Cryotherapy for Prevention of Oral Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation
A Randomized Controlled Trial of Cryotherapy for Prevention and Reduction of Severity of Oral Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation.
1 other identifier
interventional
53
1 country
5
Brief Summary
Oral mucositis (OM) is a common adverse effect of chemotherapy, radiotherapy and conditioning regimens before Hematopoietic Stem Cell Transplantation (HSCT). The aim of this study is to effectiveness of cryotherapy as a prophylactic treatment in children undergoing HSCT.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2012
Longer than P75 for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 5, 2013
CompletedFirst Posted
Study publicly available on registry
February 12, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2016
CompletedOctober 27, 2016
October 1, 2016
3.7 years
February 5, 2013
October 26, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mucositis grade - WHO Oral Toxicity Scale
WHO-Oral toxicity scale Grade 0 - No mucositis Grade 1 - Erythema and/or soreness Grade 2 - Erythema and/or ulcers. Can eat solid food. Grade 3 - Erythema and/or Ulcers. No solid food but can ingest liquids. Grade 4 - Oral alimentation not possible.
Daily until engraftment, an expected average of 20 days.
Secondary Outcomes (4)
Mucositis grade - Children´s International Mucositis Evaluation Scale (ChiMES)
Daily until engraftment, an expected average of 20 days.
Pain - Childrens Hospital Eastern Ontario Pain Scale (CHEOPS)
Daily until Engraftment an expected average of 20 days.
Mouth Pain
Daily until Engraftment an expected average of 20 days
Emotional and Psychological status
Daily until engraftment, an expected average of 20 days.
Other Outcomes (8)
Opioid consumption
During hospitalization in connection with HSCT, an expected average of 25 days
Duration of parenteral nutrition
During hospitalization in connection with HSCT, an expected average of 25 days
Weight Loss
During hospitalization in connection with HSCT, an expected average of 25 days
- +5 more other outcomes
Study Arms (2)
Cryotherapy
EXPERIMENTALCryotherapy during conditioning treatment with chemotherapy prior to HSCT
Control
NO INTERVENTIONStandard oral Care. No Cryotherapy during conditioning treatment prior to HSCT
Interventions
Cryotherapy with ice-chips, ice cream or ice water is given during conditioning treatment with chemotherapy prior to HSCT.
Eligibility Criteria
You may qualify if:
- Age between 4-18 Undergoing Hematopoietic Stem Cell Transplantation in Sweden sufficient knowledge in swedish to understand the protocols -
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Uppsala Universitylead
- The Swedish Childhood Cancer Foundationcollaborator
Study Sites (5)
Pediatric Oncology Department, Queen Silvia Childrens´ Hospital
Gothenburg, SE-41685, Sweden
Departent of Pediatric Oncology, Lund University Hospital
Lund, SE-22185, Sweden
Center for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Hudding
Stockholm, SE-14186, Sweden
Department of pediatrics B78, Karolinska University Hospital
Stockholm, Se-14186, Sweden
Department of Hematology, Uppsala University Hospital
Uppsala, SE-75185, Sweden
Related Publications (1)
Kamsvag T, Svanberg A, Legert KG, Arvidson J, von Essen L, Mellgren K, Toporski J, Winiarski J, Ljungman G. Prevention of oral mucositis with cryotherapy in children undergoing hematopoietic stem cell transplantations-a feasibility study and randomized controlled trial. Support Care Cancer. 2020 Oct;28(10):4869-4879. doi: 10.1007/s00520-019-05258-2. Epub 2020 Jan 28.
PMID: 31993753DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Gustaf Ljungman, MD, PhD
Uppsala University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 5, 2013
First Posted
February 12, 2013
Study Start
October 1, 2012
Primary Completion
June 1, 2016
Study Completion
October 1, 2016
Last Updated
October 27, 2016
Record last verified: 2016-10