Low-level Laser Therapy to Prevent Oral Mucositis in Head and Neck Patients

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Instituto Nacional de Cancer, Brazil
ClinicalTrials.gov Identifier:
NCT01439724
First received: September 20, 2011
Last updated: February 6, 2013
Last verified: February 2013

September 20, 2011
February 6, 2013
June 2007
June 2008   (final data collection date for primary outcome measure)
Incidence and / or severity of oral mucositis [ Time Frame: 7 weeks ] [ Designated as safety issue: No ]
The oral cavities of all patients were evaluated daily, from the first day until the last day of treatment. We used the scales of mucositis of the World Health Organization (WHO) and the Oral Mucositis Assessment Scale (OMAS) and a visual analogue scale (VAS) for pain assessment.
Same as current
Complete list of historical versions of study NCT01439724 on ClinicalTrials.gov Archive Site
Oral mucositis survival free, pain, opioid treatment, hospitalization, treatment interruption, treatment delay, patient weight loss, nasogastric tube or of a gastrostomy. [ Time Frame: 7 weeks ] [ Designated as safety issue: No ]
The oral cavities of all patients were evaluated daily, from the first day to the last day of treatment.
Same as current
Not Provided
Not Provided
 
Low-level Laser Therapy to Prevent Oral Mucositis in Head and Neck Patients
Phase III Trial of Low-level Laser Therapy to Prevent Induced Oral Mucositis in Head and Neck Cancer Patients Submitted to Concurrent Chemoradiation

Oral mucositis remains a limiting factor in in head and neck squamous cell carcinomas patients treated with chemoradiation leading to pain, dysphagia, and weight loss. Low-level laser therapy emerges as a promising, preventive therapy of chemoradiation-induced OM. This study was designed to assess the efficacy of LLLT in reducing the incidence and/or severity of oral mucositis.

Assuming oral mucositis grade 3 for placebo 0.4 (P0); laser group 0.15 (P1) ; β=0.2; α=0.05, sample size was 94 pts. From Jun 2007 to Dec 2010, 47 laser group and 47 placebo patients bearer of head and neck squamous cell carcinomas of nasopharynx, oropharynx and hypopharynx entered a prospective, randomized, double blind, placebo-controlled, phase III trial. chemoradiotherapy consisted of conventional radiotherapy 70.2 Gy (1.8Gy/d, 5 times/wk) + concurrent cisplatin 100 mg/m2 every 3 weeks. The primary end point was the incidence of grade 3-4 oral mucositis. The Low-level laser therapy used daily, was a diode InGaAlP, 660nm-100mW-4J/cm²(DMC, São Carlos, São Paulo, Brazil). Oral mucositis evaluation was done by WHO and Oral Mucositis Assessment Scale (OMAS) scale.

Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Prevention
  • Squamous Cell Carcinoma of Nasopharynx
  • Squamous Cell Carcinoma of Oropharynx
  • Squamous Cell Carcinoma of Hypopharynx
  • Device: Low Level Laser Therapy- (DMC, São Paulo, Brazil)
    Diode laser (DMC,São Paulo, Brazil) InGaAlP (indium phosphide, gallium and aluminum), with 100 mW, 4J/cm ², with an area of 0.24 cm ². The laser was daily applied by a dentist and touched the mucosa of the lips, right and left buccal mucosa, left and right lateral tongue border, buccal floor and ventral tongue, totaling nine points per region.
    Other Names:
    • Low Power Laser Therapy
    • Low Energy Laser Therapy
  • Device: Placebo (DMC, São Paulo, Brazil)
    The placebo (DMC, São Paulo, Brazil) was daily applied by a dentist and touched the mucosa of the lips, right and left buccal mucosa, left and right lateral tongue border, buccal floor and ventral tongue, totaling nine points per region.Patients in the placebo group received the same treatment during the same time, but in this case the laser tip produced no light.
    Other Names:
    • Low power laser therapy
    • Low energy laser therapy
  • Placebo Comparator: Placebo
    Patients in the placebo group received the same treatment during the same time, but in this case the laser tip produced no light.
    Intervention: Device: Placebo (DMC, São Paulo, Brazil)
  • Experimental: Low Level Laser Therapy
    The investigators used a diode laser (DMC, São Paulo, Brazil) InGaAlP (indium phosphide, gallium and aluminum), with 100 mW, 4J/cm ², with an area of 0.24 cm ². The laser was daily applied by a dentist and touched the mucosa of the lips, right and left buccal mucosa, left and right lateral tongue border, buccal floor and ventral tongue, totaling nine points per region.
    Intervention: Device: Low Level Laser Therapy- (DMC, São Paulo, Brazil)
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
94
December 2010
June 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age ≥ 18 years
  • Histological diagnosis of squamous cell carcinoma (nasopharynx, oropharynx and hypopharynx)
  • Candidates for surgery or treatment for organ preservation
  • Performance status (PS) of 0 or 1 according to the Eastern Cooperative Oncology Group (ECOG)
  • Indication for radiotherapy and concurrent platinum-based chemotherapy
  • Oral mucosa intact
  • Agree to follow the protocol of oral hygiene
  • Informed consent.

Exclusion Criteria:

  • Patients using medication for treatment and or prevention of mucositis
  • Patients incapable of treatment compliance or of performing the protocol of oral hygiene
Both
18 Years to 75 Years
No
Contact information is only displayed when the study is recruiting subjects
Brazil
 
NCT01439724
INCABrazil, Protocol 17/2007
Yes
Instituto Nacional de Cancer, Brazil
Instituto Nacional de Cancer, Brazil
Not Provided
Principal Investigator: Heliton S Antunes, DDS, MSc, PhD Instituto Nacional de Cancer, Brazil
Study Director: Carlos G Ferreira, MD, PhD Instituto Nacional de Cancer, Brazil
Instituto Nacional de Cancer, Brazil
February 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP