Cox-2 Inhibition in Radiation-induced Oral Mucositis

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Rajesh Lalla, University of Connecticut Health Center Identifier:
First received: June 12, 2008
Last updated: November 19, 2013
Last verified: November 2013

Oral mucositis refers to ulcerative lesions of the oral mucosa that occur due to radiation therapy given for treatment of head and neck cancer. These lesions are painful, compromise nutrition and quality of life and may necessitate interruptions in radiation therapy, thus adversely affecting cancer therapy outcomes. This study will examine the use of an anti-inflammatory medicine to reduce pain and severity of oral mucositis.

Condition Intervention Phase
Oral Mucositis
Drug: celecoxib
Drug: placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Prevention
Official Title: Cyclooxygenase-2 Inhibition in Radiation-Induced Oral Mucositis

Resource links provided by NLM:

Further study details as provided by University of Connecticut Health Center:

Primary Outcome Measures:
  • Clinical oral mucosal injury score [ Time Frame: over 6-7 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Pain scores [ Time Frame: over 6-7 weeks ] [ Designated as safety issue: No ]

Enrollment: 43
Study Start Date: July 2003
Estimated Study Completion Date: December 2013
Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: I- Celecoxib Drug: celecoxib
Subject will be asked to take celecoxib each day that radiation therapy is given.
Other Name: Celebrex
Placebo Comparator: II Drug: placebo
Subject will be asked to take placebo each day that radiation therapy is given.


Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Key Inclusion Criteria:

  • Patients who will be receiving at least 5000 cGy radiation therapy to at least 2 of 14 pre-defined areas in the oral cavity.
  • Women of childbearing potential must agree to use a medically accepted form of contraception during the course of the study. Women of childbearing potential must have a documented negative pregnancy test within fourteen days of enrollment in the study.
  • Patient's willing and able to provide written informed consent for the study.

Key Exclusion Criteria:

  • Patients with known hypersensitivity to celecoxib or other COX-2 inhibitors.
  • Patients who have experienced asthma, urticaria, or allergic-type reactions after taking salicylates (e.g. aspirin) or NSAIDs.
  • Patients who have demonstrated allergic-type reactions to sulfonamides.
  • Patients with a history of gastric, esophageal, pyloric channel or duodenal ulcer disease or gastrointestinal bleeding.
  • Patients with a history of inflammatory bowel disease (e.g. Crohn's disease, ulcerative colitis) or pancreatic disease.
  • Patients with severe hepatic impairment.
  • Patients with advanced renal disease.
  • Patients with a significant bleeding disorder.
  • Patients under the age of 18 or over the age of 75.
  • Women who are pregnant or nursing.
  • Patients with a history of thromboembolic events including myocardial infarction, pulmonary embolism, deep venous thrombosis, transient ischemic attack and ischemic cerebrovascular accident (stroke).
  • Patients who have had coronary angioplasty, coronary artery bypass surgery or another cardiac revascularization procedure.
  • Patients with a history of a cardiac arrhythmia requiring anti-arrhythmic therapy, angina pectoris or congestive heart failure.
  Contacts and Locations
Please refer to this study by its identifier: NCT00698204

United States, Connecticut
University of Connecticut Health Center
Farmington, Connecticut, United States, 06030-1605
Hartford Hospital
Hartford, Connecticut, United States, 06102
Sponsors and Collaborators
University of Connecticut Health Center
Principal Investigator: Rajesh V Lalla, DDS, Ph.D, CCRP University of Connecticut Health Center
  More Information

No publications provided

Responsible Party: Rajesh Lalla, Assistant Professor, Oral Medicine, University of Connecticut Health Center Identifier: NCT00698204     History of Changes
Other Study ID Numbers: IRB 03 -157- 2, GCRC 487, COXAON-0509-150, K23DE016946-05
Study First Received: June 12, 2008
Last Updated: November 19, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by University of Connecticut Health Center:
Head and Neck Cancer
Head and Neck Neoplasms

Additional relevant MeSH terms:
Mouth Diseases
Stomatognathic Diseases
Gastrointestinal Diseases
Digestive System Diseases
Cyclooxygenase 2 Inhibitors
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Inflammatory Agents
Therapeutic Uses
Central Nervous System Agents
Antirheumatic Agents processed this record on April 17, 2014