Stomatitis (1) Uterine neoplasm (1) Intestinal atresia (1) Inflammatory abnormality of the skin (1) Sinus tachycardia (1) Bronchiolitis (1) Postprandial hyperglycemia (1) Hepatitis (1) Erythroid hypoplasia (1) Hodgkin lymphoma (1) B-cell lymphoma (1) Myeloid leukemia (1) Chronic myelomonocytic leukemia (1) Morphea (1) Bronchitis (1) Hypercapnia (1) Pain (1) Retinal vein occlusion (1) Vasovagal syncope (1) Neonatal asphyxia (1) Dyspareunia (1) Heart murmur (1) Cardiogenic shock (1) Cholangitis (1) Cholangiocarcinoma (1) Small cell lung carcinoma (1) Vulvar neoplasm (1) Neonatal sepsis (1) Glue ear (1) Subdural hemorrhage (1) Endocarditis (1) Toxemia of pregnancy (1) Myositis (1) Vaginal neoplasm (1) Cellulitis (1) Self-injurious behavior (1) Bulimia (1) Neoplasm of the rectum (1) Chest pain (1) Atelectasis (1) Lymphocytosis (1) Polymenorrhea (1)

    HP:0000217: Xerostomia

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (1)


    Name (Synonyms) Correlation
    drug350 Autologous bone-marrow derived, interferon gamma stimulated mesenchymal stromal cells Wiki 1.00

    Correlated MeSH Terms (1)


    Name (Synonyms) Correlation
    D014987 Xerostomia NIH 1.00

    Correlated HPO Terms (0)


    Name (Synonyms) Correlation

    Clinical Trials

    Navigate: Correlations   HPO

    There is one clinical trial.


    1 A Phase I Dose Escalation Trial of Mesenchymal Stromal Cells in Patients With Xerostomia After Radiation Therapy for Head and Neck Cancer

    This is a single center, non-randomized, Phase I dose escalation study to assess the safety and tolerability of a single dose of autologous, bone marrow-derived, interferon gamma-stimulated Mesenchymal Stromal Cells (MSCs) injected into the submandibular glands of patients with radiation-induced xerostomia (dry mouth) following treatment for head and neck cancer (HNC).

    NCT04489732
    Conditions
    1. Xerostomia Following Radiotherapy
    Interventions
    1. Biological: Autologous bone-marrow derived, interferon gamma stimulated mesenchymal stromal cells
    MeSH:Xerostomia
    HPO:Xerostomia

    Primary Outcomes

    Description: Dose limiting toxicity is defined as 1) score > 5 on a standard pain scale of 1-10, or 2) any serious adverse event. The percentage of subjects experiencing DLT will be used to determine the maximum tolerated dose or maximum administered dose. That dose will be the recommended dose for a phase 2 trial (RP2D).

    Measure: Percentage of subjects experiencing dose limiting toxicity (DLT)

    Time: Day 30 ± 10 days

    Secondary Outcomes

    Description: Whole saliva production rates will be measured under unstimulated and stimulated saliva collection conditions.

    Measure: Change in Saliva production rate

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: Salivary pH will be measured using a pH meter. The normal range of saliva pH is 6.2-7.6 .

    Measure: Saliva composition analysis: Change in salivary pH

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: ELISA will be used to quantify total protein concentration in saliva. The normal range of total protein in saliva is 2-5 mg/mL.

    Measure: Saliva composition analysis: Change in total protein concentration in saliva

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: The enzyme-linked immunosorbent assay (ELISA) will be used to quantify amylase concentration in saliva. The normal range of amylase concentration in saliva is 10-150 U/mL.

    Measure: Saliva composition analysis: Change in amylase concentration in saliva

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: ELISA will be used to quantify mucin concentration in saliva.The normal range of mucin concentration in saliva is 1,000-3,000 ug/mL.

    Measure: Saliva composition analysis: Change in mucin concentration in saliva

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: The University of Michigan Xerostomia Related Quality of Life (XeQOL) scale is a validated patient-reported assessment 15 item scale with 4 domains: physical functioning, pain/discomfort, personal/psychologic functioning, and social functioning. Participants will answer the questions on a scale of 1-5 (not a all, a little, somewhat, quite a bit, very much) for every item. Higher scores represent greater degree of symptoms.

    Measure: Change in The University of Michigan Xerostomia Related Quality of Life (XeQOL) score

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: The MDADI is a 20-item questionnaire designed for evaluating the impact of dysphagia on the quality of life of patients with head and neck cancer. The MDADI score ranges from 20-100 with a lower scale representing worse dysphagia.

    Measure: Change in The MD Anderson Dysphagia Index (MDADI) score

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: A Visual Analogue Scale questionnaire for subjective assessment of salivary dysfunction. The VAS xerostomia questionnaire is an 8-item questionnaire that provides a validated measure of the perception of dry mouth. Participants will be asked to mark their responses to each item by placing a vertical line on the 100-mm horizontal scale. The VAS ranges from 8-80 with a lower scale representing less dysphagia/symptoms

    Measure: Change in Visual Analogue Scale (VAS) xerostomia score

    Time: at baseline, Day 30 ± 10 days, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    Description: Salivary gland size measured by ultrasound imaging

    Measure: Change in salivary gland size

    Time: at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose escalation cohorts; at baseline, Day 90 ± 14 days , Day 180 ± 21 days, Day 365 ± 21 days for dose expansion cohort

    HPO Nodes


    Reports

    Data processed on September 26, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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