Tobacco and Alcohol Influence on Oncogenic Drivers and Somatic Evolution in the Oral Mucosa
DEMO
1 other identifier
observational
100
1 country
15
Brief Summary
Head and neck cancers represent more than 500,000 cases per year worldwide, and often involve post-treatment relapse. The oral cavity is the most frequent site, but early disease stages are still insufficiently characterised and poorly detected. The study's aim is to better understand the oral mucosa somatic evolution, and how it can give rise to oral squamous cell carcinoma (OSCC). This is a multi-centric, descriptive, non-interventional cohort in healthy adult subjects. The aim of the study is to detect the presence of OSCC driver gene mutations in healthy subjects' oral mucosa, quantify whether they provide cells with a selective advantage, and study the impact of tobacco and alcohol consumption on the mutational load. This study will not allow to identify potential malignant cells, and will be usable for diagnostic purposes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Nov 2023
Shorter than P25 for all trials
15 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
First Submitted
Initial submission to the registry
October 16, 2023
CompletedFirst Posted
Study publicly available on registry
October 23, 2023
CompletedStudy Start
First participant enrolled
November 23, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 8, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
March 8, 2024
CompletedMay 5, 2026
June 1, 2024
4 months
October 16, 2023
May 4, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prevalence of non-synonymous OSCC driver mutations in the healthy mucosa of smokers
Difference in mean number of non-synonymous mutations found in OSCC driver genes between smokers and non-smokers.
12 months
Study Arms (2)
Smokers
Healthy subjects having smoked 100 cigarettes or more during their life.
Non-smokers
Healthy subjects having smoked less than 100 cigarettes during their life.
Interventions
Oral epithelial cells will be collected during routine odontology appointments, upon documented non-opposition, via minimally invasive cytobrush sampling of the inner cheek
Eligibility Criteria
Subjects coming to odontology practices for routine visits
You may qualify if:
- Man or woman aged 18 or more.
- Subject coming to odontology practice for routine visit.
- Subject having accepted to participate to the research by oral non-opposition
- Subject having given additional written consent for genetic studies.
- Smoking group criterion: subjects having smoked 100+ cigarettes/joints during their life.
You may not qualify if:
- Personal history of cancer, whichever the type.
- Treatment with anticoagulants or platelet aggregation inhibitors.
- Bilateral lesions of the inner cheek preventing painless biological sample collection.
- Subject under under guardians or curators
- Pregnancy or breastfeeding
- Cannabis usage
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (15)
Cabinet Libéral Picquendar
Bougival, 78380, France
Cabinet Libéral Balayre
Chassieu, 69680, France
Cabinet Libéral Debeauvais
Châtillon-Coligny, 45230, France
Cabinet Libéral Finet
Fontaine-lès-Dijon, 21121, France
Cabinet Libéral Jaeggy
Haguenau, 67500, France
Unité de chirurgie et médecine orales (UCMO) - HCL - Hôpital Edouard Herriot- Pavillon R
Lyon, 69003, France
Centre de Consultations et de Traitements Dentaires HCL
Lyon, 69007, France
Cabinet Libéral Grammatica
Lyon, 69008, France
Cabinet Libéral Cougot
Meudon, 92190, France
Cabinet Libéral Calvo
Quint-Fonsegrives, 31130, France
Cabinet Libéral Glomet
Saumur, 49400, France
Cabinet Libéral Dutour
Theix, 63122, France
Cabinet Libéral Masri
Vandœuvre-lès-Nancy, 54500, France
Cabinet Libéral Bondil
Villefranche-sur-Saône, 69400, France
Cabinet Libéral Janisset-Masse
Villiers-sur-Marne, 95350, France
Biospecimen
Oral cytobrush samples will be collected (1 per patient, single time point without follow-up) and analysed via deep whole exome sequencing (\>500x).
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Brigitte GROSGOGEAT, MD
Centre de Consultations et de Traitements Dentaires HCL, Lyon, 69007
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 16, 2023
First Posted
October 23, 2023
Study Start
November 23, 2023
Primary Completion
March 8, 2024
Study Completion
March 8, 2024
Last Updated
May 5, 2026
Record last verified: 2024-06