Oral Mucositis Management in Patients Receiving Radiation for Head and Neck Cancer: An Evaluation of a Barrier Based Treatment
TOPHAT
A Prospective Feasibility Cohort Trial of Oral Mucositis Management in Patients Receiving Radiation for Head and Neck Cancer: An Evaluation of a Barrier-based Treatment (Gelclair)
1 other identifier
interventional
29
1 country
1
Brief Summary
Patients who are undergoing radiation therapy on their head and/or neck, are highly likely to experience oral mucositis, which is inflammation and irritation of the mucus membranes in your mouth. This inflammation leads to difficulty eating and drinking normally as it becomes painful to do so. Currently, the Juravinski Cancer Centre (JCC) uses a standard mouth rinse to try and help prevent inflammation/soothe the pain of inflammation caused by radiation treatments, however, better options may exist. Biosyent's Gelclair is a widely available, safe-to-use mouth rinse that aims to create a protective coating on your mucus membranes to help reduce inflammation and discomfort during your radiation treatment. We aim to see if this product provides a more positive experience for patients then the current mouth rinse utilized by the JCC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Dec 2025
Shorter than P25 for phase_4
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
August 28, 2025
CompletedStudy Start
First participant enrolled
December 15, 2025
CompletedFirst Posted
Study publicly available on registry
July 13, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
July 13, 2026
July 1, 2026
10 months
August 28, 2025
July 8, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Feasibility of Recruitment:
Feasibility based on: Recruitment Rate (Pass is successful recruitment of 40 patients within 6 months)
6 Months
Participant Compliance Rate
• Compliance Rate (Percent of patient who complete study \& all questionnaires as per protocol, pass is \>75%)
8 weeks
Product Tolerability Rate
• Tolerability Rate (Percent of patients who use Gelclair for 10 days or longer, pass is \>50%)
8 Weeks
Secondary Outcomes (5)
Time to Grade 3 Oral Mucositis
8 Weeks
Patient Reported QoL
8 Weeks
Ability to Eat
8 Weeks
Time to the Initiation of Systemic Opiods
8 Weeks
Radiation Therapy Delay >7 Days
8 Weeks
Study Arms (1)
Treatment Group: Gelclair
EXPERIMENTALTreatment Group: Patients who receive Gelclair as part of their participation in the study
Interventions
Gelclair is viscous gel that is designed to sooth pain relating to oral mucositis.
Eligibility Criteria
You may qualify if:
- years of age or older.
- Histologically proven (from either the primary lesion or regional lymph nodes) squamous cell carcinoma of the oropharynx or oral cavity.
- Plan to receive at least 60 Gy dose of radiotherapy to be delivered daily Monday to Friday for 6 to 7 weeks.
You may not qualify if:
- Patient is unable (i.e. insufficiently fluent) or unwilling to complete the weekly questionnaires which are written in English.
- Inability to provide informed consent.
- ECOG performance score 2 or better.
- Plan to receive a concurrent chemotherapy agent other than cisplatin.
- Investigational agent of any kind within 30 days prior to enrollment.
- Concurrent administration of any other experimental intervention given for the purpose of preventing RIOM (see section 7.5).
- History of allergies or hypersensitivity reactions to any of the components in Gelclair.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- McMaster Universitylead
- Escarpment Cancer Research Institute (ECRI)collaborator
- Hamilton Health Sciences Corporationcollaborator
Study Sites (1)
Juravinski Cancer Centre
Hamilton, Ontario, L8V 5C2, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- DEVICE FEASIBILITY
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 28, 2025
First Posted
July 13, 2026
Study Start
December 15, 2025
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
July 13, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share
This is a small scale feasibility trial that will inform if a larger, more impact trial is warranted. To protect patient privacy and confidentiality, IDE will not be shared outside of the study team.