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D013280: Stomatitis

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Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

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Correlated Drug Terms (4)


Name (Synonyms) Correlation
drug1014 Clonidine HCl Mucoadhesive Buccal Tablet Wiki 0.71
drug3730 Routine Oral Care and Analgesia Wiki 0.71
drug3167 Photobiomodulation Wiki 0.71
Name (Synonyms) Correlation
drug3228 Placebo Mucoadhesive Buccal Tablet Wiki 0.71

Correlated MeSH Terms (5)


Name (Synonyms) Correlation
D052016 Mucositis NIH 1.00
D005892 Gingivitis, Necrotizing Ulcerative NIH 0.71
D009959 Oropharyngeal Neoplasms NIH 0.50
Name (Synonyms) Correlation
D006258 Head and Neck Neoplasms NIH 0.32
D014456 Ulcer NIH 0.21

Correlated HPO Terms (2)


Name (Synonyms) Correlation
HP:0010280 Stomatitis HPO 1.00
HP:0012288 Neoplasm of head and neck HPO 0.32

Clinical Trials

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There are 2 clinical trials


1 Photobiomodulation Therapy Using the MuReva Phototherapy System to Demonstrate Safety and Reduce the Incidence of Oral Mucositis in Adult Patients With Head and Neck Cancer Receiving Concurrent Radiation and Chemotherapy

The overall purpose of this clinical study is to evaluate safety and efficacy of the MuReva Phototherapy System with a light delivery mouthpiece to reduce the incidence of severe oral mucositis (OM) in adult patients with squamous cell carcinoma of the oral cavity, oropharynx, tonsils and base of tongue receiving concurrent radiation and chemotherapy.

NCT03972527
Conditions
  1. Oral Mucositis (Ulcerative)
  2. Oral Mucositis (Ulcerative) Due to Radiation
  3. Oral Mucositis (Ulcerative) Due to Antineoplastic Therapy
  4. Head and Neck Cancer
Interventions
  1. Device: Photobiomodulation
  2. Other: Routine Oral Care and Analgesia
MeSH:Gingivitis, Necrotizing Ulcerative Head and Neck Neoplasms Mucositis Stomatitis Ulcer
HPO:Neoplasm of head and neck Stomatitis

Primary Outcomes

Description: The primary effectiveness endpoint of the study is the proportion of patients who have severe oral mucositis (Grade 3 or 4) at week 6 of treatment according to the World Health Organization (WHO) Oral Toxicity Scale.

Measure: Incidence of severe oral mucositis (WHO grade 3 and 4) at week 6 of chemoradiation therapy.

Time: 6-8 weeks of photobiomodulation and chemoradiation therapy

Secondary Outcomes

Description: Radiation therapy oncology group scale (RTOG) 0 (Normal)- 4 (necrosis/hemorrhage), 5= death

Measure: Oral Mucositis (OM) Grade and Incidence,

Time: 6-8 weeks, evaluated once per week

Description: World Health Organization scale (WHO) 0 (Normal)- 4 (oral alimentation not possible), 5= death

Measure: Oral Mucositis (OM) Grade and Incidence,

Time: 6-8 weeks, evaluated once per week

Description: World Health Organization (WHO) analgesic ladder Steps 1-3: 1= non opioid, 2= weak opioid, 3= strong opioid

Measure: Analgesic Usage

Time: 6-8 weeks, evaluated daily
2 A Phase 2b/3, Multicenter, Randomized, Double-blind, Placebo-controlled Study Comparing the Efficacy and Safety of Clonidine Mucoadhesive Buccal Tablet to Placebo to Prevent Chemoradiotherapy-induced Severe Oral Mucositis in Patients With Oropharyngeal Cancer

This study is being performed to evaluate the effectiveness of a new drug, clonidine HCl MBT, to prevent the onset of severe oral mucositis (SOM) in patients with oropharyngeal cancer (OPC) who are being treated with chemoradiotherapy. OPC occurs on the back of the tongue or throat and is often treated by the use of chemoradiotherapy, where radiation is localized to these areas. Radiation to the OPC affected tissues causes the release of small proteins called cytokines that cause damage to the area surrounding the tumor including the oral cavity. This damage is characterized by the formation of mucositis which includes redness, pain and ulcers in the mouth and back of the throat. In addition, as more chemoradiation is administered to treat OPC, the inability to eat a solid diet (a Grade 3 mucositis) or to consume anything at all by mouth (a Grade 4 mucositis) occurs in many patients. Collectively, Grade 3 and Grade 4 mucositis is referred to as SOM. It is a frequent, debilitating side effect of chemoradiation in OPC that may cause patients to stop or interrupt their treatment, develop other side effects like the inability to swallow, or require the increased use of pain medications. OPC survivors who have successful treatment of their tumors often develop permanent swallowing, speaking and range of motion issues that may be linked back to the inability to eat and/or drink caused by SOM during their chemoradiotherapy treatment. Clonidine may inhibit the production of cytokines that cause SOM and clonidine HCl mucoadhesive buccal tablet (MBT) has been designed to deliver sustained high levels of clonidine in the oral cavity, potentially decreasing cytokine production and leading to a decrease in the incidence of SOM. Clonidine HCl MBT is a once per day treatment provided as a tablet that a patient may self-administer to the gums, where it sticks tightly to release clonidine over many hours. The primary objective of this Phase 2b/3 study is to evaluate whether clonidine HCl MBT is more effective than placebo MBT in decreasing the incidence of SOM.

NCT04648020
Conditions
  1. Chemoradiotherapy-Induced Severe Oral Mucositis
Interventions
  1. Drug: Clonidine HCl Mucoadhesive Buccal Tablet
  2. Drug: Placebo Mucoadhesive Buccal Tablet
MeSH:Oropharyngeal Neoplasms Mucositis Stomatitis
HPO:Stomatitis

Primary Outcomes

Description: The WHO mucositis grading scale will be used to assess the occurrence of SOM in this trial. The WHO grading scale grades OM from 0 to 4 according to severity of clinical observation and functional limitation, with Grade 4 = oral alimentation impossible, Grade 3 = Oral ulcers, liquid diet only, Grade 2 = Oral erythema, ulcers, solid diet tolerated, Grade 1 = Oral soreness, erythema, and Grade 0 = normal, no mucositis (no signs, no symptoms).

Measure: The occurrence of SOM (Yes/No), defined as any reporting of World Health Organization (WHO) Grade 3-4 OM, from the first day to the last day of CRT

Time: From the first CRT treatment through the end of the study treatment period, which is estimated to be 7 weeks.

HPO Nodes


Reports

Data processed on December 13, 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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