Feasibility Study of a Protocol to Treat Pediatric Oral Mucositis by Low-level Laser Therapy
PEDIALASE
Feasibility Study of a Treatment Protocol of Pediatric Chemo- and Radiotherapy-induced Oral Mucositis by Low-level Laser Therapy
1 other identifier
interventional
22
1 country
1
Brief Summary
Low Level Laser Therapy has been used for a few years in some pediatric hospital centers for chemo- and radiotherapy-induced oral mucositis care. It may promote ulceration's healing, limits mucositis severity and associated pain. As its use is recommended in the treatment of radio induced mucositis in adults, the level of evidence in pediatric studies does not allow a precise treatment protocol. The investigators present here the protocol of a feasibility study in the haemato-oncology department of the Children University Hospital of Toulouse, with the view to a future efficacy study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2015
1 active site
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
First Submitted
Initial submission to the registry
October 20, 2015
CompletedFirst Posted
Study publicly available on registry
November 13, 2015
CompletedStudy Start
First participant enrolled
December 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 14, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
February 14, 2017
CompletedDecember 10, 2025
May 1, 2018
1.2 years
October 20, 2015
December 2, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Success of the procedure for each included child
The procedure is successful when low level laser has been used on all the oral mucosa minimum 3 times in the first 7 days of mucositis of grade 2. The failure of the procedure is therefore declared if the laser was applied within 3 times within 7 days.
7 days
Participation rate
Number of included patients related to the number of patients hospitalized for mucositis with a WHO grade of 2 or more, in one year.
1 year
Secondary Outcomes (6)
Evaluation of mucositis grade
7 days
Evaluation of the number of laser treatment sessions
7 days
Pain evaluation with the HEDEN mucositis pain scale
7 days
Efficacy of low level laser therapy in the treatment of oral mucositis of grade 2
7 days
Pain evaluation with the Venham scale
7 days
- +1 more secondary outcomes
Study Arms (1)
intervention
EXPERIMENTALRadiation : use of "Oncolase Digi" therapy laser diode
Interventions
The athermic phototherapy laser diode will be used by scanning the entire oral mucosa, including cheek and lip mucosa, gums, palate, tongue and floor of the mouth. It will be applied uniformly every two days as long as the grade of mucositis is 2 or more, with a fluence of 4J/cm², under two wavelengths (635 nm and 815 nm). * Cheeks will be scanned extra-orally with laser fiber during 50 seconds, at the fluence of 4J/cm², associating two wavelengths : infra-red (815 nm, 3850mW) and red (635 nm, 150mW). * Intra-orally, the fiber will be used to scan each area of mucositis during 30 seconds per area of 2 cm2, at 1cm from the mucosa; the power at 635 nm will be 150 milliwatts and 150 milliwatts at 815 nm.
Eligibility Criteria
You may qualify if:
- Hospitalization in the oncology ward of the university hospital Toulouse France
- Onco-haematological paediatric patients treated by radio- and /or chemo-therapy, affected by an oral mucositis of WHO grade 2 to 4,
- lack of any physical or psychological disease which could interfere with the realization of the study.
You may not qualify if:
- Onco-haematological paediatric patients treated by radio- and /or chemo-therapy, affected by an oral mucositis of WHO's grade under 2
- Child suffering from epilepsy
- Patient wearing a cardiac pacemaker
- Patient not able to open their mouth at least 20 mm
- Patient refusing the wearing of safety goggles.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UH Toulouse
Toulouse, 31059, France
Related Publications (1)
Noirrit-Esclassan E, Valera MC, Vignes E, Munzer C, Bonal S, Daries M, Vaysse F, Puiseux C, Castex MP, Boulanger C, Pasquet M. Photobiomodulation with a combination of two wavelengths in the treatment of oral mucositis in children: The PEDIALASE feasibility study. Arch Pediatr. 2019 Jul;26(5):268-274. doi: 10.1016/j.arcped.2019.05.012. Epub 2019 Jul 4.
PMID: 31281038RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Emmanuelle NOIRRIT-ESCLASSAN, PHD; DDS
Toulouse Children University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 20, 2015
First Posted
November 13, 2015
Study Start
December 1, 2015
Primary Completion
February 14, 2017
Study Completion
February 14, 2017
Last Updated
December 10, 2025
Record last verified: 2018-05