Prevention and Treatment of Radiation-Induced Oral Mucositis in NPC With Houyanqing Oral Liquid
A Randomized Controlled Study of Houyanqing Oral Liquid Combined With Conventional Treatment Versus Conventional Treatment Alone for Preventing and Treating Radiation-Induced Oral Mucositis in Nasopharyngeal Carcinoma
1 other identifier
interventional
244
1 country
16
Brief Summary
To explore the efficacy of Houyanqing Oral Liquid combined with conventional treatment in preventing and treating radiation-induced oral mucositis, so as to improve the quality of life of nasopharyngeal carcinoma patients received radiotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Dec 2025
16 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 11, 2025
CompletedStudy Start
First participant enrolled
December 15, 2025
CompletedFirst Posted
Study publicly available on registry
December 31, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 15, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 15, 2027
December 31, 2025
December 1, 2025
1.2 years
December 11, 2025
December 29, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of ≥ Grade II radiation-induced oral mucositis
The proportion of patients in the group who develop Grade II or above radiation-induced oral mucositis from the start of radiotherapy. The degree of oral mucosal damage is evaluated according to the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer (RTOG/EORTC) diagnostic and grading criteria for radiation-induced oral mucositis.
From the start of radical radiotherapy to the 3 months after the completion of radiotherapy
Secondary Outcomes (6)
Time to onset of Grade II or above radiation-induced oral mucositis
From the start of radical radiotherapy to the 3 months after the completion of radiotherapy.
Cumulative radiotherapy dose at onset of Grade II or above radiation-induced oral mucositis
From the start of radical radiotherapy to the 3 months after the completion of radiotherapy.
Remission rate of Grade II or above radiation-induced oral mucositis
From the first occurrence of Grade II or above radiation-induced oral mucositis to 3 months after the completion of radiotherapy
Complete remission rate of radiation-induced oral mucositis
From the first occurrence of Grade II or above radiation-induced oral mucositis to 3 months after the completion of radiotherapy
Remission time of Grade II or above radiation-induced oral mucositis
From the first occurrence of Grade II or above radiation-induced oral mucositis to 3 months after the completion of radiotherapy.
- +1 more secondary outcomes
Study Arms (2)
Houyanqing Oral Liquid combined with Conventional Treatment
EXPERIMENTALThis arm involves Houyanqing Oral Liquid combined with conventional treatment for preventing radiation-induced oral mucositis (RIOM) in nasopharyngeal carcinoma patients receiving radical radiotherapy. Specific interventions include: 1) Houyanqing Oral Liquid administration before and during radiotherapy; 2) Conventional treatment (same as the control arm): oral hygiene management, epithelial repair promotion, and symptomatic support therapy; 3) Radical radiotherapy (conventional fractionation). The aim is to evaluate the effect of this combined regimen on reducing RIOM severity.
Conventional Treatment
ACTIVE COMPARATORThis arm consists of conventional treatment for preventing radiation-induced oral mucositis (RIOM) in nasopharyngeal carcinoma patients undergoing radical radiotherapy. Specific interventions include: 1) Oral hygiene management; 2) Epithelial repair promotion; 3) Symptomatic support . Patients in this arm will receive radical radiotherapy (conventional fractionation) but will not be administered Houyanqing Oral Liquid.
Interventions
This intervention refers to the conventional management measures for radiation-induced oral mucositis (RIOM) in nasopharyngeal carcinoma patients undergoing radical radiotherapy, including three modules: 1) Oral hygiene management; 2) Epithelial repair promotion; 3) Symptomatic support. These measures are implemented throughout the radiotherapy period to alleviate RIOM-related symptoms.
Houyanqing Oral Liquid is a Chinese herbal preparation formulated with Achyranthes aspera L., Kalimeris indica (L.) Sch.-Bip., Plantago asiatica L., and Carpesium abrotanoides L.. For this study, it is used in nasopharyngeal carcinoma patients receiving radical radiotherapy: the dosage is 10mL per administration, 4 times daily. The medication is initiated prior to radiotherapy and continued until the completion of radiotherapy, with the purpose of preventing and treating radiation-induced oral mucositis.
Eligibility Criteria
You may qualify if:
- Staged as Stage I-IV according to the 9th edition of the TNM Classification of Malignant Tumors formulated by the American Joint Committee on Cancer (AJCC) and the Union for International Cancer Control (UICC);
- Age: 18 to 75 years old;
- Karnofsky Performance Status (KPS) score ≥ 80 before treatment;
- No oral diseases (such as oral mucositis or salivary gland damage) before radiotherapy;
- Requiring radical radiotherapy;
- The patient has signed the informed consent form and is willing and able to comply with the study's follow-up visits, treatment plan, laboratory tests, and other research procedures.
You may not qualify if:
- Patients with confirmed tumor recurrence, distant tumor metastasis, or who have received other anti-tumor treatments;
- Previous history of head and neck radiotherapy;
- Known allergy to the drugs used in this study (Houyanqing Oral Liquid, any conventional treatment drugs);
- Local use of Houyanqing Oral Liquid, Recombinant Human Epidermal Growth Factor (rhEGF) Topical Solution, Vitamin B12 Solution, or Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) mouthwash in the oral cavity within one month before enrollment;
- Comorbidities requiring long-term treatment with immunosuppressive drugs, or systemic/local use of corticosteroids at immunosuppressive doses before enrollment;
- HIV-positive patients;
- Pregnant women or lactating women;
- Patients with severe mental illnesses;
- Patients with severe cardio-cerebrovascular diseases, endocrine disorders, infectious diseases, or other tumors.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fujian Cancer Hospitalcollaborator
- Eye & ENT Hospital of Fudan Universitycollaborator
- Zhejiang Cancer Hospitalcollaborator
- West China Hospitalcollaborator
- Yunnan Cancer Hospitalcollaborator
- First Affiliated Hospital of Kunming Medical Universitycollaborator
- The First People's Hospital of Changzhoucollaborator
- Xiangya Hospital of Central South Universitycollaborator
- Wuzhou Red Cross Hospitalcollaborator
- Hunan Cancer Hospitalcollaborator
- Cancer Hospital of Guangxi Medical Universitycollaborator
- Affiliated Cancer Hospital & Institute of Guangzhou Medical Universitycollaborator
- Cancer Hospital Chinese Academy of Medical Sciencecollaborator
- The Fifth Affiliated Hospital, Sun Yat-sen Universitycollaborator
- Sun Yat-sen Universitylead
- Affiliated Cancer Hospital of Shantou University Medical Collegecollaborator
- Sun Yat-Sen University Cancer Centercollaborator
Study Sites (16)
Cancer Hospital Chinese Academy of Medical Science
Beijing, Beijing Municipality, 100021, China
Fujian Medical University Cancer Hospital
Fuzhou, Fujian, 350014, China
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060, China
Affiliated Cancer Hospital & Institute of Guangzhou Medical University
Guangzhou, Guangdong, 510095, China
Cancer Hospital of Shantou University Medical College
Shantou, Guangdong, 515041, China
Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, 519000, China
Cancer Hospital of Guangxi Medical University
Nanning, Guangxi, 530021, China
Wuzhou Red Cross Hospital
Wuzhou, Guangxi, 543002, China
Xiangya Hospital of Central South University
Changsha, Hunan, 410008, China
Hunan Cancer Hospital
Changsha, Hunan, 410013, China
The First People's Hospital of Changzhou
Changzhou, Jiangsu, 213003, China
Eye & ENT Hospital of Fudan University
Shanghai, Shanghai Municipality, 200031, China
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041, China
The First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650032, China
Yunnan Cancer Hospital
Kunming, Yunnan, 650118, China
Zhejiang Cancer Hospital
Hangzhou, Zhengjiang, 310022, China
Study Officials
- PRINCIPAL INVESTIGATOR
Ming-Yuan Chen, MD, PhD
Fifth Affiliated Hospital of Sun Yat-sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
December 11, 2025
First Posted
December 31, 2025
Study Start
December 15, 2025
Primary Completion (Estimated)
March 15, 2027
Study Completion (Estimated)
August 15, 2027
Last Updated
December 31, 2025
Record last verified: 2025-12